656 BAYWAY BLVD UNIT 10 � � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
a�3 _ ��y 8� NATIONAL FLOOD INSURANCE 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 � D '
BUILDING STREET ADDRESS{Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
BAYWAY BOULEVARD � �y� ��v!)
C17Y STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Pam,el 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,'rf 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&COMMUNIN NUMBER 62.COUNiY NAME B3.STATE
Cify Of CI28fW2tB� 125096 PINELL4S FLORIDA
B4.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX. B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE BB.FLOOD ZONE(S) (Zone A0,use depth of flooding)
125096-0007 D AUGUST 19,1991 AUGUST 19,1991 AE ' EL.11.0
610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth eniered in B9.
❑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' �Buiiding Under Construction" ❑Fnished Construction
xA new Elevation Certificate will be required when construction of the buildng 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(with BFE),AR,ARIA,ARIAE,AWA1 A30,AWAH,ARIAO
Compiete Items C3:a�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
Secfion B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the C,omments area of
Section D or Section G,as appropriate,to document the datum conversion. ��`�'"
Datum NAVD1988 ConversionlComments NIA ,•"���"+��o�t'':,�i
Elevation reference mark used N/A Does the elevation reference mark used appearon the FIRM? ❑Yes �No •'��' , S+ ��E,� rk
o a)Top of bottom floor(induding basement or endosure) 1770 . FT ft.(m) � .- '���.+•"ti''''..�f ��,��,r :,.
o b)Top of ne�higher floor � NIA . FT ft.(mj �� d�� �_:��;;y ,�►'^_�`�,} '�,
o c)Bottom of lowest honzontal slructural member(V zones only) N/A . FT ft.(m) �,.m ��'� � ' � �- P -y�- : '�
o d)attached garage(top of block) 7.20 . FT ft.(m) W�, e�' � ;� ; '
o e)Lowest elevation of machinery and/or equipment ��; m-+ � `r�" • .,_,;w �
servicing the building(Describe in a Comments area) N/A . FT ft.(m) �2 i '�•: �� .r� �;� �
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) " �
Z o, � ,
o g)Highest adjacent(finished)grade(HA�) 5.1 . FT ft.(m) ��'� ' p ��=�.D� y�� -N
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A � '��?v� ��-
o i)Total area of all permanent openings(flood vents)in C3.h NIA 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 fhe information in Sections A,B,and C on fhis cerfificafe tepresents my best efforts to interpret the data availabfe.
I understand fhat any false statement may be punishable by fine 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 ZIP CODE
8016 Old County R 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
, , 02J16ro4 (72�834�8140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous edifions
_
IMPORTANT: In these spaces,copy the corresponding information from Section A. Fa insuranoe com�any us=:
BUILDING STREETADDRESS(Indudirg Apt.,Uni�Suite,and/orBldg.No.)OR'P.O.ROUTEAND BOX N0. Policy Number �
BAYWAY BOULEVARD .
�� 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)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 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 buiiding diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. if no diagram aocurately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(including 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 6-8 with openings(see page�,the next higher floor or elevated floor(elevation b)of the buiiding 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 madiinery 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 available,is the top of the bottom floor elevated in accordance with the communi�'s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The bcal offiaal must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who compietes Sedions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BF�or Zone AO must sign here. The statements in Sedions A,B,C,and E are correct to the 6est 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 locai offiaal who is authorized by law or ordinance to administer the community's floodplain management ordinance can compiete Sections A,B,C(or E),and G of this Elevation
Certificate. Corr;n�ete the�ic2u,"�iterrvs)arid sign below.
G1.�Th�information'ir Section C wa�taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or Icxzl law to certify�svation information. (Indicate the so�rce and date of the elevation data in the Comments area below.)
G2.�A community offiaal comFae�d Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The following i,�ormation(Items C�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
NATIONAL FLOOD INSURANCE PROGRAM
� . Expires December 31, 2005
' ' • ELEVATION CERTIFICATE
ano� — d4 �l�$ Important: Read the instructions on pages 1-7. .�s �� b Z o 2 '�1 7 - Z
SECTION A-PROPERTY OWNER INFORMATION Fa Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BAYWAYTOWNHOMES, LLC UIJ lT (�
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
*p BAYWAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPER7Y 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,'rf 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 COMMUNITY NAME&COMMUNITY NUMBER B2.GOUNTY NAME B3.STATE
City of Ciearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depTh of floodirg)
125096-0007 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
610.Indicate the source of the Base Fioai Elevation(BFE)data or base flood depth entered in 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):
611.Indicate the elevation datum used for the BFE in B9:�N�VD 1929 �NAVD 1988 ❑Other(Describe):_
B12 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:0 Construction Drawings` ❑Buiiding Under Construction' �Finished Construction
. 'A new Elevation 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 cerfificate 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,AWAE,AWA1-A30,AR/AH,AWAO
Complete Items C3.-a�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 ar�2 of
Section D or Section G,as appropnate,to document the datum c�nversion. �,�,
Datum NAVD 1988 ConversionlComments N/A �;r;'v�s�r�k„L; � ,
Elevation reference mark used NIA Does the elevation reference mark used appear on the FIRM? ❑Yes �No , ��3��� �� �g
_'��r�:
o a)Top of bottom floor(including basement or enclosure) 7.20 . FT ft.(m) � � �'�„ * �;����.. '� ��
� °��;. r
o b)Top of ne�higher floor 17.70 . F T ft.(m) .� �/ +�a`� ����, . ,�,��„r+� �
o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) '� � � �;�„�,�` `
o d)attached garage(top of block) 7.20 . FT ft.(m) �°'"���` :'� � a��` �"°' ' �`
o e)Lowest elevation of machinery and/or equipment W�" �w °'> to' % � '�
seroiang the building(Describe in a Comments area) N/A . FT ft.(m) �" ��" � '' g�'� '�
o Lowest ad'acent finished rade LAG 5.0 . FT ft.(m) z'�� � '�,t��� � �
fl l ( )s ( ) • �
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �N �,•�, p6'/1�I�,�j�`»' �.� ':
o h)No.of permanent openings(flood vents)within 1 ft.above adj�ent grade 14 � .a�'`'�`+�t a y �;�' i �':+�°'
o i)Total area of aii permanent openings(flood vents)in C3.h 1280 sq.in. � ��' `` ��,�;�k,,�,�,,,; "�
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION "� .;�
This ceRification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I cerfify thaf the information in Sections A,B,and C on thrs certificate represents my best efforfs to interpret the data available.
I understand fhat any false sfafement may 6e punishable by fine or imprisonmenf under 18 U.S. Code, Secfion 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
-PRES�DENT 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.,Unit,Suite,andfor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
BAYWAY BOULEVARD •
�� STATE ZIP CODE Company NAIC�3umber . • " �
CLEARWATER FLORIDA 33767
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 E1 through E4. If the Elevation Certificate is intended for use as supporfing information for a LOMA or LOMR-F,
Section C must be wmpleted.
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 accuratety
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(including basement or endosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�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 platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc 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 local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Secfions 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 sfatements in Secfions 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 local afficial who is�uthonzed bylav�cr�rdinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the applicable item(s)and sign below.
G1.�The informalion.in 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
or locai law to certify elevation fiformation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A commun�ty oifiaal o�mplpted Seciian E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT 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(including 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
� � ,�I�, �
r �. p DEVELOPMENT &NEIGHBORHOOD SERVICES DEPARTMENT
9� � ` ` POST OFFICE BOX 474H� CLEARWATER� FLO�uDA 33758-4748
�',qTE �� MUNICIPAL SERVICES BUILDING, 100 Sou'rx M�tx'['t.E AvEtvuE,CLEARWATER,FLO�uDn 33756
TE�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 compietion 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 i�surance Gompany Use:
A1.BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAfC Number
656 BAYWAY BOULEVARD-UNIT 10
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 ##.#�!###°) ❑NAD 1927 ❑ NAD 1983 ❑USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 83.STATE
B4.MAP AND PANEI g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S)
NUMBER EFFECTIVEIREVISED DATE (Zone AO,use depth of flooding)
12103C-0104
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in B9:❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
612. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Othervuise 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 Construdion' ❑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:
��ation certificates shall be aintained by the community and copies with the aftached memo made availa6le by request
Fxn�vx Hissnw�,MAYOR
GEORGE N.CRE'1'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIRSON,COUNC[LhiEMBER � CARLEN A.PE7'ERSEN,COUNCILMEMBER
��EQUAL EMPLOYMENT AND AFFIItMATIVE ACTION EMPLOYER��