656 BAYWAY BLVD UNIT 5 � , ' FEDERAL EMERGENCY MANAGEMENT AGENCY
. � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
a Expires December 31, 2005
� . - ELEVATION CERTIFICATE
�t�c�3— QLCy'�`3 Important: Read the instructlons on pa es 1-7. J s �� a Z o Z '�) 7 - 2
a SECTION A•PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME ' Policy Number
BAYWAY TOWNHOMES, LLC U�J 1T� S
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
� BAYWAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.)
Lots 15-18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-#f#'-##.##" or ##.##�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61,NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding)
125096-0007 G SEPTEA�ER 03,2003 SEPTEMBER 03,2003 AE EL.11 A
B10,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):
611.Indicate the eleva6on datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12.Is the building located in a Coast�Bartier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designatbn Date_
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevafions are based on:❑Construction Drawings' ❑Building Under Construction` �Finished Construction
� 'A new FJevation Certificate will be required when construcfion of the building is complete.
2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificale is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(vvith BFE),AR,ARIA,AR/AE,ARIA1-A30,ARIAH,AWAO
Complete Items C3:a-i below aarorcling to the building diagram speafied in Item C2.State the datum used.If the datum is d'rfferent from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropriate,to document the datum conversion.
Datum NAVD 1988 ConversionlComments N/A `C x�
Elevation reference mark used NIA Does the elevation reference mark used appear on the FIRM? ❑Yes �No � ��si'�,,��9 ;�1 , ,
o a)Top of bottom floor{induding basement or endosure) 7.20 . FT ft.(m) � ��+ ���' y'�� '
� �� �v .• °� `�'- ;:
o b)Top of next higher floor 1770 . FT ft.(m) : V .:� l
� � ;�
o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o?;.� . ;� .•e � � .;, '�;� � !
o d)attached garage(top of blodc) 720 . FT ft.(m) �� ' . ;'y` o � �
o e)Lowest elevation of machinery and/or equipment �j '4 ;.�.q � �: ` X f
servicing the building(Descnbe in a Comments area) NIA . FT ft.(m) E;, �, �,� � � e.e ; ,- 1
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z�'N �, •z' �.,�7 H�. , -
o g)Hig hes t a djacen t(finis h e d)gra d e(H A G) 5.1 . F T ft.(m) � ?!�,j)6�1 6�O�r,��
o h)No.of permanent openings(flood vents)within 1 fl.above adjacent grade 14 � t� � ' � `
� � . ' �,
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in.
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
1 cerfify that the informafion in Sections A,8,and C on this cerfificafe represents my best efforts fo inferpret the data available.
1 understand thaf any false statement may be punishable by fine or imprisonmenf under 18 U.S. Code,Section 1001,
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEW PLS 5052
TITLE COMPANY NAME
-PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County Road 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� 06/16/04 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: in these spaces,copy the corresponding information from Section A. For�nsurance com�any use: ' '
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number �,
BAYWAY BOULEVARD
CIlY STATE ZIP CODE Comparry NAI�Number • �
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR aRCHITECT CERTIFICATION(CONTINUED) � �
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenticompany,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this cerfificate is being completed—see pages 6 and 7. If no diagram accurately
represents the building,provide a skeich or photograph.)
E2.The top of the boriom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Buiiding Diagrams 6-8 with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if av�lable).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who canpletes Sec6ons A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The statements in Secfions A,B,C,and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME .
ADDRESS CITY STATE ZIP CODE
_ SIGNATURE DATE TELEPHONE
� COMMENTS
❑Check here if attachments
�. ; SECTION G-COMMUNITY INFORMATION(OPTIONAL)
�
� The local official who is��thon�ed tiy law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Eleva6on
Certific2te. Complete the applicable item(s)and sign below.
- G1.�The info�mation in Sectior C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
= or loca;law to certify e�evatipra information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A cammuniry ot�aal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The following informati�i(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7,This permit has been issued for:�New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(induding basement)of the building is: _,_ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
' ��b3 ,�y�$� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM
Expires December 31, 2005
' •. ' •y ELEVATION CERTIFICATE
` � Important: Read the instructions on pages 1-7.
' SECTION A-PROPERTY OWNER INFORMATION For Insu�ance Company Use'.
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES, LLC V IJ t� S
BUILDING STREET ADDf�ESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number
BAYWAY BOULEVARD V �(��( )c �
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPER7Y DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
Lots 15-18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL '
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.##1�} ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUMY NAME 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX . 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of flooding)
125096-0007 D AUGUST 19,1991 AUGUST 19,1991 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community DeteRnined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Othe�(Descdbe):
612:Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Constnx�ion Drawings` �Buiiding Under Constructionx ❑Finished Constru�ion
'A new Elevation Cer6ficate will be required when construction of the building is complete.
C2.Buiiding Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch a photograph.)
C3.Elevations—Zones A1 A30,AE,AH,A(vvith BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AWA1-A30,AR/AH,ARIAO
Compiete Items C3.-a-i below according to the building diagram specified in Item C2,State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or�e�nments area of
Secfion D or Sec�on G,as appropnate;to document the datum conversion. � � , y,.,
Datum NAVD 1988 ConversionlComments N/A . �'`"""`�� ' '��*
`yr.� ,
ElevaUon reference mark used N/A Does the elevation reference mark used appearon the FIRM? ❑Yes �No .- '� � . ; '+, �,
o a)Top of bottom floor(indudng basement or enclosure) 17.70 . FT ft.(m) ,.� '- �`��,v��.►•�W*�,�'�,��,'��� y y�
o b)Top of next higher floo[ N/A . FT ft.(m) ..k� r�.�r� � "� �� � k j
o c)Bottom of lowest haizontal structural member(V zones only) N!A . FT ft.(m) . ����C •�ir �' `�' _
• � . +. �:
o d)attached garage(top of block) • 7.20 . FT ft.(m) ��; � :�' � --. � `
o e)Lowest eleva6on of machinery and/or equiprrient W;; r .. `s � �
serviang the building(Describe in a Comments area) N!A . FT ft.(m) E;% . ':'��, ,.� � ��'C =
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z'm � -..• .,� { •"•`� "
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �� � ���'•�Z{����� '
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade tJ/A � "+,
o i)Totai area of all permanent openings(flood vents)in C3.h N/A Sq.I�. '�����r+����`'
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
1 certify that the information in Sections A,8,and C on this certificafe�epresenfs my best efforfs to interpret the data avaifable.
1 understand thaf any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER ' "
BRUCE A.KLEIN PLS 5052-
TITLE COMPANY NAME
PRE5IDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County R 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
,. 02/16ro4 (727)834-8140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces aU previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For msurance Company use: �
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
BAYWAY BOULEVARD �
CITY STATE ZIP CODE Company NAIC Number •
CLEARWATER FLORIDA 33767
SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) . :
Copy both sides of this Elevation Certificate for(1)c�mmunity offiaal,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
NIA
0 Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
Fa Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being compieted—see pages 6 and 7. If no diagram accurately
represents the building,pro4ide a sketch or photograph.)
E2.The top of the bottom floor(induding basement a endosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see page�,the next higher floor or elevated floor(elevaGon b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery and/or equipment serviang the bulding is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is availabie,is the top of the bottom floor elevated in accordance with the communi�'s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The loc�official must certify this informafion in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATION
The property owner or owners authorized representative who completes Sec�ons A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or community-
issued BFE)or Zone AO must sign here. The statements in Secfions A,8,C,and E are conect to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local of5cial who is authorized by law cx crdinance to administer the community's floodplain management ordinance can complete Sections A,B,C(a E),and G of this Efevation
Certificcate. Complete the apr�icable i�ern(s)and sign below.
G1.❑The informetion in Section C was ta�n from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or loca!jaw fn cerfity elevation informa�on. (indicate the source and date of the elevation data in the Comments area below.)
G2.0 A.community oifiaal oor»�ieted S?.ction E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The folhwir�informatior:f lf�ns G4-G9)is provided fa communiiy floodpi�n management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G7.This permit has been issued for.0 New Construdion ❑Substantial Improvement
G8.FJevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_.
G9.BFE or(in Zone AO)depth of flooding at the building site is: __ft.(m) Datum:_
LOCAL OFFICIAL'S NAME ' TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
.+
�
�$��, �c�� CITY OF CLEARWATER
S � „ �
r�'- � p DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
9� � � POST OFFICE BOX 474H� CLEARWATER� FLO�uDn 33758-4748
"�I�E � IVIUNICIPAL$ERViCES BUILDING, 100 SovTT-t MYx'n,E AvEtvuE,CLEARWATER,FLO�unn 33756
TE�PxorrE(72� 562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION
In accordance with participation in the NFIPlCRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
_X_Minor corredions have been made in the below marked sections by Community O�cial
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1.BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Company NAIGNumber
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residentia�,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:�GPS(Type):
(##°-##'-##.##" or ##.�°) ❑NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
1.NFIP COMMUNITY NAME&COMMUNITY NUMB�R 62.COUNTY NAME B3.STATE
64.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEI gg,FLOOD ZONE(S) g9.BASE FLOOD ELEVATION(S)
NUMBER EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
• 12103C-0104
810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in 69:❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
612. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ❑No Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under Construction" ❑Finished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no
diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the
BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) ,
Comments: •
Date of Review: � Community Official:
�elevation certificates shall e aintained by e community and copies with the attached memo made available by request
F�vvK H►ssnx[�,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBER • JOIIN DORAN,COUNCILMEMBER
Pnut F.GixsoH,COUNCILMEMBER � CARLEN A PE7'ERSEN,COUNCILMEMBER
��EQUAL EMYLOYMENT AND AFFIIZMATIVE ACTION EMPLOYER��