656 BAYWAY BLVD UNIT 9 � � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
� � � ` � ELEVATION CERTIFICATE
. , ad� ^v y `v 1 Important: Read the instructions on pages 1-7. J. �� a Z o Z '�1 7 - Z
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BAYWAY TOWNHOMES,LLC U� 1`f �
B�UKDING STREET ADDRESS(Inciuding 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 ��6� '
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):
� �°_��_�,�� o� �,�°) ❑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
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEJREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of floodirg)
125096-0007 G SEPTEMBER 03,20()3 SEPTEMBER 03,ZOU3 AE EL.11.0
B10.Indicate the souroe of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):
B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12 Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protec�ed Area(OPA)? ❑Yes �No Designation Daie_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings' ❑Building Undee Construction* �Finished Construction
� *A new Elevation Cerfificate will be required when construction of the building is complete.
2.Building Diagram Number 7 (Select the building diagram mast similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
�curately 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,ARIA,AR/AE,ARIA1-A30,ARIAH,AWAO
Compiete Items C3:a-i below according to the building dagram 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 appropnate,to document the datum conversion. '" _
�;,. �.
Datum NAVD 1988 Conversion/Comments 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) � �,��`"�.��»«�����« �`"''*v� ��,
o b)Top of ne�higherfloor 1'�70 . FT ft.(m) `� �y" �✓ A��'� � � �;��'' x
o c)Bottom of lowest horizontal structural member(V zones only) NIA FT ft.(m) o o �����K' � ±°`o,���o
o d)attached garage(top of block) 720 . FT ft.m �� � �� �'� � � �
� ) w � - • •—;�� ;� � �'
o e)Lowest elevation of machinery and/or equipment �� � �, � y Y , ._
serviang the building(Describe in a Comments area) N/A . FT ft.(m) �;� '�. ,,�, �
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z�'N � � ',�s '� �,� ,y,
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) U ���t��64�6/��,���
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 �
o i)Total area of ail 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 information in Sections A,B,and C on this certificafe represents my besf efforfs to interpret the data available.
I understand that any false sfatement may be punishable by fine or imprisonmenf 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. Forinsurance Company use: ' • �
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number �
BAYWAY BOULEVARD
��n' STATE ZIPCODE ComparryNAlCNumber -
CLEARWATER FLORIDA 33767 � �
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
N/A
❑Chedc 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 compieted.
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 enclosure)of the building 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 af 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 of the bottom floor elevated in accordance with the communi�'s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certiiy 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 statements 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-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authoriz�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
Certificate:Complete the appiicable item(s)and sign below.
G1.❑The informa6on iri Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
o��or.��aw to c:rfrfy elevation infortnaGon. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A commurrity official�mpleteli Section E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0.
G3.�The following informafiar(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
� � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
� �c�'�_ �r y �-7 NATIONAL FLOOD INSI�i�ANCE PROGRAM Expires December 31, 2005
' '• `• ELEVATION CERTIFICATE '
�
Important Read the instructions on pages 1•7.
SECTION A•PROPERTY OWNER INFORMATION For Insurance Company Use;
BUILDING OWNER'S NAME Policy Number `
BAYWAY TOWNHOMES, LLC �J 'T
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
BAYWAY BOULEVARD (o� `�
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc 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-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.###i##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNf1Y NAME&COMMUNIIY NUMBER 62.COUNTY NAN� B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX . B6.FIRM INDEX DATE EFFECTIVEIf2EVISED DATE 68.FLOOD ZONE(S) (Zone Aq,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 � ❑Cornmunity Determined ❑Other(Describe):_
611.Indicate the elevation datum used for the BFE in 69:�NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12: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.Buildng elevations are based on:�Construction Drawings* �Building Under Construction' ❑Rnished Construction
'A new Elevation Cerfificate will be required when constn�ction 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 represenis the building,provide a skeich a photograph.)
C3.Elevations—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,ARIA1 A30,AR/AH,ARlAO
Canplete Items C3:a-i below according to the building diagram specified in Item C2.Stete the datum usetl.If the datum is different from the datum used for tt�e BFE in
Section B,convert the datum to that used for the BFE.Show 6eld measurements and datum conversion calculation. Use the space provided o4r,�ae Comments area of
Section D or Section G,as appropnate;to document the datum conversion. : �p
x�,�k*g iw�� +,r ,�
Datum NAVD 1988 ConversionlComments NIA - �d�:.,���°
Elevation referenoe mark used N/A Does the elevation reference mark used appearon the FIRM? ❑Yes �No � � /� « _
o a)Top of bottom floor(including basement or endosure) 17.70 . FT ft.(m) ,+� ;�����"�"�''��'�� „' '
*���
o b)Top of next higherfloor N/A . FT ft.(m) y�,� �* �y �" ' � ' ;;+
r ,� .d�
N_. � V�as
o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) y �� a; ,�,; ,.,�:;
o d)attached garage(top of block) 7.20 . FT ft.(m) �.,��: �'�p�ry;; � � �:��,, �`„
o e)Lowest elevation of machinery andlor equipment - "' ' '�
� �e,�' : s— �, � � ',
servicing the building(Describe in a Comments area) N/A . FT ft.(m) j�` .� t �" .r �'�' Q�' ,
o fl Lowest adjacent(finished)grade(LAG) 5.0 . Ff ft.(m) z�'J '•.f" � x•,,�`+
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �� � � c�'���/0�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N!A � ����;,<< w�.�`�
o i)Total area of all permanent openings(flood vents)in C3.h N/A 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.
I cerfify that the information in Sections A,B,and C on fhis cerfificate represents my best efforfs fo interpref fhe data available.
I understand that any false statement may be punishabfe by 6ne or imprisonment under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME UCENSE NUMBER '
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE 7JP CODE
8016 Oid Counry Road 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
, 02/16�C114 (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. For�nsurance com�any use: �
BUILDING STREET ADDRESS(induding Apt,Uni�Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Polic,y Number �
BAYWAY BOULEVARD
�� 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,antl(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 di�ram most similar to the buiiding for which this certificate is being completed—see pages 6 and 7. if no diagram accurately
represents the buildng,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 availabie).
E3.For Building Diagrams 6�with openi�gs(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 piafform of machinery andlor 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 oniy: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communii�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local�official must cerfify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who compietes Secbons 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 mustsign here. The statemenfs in Sections A,8,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�ocal ofB��I who is authonzed by�aw or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Cerfificate. Complete the appiicable�m(s)and sign below.
G1.�The information in Section C was take�fram other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or local law to;,��t'rfy elevation information. (Indicate the source and date of the eleva�on data in the Comments area below.)
G2.❑A community offiaal completed Sec�,�E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following informatior�(Items G4-G9}is provided for community floodplain management purposes.
G4.PERM(T 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-twilt 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
Y ' ������� C ITY OF C LEARWATER
• v ,�li, �
� -� p DEVELOPMENT &NEIGHBORHOOD SERVICES DEPARTMENT
99 � � POST OFFICE BOX 474H� CLEARWATER� FLOx�DA 33758-4748
"�/�E � MUNICIPAL SERVICES BUILDING, 100 Sov'ri-i Mnz�AvEivuE,CLEARWATER,FLO�uDn 33756
Ts�rxorrE(72�562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION
In accordance with participation in the NFIP/CRS 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 corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION `For Insuranee Company:Use:
A1. BUILDING OWNER'S NAME Policy Numbe�
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIG Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type):
(##°-##'-##.##" or ##.#il###°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone A0,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)
B11. Indicate elevation datum used for BFE in 69:�NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
B12. Is the buildin located in a Coastal Barrier Resources S stem CBRS)area or Othenvise Protected Area OPA? ❑Yes ❑No Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REGIUIRED)
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,ARlAO.
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 6,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 bui�ding(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1ft.above adjencent grade
i) Total area of all permanent openings(floo ents)in C3.h sq.in.(sq.cm)
Comments: ,
Date of Review: Community Official:
�levation certificates shall be maintai by fhe mmunity and copies with the attached memo made avaifable by request
FHntaK H[BSnxn,MAYOR
GEORGE N.CREI'EKOS,COUNCILMEMAER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMAER � CARLEN A.PE7'ERSEN,COUNCILMEMBER
��EQUAL EMPLOYMENT AND AFFIItMATNE ACTION EMPLOYER��