171 BRIGHTWATER DR __
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� , �°�.;` �.�EDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
• �''' � �E., �`�`4' NATIOiVAL FLOOD INSURANCE PROGRAM Expires Juty 31, 2002
�A" at �� �,w�ELEVATION CERTIFICATE
• ���`�'�:� Im ortant: Read the instructions on a es 1 -7.
� '`. ,Y `' SECTION A-PROPERTY OWNER INFORMATION For Insuranos Company Use:
BUILDING OWNER'S NAME' Policy Number ,
RENEE D. LENARI''
B I DING STREET ADbRESS(I� uding Apt.,Unit,Suke,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
1�1� BRIGHTWATER ORIV�
CLEARWATER BEACH FL� 346�S�E
PROPERTY DESCRIPTION(Lot and Blocic Numbers,Tau Parcel Number,Legal Description,etc.)
uNiT� lO1THRU 103 BRIGHTWATER ON THE BAY CONDOMINIUM AND UNITS 201 THRU 203
BUILDING USE(e.y.,Residential,Non-rosidential,Addition,Axesaory,etc. Use Comments section ff neoessary.)
RESIDENTIAL
LATITUDElLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS(Type):
( �It°-�'-�.�' or #qr.�' u NAD 1927 U NAD 1983 U USGS Quad Map LJ Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B T
CITY OF CLEARWATER 125096 PINELLAS �L A
B4.MAP AND PANEL B5.SUFFIX 86.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FL000 ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zona AO,uae depth of fl�oodiny)
125096-0007 D 8-19-91 8-19-91 AE 11
610. Indicate the souroe of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
LJ FIS Profile (X�FIRM LJ Community Detertnined LJ Other(Describe):
611. Indicate the elevation datum used for the BFE in 69:U NGVD 1929 U NAVD 1988 U Other(Describe):
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? U Yes U No
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
�9uilding elevations are based on: L�Construction Drawings' �JBuiiding Under Construdion• UFinished Construction '
'A new Elevation Certificate wili be required when construction of the building is complete.
C2. Building Diagram Number 1 (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 C3a-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 Sedion B,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the spaoe provided or the Comments area of Section D or Section G,as appropriate,to document the datum oonversion.
Datum M.S.L. ConversioNComments °
Elevation�eference mark used D-2 EL=4.757 Does the elevation referenoe mark used appear on the FIRM?;�J Yes �X �No;
O a)Top of bottom floor(inGuding basement or enclosure) 5 44 ft,�m� � � ;,; •�.;�,�,, ,, ..„ . _,, ,
O b)Top of next higher floor N/A,_ft.�m� `� {�` , x��,�; ,� _ '
O c)Bottom of lowest horizontal structural member(V zones only) N A._ft.(m) �S ,, y�c,� ; � �.�,�.,r
O d)Attached garage(top of slab) N _g,�m� �g ` '' � �' � , ,,
O e)Lowest elevation of machinery and/or equipment � N�A W m "" , � �, ,� *''
sen+icing the buildir�9 ft.(m) E g � �y '
O �Lowest adjacent grade(LAG) 5 0 ft.(m) i.Q .} , m;,,.� "��'� ,>,. :
N � '
0 g)Highest adjacent grade(HAG) 5 • 3 ft•(m) � 3,, ���;��, �-`M .,
0 h)No.of permanent openings(flood vents)within 1 ft.above adjaoent grade N/A
O i)Total area of all permanent openings(flood vents)in C3h N/A sq.in.(sq.cm) # 512 11-21-00
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 certily that the infomtation in Sections A, B, and C on this certificate represents my best e/fo�is to interpret the data availab/e.
!understand that any false statement may be punishable by fine or imprisonment under 18 U S Code SecHon 1001
cEORGERA.�SHIMP II �ic�r���NUMBER
�� IOENT GEOF�P�NYS�P II & ASSOC. INC.
�3�1E SOTO BLVD. PALhF��lAR60R s�TE .ZJ�Gl�DE -
�4 ti�
si� .' , E . 6#000734 1�-LU-�O ��-E�F��DIE
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FEMA Form 1-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
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IMPORTANT: In these spacea,copy the corresponding infortt�ation from Section A. For tnsuranoa Company Usa: t '
BUILDING STREET ADDRESS Including Apt.,Unit,Suite,and/or Bldg.NoJ OR P.O.ROUTE AND BOX NO. Policy Number �
171 BRIGHTWATER DRIVE
CITY STATE 21P CODE Company NAIC Number
CLEARWATER BEACH FL. 34630
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SECTION D-SURVEYOR,ENGINEER�OR ARCHITECT CERTIFICATION(CONTINUED)
_._
Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agent/company,and(3)building owner.
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COMMENTS
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�_j Check here if attachments �
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND 20NE A(1MTHOUT BFE)
or Zone AO and Zone A(without BFE),complete Items E1 through E4. 1/the Elevation Certibcete is intended for use as supporting
'ntormation/or a LOMA or LOMR-F, Section C must 6e 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(inGuding basement or endosure)of the building is I � I ft.(m)I I lin.(cm) LJ above or U below
(check one)the highest adjacent grade.
E3. For Building Diagrams fr8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is
I I I ft.(m)I I lin.(cm)above the highest adjacent grade.
E4. 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.
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SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Sedions A, B,and E for Zone A(without a FEMA-issued or
community-issued BFE)or Zone AO must sign here.
PR PERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE •
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SIGNATURE DATE TELEPHONE
COMMENTS '
- _ _- _I Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local offiaal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B,C(or E),and G of this Elevation Ce�tificate. Complete the applicable item(s)and sign below.
G1. U The infortnation in Section C was taken from other documentation that has been signed and embossed by a lice�sed surveyor,
engineer,or architect who is authorized by state or local taw to certify elevation infoRnation. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. U A community oificiat oompleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or
Zone AO. .
G3. U The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. UATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLWNCE/OCCUPANCY
ISSUED
G7.This pertnit has been issued for: L)New Construction U 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
COMMUNfTY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
� I Check here if attachments
FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS