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200 BRIGHTWATER DR UNIT 1 ��.�.�� t�� L� � � � i!{'� �.-� ,� � ' FEDERAL EMERGENCY MANAGEMENT AGENCY _ t- NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067 0077 �U� � � 20(�� '� ±� Expires December 31, 2005 ELEVATfON CERTIFICATE ` _ � _ Important: Read the instructions on pages 1-7. . EVE�CF�MENT 5 �- `q__.,,,, SEC110NA-PROPERIYOWNERINFORMAl10N ForlrisuranceComparryUse. �UtLDI '""` Policy Number BUILDING STREET ADDRESS(Including Apt.,Und,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number �dD BRiGHNVATERDRIVE (f,,yi CITY STATE ZIP CODE CLEARWATER, FLORIDA 337g3 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT � OF THE PLAT OF"BRIGHTWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66 BUILDI G USE(e_g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if 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(FIRNI�INFORMATtON 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COIAVTY NAME 83.STATE � CRY OF CLEP�RWATER 125096 PINELLAS COUNTY FLORIDA —""S B4.MAPAND PANEL B7.FIRM PANEL 89.flASE FLOOD ELEVATION{S) Q NUMBER B5.SUFFIX 86.FIRM I DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth offlooding) v 125�96-0007 D AUGUST 39''199�1 L AUGUST 19,1991 AE EL 11.0 � B10.Ind�cate the sour�e of the Base Flood Efevation(BFE� orbase flood depth entered in 69. U ❑FIS Profile XXX FIRM ❑Canmunity Determined ❑pth�(pe�be�_ � B11.Ind�cate the el�vation dahm used for the BFE in 69:0 NGVD 1929 ��q�/p�ggg �p��p��}: � B12.Is the buikfing located in a Coaslal Bamer Reso�ces System(CBRS)area a Otl�erwise Proteded Area{OPA)? ❑Yes ❑N Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) �' C1.Bui�ing elevations are based on:�Construcbon pravnngs* ❑Buik6ng Und�Construction* XXX Fnist�ed Construction 'A new Elevation Cefificate wiu be required when corstruction of the bu�ding is canplete. ?.Buikfing Diagam Nunber_ (Select the builcing diagam most senAar to the builcing for which ths certificate is being cornpleted-see pag�;6 and 7. If no ciagram accurately represents the bu�ding,provide a ske�h or photograph.) C3.Elevations-Zones A1-A30,AE,AH,A(v�th BFE�,VE,V1-V30,V(with BF�,AF�AR//�AR/qF,qR/A1-P30,AR/AH,AR/AO Compieie iiems C3.-a-i oeiow according io ule buiiariy aag-cun s�;ifieti iPi i�eiti��.Sieie u ie irauii i i iUeei.ii u ie i�un i�b u�iaerii�i u i i u�e uaiurn i;�ci iw u�e oF�ii� Section B,cornre�t the da6um to that used for the BFE.Shav field measuremenis and datun cornrersion calculation. tlse the space provided or the Carments area of Section D or Section G,as apFxnpriate,to doamer�the daium corlversion. Dahm NGVD 1929 Conversior�Canmen�t�YA Elevation reference maric used No.155,EL 4.981 Dces the ele✓ation reference marlc used appe�on the FIRM? ❑Yes XX No a)Top of bottan floor(ncluding basernent or enclos�ue) 6. 50 ft(m} � b)Top of next highe�fbor 15. 90 ft(m) � - � c)Bottan of lowest ha�ontal structural me�nber(Vzones only) WA. _ft(m) y; . ' - c�Atfached garage(top of slab) �`j ` ' - _ 6. 50 ft(m) �� ; � , e)Lowest elevation of machinery and/or equipment W � � � � - J '._ - servicing the buildmg(Desaibe in a Canments area) WA._ft(m) � � "�� . , �.. � flLowestadjacent(finishec�gade(I_qG) � � z� BRU-f,Y'EA. NCLEIN , 6. 0 it m 9)w9hest adlacent(fin�gade(I-{q�) 6. 2 ft.(m) ��' �'; ;:, `� � h)No.of permanent openings(flood venis)within 1 it above ac�acent gade 14 � 07/12/03 )Total area of aH permanent openings(flood vents)in C3.h 632 sq in. J , ,> -.. , SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATlON This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certrfy elevation information. " 1 ce�tily that fhe informafion in Secfions A,B,and C on this cer8ficate represenfs my besf effods to inferpref the dafa availabfe. !undea(and fhaf any false statement may be punrshable by fine or imprrsonmenf under i8 U,S.Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A KLEW PLS 5052 . T�� COMPANY NAME pROFESSIONAL SUR1/EYOR�MAPPER KLEIN 8�STAUB SUF�1/EYING,INC. �� j ��N STATE ZIP CODE 8016 Old County Road 5� � New Pat Richey FLORIDA 34653 SIG�ITURE ,� DATE / TELEPHONE �_°�-7---�----/" � _ 07/12/.03 {72�834-8140 IMPORTANT: In these spaces,copy the corresponding information from Section A For i�surance comPary use BUILDING STREET ADDRESS(includng Apt.,Unif,Suite,andia Bld�.No.)OR P 0.ROUTE AND BOX N0. Pdwy Number ._�: a BRI�HTWATER DRIVE CITY STATE ZIPCODE ComparryNAlCNumber >' CLEARWATER FLORIDA 33763 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATfON(CONTINUED) • Copy botli sides of this Elevation Certificate for(1)carmunity oifiaai,(2)insur�xe agentkanparry,and(3)buikiing owner. COMMENTS N/A ❑Check her�if attachments SECTION E-BUILDING ELEVATION INFORMATION{SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(4MTHOUT BFE} For Zone AO and Zone A(wi�hout BF�,complete Items E1 through E4. If the Ele�ration Certificate is intended for use as supporting infamation for a LONtA or LOMR-F, S�tion C must be carpleted. E1.Builcing Diagam Ntmber_(Select the buildng diag�n most sirrular to the building for which this cer�ficate is being carpleted–see pages 6 and 7. If no c�agam accurately re�xesenls the buld�ng,prwide a sketch or photogaph.) E2.The top of the bottr�m floa(ncludng basemerrt or endosure}of the builc�ng is _ft(m)_in.(an)❑abwe a ❑below(check one)the highest adacent�-ade. (tJse natural grade,if availabie). E3.For BuikGng Diac,�ams 6-8 with openings(see page�,the next hi�er floa or elevated floor(elevation b)of t�e building is _ft(m)_in.(an)abwe the highest adjacent gade. Corr�plete items C3.h and C3.i on frorrt of fam. E4.The�p of the platfarn of machinery andror equipment servicing the bu�ding s _ft.(m)_in.(an)�abo✓e or ❑below(chedc one)the tnghest adjacent grade. (llse nahiral grade,if available). E5.For Zone AO onl�r: If rw flood depth n�nber is available,is the top of the bottom floor elevated in accordance v�ifh the community's flooc$�lain management ar�nance? ❑Yes ❑No ❑Unknown. The local ofFidal must ceitify this infamation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFlCATION The property owner or owners autha¢ed representafNe who canpletes Sections A,B,C(I�rns C3.h and C3.i or�y),and E for Zone A(without a FEMA-issued or communii�r- issued BFE�or Zone AO must�gn here. The statemer�s in Sections A,B,C,a�d E are correcf to the best ofmy knowledg�. • PROPERIY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME ADDRESS CiTY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here rf attachments SECTION G-CON�IIUNITY INFORMATION(OPTIONAL) The local official who is authai��d bV�aw or ordinance to actninister ihe canmunity's flooc�lain management ordnance can canplete Sections A,B,C(a�,and G of this ElEVation Certificate. Com�lete tt�app�ble itEm(s)and sign below. G1.�The infamatior in Sectio�C was taken fian other doc�rnentation that has been signed and embacsed by a licensed s�veyor,engineer,or architect who s aulhorQed b�r state or locai faw to certify elevation infamation. (Ind�cate the sow�e arxl�ate of the eledation da�a in the Cm�xnents ar�below.) G2.0 A cxnmunily o�'�ai cm-µ�leted Section E for a bu�iing located in Zone A(vtiithout a FEMA-issued or cwrmunfiy-issued BFE)a Zone A0. G3.�The follow�g infar'a�tion(Items G4-G9)is Fxorided f�carrnuroty floa�lain managernertt purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED C�. DATE CERTIFICATE OF COMPLIANCElOCCUPANCY ISSUED G7_This permit has been issued for.0 New Construction ❑Subsfantial Imprwement G8.Eledation of as-buift lowest floa(nduding�t)of the builcing is: _._f�(m) Dattm:— G9.BFE or(n Zone AO}depth of floodng atthe builcing site is: __�(m) Dahm:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY t�IAME TELEPHONE SIGI�IATURE DATE • COMMENTS ,� �4� iC �ua �� ► ;:!_ ' :: �! �� ,�� FEDERAL EMER('ENCYMANAGEMEM'AGENCY t`� ^� � � NATIONALFLOODINSURANCEPROGRAM O.M.B. No. 3067-0077 =�� 1 �� u� � � �0�� Expires December 31, 2005 , ;� ��:, �, �;_. ?� ELEVATION CERTIFICATE . �`' '--� ��j . Important: Read ihe instructions on pages 1-7. �y Ei.0�� 5 v�;�' . SECTION A-PROPERTY OWNER INFORMATION Fwlrisurance c«nPary Use: • ;dUILDi ' . Policy Number UILDWG S EET ADDRESS(Includ" Apt.,UrM, ' and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number ,�dD IGHNVATER DRIVE L/,�,�- ' C STATE ZIP CODE CLEARWATER, FLORIDA 33763 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Des�cription,etc.) LOT � OF THE PLAT OF"BRIGHIWATER TOWNHOMES°,PAT BOOK 126,PAGES�8 66 BUILDI G USE(e.g.,ResideMial,Non-residermal,Addfion,Accessory,etc. Use a Commerds area,ff�sary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( #fi°-##'-##.#iF' or ##.�i#� ❑NAD 9927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FlRllf�INFOF211AATION 81.NFIP COMMUNfTY NAME&COMMUNITY f�AJMBER B�.COUNTY NAME B3.STATE � CfIYOFCLEARWATER 125096 . INELLASCOUNTY FLORIDA B4.MAP fND PANEL .. B7.FIRM PANEL B9.BASE FL00�ELEVATION(S) � Nt�v18ER 85.SUFFIX B6.FIRM I DATE �EFFECTIVHKEVISED DATE BB.ROOD ZONE(S) (Zone A0,�e depth offloodng) 125096�0007 D AUGUST 19,'199�1 ,Z AUGUST 19,1991 AE EL.11.0 � B10.Irxicate the sour�e of tl�e Base Ffood Eleuation daha or depth er�t�in B9. C ❑FlS Piofile X)OC Flf�N ly�efi�mined ❑Other(D�a�e). � 611.Itx�te the elevation dafim tsed for the BFE 89:Q NGVD 1929 ❑NAVD 1986 ❑Other(Desa�tie): � Bi 2 Is the bu�d'irg loca6ed in a Coasial Barrier R�ro�t6BRS �a Otl�rwise Pr�Area(OP�? ❑Yes ❑Nq Desi9nation Date � SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQIJIR�) C1.&u'k6ng elarafions are bas�on:�Cor�dion Drawdrx�s" ❑Buiking Ur�Cmshuction* X)OC Finished Construc6on 'A newElevation e vyil � when corstniction Ofthe bu�ng's carr�te. ?.Builang D' Nurd�er_ (Select buildng cfagam rnostsinaar to the buildrx,�for which th's certificate is being arnpleted-see pages 6 and 7. If no ciag�n • aoaaately the bu�tk�g, a sket�h or�.) C3.Elevations–Zones , .AH,A(wiih BFE),VE.V1 V30,V(u�th BF�.AR.AR/A.AR/AE,AR/A1 A30,ARIAH,AR/AO Cm�lebe Items C3.-a-i bebw aocadrcig to tl�e buid�n9 dagam sper.ified in Item C2.Shate tf�datrm used.If the dahrn's d�e.nt from the dahan used for the BFE in Se�tion B.convert the dahan to Brat used for the BFE.Show field rneastuemenLs and dahm cornersion ca�ulation. Use the space pro�ided or the Corrmerds ar�of Section D or Section G.as appropriate,bo docunerd the datum cornersion. Dahm N('VD 1929 Cornrerson�Carxner�Ls WA Elevation reference m�k used No.155.EL 4.981 Does the elevation r�erence m�k used appear on the FIf�u1? ❑Yes XX No — a)Top of bottan floor(ndtxing basernent or e�re) 6. 50 ft(m} m b)Tap of neact higher Aoa 15. 90 it(m) `� � ��aouom ot�t naQOrnai�„�t�-ai rr�r,��rzones or,y� WA_R(m) N� �A�aChed 9��P��) 6. 50 ft(m) �� :�-� � :� e)Lan�est elevation of machinery and/or W`° i `�~ � � r1 m ; -�_ �- -�� serviang the buddng(Des�e in a Cmurien��ea) WA._ft(m) � £� BRU�E A. KLEI IV �Lowest adacer�(finishec�gade(LAG) 6. 0 ft(m} z'� g}�adacent(finis�gade(HAG) 6. 2 R(m) m N 07/12/03 h)No.of pamar�ent openings(flood venLs)wiftrn 1 ft abave ac�acent gade 14 � )ro�a��of al perm�nt apenings tflood ver�)in c3.n 632 sq.in SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFlCATiON This certifica6on is to be signed and sealed�y a land surveyor,engineer,or architect authorized by law to cerpfy elevation infamation. - l ceiti(y that the informafion in Secct�ions A,B,�d C on this cer�ficate represenfs my b�st efforts fo interpret the data available. !understand that any fa�se statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001 CERTIFIER'S f�lAME UCENSE NUMBER BRUCE A KLEIN PLS 5052 T� COMPANY I�IAME PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAUB SUFtVEYING,INC. • •�� CfTY STATE ZtPCODE 8016 Old CouMy Road 54 New Pat Richey FLORIQA 34653 SlGNATURE . DATE TELEPH01� �` � 07/1?J.03 (72�834-8140 > ' r 1 �,�A 4 frl.. r >. ��°%`; � CITY OF CLEARWATER � �ly � � �� 3 # � DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT POST�FFICE BOX 4748� C[.FARWATER� FLO�uDA 33758-4748 ^,�� ` �f �� MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CI.F.ARWATER,FLORIDA 3375� TEI.EPHONE�7Z� 562-4567 FnY(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 BRIGHTWATER TOWNHOMES LLC Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 200 BRIGHTWATER DRIVE-UNIT 1 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 Q Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE � 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE Ba�FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/18/1992 610. 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) B11. 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. Compiete 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)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: �levation certificates shall be maintained by the community and copies with the attached memo made availab/e by request FRANK HIBAARD,MAYOR GEORGE N.CRE7'EKOS,COUNCILMEMBGR J011N DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNC[LMEMBER � CARI.GN A.PE7'ERSEN,COUNCILMGMBER ��EQUAL EMPLOYMENT AND AFFIRMATIVE AC'fION EMPLOYER�� .,,.�..,�-,.,�..:k..-.-� , 1= .�`.�, i � � �j �^'��y� �, ! ! FEDERAL EMERGENCY MANAGEMENT AGENCY �� ....---y � � O.M.B. No. 3067-0077 z i ,.,,�, . �: s � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 �� I�� J U I� � t� �O�R� �� E L E V A T I O N C E R T I F I C A T E '`�� Import�t: Read the instructions�pages 1-7. � �v��E N T 5 F '' SECTION A-PROPERTY OWNER INFORMATION For insurance Comparr�r Use: �1ILDI � Policy=Number- BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number ,�G��1 BRIGHTWATER DRIVE [I,�/i ��n STATE ZIP CODE CLEARWATER, FLORIDA 33763 PROP�RTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Descripfion,etc.) LOT � OF THE PtAT OF"BRIGHIWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66 BUILDI G USE{e.g.,Residential,Non-residential,Addfion,Accessory,etc. Use a Comments area,ff necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.#iX' or ##.�� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRN�INFORMATION B1.NFIP COMMUN�TY NAME&COMfvAJNITY NUMBER B2.COIAVTY NAME B3.STATE CffY OF CLEP�RWATER 125096 PINELLAS COIAVTY FLORIDA 8 B4.MAP A(�PANEL � B7.FIRM PANEL 69.flP.SE FLOOD ELEVATION{S) NUMBER B5.SUFFIX 86.FIRM I DATE EFFECTNE/REVISED DATE B8.F100D ZONE(S) (Zone A0,use depth offlooding) N 12509Fr0007 D AUGUST�9,'199 L AUGUST 19,1991 AE EL 11 A � B 10.Ind�cate the source of the Base Fbod EledaGon(BFE)daha or flood depth entered in B9. � ❑FIS Profile XXX FIRM ❑Community Determined ❑Oth�(Descnbe}: '� B 11.ind�cate the elevation dahm used fa the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Descxibe): � 612.Is the bu�c�ng located in a Coastal Barri�R�Systern(CBRS)area a Otherw+se Protected Area{OPA)? ❑Yes ❑Ng Designation Date � � SECTION C-BUILDING ELEVATION INFORMATtON(SURVEY REQUIRED} C1.Bui�ing elevations are b�ed on:❑Consfiic6ora Drawing�` ❑Buil�ng Under Constructiction* XXX FnisF�ed Consbuction *A new Ele�ation Certificate wip be requaed when construction of the bu�ding is canplete. � Buildng Diagam Ntmber_ (Select the buiking dagam most sinAar to the builcing for which this certi6cate is being canpleted-see pages 6 and 7. If no ciagram accuratey represenis the bu�ding,provide a ske�Ch or photogaph.) C3.EJevations–Zones A1-A30,AE,AH,A(with BF�,VE,V1-V30,V(with BF�,AR,ARIA,AR/AE,ARIA1-P30,ARIAH,P,R/AO Canplete Items C3.-a-i below according to ihe budc�ng ciagam specified in Iten C2.State tl�e dafium used.If ihe dahun is�iferer�from the datum used fa tt�e BFE in Section B,convert the datr�m to that used fa the BFE.Show field rneasuranents and dahm conversion cakxDation. Use the space provided or the Carmer�area of Section D or Section G,as appro�xiate,to doc�anent tt�e dahxn conversion. Dahan NGVD 1929 Conversior�Canmer�.s�YA El�ation reference mark used No.155.EL 4.981 Does the elevation reference mark used appe�on the FIRM? ❑Yes XX No � a)Top of bottan floor(nciuding basernent or enclos�ue) 6. 50 ft(m) � . <�.,U ,�„.� ,_,r,.'w .. b)Tap of next higher floor 15. 90 it(m} � � "��' �� "�� , - c)Bottan of iowest haQOntal structurai rr�ernber(V zones ony) N/A.—ft(m) o o '�*,-'�, ,.:�-�¢;� M �'`'; c�Attached garage{top of slab) 6. 50 ft(m) W R ' �,� r° �' ' e}Lovuest�evatio�of machmery andbr equ�ment ��; v``�� ` `�"' ° servicing the buil�ng(Describe in a Cornrrienfs ar�) NIA._ft(m} £ro �' �' ° �#`RIJf:E�4. K��N �� fl Lowrest adjacent(finishec�gade(LAG) s. o��m� �� 4 � � ;�' � ,� ,.�� . .; 9)�9��1��finistied)gade(I-lAG) 6. 2 ft.(m) � �� '.;'`��I7/1�l03�'":� h)No.of pamanent openings(flood ven�)v+etliin 1 ft.above a�acent gade 14 � "��°'" ~°��u �,�,. )Total area of aa permanent openings(flood ver�)in C3.h 632 sq.in. SECTION D-SURVEYOR,ENGINEER,ORARCHITECT CERTiFICATidN This ce�ification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify eleva6on information. . ' I certify that fhe information in Sections A,8,and C on fhis cerfi6cate represenfs my besf etforts to interpret the data available. 1 understand that any false sfafement may be punishab/e by fine or impnsonment under 18 U.S.Code,Section 9001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A KLEIN PLS 5052 TfTIF COMPANY NAME SPROFESSIONAL SURVEYOR&MAPPER KI.FIN&STAI�SURVEYING,INC. ,�DDRESS CITY STATE Z1P CODE 801fi Old County Road�4 New Pat Richey FLORIDA 34653 SIGNATURE � DATE TELEPHONE � , - 07/12/.03 (727}834-8140 IMPORTANT: In these spaces,copy t�e corresponding infomiation from Se�tion A Fa ir�urance comQarry use: BUILDING STREET ADDRESS(Including Apt.,Unit,S�te,and�or Bidg.No.)OR P.O.RoUTE AND BOX N0. Polu,y Number . � . BRIGHTWATER DRIVE CITY STATE ZIPCODE Com CLEARWATER FLORIDA �� Pa�Y NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTiNUED) Copy botli sides of tlNS Elevation Certificate for(1)canmunity offiaal,(2)instnance agenbcanparry,and(3)buikJing owner. i COMMENTS WA ❑Check here rf attaacchments SECTION E-BUILDING ELEVAl10N INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A�WIT1i0UT BF� For Zone AO and Zone A(without BF�,canpte�Items E1 through E4. If the Elevation Certificate is in�ended for use as suppating ir�amation for a LOMA or LOMR-F, S�tion C must be completed. E 1.Builcing Diac,�n Nunber_{Select the builcing diag�n most similar to the building for which this ceitificate is being ccxnpl�ed–see pag�;6 and 7. If no ciagram accurately reFxesents ihe buld�ng,prwide a ske�;h or photagraph.) E2.The bp of the bot�m floor(nclucing basement or endosure)�the buiking is _ft(m}_in.(cm)❑abwe a ❑be�r(chedc one)the highest adjacent gade. (llse natur�gade,if available). E3.For Bui�ing Diac�gams 6-8 with openings(see page�,the neact higher floor or eleva�d floor(elevation b}of the bu�ding is _it(m)_in.(an)abwe the highest adjacent gade. Cmipl�e items C3.h and C3.i on fror�of fam. E4.The�p of the platform of machinery and+or eq�xner�servicing the budding is _ft(m)_in.(an)�abwe or ❑below{chedc one}the highest adj�t gade. (Use nahxal gade,if available). E5.For Zone AO oMy: If no flood depth ntmber is av�lat�le,is the top of the botttan floor eleuated in aocordance with ttie canmuniiy's floodplain management a�bnance? ❑Yes ❑No ❑Urdcnown. The local ofiaal must certify this infamation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTA7IVE)CERTIFlCATION The properly ovtimer or owner's author¢ed reExesentative who car�letes Sections A,B,C�I�ms C3.h and C3.i only),and E for Zone A(without a FEMA-issued or canmuniiy- i�BFE}or Zone AO mt�st sign here. The sfafemer�s in Sec;6ons A,8,C,a�►d E a*e coired to the best ofmy krrowleo'ge PROPERTY ODUNER'S OR OVIMER'S AUTHORIZFD REPRESEPlTAT11/E'S NAME � ADDRESS CITY STATE ZIP CODE SIGI�IATURE DATE TELEPHONE COMMENTS ❑Check here rf attachments SECTION G-CONMIUNITY INFORMATION(OPTIONAL) The local official who is authai�.�d by law or adinance to a�nir�ster the community's flooc�lain ma�gement orc�nance can canplete Sections A,B,C(or�,and G of this Elevation Certificate. Can�lete thE app�ble it�m(s)and sign below. G 1.�The infamation in Sectior C was taken fran�her docuner�tation that has been sic�ned and e�r�ssed by a licersed s�aveyor,engincer,or ar�hitect who s autha¢ed by state or local iaw to c�rtify ele�ratia�infamation. Qndcate the sowr:e and date of the elevation data in the Carnr�enis area below.) G2�A cxrununity o�`,aal c�rr�pleted Section E for a bu�ng�ocated in Zone A(v�lhout a FEMA-�ssued or community-issued BF�or Zone A0. G3.�The#ollowing ir�far°ation(Itars G4G9)is praided for conmunity flooc�lain managernertt purposes. G4.PFRMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCFJOCCUPANCY 1SSUED G7.This permit has been issued for.�New Construc6on ❑Substantial Imprwement G8.Elevation�as-built lowest floor(nduding base�raen�of the builcing is: __ft{m) Dahm: G9.BFE or(n Zone AO)depth of floodng at the buildng site is: _—it(m) Dattm: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHO(� SIGNATURE DATE COMMENTS � .�� 1 . ��rrr;�.j� �4`��.��'`°��a�°�� C I T Y O F C L E A R W A T E R � ��°�Is, � `�� _`^ .�� _T ,�� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT ��.*,��,�,�-,,a;a��t�� PosT OFFicE Box 4748, Ci�zwnrER, Fio�une 33758-4748 �<,r.�� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLOffiDA 3375� TELEPHONE�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 BRIGHTWATER TOWNHOMES LLC Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 200 BRIGHTWATER DRIVE-UNIT 1 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 63.STATE 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8�FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/20/1992 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) 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 System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Desi nation Date SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under 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: �evation cevtificates shall be mainta�ned by the community and copies with the attached memo made availab/e by request FRANK HIBF�ARD,MAYOR GEORGE N.CRE'1'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMAER PAUL F.GIRSON,COUNCILMEMRER � CARt.[N A.PE1'ERSEN,COUNCILMCMBER ��EQUAL EMPLOYMENT AND AFFIRMA'CIVE AC1'ION EMPLOYER�� _..,...--...—.._ [� 1 j �� f.5 � �V t ��' � y FEDERAL EMERGENCY MANAGEMENT AGENCY � 4 NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 .�� Expires December 31, 2005 ' � � � � ZQ�� ;� � � � � ��- t___ ELEVAT�ON CERTIFICATE � °-'�' Imporfar�t: Read the instructions on pages 1-7. �� u��M EI�k T 5 "p' ' SECTION A-PROPERIY OWNER INFORMA710N Fo�irisurance Corriparpr Use: _... 1LDI _ l�fi1f .... Policy Number _ BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number ,�.dC? BRIGHTWATER DRIVE �,�// ��Ty STATE ZIP CODE CLEARWATER, FLORIDA 33763 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcei Number,Legal Description,etc.) LOT � OF THE PLAT OF"BRIGHNVATER TOWNHOMES",PAT BOOK 126,PAGES 65&66 BUILDI G USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONG(TUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(fype): ( ##°-##'-##.##" or ##.##�tJ#� ❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTtON B-FLOOD INSURANCE RATE MAP(FIRIV�INFORMATION � 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME B3.STATE CffY OF CLEARWATER 126096 PINELLAS COUNTY FLORIDA —ZS B4.MAP AND PANEL y. B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) � NUMBER B5.SUFFIX B"o.FIRM I DATE EFFECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth offlooding) � 125096-0007 D AUGUST�'999 y AUGUST 19,1991 AE EL.119 � B 10.Ind�cate the source of the Base Flood ElEVation(BFE�data or flood depi�entered in B9. � ❑FIS Profile XXX FIRM ❑Canmunity Determined ❑Oth�{Desat�be): �'"� 611.ind�cate the elevation datun used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Olfier(Desaibe): W 612.Is the bu��ing located in a Coasiai Barrier Resources System(CBRS)azea a Othervtiise Pratected Area{OPA)? ❑Yes ❑N9, Designafion Date � � SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Bui�ing eleva6ons are based on:�Construction Drawings'` ❑Buildng Under Construction* XXX Fn�hed Construction �*A new Elevation Certifica 'li be required when caistruction of the bu�ding is canplete. uikiing Diagam N _ ( ect the builcing dagam most s�n�ar to the builcing for which this certificate is being canpieted-see pages 6 and 7. If no ciagram accuratey re�resenis the ing,prwide a ske�h or photoc�aph.) C3.Elevations-Za�es A1�,30,AE,AH,A(with BFE�,VE,V1 V30,V{�ith BF�,AR,AR/A,AR/AE,ARlA1-A30,ARIAH,AR/AO Complete Items C3.-a-i below according to t�e buil�ng c5agam specfied in Item C2.State the dahim used.If the dat�n is cifferer�from the daium used for the BFE in Section B,conuert the datum to that used for the BFE.Shav field measuremenls and dahm corrver�ion caiculation. Use the space provided or the Commen�s area of Section D or Section G,as appropriate,to doamer�the dahim cornrersion. Dahan NGVD 1929 Conuerson/Canments N/A Elevation reference mark used No.155,EL 4.981 Does ihe elevation reference mark used appear on the FIRM? ❑Yes XX No a)Top of bottam floor(r�ciud'ing basaner�or enclosure) 6. 50 ft(m) � b)Top of next higher floa 15. 90 f�(m) `� c)Bottan of lowest horQOntal structrirai rnember(V zones onty) NIA. _ft.(m) o o � ,�, c�Attached 9arage(toP of slab) 6. 50 it(m) E_ .,�, °•,� 1, � e)Lowest elerration of machinery andlor equipment W m �r "�-��= �'�'�,,< <.� , � s�vicing the buldmg(Desaibe in a Canments area) NIA._ft.(m) E� �BRU�E A.��KLEI�! �� Low�st adjacenf(finished}grade(LAG) 6. O it(m) z m �'' � , •il 9)Highest adjacer�(finist�gade{HAG) 6. 2 ft(m) �� '�:07/12/03� Q. h)No.of pamar�ent openings(flood venis)within 1 ft.above adjacent gade 14 � • �� `a> )Totai area of aN permanent openings(flood ven�)in C3.h 632 sc}in. ::: `' SECTION D-SURVEYOR,ENGINEER,ORARCHITECT CERTIFlCATION This ce�ification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify thaf fhe informa6on in Sections A,8,and C on this cerfificate represenfs my besf etforfs fo inferpret the dafa available. 1 understand fhat any false sfatement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. CERTtFIER'S NAME LICENSE NUMBER BRUCE A KLEIN PLS 5052 ITLE COMPANY�lAME OFESSIONAL SURVEYOR 8�MAPPER KLEIN&STAUB SURVEYING,INC. , DRESS CITY STATE ZIP CODE 8016 Old County Road�G { , New Pat Richey FLORIDA 34653 SIGNATURE �,a' � DATE TELEPHONE `�-`� � ,, o��ti.os �2�ssa-$�ao _ �`�„ . .�,m...e_e�r� � IMPORTANT: In these spaces,copy fhe corresponding infom�ation from Section A Fa insi,rance com�a,ly use: BUILDING STREET ADDRESS(Including Apt.,Unit,S�te,ancYor BId3.No.)OR P.O.RflUTE AND BOX N0. Pdic,y Number BRIGHTWATER DRIVE CITY STATE ZIPCODE Comparn/NAICNumber ' CLEARWATER FLORIDA 33763 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CON7INUED) Copy both sides of this Elevation Cerfificate for{1)carmunily ofiaal,(2)insurarxe agentkanparry,and{3}buildng owner. COMMENTS N/A ❑Check he�rf attachments SECTION E-BUILDING ELEVAiION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(4MTHOUT BFE� For Zone AO and Zone A(without BFE),canplete Items E1 through E4. If the ElEVation Certificate is intended for use as supporfing infamation fa a LOMA or LOMR-F, Section C must be canpleted. E1.Builcing Diagam N�rnber_{Setect the buildng diagam most similar to fhe buiiding for which this ce�tifi�te is being carpl�ed—see pages 6 and 7. If no�agam aocurately reExesenls ihe buldng,prwide a sketch or phoingaph.) E2.The h�p of t�e bottan floor(ncluc5ng basement or endosure)of the builc�ng is _ft(m)_in.(an)�above or ❑below(check one)the highest adacent�ade. (Use natural grade,rf avail�le). E3.For Bui�ing Diac�gams 6-8 with openings(see page�,the next higher floa or eleirated floor(elevation b)of the bu�dng is _ft(m)_in.(cm)above the highest adpcent gade. Complete itans C3.h and C3.i on iror�of fam. E4.The�p of the piatfxam of machinery and+or equipment s�rvicing the budding is _ft(m)_in.(an)0 abwe or ❑below(chedc one)the highest adjacent grade. (llse natural gade,if available). E5.For Zone AO onh/: If no floai depth ntmber is available,is the top of the bottan floor elevated in accordance v�rttl�the canmunily's flooc�lain managernent orcbr�ance? ❑Yes ❑No ❑Unknown. The local official must ceitify this infamation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESEMATIVE)CERTIFlCATION The properiy owner or owners aufha¢ed reFxesentative who canpietes Sections A,B,C Q�rns C3.h and C3.i only),and E for Zone A(without a FEMA-issued or canmunity- issued BFE�or Zone AO must sign here. The sfafeme�s in Sections A,8,C,avd E�e correct fo fhe best ofmy knowleo'ge. PROPERIY OWNER'S OR OWNER'S AUTHORIZFD REPRESEMATIVE'S�IAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TEIFPHONE COMMENTS ❑ Check here if attachments SECTION G-COMMUNITY INFORMATtON(OPTIONAL) The local official who is authan�;d by law or ordinance to actninG;ter tlie communily's flooc�lain mar�ag�nent orc6nance can canplete Sections A,B,C(or�,and G of this Elevation C�te. Can�kete ihe a�pG�ole it�m(s)and sign below. G t.�The infamation in Sectio,�C was taken from othef doc�rner�aiion that has been signed and embossed by a licer�sed sunreyor,engineer,or archi4�ct who is author¢ed by state or locai fawto certify eleuation infamation. (Irx£Cate the sour�e and date of the elevation data in ifie Cornments are�a beiow.) G2.�A earununily o�T�aal c�mpleted Section E for a buadmg located in Zone A(without a FEMA-iss�ied or community-issued BF�or Zone A0. G3.0 The following infom-�a6on(Items G4-G9)is provided f�comnunity flooc�lain manag�ner�purpcses. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLJANCFJOCCUPANCY 1SSUED G7.Thr permit f�s been issued fa:�New Cor�xfion ❑Substantial Imprwement G8.Elevation�as-built low�st floa(ncludng basernent��the builcing is: __ft(m) Dahm: G9.BFE or(n Zone AO)depth of floodng at the builcing site is: __ft(m) Dahm: LOCAL OFFICIAL'S NAME T1TLE COMMUNITY NAME TELEPHONE SIGt�IATURE DATE • COMMENTS . , • � . . �k��, �� . ��°��'�� = C I T Y O F C L E A R W A T E R ��Ga �� ;�� , �. �. _� �;� � , ��.�� DEVF:LOPMF.NT & NEIG��BORHOC�D SF,RVICES DF,PARTMEN'I' � � ��„�� _ �""�'�" POS'I'�FFICF. �OX 474g� CLI:ARWA'1'f:R� F,,oK,��A 33758-4748 � �� <��,'�,,,��#> ��-,�,��g�� MUNICIPAI.SF.RVICF,S BOII.nING, 1��SOU"PEi MYRTI,F.E�VI:NUI:, �,I.EARWATF.R, �LORIDA 3377� �'�"�`�'�� Tsi.r:rxoNr. (727) 562-4567 Ftix(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 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 BRIGHTWATER TOWNHOMES LLC Policy Number A2. BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 200 BRIGHTWATER DRIVE-UNIT 1 CITY STATE ZIP CODE A3. PROPERTY OESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residentiat,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 �. IP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE B4.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B��FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S) NUMBER $�20�1992 EFFECTIVE/REVISED DATE (Zone A0,use depth of flooding) B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe) B11. Indicate eievation datum used for BFE in 89:� NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS area or Othervvise Protected Area(OPA)? ❑Yes ❑No Designation Date 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 required when construction of the buiiding is compiete. C2. Building Diagram Number (Select the building diagram most similar to the buiiding 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. Compiete 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 ali permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: � , Date of Review:� � :C Community Official: A��n certificates shall be mainta�ed by the community and copies with the attachedmemo made availab/e by request NRANK H[RBAf21),IVI.AYC)R GEORGG N.CRH7'CKOS,COUNCII.MEMHER f OI IN DOfiAN,COIINCILMFMEiIiR PAUL F.G1HSC>N,COIINC,IIMfMAHR � CARLGN A. PE7'EILSHN,COUNCILM@MH1iR ��EQI IAL EMPLOYMEN'P AND l�FIItMA'1'NE ACI'ION EMPLOYF.N��