656 BAYWAY BLVD UNIT 7 ' � � FEDERAL EMERGENCY MANAGEMENT AGENCY
� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
� Expires December 31, 2005
' � '� � ELEVATION CERTIFICATE
` � C7��- oy " Important: Read the instructions on pages 1-7. J s Q� a Z o z�7. Z
SECTION A•,PROPERTY OWNER INFORMATION For Insurance Canpany Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES,LLC U�J�T �
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 Description,etc.)
Lots 1�18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILD�NG 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 ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION .
B1.NFIP COMMUNIIY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
125()96-0007 G SEPTEMBER 03,2003 SEPTEMBER 03,2(103 AE EL.t 1.0
610.Indicaie the sa�roe of the Base Flood Elevation(BFE)data or base floai depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
611.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):
612.Is the building located in a Coastal Bamer Resour�es 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:❑Construction Drawings' ❑Building Under Construction" �Finished Construction
� *A new Eleva6on Certificate will be required when construction of the building is complete.
2.Building 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 or photograph.)
C3.Elevations-Zon�A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,ARIA1-A30,ARIAH,ARIAO
Com�ete Items C3.-a-i below accorciing to the building diagram speafied 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 6eld measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropnate,to document the datum c�nversion.
Datum NAVD 1988 Conversion/Commenis N/A � ��� ��„
Elevation reference mark used N!A Does the elevation reference mark used appear on the FIRM? ❑Yes �No ���� ;:������
o a)Top of bottom floor(induding basement or endosure) 7.20 . FT ft.(m) � +��,,,:e; ,,,��*.�,�,:�,;;°
o b)Top of next higher floor 17.70 . FT ft.(m) `� ` ` �t� - �� ;. -;�'✓�
o c)Bottom of lowest honzontal structural member(V zones only) NJA . FT ft.(m) N � ��:"*� �° "'��, �''
o d)attached garage(top of block) 7.20 . FT ft.(m) �� �v. �r 'a " { . + �a .
o e)Lowest elevation of machinery and/or equipment W`° �.� � �£` ��
d . .�s.;� .. i
serviang the building(Describe in a Comments area) N/A . Ff ft.(m) ?c � .�-,,'�r�� ^ � ,"'�,,�� - i �
o fl Lowest adjacent(finished)grade(LAG) 5.0 . Ff ft.(m) z N §'��y'° •.,�� 3��;. 4�:�,�� ,
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ; Y'.r�� �06/,1.6/A��:��g
o h)No.af permanent openings(flood vents)within 1 ft.above adjacent grade 14 J ; c�r �r: '� ,s � I
o i)Total area of aii 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 ce�tify elevation information.
I certify that the information in Sections A,8,and C on this certificate represents my best efforts fo interpret the data available.
I understand that any false sfatement may be punishabie by fine or imprisonment under 18 U.S.Code,Seetion 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN 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 coResponding information from Section A. For insurance company use: ' . / '
BUILDING STREET ADDRESS(Induding Apt.,Uni�Suite,and/a Bldg.No.)OR P.O.ROUTE AND BOX N0. Polic.y Number
BAYWAY BOULEVARD ,'�
��n STATE ZIP CODE Company NAICNumber . �
CLEARWATER FLORIDA 337g7
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 similarto 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.)
E2.The top of the bottom 800r(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see page 7),the ne�higher floor or elevated floor(eleva6on 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 andlor equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top af the bottom floor elevated in accordance with the community'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 completes Sections 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 statemenfs in Sections A,B,C,and E are correct to fhe 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 wt�o is authorize�•by la�+a ordinance to administer the community's floodplain management ortlinance can complete Sections A,B,C(or E),and G of this ElevaGon
Certificate. Complete the applicabie item(s)and sign below.
G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engine�r,or architect who is authorized by state
or lacal law to certify elevation information. (Indicaie the source and date of the elevation data in the Comments area below.)
G2.�A community offiaal cnmpleted Section E for a building located in Zone A(without a FEMA-issued or communityassued BFE)or Zone A0.
G3.0 The fdlowing information!Items G4-G9)is provided fa community floodplain management purposes.
G4.PERMff NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G7.This permit has been issued for:0 New Construction ❑Substan6al 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
__ _ �_ . _.,.�._ _.�-�....�..� __,�,,�,�,.�e.,... .,.�.,.�.�--�,,�._��.., �,�,.�-,�- _
" • FEDERAL EMERGENCY MANAGEMENT AGENCY
,�OO�— Oy-y�j S NATIONAL FLOOD INSURANCE�ROGRAM O.M.B. No. 3067-0077
�� '° Expires December 31, 2005
'. • ELEVATION CERTIFICATE
k �
M- Important: Read the instructions on pages 1•7.
SECTION A-PROPERTY OWNER INFORMATION For Insu�anoe Company Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES, LLC U � �7
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. C�mpany NAIC Number
BAYWAYBOULEVARD (e (o ��1.�4`� �W ba
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Ta�c Parcel Number,Legal Description,etc.)
Lots 15-18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e.g.,Residential,Non-residerttial,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL "`
LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURC.; ❑GPS(Type):
� �°_��_�.�� o� �.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ' ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME 8�COMMUNIlY NUMBER 62.COUMY NAME 63.STATE
Clty Of Clearwatef 125096 PINEUAS FLORIDA
B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S}
NUMBER 65.SUFFIX . B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AQ,use depih of flooding)
125096-0007 D AUGUST 19,1991 AUGUST 19,1991 AE EL.11 A
610.Indicate the source of the Base Flood Eleva6on(BFE)data or base flood depth entered in B9. '
❑FIS Profile �FIRM . ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Descnbe):_
B12 Is the building located in a Coastal Bamer Resources System(CBRS)area or Othervuise Protected Area(OPA)? ❑Yes �No Designafion Date_
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on;�Construction Drawings` �Buiiding Under Construdion` ❑Fnished Construction
'A new Elevation Cerfificate will be required when construction of the building is complete.
C2.Building Diagram Number 7 (Select the buiiding diagram most similar to the building for which this cert�cate 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,AWA,ARIAE,AWA1-A30,AR/AH,AR/AO
Complete Items C3.-aa below according to the building diagram specified 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. �`�+� �,�.,���
�, yy,,�;,.�,.�..�qq.�.,,.., .
Datum NAVD 1988 ConversioNComments NIA ���
Elevation reference mark used N/A Does the elevation reference mark used appearon the FIRM? ❑Yes �No �',��� �• � .�ry � � f
o a)Top of bottom floor(induding basement or endosure) 1770 . FT ft.(m) � LL -.�,��;,� w,,,�•E"` ,'•� `� r� fi :�',
o b)Top of next higher floor N/A . FT ft.(m) � � �fj ' " � �, ' � �
o c)Bottom of lowest honzontal structural member(V zones only) NlA . FT ft.(m) h � '"`�:'�� '�'� ' , O �*'�
0 0.'° �r .� tL� � ,..., � � .
o d)attached garage(top of block) 720 . FT fl.(m) �� �"' ;+� �,
o e)Lowest elevation of machinery andlor equipment � d p :�, `r; . -� o: �-
servicing the building(Describe in a Comments area) NIA . FT ft.(m) �� , a' : pY„ �'1•''
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT fl.(m) �z'�� Y .�¢� ,,•�,
o g)Highest adjacent(finishe�grade(HAG) 5.1 . FT ft.(m) � `! �'?, �'0�116�/q, �'.� ,
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A � '��!��� '� =fi�� �
o i)Total area of all permanent openings(flood vents)in C3.h N/A sq.in. ' `�;����R 4�•:`
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,B,and C on fhis certificafe represents my best efforfs to interpret fhe data avaitabfe.
1 understand that any false stafement may be punishable by fine or imprisonmenf under 18 U.S. Code,Section 1 DOI.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052-
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ' ZIP CODE
8016 Old County Roa 54 New PoR Richey FL 34653
SIGNATURE DATE TELEPHONE
0?J16/04 (727)834-8140
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. F«�nsurance Company use: • �
BUILDWG STREET ADDRESS(Induding Apt.,Unrt,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ' �
BAYWAY BOULEVARD ,
�� STATE ZIP CODE Company NAIC Number � ,
CLEARWATER RORIDA 337g7
SECTION D-SURVEYOR,ENGINEER,OR ARCHfTECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,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 Cerfificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be cbmpleted.
E1.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.)
E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6-8 with openings(see page 7),the next 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 plafform of machiner�and/or equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available). `
E5.For Zone AO only: If no flood depth number is av�lable,is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance?
❑Yes ❑No ❑Unlinown. The local offici�must cerfify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners!authorized representative who completes Sections 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 sfataments in Sections 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-COMMUNRY INFORMATION(OPT�ONAL)
The local o�'�al wh�is authorized by la�.ur ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Cer6ficate. Complete the applicable item(s}and sign below.
G1.[']Th�e information irr�Sedion C was taken ftom other documentation that has been signed and embossed by a licensed surveyor,engineer,a arch�ect who is authorized by state
ortocal law to cerfify eleva?ion ir�ormation. (Indicate the source and date of the elevation data in the Comments area below.)
�2.❑A community offiaa�rzi,mplete�+Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The follc�ving information(Items G4-G9)is provided fa 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