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181 BRIGHTWATER DR UNIT 6 > '} FEDERAL EMERGENCY MANAGEMENT AGENCY ,�t NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 � O�iQ��Ub Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 •7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No.6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 6,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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 ##.#ktkt#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 B3.STATE City of Clearwater 125096 PINELLAS FLORIDA 84.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth 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 bese floal depth entered in 69. ❑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 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 certficate 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 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 feld 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. `g' : �,, Datum NAVD 1988 Conversion/Comments (1929)4.981-(1988)4.191=0.77 '',t �' , ' Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � r,� : r o a)Top of bottom floor(including basement or enclosure) 5.0 FT ft.(m) � " �.��„�" S�r` ,��,<; � l=-- o b)Top of next higher floor 14.94 . FT ft.(m) � � r�� "' � � "' ' o c)Bottom of lowest honzontai structural member(V zones only) NIA FT ft.(m) o o ; ,,., �� o d)attached garage(top of block) 5.0 . FT ft.(m) E� '''' � - o e)Lowest elevation of machinery and/or equipment W� '" n �' ` � . � � ",yg ''`�..° _ �, ..'•;, servicing the building(Descnbe in a Comments area) 11.0 F=f ft.(m) � ,� '. ' # '3 '° o fl Lowest adjacent(fnished)grade(LAG) 4.5 FT ft.(m) �� '�� ,� �:`,r �' . o g)Highest adjacent(finished)grade(HAG) 47 FT ft.(m) � G :;. 11/22/05 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 � - o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 certificate represents my best efforts to interpret the data available. 1 undersfand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUM�ER BRUCE A.KLEIN PLS 5d52 TITLE COMPANY NAME � PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE � • 11/22/05 (727)834-8140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions ( �1 IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any;��e: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number �~ 181 Bri htwater 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 agenUcompany,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑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 infoRnation 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 antl 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 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 statements in Sections A,8,C,and E are coRect 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 a�iicial who is authonzetl 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 Compiete the applicable itemis)and sign below. G1.0 The information in Section C�vas taker f:�m other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or local law to certrfy elevation in�ormation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community otfc�al completed Section E for a building located in Zone A(without a FEMA-issued or communiry-issued BFE)or Zone A0. G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF 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 D TITLE COMMUNITY NAME TELEPHONE SIGNATURE NOV 2 2 20p5 DATE • COMMENTS CITY n� �► �� ,..,._�_ --,�,��.�AT , ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 • " � � ��j��b NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No.6 BUILDING STREET ADDRESS(inctuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive C�� STATE ZIP CODE CLEARWATER FLORIDA 3376� PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.) Lot 6,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residentiaf,Non-residential,Addition,Accessory,etc. Use a Comments area,rf necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): � ��_�_�.�� o� �.�°� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNfiY NAME&COMMUNIIY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096 P ELL4S FLORIDA 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX . I M IN EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103CA10�( G SE ER 03,2003 SEPTEMBER 03,2003 AE EL11.0 B10.Indicate the source of the Base Flood Elevation FE)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:�ConsVuction Drawings' ❑Building Under Construction" �Finished Construdion � �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,AWAE,AWA1-A30,ARIAH,ARIAO Compiete Items C3:a-i below accortling to the building diagram specified in Item C2.State the datum used.If the datum is drfferent 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 appropnate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments (1929)4.981-(1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �I�`- o a}Top of bottom floor(including basement or enclasure) 5.0 . FT ft.(m) � -� _ ' , - o b)Top of next higher floor 14.94 . FT ft.(m) � y ' � '. v� . o c)Bottom of lowest honzontal structural member(V zones oniy) N/A . Ff ft.(m) �o a � o d)attached garage(top of block) 5.0 . FT ft.(m) W� ` o e)Lowest elevation of machinery and/or equipment �� =� � serviang the building(Descnbe in a Comments area) 11.0 . FT ft.(m) �� "� � ; � ' , � a�� '°a o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) �� '�, ;__ '�,'� � • o g)Highest adjacent(finished)grade(HAG) 4.7 Ff ft.(m) � `'� , 11/22/05 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 � o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 cerfify that the information in Sections A,B,and C on this certificate represents my besf efforfs fo interpret fhe data availa6le. I understand thaf any false sfafement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSENUM6ER :` ,..• ; 5 ,i` BRUCE A.KLEIN �PL5:5d�2� � :.� ;� � TITLE GOMR/�NY NAME �PRESIDENT KLEIN&STAUB SURVEY�NG,INC. �� ADDRESS CITY STATE ZIP CODE 8016 Old County 54 New Port Richey FL : 34653 SIGNATURE DATE ; � TELEPHONE . • 11/22105 . : ' (727)834�140 FEMA Form 81-31.Januarv 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 u�:?: �: BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri htwater 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 offiaal,(2)insurance agenUcompany,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑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 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(chedc 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. Compleie 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 communitys floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in SecGon 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�ssued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correcf 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 o�cial who is au�onzed by law o�ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or E),antl G of this Elevation Certificate. Compiete the applicahle itemf�)and sign below. G1.❑The infoRnation in Section C��as taker3:fi'om other documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authonzed by state or local law to certify elevation in��rr�ation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offiaal completec�Section E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0. G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF 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 D TITLE COMMUNITY NAME TELEPHONE SIGNATURE NOV Z 2 2�D� DATE � COMMENTS C��__--�-F�i..�R�T ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions , , � a�' e4��e.�,�,�� sN� � �h`°�'� _ ' �°�� C I T Y O F C L E A R W A T E R ��"�,.` < � i °�� ' -�� . � �=� t T�_'� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT � �¢ �� k� POST�FFICE BOX 4748� CLEARWATER� FLOa�DA 33758-4748 '.F.� �„�. �- *; ��`�'r�x_p��-��`��*�'� +�,��F � , MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756 ° TELEPxorrE (72� 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 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 Biock 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): ��_��_�,�° o� �,�##y#°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑ Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8�FLOOD ZONE(S) �Zone AO,use depth of flooding) 5/17/2005 12103C0102 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) 611. Indicate elevation datum used for BFE in 69:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the buiiding located in a Coastal Barrier 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: ❑Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction "A new Elevation Certificate wiii 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 bui�ding 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 O�cial: �levation certificates shall be maintained by the community and copies with the attachedmemo made available by request FRANK HIAAARI),MAYOR GEORGE N.CRE7'EKOS,COUNCiLMEMAER JOIIN DORAN,COUNCILMEMACR PAUL F.GIBSON,COUNCILMEMRER � CARLEN A.PE7'ERSEN,COUNC[LMEMBGR ��EQUAL EMYLOYMEN"I'AND E�FFIRMA7'IVE AC1'ION EMYLOYER�� Q �� ?�Y;� --..�'-�j�` FEDERAL EMERGENCY MANAGEMENT AGENCY l�' � � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 . • ��a ,—� Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No.6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Descrip6on,etc.) Lot 6,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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- PINELIAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth 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 Profite �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_ SECTtON 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 certiflcate 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,ARIAE,AR/A1-A30,AR/AH,AR/AO Complete Items C3.-aa 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 ConversionlComments (1929)4.981-(1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � `' ` �� o a)Top of bottom floor(including basement or enclosure) 5.0 . FT ft.(m) � ''�� j J a 1�� N � �`eavvae� o b)Top of ne�higher floor 14.94 . FT ft.(m) � � f.�°.s..'��!�i�' ��,`!; o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) o o r��,, .� ��'.i a�. '.;,,. o d)attached garage(top of block) 5.0 . FT ft.(m) w� '� `, 1�."`=g� ,i <- ; = o e)Lowest etevation of machinery andlor equipment �j f,� . ��''�Y� �:�' ; seroiang the building(Descnbe in a Comments area) 11.0 . F7 ft.(m) �� -� '� ��`� ��: ,.�*` • fl J � )9 � ) � � �,cn ! � �� '�` .r o Lowestad�acent finished ratle LAG 4.5 . FT ft.m z m 'i i° �,.,<' w � 9) 9 1 � )9 ( ) l ) � '�,�'�� ..,T;' o Hi hest ad'acent finished rade HAG 47 FT ft.m � I� �a��0� .. , o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 � 1��\ ��« „ J o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 certificate represents my best efforfs fo interpret the data 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 JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE 05I26I05 (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;�se:• • BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Polic,y Number , ' ' 181 Bri htwater 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 agen a,r'"�, yf�$ � i S��. COMMENTS �l� f ;-�3.� �. ��` �a • � ` �� ' :f ITEM C3e IS ELEVATOR ;.�.,�;g G�� i 1 2�� _�_ .:J � .F. � ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVE OT EQ IRED R A E 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 highestadjacent 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 servidng 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 acc;ordance 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 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 local ot�icial who i�authorized:,y!aw cr ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the r pplicable:!ern(s;ard sign below. G1.❑The in��.�nation ir Sxtion C J�as taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or tocal law to certify e�evatic�n inforr•�ation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community c��icial completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The folloNring informatio�iliems(�4-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 DATE • COMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces ali previous editions