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161 BRIGHTWATER DR UNITS 6-10 '� � � " ' ' FEDERAL EMERGENCY MANAGEMENT AGENCY � �°« NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ��^. ��;ti; i,� /',�&�F'a� f R°�" �'' Expires December 31, 2005 � �•,� �U o 3_ � ��"� 9 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 . SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No.6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 161 BRIGHTWATER DRIVE C17Y STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legat Description,etc.) LOT 6, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME 8�COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096-�#�'" PINELLAS FLORIDA 64.MAP AND PANEL �- jj � B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6� M IN X DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 12103CA10 G , SEPTEMBER03,2003 AE EL.11.0 B10.Indicate the source of the Base Floal Elevation(BFE)data or base 800d depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(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-3UILDING ELEVATION INFQRMATION(SURVEY REQUIRED) C1.Building elevations are based on:�Construction Drawings` ❑Building Under Construction' �Finished Construction `A new Elevation Ce�ificate will be required when construction of the building is complete. � C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provitle 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,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 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 Sec6on D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments N/A Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floor(induding basement or enclosure) 5.50 FT ft.(m) � o b)Top of next higher floor 15.67 . FT ft.(m) �' o c)Bottom of lowest honzontal structural member(V zones oniy) N/A . FT ft.(m) o c I �\ ' o d)a tt a c h e d g a r a g e(t o p o f b l o c k) 5.5 0 F T ft.(m) � � � w � o e)Lowest elevation of machinery and/or equipment ; 'I � � seroiang the building(ELEVATOR EQUIPMENT) N/A . Ff ft.(m) E� ,< � o fl Lowest adjacent(finished)grade(LAG) 42 . FT ft.(m) �� '� , �L� 505� o g)Highest adjacent(finished)grade(HAG) 5.1 . Ff ft.(m) � 10/14/05 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � �_`_ o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. 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 informafion. I cerfify that fhe informafion in Sections A,8,and C on this certificafe represents my best efforts fo interpret the dafa available. I undersfand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old Counry, 54 1 New Port Richey FL 34653 SIGNATURE �, ' DATE TELEPHONE ( � �- 08/14/05 (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 Company use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , ' j 161 BRIGHTWATER DRIVE UNIT No.6 y - ' ��N 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 official,(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 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(including 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 of form. E4.The top of the plaiform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (Use natural grade,if availabie). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�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 propeRy owner or owners authorized representative who compietes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or community- issuetl BFE)or Zone AO must sign here. The sfatemenfs in Secfions A,B,C,and E are correct fo the best ofmy 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 c idal who is authorized Ly law or�rdinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. �om�ete the appiic�hle ite�,�;s?ar,d siG�below. G1.�The info�ation in Secti�n C wa�;aker�from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or!oca!law to ce�t�y elEVation ir�f.�rmenon. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A cemmunity official comp;etea Se�,�tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The iollcwing information(Iterr�s(_=�+-�9)is provided for community floodplain management purposes. G4.PERMIT NUMBcR 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 �`` -a r�`f°-�F,� °� �� c TITLE t �� COMMUNITY NAME � """y �` ,�� ,t�� , TELEPHONE SIGNATURE i � ,�s � � '�',4�� -'�-'" DATE • COMMENTS . ,F -.. r ��a ��P`.�rv t .`a---s- G--a ,�° .�i f t��4` *� & �.c_S_E-�f ! .,�.+� t F �._:,� .... ...r..,., ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions � ' . � '� �` _ . C ITY O F C LEARWATE R � �� DEVELOPMENT & NEIGHBORHO(7D SERVICES DEPARTMENT POST�FFICE BOX 474g� CLEARWATER� F�o�,DA 33758-4748 MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 TELEPHONE�7Z� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & 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 O�cial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC 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 ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map�Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME B3.STATE City of Clearwater-125096 B4.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B��FIRM PANEL gg,FLOOD ZONE(S) B9 BASE FLOOD ELEVATION(S) NUMBER 5/17/2005 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) 12103C0102 810. 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) 611. Indicate elevation datum used for BFE in 69: ❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources S stem(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when 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: �vation certificates shall be maintained by the community and copies with the attached memo made available by request FRANK HIARARD,MAYOR GEORGE N.CRE"I'EKOS,COUNC[LMEMBGR JOIIN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMAER � CARLEN A. PE7"ERSEN,COIINCILMEMBGR ��EQUAL EMYLOYMENT AND AFFIItMA'I'IVE ACTION EMPLOYEK� _ _ ___ _ . FEDERAL EMERGENCY MANAGEMENT AGENCY � ' . • NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �C� �0�-� Expires December 31, 2005 o s� �� ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: � BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 6, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL IATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):__ � �°_��_�,�� o� �.�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:___ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096 PINELLAS FLORICA B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 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 ❑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 Bamer Resources System(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:0 Construction Drawings� �Building 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 certifcate 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,AR/AE,AR/A1-A30,ARIAH,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 NAVD 1988 Conversion/Comments NIA Elevation reference mark usetl LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No ,.��} ,;� : � if� o a)Top of bottom floor(including basement or endosure) T ft.(m) � 1 ,,'� °`' � o b)Top of ne�higher floor • �?ft�m) � '` �,J �� , a✓Y � J o c)Bottom of lowest horizontal structural member(V zones only) N/A FT ft.(m) y� � �'�; � �`� �"'- �%�' � �p�, � �,., �� *'^� o d)attached garage(top of block) 5.50 . FT ft.(m) ,,W �, � �. .� � �_ o e)Lowest elevation of machinery and/or equipment � �; `�` �''� � +� � , �., ,; servicing the building(ELEVATOR EQUIPMENT) NIA . FT ft,(m) �� , � .; >`— • _..' � � o �Lowest adjacent(finished)grade(LAG) 4.2 . F=f ft.(m) z� � � `� •`"��.� ' o g)Highest adjacent(finishetl)grade(HAG) 5.1 FT ft.(m) � k '-�_�-ap$/�2JE��,T� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � ''' �` ��"- o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. ` �'''``�`r= 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 in Sections A,B,and C on fhis certi�cafe represents my besf efforts to interpret fhe data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME � PRESIDENT KLEIN&STAUB SURVEYING,INC. '�°�RESS CITY STATE ZIP CODE 8016 Old County Ro New Port Richey FL 34653 SIGNATURE DATE TELEPHONE _ 08/12/04 (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 com�any use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number' � 161 BRIGHTWATER DRIVE UNIT No.6 � CITY 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 official,(2)insurance agenVcompany,and(3)building owner. COMMENTS N/A ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most 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(including basement or enclosure)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 and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural gratle,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in acc;ordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local o�cial 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 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,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 q�� SECTION G-COMMUNITY INFORMATION(OPTIONAL) The locai officia!who is��utho�zed b�law a ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Cumplete the applicable item(s)and sign below. G1.[1?he informatio�in Se;;iion C was taken from other documentation that has been signed antl embossed by a licensed surveyor,engineer,or architect who is authorized by state or laal law to certify Pievatien informaUon. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A commu�iity official compi�,ed S;.=ction E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.0 The follov,�ing information(Ite�;�s 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 r, �� r+'"'"` P �t""'+ , .� ,� � ,,, y ; � '� FEDERAL EMERGENCY MANAGEMENT AGENCY � O.M.B. No. 3067-0077 �+: - s .''� � �'�:e�},��`�°`° � � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: � BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 7 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcei Number,Legai Description,etc.) LOT 7, ISLAND TOWNHOMES Plat Book 127,Pages 46�7 BUILDING USE(e.g.,Residentiat,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096-0102-G PINELtAS FLORIDA B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE 68.FLOOD ZONE(S) (ZoneAO,use depih of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 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 ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Descnbe):_ 612.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.Building elevations are based on:0 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 7 (Select the building tliagram 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,AWA1-A30,AR/AH,AR/AO Complete Items C3.-a-i below according to the building diagram specifed in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments N/A Elevation reference mark used LP-15 EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No �� t��—�+ �_� ' .�w ,"�� o a)Top of bottom floor(including basement or endosure) 5.50 FT ft.(m) -� '_� `�''=o.-;'' �'° �• o b)Top of next higherfloor 15.67 FT ft.(m) � N;� ��E" 1"%=.,�, � ' ,�r ' o c)Bottom of lowest honzontal structural member(V zones only) NIA FT ft.(m) o� � �� +.w 4� �-� ,� :. o d)attached garage(top of block) 5.50 FT ft.(m) �� `" �,.:r " �s ,.� � . o e)Lowest elevation of machinery and/or equipment w�� " ' , � seNian the buildin ELEVATOR EQUIPMENT N/A . FT ft.m � ` ' ' '�F 9 9( ) � ) � � " � � � � � a '�r �.'� - o fl Lowest adjacent(fnishetl)grade(LAG) 42 . FT ft.(m) �� ,',� � PLS 5�� _ o g)Highest adjacent(finished)grade(HAG) 5.1 . F=f ft.(m) � � r �=��(`�, - o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � �"'fi . .,e� � • o i)Total area of all 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. I certify that the information in Sections A,8,and C on this cerfificate represents my best efforts to interpret fhe data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 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 Roac# New Port Richey FL 34653 SIGNATURE f / DATE TELEPHONE J i 08/14/05 (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 insurance com�any use:. BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 161 BRIGHTWATER DRIVE UNIT No.7 ` CITY 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 offcial,(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 antl Zone A(without BFE),complete Items E1 through E4. If the Elevation CeRificate is intendetl for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this 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(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent gratle. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing 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 community'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-issuetl or community- issued BFE)or Zone AO must sign here. The statements 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 locai omcial�^,i�o is authonzeC by law or or�iinar,:;e to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Con;piete the?pplic-;;e item(si ana sign below. G1.❑Th��infam�ation in Sectioo C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or Ic,cal law to certify elsvatior intcrm�,ti.;n. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official completed S�c;i�an F for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The followi�g`��or�ra±;on(I!ems�.�+-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.Eleva6on 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 _____, •.-..r.�.,..-�-�Y,r~ °'°_° f: COMMUNITY NAME I J � ��u�' �6 F .'4 �: TELEPHONE ,� SIGNATURE DATE • �- �s - COMMENTS � t�:�, � P' � ��V.:.6 t 4+q i.� r L � .f q 4.i�( �a.f�e.f �..� ` . ... .,..�t�n' G ,� � n. t i ;u e��' 1 f l� . �� t � � - ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions G "� � �„; FEDERAL EMERGENCY MANAGEMENT AGENCY E�`��°t � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �{� � f.��-•;�` � ��`A Expires December 31, 2005 � ' ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 � SECTION A-PROPERTY OWNER INFORMATION For lnsurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 7 BUILDING STREET ADDRESS(Including P,pt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�k°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 12509 PINELLAS FLORIDA 64.MAP AND PANEL /• Q. B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6. RM IN X D�E EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C010 G ccorGnno�o n� �nnz SEPTEMBER 03�2003 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 ❑Community Determined ❑Other(Describe):_ 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 Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings* ❑Building Under Construction' �Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. � C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AWAE,AR/A1-A30,AR/AH,AWAO 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 NAVD 1988 ConversionlComments N/A Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floor(including basement or enclosure) 5.50 . FT ft.(m) � o b)Top of ne�higherfloor 15.67 FT ft.(m) � � a� o c)Bottom of lowest honzontal structurai member(V zones only) NIA . FT ft.(m) o o " o d)attached garage(top of block) 5.50 FT ft.(m) W � I o e)Lowest elevation of machinery and/or equipment - ` , � �_. servidng the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) �m' ;, �,� o fl Lowest adjacent(finished)grade(LAG) 42 . FT ft.(m) ��' ''��, � PLS 5G52. o g)Highest adjacent(finished)grade(HAG) 5.1 . F=f fl.(m) � � 1 Q�i 4105 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. 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 thaf the informafion in Sections A,8,and C on this cerfificate represents my besf efforfs to inferpref fhe data available. I understand thaf any false sfafement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Oltl County Road;54 New Port Richey FL 34653 SIGNATURE � DATE TELEPHONE i � , 08/14/05 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces alI previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ' � _, 161 BRIGHTWATER DRIVE UNIT No.7 , � CITY 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 official,(2)insurance agenticompany,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 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�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 and/or equipment servicing the building is _fl.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,'rf availabie). 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 owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfafements in Secfions A,B,C,and E are correct to the besf 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 omcial�vho is authonz�u by law or or,�,inar,:;e to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Gon��lete the applica�!e item(sj and sign below. G1.❑Th�infom�ation in Section C was�aken f�nn;other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certrfy elevation!ntcrm�:ti.;n. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community offiaal completed Sect�on F for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.0 The following;r�forma±on(I!ems�`+-G9)is providetl for communiry 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(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 �. - - °__..',-�;`-`,� , -i �, , s. COMMUNITY NAME � �� .y � �� [�;� TELEPHONE ; SIGNATURE t - ' DATE i � F��, _��;��' � � COMMENTS ` " .>l � E-`�'�`' �,,. S } � F!::'¢4�y ..�y . F t t 1�%�✓ '.., ,{' �� ... rv tY ,u,4 i�F1 � �l�r��. �` � `t ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions . i� r � t ' . CITY OF CLEARWATER � DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT POST�FFICE BOX 4748� CLEARWATER� FLOa�Dn 33758-4748 MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 TFiErxorrE(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 O�cial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC 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 ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map 0 Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE City of Clearwater-125096 B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8•FLOOD ZONE(S) �Zone AO,use depth of flooding) 12103C0102 5/17/2005 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) 811. Indicate elevation datum used for BFE in 69: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate wili be 2quired 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: �evafion certificates sha/l be maintained by the community and copies with the attached memo made availab/e by request FRANK HIRBARD,MAYOR GEORGE N.CRE7'EKOS,COUNCILMEMBGR JOIIN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMAGR � CARI.EN A.PE"1'ERSEN,COUNCILMEMRER ��EQUAL EMYLOYMEN"1'AND AFFIWNATIVE AC'1'ION EMPLOYER�� FEDERAL EMERGENCY MANAGEMENT AGENCY '�l� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �� ao 0 3 Expires December 31, 2005 ��r.�`� ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 7 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: _. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME 8�COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL 67.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 flooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 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 ❑Community Determined ❑Other(Describe): 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 Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings' �Building Under Construction' ❑Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. •�2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Eleva6ons—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AR/A1-A30,AWAH,AR/AO Complete Items C3:a-i below according to the building diagram specified in Item C2.State the tlatum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments N/A Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark usetl appear on the FIRM? ❑Yes �No �,,:. v ,,` ; ,.'io o a)Top of bottom floor(including basement or enclosure) 5.50 . FT ft.(m) � `, �' t o b)Top of ne�higher floor 15.67 . FT ft.(m) � �'� •�� _ '�� +l o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) �o � '�'� �� "� � : o d)attached garage(top of block) 5.50 . FT ft.(m) W@ " t> n _ ,,,, , _- o e)Lowest elevation of machinery and/or equipment - "� ` � seroicing the building(ELEVATOR EQUIPMENT) N/A FT ft.(m) �� .�;. � � ° � .,;. �- - o fl Lowest adjacent(finished)grade(LAG) 4.2 FT ft.(m) z� �,, °-. �'�M `� �` o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ��,. ''p8`9 2l4�„4=�=�' o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 ° '� � *.' J o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. '``t�.•, 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 fhaf the information in Sections A,B,and C on this certificafe represents my best efforts to interpret the data available. I understand that any false statement may be punishable by�ne or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME . PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County d 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE . 08/12/04 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ali previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. Forinsurance com�any use:, BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number' 161 BRIGHTWATER DRIVE UNIT No.7 • � CITY 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 official,(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 supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this 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(including basement or endosure)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 of form. E4.The top of the platform of machinery and/or 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 community'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 sfafements 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 lxal offival who is authorizec;�y 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. '�omplete the applicable item(s)and sign below. G1.[]Ti��inform��on in Section C was t:ken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to cer!�fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official co��pleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The follo�ng informatien(Ite^�s 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 �' S— �'''�` ` � FEDERAL EMERGENCY MANAGEMENT AGENCY �' �' NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �� ,�€�,4�f �,��r,�� Expires December31, 2005 � -- ELEVATION CERTIFICATE � Important: Read the instructions on pages 1 -7. JOB No,020024.2 � SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUtLDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No.8 BUILDiNG STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 161 BRIGHIINATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 8, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.#####°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096�- PINELLAS FLORIDA B4.MAP AND PANEL � /.� Q`'�.� B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66. RM IN EX DATE EFFECTIVFJREV�SED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 12103C010 G SFpTFAAR�FR��..:��,.� SEPTEMBER 03,2003 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 ❑Communiiy Determined ❑Other(Describe):_ 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 Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:�Construction Drawings* ❑Building Under Construction' �Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. � C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AWAH,AWAO Compiete Items C3.-a-i below according to the building diagram specfied in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments NIA Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floor(including basement or endosure) 5.50 . FT ft.(m) � o b)Top of next higher floor 15.67 . FT ft.(m) �' o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o� � o d)attached garage(top of block) 5.50 . FT ft.(m) �� o e)Lowest elevation of machinery andlor equipment �_- �. '� �� s e r v i d n g t h e b u i l d i n g(E L E V A T O R E Q U I P M E N T) N/A F f ft.(m) �m o fl Lowest adjacent(finished)grade(IAG) 4.2 . FT ft.(m) �v I '�� PLS 5J5%. o g)Highest adjacent(finished)grade(HAG) 5.1 . FT fl.(m) � � 10/1 Qi 05 - o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � � o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. 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 rn Sections A,8,and C on fhis certificate represents my besf efforfs to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old Coun d 54 + New Port Richey FL 34653 SIGNATURE - � DATE TELEPHONE � _ 08/14/05 (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 com�any use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number • 161 BRIGHTWATER DRIVE UNIT No.8 • � CITY 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 officiai,(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 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(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 6-8 with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,rf 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 owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are conecf 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 wt�is auL�onzea by lav!�or ordnance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),antl G of this Elevation Certificate. Complete the apolicable item(s)and sigr below. G1.�The!�formation in��ectior�C was tak�n frc�other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or!ocai law to ceifiy elevation iniom�ation. (indicate the source and date of the elevation data in the Comments area below.) G2.❑A cemmunity official completed�ectien�for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The following information{Items C�s'�9!+s provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED �6. 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 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 ,� r--��,— -•,� ' � �;., TELEPHONE i' '% � �`:� SIGNATURE ;, •=- ` �.:; F E ::F DATE 4" ��F . � � • COMMENTS � �,„ `.��' f � �� ;� � � _4� N-:= a re k"� �°'; �;' =�t � ' i a,..� �-ii�'.../�J ° `°"" � ❑Check here if attachments �� FEMA Form 81-31,January 2003+,.�? 't � ° � °� '_ • Replaces all previous editions G`3-' �`r'� � ¢ FEDERAL EMERGENCY MANAGEMENT AGENCY � -��- � � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ��, �"`y��,,�1� �`,�,1.��'�'�^- Expires December 31, 2005 , y ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHO UNIT No. 8 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 8, ISLAND TOWNHOMES Plat Book 127,Pages 46�17 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.##�##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.___ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE City of Clearwater 125096-0102-G PINELLAS FLORIDA 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 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 ❑Community Determined ❑Other(Describe):_ 611.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):_ 612.Is the building located in a Coastal Bamer 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' ❑Builtling Under Construction' �Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. �C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AWAO Complete Items C3.-a-i below ac�ording 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 NAVD 1988 Conversion/Comments N/A � Elevation reference mark usetl LP-15, EL.=4.191 Dces the elevation reference mark used appear on the FI RM? ❑Yes �No � -,,, � , o a)Top of bottom floor(including basement or enclosure) 5.50 FT ft.(m) � ;��,�`��.. a d��• o b)Top of next higherfloor 15.67 . FT ft.(m) �' ' 6�'" M -�� a � �� . a� c� { �,�*i. o c)Bottom of lowest horizontal structural member(V zones only) NIA FT ft.(m) N.�t �> �, ss �, °'4 o d)attached garage(top of block) 5.50 . FT ft.(m) E� . �;�� . `'� a„�,� �v o e)Lowest elevation of machinery and/or equipment `�y� , �- : "�`. � �,� ' servicing the building(ELEVATOR EQUIPMENT) N/A , FT ft.(m) � � ° ° `' ''� ��, �� , �� %�- o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z � � < n—�pL�`'5'��"�m �� '� � o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � � °.,�;,�J�10%'�4�� ' o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 " ": `� y �q"��^ .J �V �T.. �3 .,eat,,,i o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. �tl��,,st b,,,,>,-•�� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information, 1 certify that the information in Sections A,B, and C on this certificate represents my best efforfs to interpret fhe data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old Coun d 54 New Port Richey FL 34653 SIGNATURE - a DATE TELEPHONE ' - 08/14/05 (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,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , 161 BRIGHTWATER DRIVE UNIT No.8 CITY STATE ZIP CODE Company NAIC Number C � CLEARWATER FLORIDA 33767 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 N/A ❑Check here if attachments SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most 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(including 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�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 and/or equipment servicing 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 elevatetl in accordance with the community'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 sfatemenfs 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 officiai wl:�is aut�onzea by law.�or ordfnance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Compl�te the ap�licable itemjs�a�tl sigr below. G1.❑Tl�e��formation in;Sectiori�was taken ircm other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or!ocal lasv to cert;�j ele,�a_,ion ini�;mat�on. (indicate the source and date of the elevation data in the Comments area below.) G2.0 A ccmrr,unity officiai comple!ad�ectien�for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The followin,ir'ormation ll!enis C�t�9;+s provided for community floaJplain 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 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 ..� �—.--�r.- --,.� � "� '�`� � ��, TELEPHONE i, k SIGNATURE ��; ��-�� `� �..�x" F �'G� f DATE � wo �:� COMMENTS � , �R� E � �,,e,fi,� �:` . ,,�� .� ,� �� 'S.`> k P`�°� �� ;� ��`��`" �� ❑Check here if attachments ... ,�„� .,.�_ FEMA Form 81-31,January 2003...�� e �� "°-''' '" "�r�� e` Replaces all previous editions ��' � S-� �� FEDERAL EMERGENCY MANAGEMENT AGENCY � � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 /�l ��r`�'r'�� `R Expires December 31, 2005 � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 9 BUILDING STREET ADDRESS(Inciuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHNVATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 9, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):__ ( ##°-##'-##.##" or ##.�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:_____ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096-0102-G PINELLAS FLORIDA B4.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of iboding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 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 ❑Community Determined ❑Other(Describe):_ 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 Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings` ❑Building Under Construction' �Finished Construdion 'A new Elevation Certificate will be requiretl when construction of the building is complete. •C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certifcate is being completetl-see pages 6 antl 7. If no tliagram 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 specrfied in Item C2.State the datum used.If the datum is different from the datum usetl 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 tlocument the datum conversion. Datum NAVD 1988 Conversion/Comments N/A Eleva6on reference mark used LP-15, EL.=4.191 Dces the elevation reference mark usetl appear on the FIRM? ❑Yes �No � a�r�,, '�ti�a� o a)Top of bottom floor(including basement or enclosure) 5.50 . F=f ft.(m) � ",�oY��-�`��•��5�x x3 o b)Top of next higherfloor 15.67 FT ft.(m) � ' `�G.,�."�,a°��'°"�� 1 �a o c)Bottom of lowest horizontal structural member(V zones only) NIA FT ft.(m) � ;"Q`4��'� #,�, � ' o d)attached garage(top of block) 5.50 . FT ft.(m) '` �� m'.�`' � � � ,��; 'r, , o e)Lowest elevation of machinery and/or equipment �, :.i�" . • J v� '; servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) �',�°� m:,:,� �' r -� „�.�;�,„, a' o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ,z�� ^" � � o Hi hest ad'acent finished rade HAG 5.1 . FT ft.m .�� ' ,�� V� �� 9) 9 J � )9 � ) � ) � _;,..°ss� `'-1 Q7��1(��,.� o h No.of rmanent o nin s flood vents within 1 ft.above ad'acent rade 14 � J A!..' ��.�p�a��,� ) Pe Pe 9 � ) J 9 �. �, o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. � A�;�u0� ` - 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 fhe information in Sections A,8,and C on this certificate represents my best efforts to interpret the data available. I understand thaf any false stafement 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 � 08/14/05 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ail previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number • ' 161 BRIGHTWATER DRIVE UNIT No.9 " CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) • Copy both sides of this Elevation CeRificate for(1)community offcial,(2)insurance agenUcompany,and(3)builtling 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 completetl. 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(including 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�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 and/or equipment seroicing 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 community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must ceRify 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 sfafements 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 local off�ial who is au±horized by lav��or ordinarce to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certifcate. Complete the applicable item(s)and san below. G1.❑The�nforrr�ation in Section C was taken from uther documentation that has been signed and embossed by a licensed suNeyor,engineer,or architect who is authonzed by state or la;al la��to ceRi!y elevation inf�rmati;�. (indicate the source and date of the elevation data in the Comments area below.) G2.❑A community afficial completed Sc�ticn E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The foliowing information(Items l^G3j is provided for community floodplain management purposes. G4.PERMIT NUMBEP 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 is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._fl.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME ""` ��'' ° � '�� 4 p,��, TELEPHONE � ,_. SIGNATURE � "� ; r t DATE • t .� ;. COMMENTS ` ' '�' -,� ^> . .� ��,i � , ��.> .� ��: ;��, � a `�;;.✓.� k,� '° r_ . , ,-F-,--+�� .� ��r� ::-„ �� y'�e, :=+ ❑Check here if attachments FEMA Form 81-31,January 2003 '"' Replaces all previous editions �'i— ° � '� �v FEDERAL EMERGENCY MANAGEMENT AGENCY y,,;J,�� 9 NATIONALFLOODINSURANCEPROGRAM O.M.B. No. 3067-0077 /�;f ��'' ��. Expires December 31, 2005 � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 MSECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 9 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 9, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):___ ( ##°-##'-##.##" or ##.##t###°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125096-918�-6�-� PWELLAS FLORIDA B4.MAP AND PANEL � B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (ZoneAO,use depih of flooding) 12103C0102 � G , P SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the s urce of the Base Flootl Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Descnbe):_ B11.Intlicate 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 Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings* ❑Building Under Construction" �Finished Construction "A new Elevation Certificate will be required when construction of the buiiding 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,AWA,ARIAE,AWA1-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 NAVD 1988 Conversion/Comments N/A Eleva�on reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floor(including basement or enclosure) 5.50 FT ft.(m) � � o b)Top of next higher floor 15.67 . FT ft.(m) �' � � o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) o� I � o d)attached garage(top of block) 5.50 . FT ft.(m) �� • : - o e)Lowest elevation of machinery and/or equipment `� � _ a` ' servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) �� , , o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� I � PL.S 5032 � o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � _ 10/14/05 ' _ o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � L o i)Total area of all 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 fhaf the informafion in Sections A,B, and C on this certificate represents my best efforts fo interpret the data available. I understand that any false stafement may be punishable by fine or imprisonment under 18 U.S. Code, Secfion 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 ' - 08/14/05 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance Company use: BUILDING STREET ADDRESS(induding Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ' 161 BRIGHTWATER DRIVE UNIT No.9 ' CIIY 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 official,(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 CeRificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this 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�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 antllor equipment servicing 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 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 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 sfatemenfs in Secfions A,8,C,and E are correct to fhe besf 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 of�:aal who is authorized by la�ti°or ordinar.ce to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. �omplet2 the applicable item(s)and siQn helow. G1.�The inforr��ation in Section C was taken from uther documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or la;ai la��to certi!y elevation infoRnati:�. jindicate the source and date of the elevation data in the Comments area below.) G2.�A community efficial compleied S��ticn E ro�a buiiding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The foliowing information(Iteros G^,G9j is provided for community floodplain management purposes. G4.PERMIT NUMBEP. G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: �New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of Flooding at the building site is: __ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE -,.r-,!"'""',.�'� COMMUNITY NAME "` '�-'" �'` � {` � +``.'� TELEPHONE � � ''Y�� e�,b e t.:� SIGNATURE �'" ` V� ; � � � DATE r ��:r �. COMMENTS ' � ` " • - � � < < ,,.,� �\J � � . :� �a f ."P^".'i'1 i �:".:�i :' �y Te`'` 'J�vj� & _ _. ...,�--s � ` ". 'T"_„','t`,l r �. - _ , `�;�, ,,_,S 4 ❑Check here if attachments FEMA Form 81-31,January 2003 " ' Replaces all previous editions _ ' � � ITY OF CLEARWATER r � C � DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT POST OFFICE BOX 474H� CLEARWATER� FLO�DA 33758-4748 MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CI.EARWATER,Fco�unn 33756 TELErxoNE(72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & COMPLETION In acco�dance 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 SECTtON A-PROPERTY INFORMATION For Insurance Company Use: i A1. BUILDING OWNER'S NAME Policy Number A2.BUfLDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC 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 �.�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑ Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater-125096 84.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B��FIRM PANEL gg,FLOOD ZONE(S) B9 BASE FLOOD ELEVATION(S) NUMBER EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) 12103C0102 5/17/2005 B10. 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) 611. Indicate eievation datum used for BFE in 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 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. 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 Eievation 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)1 ft.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: _ �vafion certificates shall be maintained by the community and copies with the attachedmemo made availab/e by request ° FRANK HIBRARD,MAYOR GEORGE N.CRG7'EKOS,COUNCILMEMAGR JOIIN DORAN,COUNCILMEMBER — PAUL F.GIRSON,COUNCILMEMBGR � CARLEN A.PE7'ERSEN,COUNC[LMEMBER ��EQUAL EMPLOYMENT AND AEFIItMA"fIVE ACI'ION EMYLOYER�� FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ��'� ��d3 Expires December 31, 2005 'p��a o ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 9 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 9, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): __ ( ##°-##'-##.##" or ##.#�##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 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 ❑Community Determinetl ❑Other(Describe):_ B11.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.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. �2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being completetl-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�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 provitled or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments N/A Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No . ,�, , F -. � ��t��,� , �� o a)Top of bottom floor(including basement or enclosure) 5.50 FT ft.(m) � ��'� , �,j' , o b)Top of next higherfloor 15.67 . FT ft.(m) � � ` ,_� ��Y _ o c)Bottom of lowest horizontal structural member(V zones only) N/A FT ft.(m) o o — >'.� c�a r;: �, �� o d)attached garage(top of block) 5.50 . FT ft.(m) �-� •�"^� ..,: "' ` �' �f o e)Lowest elevation of machinery and/or equipment W�� -"� �a`` ``' , � servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) � �.';.' ' �, ;�" o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� �•r" =`rs� ,��, :}� o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ' ��,� "•,�_a�.08/12/�=k,`" o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � ,` y� �. �".,� - o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signetl and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify fhaf the information in Sections A,B, and C on this certificate represents my best efforfs to inferpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME � PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Ro New Port Richey FL 34653 SIGNATURE DATE TELEPHONE � - 08/12/04 (727)834-8140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance company use: BUILDING STREET ADDRESS Qnduding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number' ' 161 BRIGHTWATER DRIVE UNIT No.9 • ' " ` CITY 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 official,(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 supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this 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�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 and/or equipment servicing 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 community's floodplain management ortlinance? ❑Yes ❑No ❑Unknown. The local official must certiiy this informa6on in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Seclions 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 authonz��d by Ia.v or or�inance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicabie item(sl and sign below. G1.❑The information in�ection C was taken from other tlocumentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to ceriify elev�tion infurma�on. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A ccmmunir�official compie!eci�ectio�?�for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0. G3.❑The following information(Items G�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: 0 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 � � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �� `3. ,CjQ`� Expires December 31, 2005 c,�c--�� ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A•PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 8 BUILDING STREET ADDRESS(I�cluding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 8, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 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.COUNTY NAME B3.STATE City of Clearwater 125096 PINELLAS FLORIDA � B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profle �FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe);_ 612 Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings' �Building Under Construction' ❑Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. •;2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cerfrficate 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,ARIA1-A30,AWAH,AR/AO Complete Items C3.-a-i below according to the building diagram specfied 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 ° �.� , V Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No �, ti ` , o a)Top of bottom Boor(including basement or enclosure) 5.50 FT ft.(m) � P"�� •'a' � ,,,��r,� o b)Top of next higherfloor 15.67 FT ft.(m) �' ��"��''�� av � .� ` + o c)Bottom of lowest horizontal structural member(V zones oniy) NIA FT ft.(m) o o '� �:�a °L� _ `� "�;'...1 o d)attached garage(top of block) 5.50 FT ft.(m) �� :�.� � : o e)Lowest elevation of machinery andlor equipment W� :ti, � a-- `'� °�`° servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) E� ' .'s, ,, �°'. ��_ � o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� �' '� '� �'�-��` � � . o g)Highest adjacent(finished)grade(HAG) 5.1 . Ff ft.(m) �� '��,�Q��,(�'4� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. 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 in Sections A,B,and C on this cerfificate represents my best efforts to interpref the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE ,� 08/12/04 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Repiaces all previous editions � _ _ _ IMPORTANT: In these spaces,copy the corresponding information from Section A. For insuranoe com�any use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number- 161 BRIGHTWATER DRIVE UNIT No.8 - CITY 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 official,(2)insurance agenUcompany,and(3)building owner. COMMENTS NIA ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most 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�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 and/or equipment servicing 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 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 owne�s authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The stafements in Sections A,B,C,and E are coirect 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 offival who is authonzed by iaw 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 t�e appiicable item(s)and sign below. G1.❑The informatio^in Section C w3s taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify ele��ation infom,iation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official completec;Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The follawing in�crmation jlterns 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(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 DATt • COMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions C 3- ��y / FEDERAL EMERGENCY MANAGEMENT AGENCY `� - � �� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 `o. /�Cr l �..r.�.�.. �`l��+t��l�r � � � Expires December 31, 200: � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 10 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 10, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):___ ( ##°-##'-##.##" or ##.##�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME 8�COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096-0102-G PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of floodirg) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Floai Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(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.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 7 (Select the building diagram most similar to the building for which this certificate is being completetl-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,AWAE,ARIA1-A30,AR/AH,ARlAO Complete Items C3.-a-i below according to the building diagram specfied 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 tlatum conversion. Datum NAVD 1988 Conversion/Comments N/A '� F..t � °s7 `.. Elevation reference mark used LP-15 EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �'Nq�e � ~�' ,� � ", o a)Top of bottom floor(including basement or endosure) 5.50 . FT ft.(m) ��/ �,fl�a'�' �. c)' o b)Top of next higher floor 15.67 . FT ft.(m) ,W��Yi.k� �` �� `�''� " o c)Bottom of lowest honzontal structural member(V zones oniy) N/A . FT ft.(m) �: "o� � � � ` ,�. �.` a:r , o d)attached garage(top of block) 5.50 FT ft.(m) , �� ; �, • 4 A � � o e)Lowest elevation of machinery and/or equipment ,R �,<, � ��, � .. servicing the building(ELEVATOR EQUIPMENT) N/A FT ft.(m) '�i��° ; r,� ��. _•'4- o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��'��'�, ?a�4 P�.�:.�052 � o Hi hestad'acent finished rade HAG 5.1 FT ft.m �� '°°°n" ' 9) 9 1 � )9 � ) � ) .,.. � ,�' .,y.. ��a,;'��0,�'�4/05 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 " ;'" y''.� ' J o i)Total area of all 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. I certify fhat the information in Secfions A,8,and C on this cerfificate represents my best efforfs fo interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County d 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE � , 08/14/05 (727)834-8140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions .-r�TANT: In these spaces,copy the corresponding information from Section A. •JILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. For Insurance Company Usg: 161 BRIGHTWATER DRIVE UNIT No.10 Policy Number CITY � CLEARWATER STATE ZIP CODE Company NAIC Number FLORIDA 33767 SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)builtling owner. � COMMENTS N/A SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE�ITHOUTrBFE)a�ments For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being compietetl–see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest atljacent 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 _ gratle. Complete items C3.h and C3.i on front of form. E4.The top of the plaiform of machinery and/or equipment servicing the building is _$.(m)_in.(cm)�above or ❑below(check one)the highest adjacent rade. Use natural grade,if available). 9 � E5,For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accortlance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issuetl or community- issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are correct to the besf ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS • CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS , SECTION G-COMMUNITY INFORMATION(OPTIONAL) ❑Check here if attachments The local offiGal�Nho is authonzed by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item�s)and sign Gelow. G1.�The information i��Sect�or�C wes taken'rom other tlocumentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authonzed by state or local lat,�io ce��ffi�elEVation inin�-,�tion. (Ir;Jicate the source and date of the elevation data in the Comments area below.) G2.[�A community offival completed Sxtior,�`or a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.0 The following infornation(!,ems�4-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: G9.BFE or(in Zone AO)depth of flooding at the building site is: —'—ft'�m� Datum:_ LOCAL OFFICIAL'S NAME �" , >,– �..,,r...� —'—ft'�m� Datum:_ d �� TITLE ��.,, r �� '� COMMUNITY NAME ; ,,.s, .�, ;� � : w-' TELEPHONE SIGNATURE ° � 1 , E�� '; �'.5�.�'3 DATE COMMENTS • , e:. � , . s: ..s'a e.: �"��3 ,.t��a �r . , � ..AZS tk�^d'" i �• � FEMA Form 81-31,�anuary 2oos ❑Check here if attachments Replaces all previous editions v ' J" FEDERAL EMERGENCY MANAGEMENT AGENCY J�r �j ��, r�•�/ n t�'�� `�" � �� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. NO. 3067-0077 t�' � f ' Expires December 31, 2005 � � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 � SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 10 BUILDING STREET ADDRESS(Inciuding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 10, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125096�9z�s PINELLAS FLORIDA 64.MAP AND PANEL � .(� U � B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FI M I D X DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 12103C0102 G , SEPTEMBER 03,2003 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 ❑Community Determined ❑Other(Describe):_ 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 Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction` �Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. • C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certrficate is being completetl-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,AR/AE,AWA1-A30,AR/AH,AR/AO Complete Items C3.-a-i below according to the building diagram specified in Item C2.5tate the datum used.If the datum is different from the datum used for the BFE in Section B,convert the tlatum to that used for the BFE.Show 6eld measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 ConversioNComments N/A Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �hb� o a)Top of bottom floor(induding basement or endosure) 5.50 FT ft.(m) � � o b)Top of next higher floor 15.67 . FT ft.(m) `_' � o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) ' o e, { o tl)attached garage(top of block) 5.5p . FT ft.�m� ,4� , o e)Lowest elevation of machinery and/or equipment w " servicing the building(ELEVATOR EQUIPMENT) �UA . FT ft.(m) r � � �-� I : o fl Lowest adjacent(finished)grade(LAG) 4.2 FT ft.(m) z�'v �� PL� �Q52 o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �:, � i�/14/05 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent gratle 14 J o i)Total area of all peRnanent 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 certify fhat fhe information in Sections A,B,and C on this certificate represenfs my best efforts fo inferpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. . ADDRESS CITY STATE ZIP CODE 8016 Oid County d 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE �� , 08/14/05 (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. i For insurance company use: BUILDING STREETADDRESS(Induding Apt.,Unfl,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Polic,y Number 161 BRIGHTWATER DRIVE UNIT No.10 � � � CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certifcate for(1)community official,(2)insurance agenUcompany,and(3)building owner. � COMMENTS NIA ❑Check here if attachments SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this ceRificate 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 builtling is _ft.(m)_in.(cm}�above or ❑below(check one)the highest adjacent grade. (Use natural grade,'rf 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 and/or equipment servicing the buiiding is _ft.(m)_in.(cm)0 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 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 owne�s authorized representative who completes Sections 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 must sign here. The sfatemenfs in Sections A,B,C,and E are correct to the besf 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 offiGal who is a!�thorized by law or ordinance io 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 G�iow. � G1.❑The information in Secti�r�C w�taken f;om other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or local lai^,io ce�tif��ele��ation ini.n,�,*:�aiion. (Ir,�icate the source and date of the elevation data in the Comments area below.) G2.❑A community offidal completed Sxtior,�`or a building located in Zone A(without a FEMA-issued or community-issuetl BFE)or Zone A0. G3.�The following infarnation(!lems C-�-u9;is provided for community floodpiain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED 66. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: �New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCALOFFICIAL'SNAME �'�' ;�'"��'`�� :�� TITLE � : � � � �_. � � COMMUNITY NAME ! " `� "�' �_y , '�� TELEPHONE � � � . � G SIGNATURE i .; r.r°�� • � �r `'_�' DATE ��,i � : �_�`�� COMMENTS s� � c° -� -. � �.. r � �.,�� 5 r ay. , v... �°E..1� �F_�.�F �" fi:a -y";`-<g-t . . � , ,.e,�.t �f t r V�d� e m S e ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions 5 �1.' f `�,: '� C ITY OF C LEARWATER � � .��,� � � , . DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT POST OFEICE BOX 474g� CLEARWATER� F�oa�DA 33758-4748 . MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUF.,CLEARWATER,FLO�unn 33756 TEi.�rxorrE(72� 562-4567 Fnx(727) 562-4576 MEMO OF REVIEW FOR CORRECTNESS & 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 e�evation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt., Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC 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 ##.###�l#°) ❑ 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 City of Clearwater-125096 64.MAP AND PANEL 67.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8�FLOOD ZONE(S) �Zone AO,use depth of flooding) 12103C0102 5/17/2005 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in 69:0 NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the buildin located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under 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,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 etevation 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: c Date of Review: Community Official: �vation certificates shall be maintained by the community and copies with the attachedmemo made available by requesf FRANK HIHftARI),NIAYOR GEORGE N.CRE]'EKOS,COUNCILMEMBGR JOIIN DORAN,COUNCILMCMBER PAUL F.GtASON,COUNCILMEMHGR � CARI,F.N A. PI:7'ERS6N,COUNCILMEMRCR ��EQUAL EMPLOYMEN7'AND f�f'FIKMA'17VE AC'I'ION F.MPLOYF.R� ✓ FEDERAL EMERGENCY MANAGEMENT AGENCY r NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 '"�� 003 Expires December 31, 2005 o��,a 1 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: • BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No. 10 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 10, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):_____ ( ##°-##'-##.##" or ##.##�k#°) ❑NAD 1927 ❑NAD 1983 ❑ USGS Quad Map ❑Other:____ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNfTY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096 PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (ZoneAO,use depth of flooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69, ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building located in a Coastal Bamer Resoum,es System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings' �Building Under Construction� ❑Finished Construction 'A new 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 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,AWA,AR/AE,AR/A1-A30,AR/AH,AR/AO 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,conveR the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments NIA r�� ,-,� Elevation reference mark used LP-15, EL=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No ` `t ' , C;.: o a)Top of bottom floor(including basement or enclosure) 5.50 FT ft.(m) � �� _,. _ ``V .•,�, o b)Top of next higherfloor 15.67 FT ft.(m) � �, ;� ar� -,�a, ' o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) o o � :r� Q � m.,� �, � o d)attached garage(top of block) 5.50 . FT ft.(m) E� ,�� '°� �' .' . o e)Lowest elevation of machinery antl/or equipment W� � �*� servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) E� , �,,,'J t�! o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� • , ' o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � c� ,Qg jA;�t1u1\ -' ti.t,�_,. o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 J o i)Total area of all 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. I cerfify that the information in Secfions A,8,and C on this certificate represents my best efforfs 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. 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 08/12/04 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ali previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: BUILDIN�STREET ADDRESS(Induding Apt.,Un�,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number . 161 BRIGHTWATER DRIVE UNIT No.10 . ' CITY 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 agenVcompany,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 builtling 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(including basement or endosure)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�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 and/or equipment servicing 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 community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local offcial must certiiy this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The propeRy owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the besf 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 la,al of?!cial who is auti�onzed 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 CeRificate. Complete the applicable item(sj antl sign below. G1.Q The information 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 local law to certiiy elevation infurmation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official comple;ec'Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following information(I!ems 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(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flootling 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