656 BAYWAY BLVD UNIT 8 a b� ` FEDERAL EMERGENCY MANAGEMENT AGENCY
� �`)y �b NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
'• ' ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Canparry Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES, LLC N!
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number
BAYWAY BOULEVARD c,�S, `� ,�
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):
( ##°-##'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUN�ER 62.COUNiY NAME 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX . 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding)
125096-0007 D AUGUST 19,1991 AUGUST 19,1991 AE EL11.0
610.Indicate the sauce of the Base Flood Elevation(BFE)data or base flood depth entered in 69.
❑FIS Prafile �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 buiiding 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:�Construction Drawings` �Building Under Construction' ❑Finished Construction
*A new Elevation Certificate will be required when c�nstruction of the building is complete.
C2.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—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(vvith BFE),AR,AWA,ARIAE,AWA1 A30,AR/AH,AR/AO
Complete Items C3:a-i below according to the buildng 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 caicula6on. Use the space provided or the Comments area of
Section D or Section G,as appropnffie;to document the datum conversion.
Datum NAVD 1988 Conversion/Comments N/A �'�"^� �'
��,
Elevation reference marlc used N/A Does the elevation refe[ence mark used appearon the FIRM? ❑Yes �No �' -+
o a)Top of bottom floor(induding basement or endosure) 1770 . FT ft.(m) � ���.�'t�r''J� =��
o b}Top of next higher floor N/A . FT ft.(m) � •� �� •`� �r�`' � '� �T°
o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) N�;: ~` 'e ' �� �����' + �
o d)attached garage(top of block) 7.20 . FT ft.(m) ��' ;h� �' �� '� i"
o e)Lowest elevation of machinery andlor equipment W� :; �„��y r� ffi; �
servicin g the buildn g(Describe in a Comments area j N/A . FT ft.(m) �°� "' '� ° ��, ,
j ,qv :+f' ,M . ; 1r' v:!.�
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) �.� ^, '� � ��.;,`� -
�i
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) '�Q;x % , �d�l 02/16/0�'�?
� •. ,
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A J �� f��'' ..•.•'', ;�r.
o i)Total area of all permanent openings(flood vents)in C3.h N/A sq.in. } 1��
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 this cerfificafe represents my best efforts to interpret the data availab/e.
I understand that 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
PRESIDENT KLEIN&STAUB SURVEYING,WC.
ADDRESS CITY STATE ZIP CODE
8016 Oid County Road 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
02/16ro4 (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,Uni�Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
BAYWAY BOULEVARD
��n STATE ZIP CODE Company NAIC Number '.
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation CeRificate 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 Ce�ificate 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 certi6cate 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)0 above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,'rf 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 senriang 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 available,is the top of the bottan floor elevated in accordance with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must oertify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authonzed representative who completes Sections A,B,C(Items C3.h and C3.i oniy),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must'sign here. The statements in Sedions A,8,C,and E are conect fo 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 loca�offiaal who is authonzed by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Cerfificate. Com�lete the applicable item(s)�d sign below.
G1.�The information in Se�ion C was taker from other documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authorized by state
or local law t4�y�evation.�nformation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A commanity offiaa��mplete�J Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The fo�owing informatioir(!tems G4-G9)is provided for communiiy 800dplain management purposes.
G4.PERMff NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY 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)depfh 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
� � ' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM
� Expires December 31, 2005
' '. � ELEVATION CERTIFICATE
�03— d`I`t � Important: Read the instructions on pages 1-7. .�s Q� b z o Z�? 7 - Z
SECTION A•PROPERTY OWNER INFORMATION For Insurance Canpany Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES,LLC V N t'r �
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 15-18 Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e.g.,Residential,Non-residentiai,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
61.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
12b096-0007 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE ELt 1.0
610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in 69:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):
612.Is the building located in a Coastal Barrier 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:❑Construction Drawings' ❑Building Under Construdion` �Finished Construction
� "A new Elevation Certificate will be required when constn�ction of the building is complete.
2.Building Diagram Number 7 (Select the buiiding 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 BF�,VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,ARIAH,AR/AO
Complete Items C3:a�below according to the buiidng 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 NAVD 1988 ConversionlComments NIA 5 }'�`':.
Elevation reference mark used NIA Does the elevation reference mark used appear on the FIRM? ❑Yes �No °.�� „ •
�:.,.
o a)Top of bottom floor(including basement or endosure) 7.20 . FT ft.(m) � : �''„��`�,� ���»'� ��;�.
� . ���� �TM,�'"` �:�.9 ,�:,
o b)Top of next higherfloor 1�7 0 . F T ft.(m) � � (�', ,,
o c)Bottom of lowest honzontal structural member(V zones only) N9A . FT ft.(m) �p: 'V %!� �'" y ',''�
o d)attached garage(top of block) 7.20 . FT ft.(m) w� ,, „�,,=, �, .; M ..i��
o e)Lowest elevation of machinery and/or equipment „ '"�` w- � , �`
seroiang the building(Descnbe in a Comments area) NlA . FT ft.(m) � � 4 " ' * � *�., �r°��':
�'_, -.
o fl Lowest adjacent(finished)grade(lAG) 5.0 . FT ft.(m) �z'�� �� �'. ,� � Fp��� ; �
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � a)� •� 0�/16����
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � ' �� ��
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. 4�,�;4 4
SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION
This certification is to be signed and sealed by a land suroeyor,engineer,or architect authorized by law to certify elevation information.
I cerfify that fhe informafion in Sections A,8,and C on this certificafe represents my best efforfs fo inferpref the data available.
I understand fhat 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
.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 insurance Company use: ' . '
BUILDING STREET ADDRESS(Induding Apt.,Uni�Suite,andlor BkJg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
BAYWAY BOULEVARD �
CITY STATE ZIP CODE Company NAIC Number �
CLEARWATER FLORIDA 337g7
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agent/company,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�1 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 ce�ificate 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 buiiding is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if 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 piatform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(check one)the higliest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The locai official must oertify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representaGve who complet�s 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 statements in Secfions A,8,C,and E are correct to the best of my knowiedge.
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 authonzed by law o�ordinance to administer the community's floodptain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
CerGficate. Complete the applirable item(s)and sign below.
G1.�The informatian tn Sec6on C�vas taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or iocai law to cerfrfy elevatio�information. (Indicate the source and date of the elevation data in the Commenis area below.)
G2.�A community offiaal comp�eted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The following informatio^(Items G4-G9)is provitled 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:0 New Construction ❑Substantial Improvement
G8.EJevation 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 twilding 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