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2349 BLUEWATER WAYU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency Nafional Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY Company NAIC Number City CLEARWATER State FL ZIP Code 33759 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128, PAGES 39-43 2349 BLUEWATER WAY BCP2008-05491 3) 1a-4-i(la (P(44000j- Zo A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 28d 00' 20.8" Long. 82d 43' 29.1" Horizontal Datum: 0 NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 82. County Name PINELLAS B3. State FLORIDA B4. Map/Panel Number LOMR-F-0704-4491 85. Suffix A 86. FIRM Index Date MAY 17 2005 B7. FIRM Panel Effective/Revised Date September 3, 2003 B8. Flood Zone(s) X 89. Base Flood Elevation(s) (Zone AO, use base flood depth) LOMR DATED 8/07/07 N/A 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile ❑ FIRM 0 Community Determined ® Other (Describe) Creek Watershed, Voll (1997) B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes No Designation Date N/A 0 CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings" ® Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. 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. Compl below according to the building diagram specified in Item A7. Benchmark Utilized CAMPUS J Vertical Datum NAVD Conversion/Comments NGVD LESS 0.85 EQUALS NAVD a) b) c) d) e) 0 9) Top of bottom floor (including basement, crawl space, or enclosure floor)_ Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) Highest adjacent (finished) grade (HAG) Check the measurement used. N/A 0 feet 0 meters (Puerto Rico on N/A 0 feet 0 meters (Puerto Rico on N/A ❑ feet 0 meters (Puerto Rico on N/A 0 feet 0 meters (Puerto Rico on N/A 0 feet 0 meters (Puerto Rico on N/A 0 feet N/A 0 feet 0 meters (Puerto Rico onl e? ms SOP <D rn 2 m 0 meters (Puerto Rico onl ) m , 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 on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Certifier's Name KATHLEENC.LANZNER License Number 5120 Title LAND SURVEYOR Company Name CUMBEY&FAIR, INC Address 246 • N SEROAD Signature City CLEARWATER State FLORIDA ZIP Code 33763 Date 01/07/09 Telephone 727-797.8982 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY For Insurance Company Use: Policy Number City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 8, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is ❑ feet 0 meters 0 above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5. 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? 0 Yes 0 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, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, 8, 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 authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4. -G9.) is provided for community floodplain management purposes. r G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including t asement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum Locai Official's Nan)e Title con§mu ity NAme Telephone S'ignatute Comments Date 0 Check here if attachments FEMA Fortn 81-31, February 2006 Replaces all previous editions U.S- DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY Company NAIC Number City CLEARWATER State FL ZIP Code 33759 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128, PAGES 39.43 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 28d 00' 20.8" Long. 82d 43' 29.1" A6. Attach at least 2 photographs of the building if the Certificate is A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) N/A sq ft b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b j`I/A sq in RESIDENTIAL 2349 BLUEWATER WAY- BCP2008-05491 ELEVATION C:FRT being used to obtain flood insurance. Horizontal Datum: 0 NAD 1927 NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS B3. State FLORIDA B4. Map/Panel Number B5. Suffix 86. FIRM Index 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) LOMR-F-0704-4491 A MAY 17 2005 September 3, 2003 X LOMR DATED 8/07/07 N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM 0 Community Determined ® Other (Describe) Creek Watershed. Voll (1997) 811. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 S NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ['Yes SNo Designation Date N/A ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' 0 Building Under Construction* finished Construction •A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized CAMPUS J Vertical Datum NAVD Conversion/Comments NGVD LESS 0.85 EQUALS NAVD a) Top of bottom floor (including basement, crawl space, or enclosure floor)- N/A b) Top of the next higher floor N/A c) Bottom of the lowest horizontal structural member (V Zones only) N/A d) Attached garage (top of slab) N/A e) Lowest elevation of machinery or equipment servicing the building N/A (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) N/A g) Highest adjacent (finished) grade (HAG) N/A Check the measurement used. feet S feet 0 feet S feet S feet ® feet S feet ❑ meters (Puerto Rico onl 0 meters (Puerto Rico onl ❑ meters (Puerto Rico onl ❑ meters (Puerto Rico on ❑ meters (Puerto Rico on ❑ meters (Puerto Rico on ❑ meters (Puerto Rico 0 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. / certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. S Check here if comments are provided on back of form. Certifier's Name KATHLEEN C. LANZNER License Number 5120 Title LAND SURVEYOR Company Name CUMBEY 8 FAIR, INC Address 2463 RPRISE ROAD Signature City CLEARWATER State FLORIDA ZIP Code 33763 Date 01/07/09 Telephone 727-797-8982 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company U3e: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY Policy Number City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 5, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El, Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or ❑ below the HAG. b) Top of bottom floor (Including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is ❑ feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5. 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? 0 Yes ❑ No 0 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, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, 8, 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 0 Check here it attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized 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 applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. 0 The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4. -G9.) is provided for community floodplain management purposes. 04. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued 07. This permit has been issued for 0 New Construction 0 Substantial Improvement GB. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments Check here if attachment FEMA Form 81-31, February 2006 Replaces all previous editions U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY City CLEARWATER State FL ZIP Code 33759 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128, PAGES 39-43 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory A5. Latitude/Longitude: Lat. 28d 00' 20.8" Long. 82d 43' 29.1" A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A Company NAIC Number 2349 BLUEWATER WAY BCP2008-05491 ELEVATION CERT , etc.) RESIDENTIAL used to obtain flood insurance. N/A sq ft sq in Horizontal Datum: ❑ NAD 1927 kg NAD 1983 A9. For a building with an attached garage, provide: a) Square footage of attached garage NIA sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS B3. State FLORIDA B4, Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) LOMR-F-0704-4491 A MAY 17 2005 September 3, 2003 X LOMR DATED 8/07/07 N/A B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile 0 FIRM 0 Community Determined ® Other (Describe) Creek Watershed. Vd.1 (1997) B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes Designation Date N/A 0 CBRS ❑ OPA ®No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' 0 Building Under Construction* 'A new Elevation Certificate will be required when construction of the building is complete. C2. 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 C2.a-g below according to the building diagram specified in Item A7. gl Finished Construction Benchmark Utilized CAMPUS J Vertical Datum NAVD Conversion/Comments NGVD LESS 0.85 EQUALS NAVD a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ N/A b) Top of the next higher floor N/A c) Bottom of the lowest horizontal structural member (V Zones only) N/A d) Attached garage (top of slab) N/A e) Lowest elevation of machinery or equipment servicing the building N/A (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) N/A g) Highest adjacent (finished) grade (HAG) N/A Check the measurement used. ® feet ® feet 0 feet ® feet ® feet ® feet ® feet ruu, ❑ meters (Puerto Rico o ❑ meters (Puerto Rico o X= ❑ meters (Puerto Rico o ❑ meters (Puerto Rico o y) ❑ meters (Puerto Rico or/ ❑ meters (Puerto Rico or 0 meters (Puerto Rico or 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 on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Certifier's Name KATHLEEN C.LANZNER License Number 5120 Title LAND SURVEYOR Company Name CUMBEY & FAIR, INC Address 2463 ENTfzfiPRISE ROAD City CLEARR ATER State FLORIDA ZIP Code 33763 Signatur Dat- • /07/09 Telephone 727-797-8982 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY For Insurance Company Use: Policy Number City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 8, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation Is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet 0 meters 0 above or 0 below the HAG. E5. 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? 0 Yes 0 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City Signature State ZIP Code Comments Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized 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 applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4. -G9.) is provided for community floodplain management purposes. 0 Check here if attachments G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum Local OMcal's Name Title Community‘Name Telephone Signature Date Comments FEMA Form 81-31, February 2006 Replaces all previous editions rl Check here if attachments U.S.. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-8. OMB No. 1660-0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION Al. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY City CLEARWATER State FL ZIP Code 33759 For Insurance Company Use: Policy Number Company NAIC Number A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128, PAGES 39-43 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory A5. Latitude/Longitude: Lat. 28d 00' 20.8" Long. 82d 43' 29.1" A6. Attach at least 2 photographs of the building if the Certificate is being A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide a) Square footage of crawl space or enclosure(s) b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A , etc.) RESIDENTIAL Horizontal Datum: 0 NAD 1927 NAD 1983 used to obtain flood insurance. 2349 BLUEWATER WAY BCP2008-05491 ELEVATION CERT N/A sq ft sq in A9. For a building with an attached garage, provide: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS B3. State FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) LOMR-F-0704-4491 A MAY 17 2005 September 3, 2003 X LOMR DATED 8/07/07 N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile 0 FIRM 0 Community Determined ® Other (Describe) Creek Watershed, Voi.1 (1997) B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 (23 NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date N/A 0 CBRS 0 OPA ❑Yes ®No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. 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. Comple below according to the building diagram specified in Item A7. Benchmark Utilized CAMPUS J Vertical Datum NAVD Conversion/Comments NGVD LESS 0.85 EQUALS NAVD Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ N/A ® feet b) Top of the next higher floor N/A ® feet c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet d) Attached garage (top of slab) N/A ® feet e) Lowest elevation of machinery or equipment servicing the building N/A ® feet (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) N/A ® feet g) Highest adjacent (finished) grade (HAG) N/A ® feet Items C2.a "y 4-� � al meters (Puerto Rico onl*) ❑ meters (Puerto Rico onItj)- ❑ meters (Puerto Rico only)'_. ❑ meters (Puerto Rico only(){__ o meters (Puerto Rico onl ❑ meters (Puerto Rico onl 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. / certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. El Check here if comments are provided on back of form. Certifier's Name KATHLEENC.LANZNER License Number 5120 Title LAND SURVEYOR Company Name CUMBEY & FAIR, AJC Address 2463 PRISE ROAD ` City CLEARWATER State FLORIDA ZIP Code 33763 Signatu Date 01/07/09 Telephone 727-797-8982 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions • • 'IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2349 BLUEWATER WAY For Insurance Company Use: Policy Number City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or ❑ below the HAG. E5. 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? 0 Yes 0 No 0 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, 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, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature City State ZIP Code Comments Date Telephone SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following Information (Items G4. -G9.) is provided for community floodplain management purposes. 0 Check here if attachments G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments FEMA Form 81-31, February 2006 Replaces all previous editions 0 Check here if attachments U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Expires Februarv 28. 2009 Nafional Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ROITLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg. No.)or P.O. Route and Box No. Company NAIC Number 2349 BLUEWATER WAY City CLEARWATER State FL ZIPCode 33759 234g gLUEWATER WAY A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) p�p2008-05491 LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128,PAGES 39-43 v r b /�t4�S p0o ,_ _ --- A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL �U�"�"� A5. Latitude/Longitude: Lat. 28d 00'20.8" Long. 82d 43'29.1" Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. • A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in 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/Panel Number B5.Suffix B6. FIRM Index 67. FIRM Panel 68.Flood 89. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) LOMR-F-0704�491 A MAY 17 2005 September 3,2003 X LOMR DATED 8/07/07 N/A 610. 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)Creek Watershed.Vol.1(199� 611. Indicate elevation datum used for BFE in Item B9: ❑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 N/A ❑CBRS ❑OPA 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. 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. Compl e�ms��a-. -�,;`� below according to the building diagram specified in Item A7. �� Benchmark Utilized CAMPUS J Vertical Datum NAVD � Conversion/Comments NGVD LESS 0.85 EQUALS NAVD '�3 D Check the measurement used. � Z � a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A ❑feet ❑meters(Puerto Rico on -� � n b) Top of the next higher floor N/A ❑feet ❑meters(Puerto Rico on rn � � �I N c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑feet ❑meters(Puerto Rico on _ oo (`' d) Attached garage(top of slab) N/A ❑feet ❑meters(Puerto Rico on � r e) Lowest elevation of machinery or equipment servicing the building N/A ❑feet ❑meters(Puerto Rico on U U� (Describe type of equipment in Comments) �---�� Lowest adjacent(finished)grade(LAG) N/A ❑feet ❑meters(Puerto Rico onl ) � 1 C�-=--�- Hi hest ad acent fmished rade HAG N/A ❑feet ❑meters Puerto Rico onl � � 9) 9 1 (� )9 ( ) ( - 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 certify that the information on this Certificate represents my best efforts to interpret the data available. ., >'i""e1" �, �v:----•.,:.,, I understand that any false statement may be punishab/e by fine or impnsonment under 18 U.S. Code, Section 1001. a,�>�.y�°� �1�p1�1:9,,"';, ,� r_";..Y��.2.if`.�'�`�',i.+.��- � Check here if comments are provided on back of form. ti�r�•yq•;�.�� _ � r�, _ `'�. r' Certifier's Name KATHLEEN C.LANZNER License Number 5120 rt '"'_�` ; �L ' � ... _ �,': Title LANDSURVEYOR CompanyName CUMBEY&FAIR,INC '� ,;s ,; ',.�r' ^� Address 246 N RISEROAD City CLEARWATER State FLORIDA ZIP Code 33763 6 , ��''`= �;` s��'',��' ' .� `.;� - Signature Date 01/07/09 Telephone 727-797�982 �� ''�r,;.�4�d��Yti�,oa"�' FEMA Form 81-31, February 2006 See reverse side for continuation. �eplaces ail previous�ditions IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bidg.No.)or P.O. Route and Box No. Policy Number 2349 BLUEWATER WAY � City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial, (2)insurance agenUcompany,and(3)building owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or Q below the HAG. E5. 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 owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my know/edge. 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 o�cial who is authorized 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 applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community officiai completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. L4.Permit Number G5. Date Permit Issued G6 Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantiai Improvement G8.Elevation of as-built lowest floor(including f3asement)of the building: _❑feet ❑meters(PR)Datum G9.BFF or(in Zone AO)depth of ftooding at the building site: ❑feet ❑meters(PR)Datum ! !_ucai Official's f�arpe � Title - r Con3;ri�ity N�me Telephone SSgnafufe Date �• , Comments • r— ' ...� � .. '• . ' � ' �. . . ,: .� . ❑Check here if attachments FEMA Form 81-31, February?_006 Replaces all previous editions U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Ex�ires Februarv 28.2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Number 2349 BLUEWATER WAY City CLEARWATER State FL ZIP Code 33759 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 2349 BLU EWATER WAY- LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128,PAGES 39�3 B G'P 2 Q Q 8-0 5491 - A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL ELEVATIC�N C;FRT A5. Latitude/Longitude: Lat. 28d 00'20.8" Long. 82d 43'29.1" Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade NIA walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AB.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State CITYOFCLEARWATER - 125096 PINELLAS FLORIDA 64.Map/Panei Number 65.Suffix B6.FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) LOMR-F-0704-0491 A MAY 17 2005 September 3,2003 X LOMR DATED 8/07/07 N/A 610. 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)Creek Watershed,Vd.1(19971 B11. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date N/A ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings` ❑Building Under Construction' �f�inished Construction *A new Elevation Certificate wili be required when construction of the building is complete. C2. Elevations-Zones Ai-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 C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized CAMPUS J Vertical Datum NAVD C� a Conversion/Comments NGVD LESS 0.85 EQUALS NAVD a� Check the measurement used. � t/� � � U Q a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A �feet ❑meters(Puerto Rico onl �] g � � b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico onl � � � c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑feet ❑meters(Puerto Rico oni � � � J d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico on � z � U e) Lowest elevation of machinery or equipment servicing the building N/A �feet ❑meters(Puerto Rico on � Q � (Describe type of equipment in Comments) � fl Lowest adjacent(finished)grade(LAG) N/A �feet ❑meters(Puerto Rico on � _ g) Highest adjacent(finished)grade(HAG) N/A �feet ❑meters(Puerto Rico o y j U �� 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 infortnation. !certify that the information on this Certificate represents my best efforts to interpref the data available. 1 understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S. Code,Section 1001. 01/07/09 ��A .., � Check here if comments are provided on back of form. �=t�' �� ,, �°��,o .�' t� i �t�; ` '�� r�� ,. '°% Certifier's Name KATHLEEN C.LANZNER License Number 5120 �°�✓ 4� �,.�T �� "�.i r• 4. `�V Titie LAND SURVEYOR Company Name CUMBEY 8 FAIR,INC ,_ � E � �- c;�4� � Address 2463 RPRISEROAD City CLEARWATER State RORIDA ZIP Code 3376:i .� � ,• " , 7 � �- ��`. v : � a.y'...,,.y"" ln,y �\.,1�. Signature Date 01/07/09 Telephone 727-797-8982 =;�%�,•,;F •.,�,✓ ,� .yb �`��AOf«"s ' �/. �• i��y� ��T r Ol , � �,,'J�fl'vl�fle.+11.��`0 FEMA Form 81-31,February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company U�e: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number 2349 BLUEWATER WAY City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E7. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enciosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. 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 owner's authorized representative who completes Sections A,B,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,and E are correct to the best of my know/edge. 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 authorized 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 applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 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 Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-buitt lowest floor(including basement)of the building: _0 feet ❑meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local Official's Name Title Comrraunity l�ame Telephone Signature ^ Date �,, C�mments ❑Check here if attachments FEMA Farm 81-31, February 2006 Replaces all previous editions , OMB No.1660-0008 U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Ex�ires Februarv 28.2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 2349 BLUEWATER WAY �;ty CLEARWATER State FL ZIPCode 33759 2349 BLUEWATER WAY A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) BCP2��8-05491 LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128,PAGES 39�3 ELEVATION CERT A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 28d 00'20.8" Long. 82d 43'29.1" Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State CITY OF CLEARWATER - 125096 PINELLAS FLORIDA B4.Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel B8.Fiood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) LOMR-F-0704-4491 A MAY 17 2005 September 3,2003 X LOMR DATED 8/07/07 N/A 610. 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)Creek Watershed.Vd.1(1997) 611. Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? �Yes �No Designation Date N/A ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Buiiding 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. 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 C2.a-g below according to the building diagram specified in Item A7. Benchmaric Utilized CAMPUS J Vertical Datum NAVD �� a- Conversion/Comments NGVD LESS 0.85 EQUALS NAVD � `Y Check the measurement used. � � `� � � � •� a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A �feet ❑meters(Puerto Rico o � ? � :� b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico o �-� � � � c) Bottom of the lowest horizontal structurai member(V Zones only) N/A ❑feet ❑meters(Puerto Rico o � ,^ � ,..�� d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico o �' 2' U Z �--+ -:.-i e) Lowest elevation of machinery or equipment servicing the building N1A �feet ❑meters(Puerto Rico o �[ � `�, (Describe type of equipment in Comments) � �- '� � Lowest adjacent(finished)grade(LAG) N/A �feet ❑meters(Puerto Rico o I� W �'' g) Highest adjacent(finished)grade(HAG) N/A �feet ❑meters(Puerto Rico o I w U C� 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 certify that the information on this Certificate represents my best efforts to interpret the data available. ,:� � � ,.;�, i understand that any fafse statement may be punishable by�ne or imprisonment under 18 U.S. Code,Section 1001. ,��`�IU7�9,�+. 9,,, '��, �, �,. �'Lw7� s � Check here if comments are provided on back of form. �, :.°'^ `"�` ' w,� � , 'l � �a•.� � . = :� ., ry ,,`. Certifiers Name KATHLEEN C.LANZNER License Number 5120 ° '� � - ; 1 J ,- Title LAND SURVEYOR Company Name CUMBEY&FAIR,INC ° _ �e`;.;`„� � Address 2463 PRISE ROAD City CLEARI�TER State RORIDA ZIP Code 33763 �� ° J � � '<�'�: . �, .,do� 7 09 Tele hone 727-797$982 �' �"`�„ �' "'-"�c� ,�```\`a` Signatur Dat /0 / p ,r��pa,i��,`� FEMA Form 81-31, February 2006 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(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number 2349 BLUEWATER WAY � City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)buiiding owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or 0 below the HAG. E5. 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 owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to the best of my know/edge. 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 authorized 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 applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. 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 Compliance/Occupancy Issued G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: _�feet ❑meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum L.ocal pffickaf�s Namz Title Gommunity Narn� e � Tefephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions , _ _ _ ___ _ __ _ U.S,. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Ex�ires Februarv 28. 2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ROTTLUND HOMES OF FLORIDA, INC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 2349 BLUEWATER WAY City CLEARWATER State FL ZIPCode 33759 2349 BLUEWATER WAY A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) �+ LOT 22 CHAUTAUQUA LAKE ESTATES PLAT BOOK 128,PAGES 39�3 B t+P 2��-0 5491 ELEVATION CERT A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 28d 00'20.8° Long. 82d 43'29.1" Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) N!A sq ft a) Square footage of attached garage NIA sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enciosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in 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 64.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) LOMR-F-0704-4491 A MAY 17 2005 September 3,2003 X LOMR DATED 8/07/07 N/A 610. 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)Creek Watershed.Vd.1(1997) 611. indicate elevation datum used for BFE in Item B9: ❑NGVD 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 N/A ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings` ❑Building Under Construction* ' 'shed Construction *A new Elevation Certificate wili be required when construction of the building is complete. C2. 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. Comple, ems C2.a��-� ( ) ( ) ��....-_ � � _ below according to the building diagram specified in Item A7. �, , �� Benchmarlc Utilized CAMPUS J Vertical Datum NAVD i Conversion/Comments NGVD LESS 0.85 EQUALS NAVD �� "., � '� Check the measurement used. ` ` 3 � f' f �� a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A �feet ❑meters(Puerto Rico onl ) i -;.� �;aJ� b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico onl�), . • �.- � c) Bottom of the lowest horizontai structural member(V Zones only) N!A ❑feet ❑meters(Puerto Rico onl�)� ;�_� ;j ;�. d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico only)`._. � � '� e} Lowest elevation of machinery or equipment servicing the buiiding N/A �feet ❑meters(Puerto Rico only�){:_•.;�� (Describe type of equipment in Comments) ,W�, L fl Lowest adjacent(finished)grade(LAG) N/A �feet ❑meters(Puerto Rico onl r""-Y� 4j �] � g) Highest adjacent(finished)grade(HAG) N/A �feet ❑meters(Puerto Rico onl �___ __ _ SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a fand surveyor,engineer,or architect authorized by law to certify elevation � .�-:a; A84N�. information. 1 certify that the information on this Certi�cate represents my best efforts fo interpret the data available. �� er 1 understand that any false statement may be punishable by�ne or imprisonment under 18 U.S. Code,Section 1001. �a°�a �,��l��l�,�''�., c" �'y, .yy�.� d /�'f�_f *��j ;��. ., �� R��LR'� },� � Check here if comments are provided on back of form. ��, y i Certifiers Name KATHLEENC.LANZNER License Number 5120 ��J b "�V^ ' �= e•s „i • �� c%�� Title LAND SURVEYOR Company Name CUMBEY&FAIR,INC - �""'; ��y''�"'�� ° '�. ' � \.-:� �,,• Address 2463 PRISEROAD 'City CLEARWATER State RORIDA ZIP Code 3376:i r`� ^ ...<.••'�'"' " fr r�U�',.�` Signatu Date 01/07/09 Telephone T27-797-6982 �''fNr��«,,+`�� FEMA Form 81-31, February 2006 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(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number 2349 BLUEWATER WAY ' City CLEARWATER State FL ZIP Code 33763 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIREDj FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the efevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A�tems 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery andlor equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. 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 owner's authorized representative who completes Sections A,B,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,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 authorized 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 applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The foflowing information(Items G4:G9.)is provided for communiry 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(including basement)of the building: _�feet ❑meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local OfFciaPs Nam�: Title Community Name ' Telephone Signa�ure Date Commerts � ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions