200 BRIGHTWATER DR UNIT 2 �y(� (� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
� r� � 0 1!J��.,�,,,,�9 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
D ' ELEVATION CERTIFICATE
��L � � ���� Important: Read the instructions on pages 1-7.
� SEC110N A-PROPERIY OWNER INFORMATION Fo�Insurance Compary Use.
�►�, � Policy Number
r
B NG STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
ZC�U BRIGHNVATER DRIVE L/i✓iJ'L
CITY STATE ZIP CODE
CLEARWATER, FLORIDA 33763
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2 OF THE PIAT OF"BRIGHTWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66
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 ##.##�1#f�� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRN�INFORMATION
61.NFIP COMMUNfTY NAME&COMMUNITY NlRv1BER 62.COUNTY NAME 63.STATE
C(fY OF CLEARWATER 125096 PINELIAS COL9�JTY FLORIDA Q
B4.MAP AND PANEL �' 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) N
NUMBER B5.SUFFIX B6.FI t�EX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE{S) (Zone A0,use depth of floodng) �
125�96-0007 D AIJGUST ,1 L, AUGUST 19,1991 AE EL.11.0 G
� 610.Ind�cate the sour�e of fhe Base Flood Elevation(BFE�daMa or base flood depth entered in B9. �(
❑FIS Profile XXX FIRM ❑Canmunily Determined ❑Oth�(Descnbe): V�1
B 11.Incicate the elevation datun used for the BFE in B9:❑NGVD 1929 ❑NAVD 1986 ❑Other(Desaibe}: Cl�
B 12.Is the bu�ding located in a Coasfal Bamer Resources Systan(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date �
SECTtON C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buikiing elevafions are based on:�Constrtxtion Dr�rnngs"' ❑Buik�ng Unc�r Construction* XXX Finished Construction
*A new Elevation Certificate wip be requ�ed when caistruction of fhe bu�ding is canplete.
•2.Buildng Diac,�n Ntrr�ber_ (Select the builcing d�agam most sin�ar to the builcing for which t�is certificate is being car�pleted-see pages 6 and 7. If no ciagram
accuratey reExesenis the bu�ding,pravide a ske�h a photograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BF�,VE,V1 V30,V(with BF�.AR,AWA,AR/AE,AR/A1-P30,ARIAH,AR/AO
Corr�lete ftems C3.-a-i below according to ihe buac5ng ciag�n specified in Itern C2.Sfate fhe datr�m used.If ihe dah�m is d�frerer�fran ihe daium used for the BFE in
Section B,cornreit the dahmi to that used for the BFE.Shaw field measurements and dahm conversion calculation. Use the space provided or the Carmerds area of
Section D or Section G,as apFxnpriate,to docunent tl�e datum c�nversion.
Dattm NGVD 1929 ConversionlCanmertls N/A
Elevation reference mark used No.155,EL 4.981 Does the elevation reference mark used�on the FIRM? ❑Yes XX No
a)Top of bo�an fba(ncluding b�sernerrt or enclos�ue) 6. 50 ft(m) � � �� '�i�. ��' '•
b)Top of neict hi�er floor 15. 90 ft.(m) � -`> ` •
c)Bottom of lowest horQOr�tal structural member(Vzones ony) WA. _it(m) o o �!� �a�:�C� ,
�-- �. ��,.
c�Attached 9arage(toP ofslab) s. �o��r�,� �� :; ' "�`; '�� m:�µ � ,.�
W � � ,,;,.
e)Lowest elevation of machinery and�or equ�xxnent -,; �' ' , , ♦� � �,� °`
serv�ing the bu�dmg(Describe in a Canmenis ar�) WA._ft(m) E� B RU ��K 1 N� �`
Lowest ad r�fini de G 6. 0 ft.m z'� ?°R'���r �`� �" �'
fl 1� ( �� (� ) ( ) �' �; .., � .�,, �.
g}F6ghest adjaceM(finished)gade(!-IAG) 6. 2 ft.m =� ��^�r,"r� -� �
c � J ,����tr2io3 :Q,�,,
h)No.of pamanent openings(flood venis)wilhin 1 ft above acc�acerit gade 14
i)Total area of a�permanent openings(flood ver�)in C3.h 632 sq.in. ,;. `,
i. ' '
SECTION D-SURVEYOR,ENGINEER,ORARCHITECT CERTIFICATION '
This ce�ification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify eleva6on information.
- 1 ceitify that the information in Sections A,B,and C on fhis cer5ficate represents my best elfo►ts fo interpret the data avai(able.
I undersfand fhat any fatse statement may be punishab�e by fine or imprisonmenf under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME UGENSE NUMBER
BRUCE A KLEIN PLS 5052
TIT(F COMPANY NAME
•PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAI�SURVEYING,INC.
ADDRESS CITY STATE ZiP CODE
8016 Old County R, 54 New Pat Richey FLORIDA 34653
SIGNATURE r DATE TELEPHONE
— % ' 07/12/.03 (12�834-8140
_ . __ __
IMPORTANT: In these spaces,copy ihe corresponding infortnation from Section A Fa insuranoe compary use: .
BUIIDING STREET ADDRESS(Including Apt.,Unil,S�te,ancYor Bldg.No.)OR P.O.R011iE AND BOX N0. Pdu,y Number
BRIGHTWATER DRIVE
CITY STATE ZIP CODE Comparry NAIC Number
CLEARWATER FLORIDA 33763
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy bafh sides of this Ele✓ation Certificate for(1)canmunil�r offiaal,(2)insurarxe agent/canparry,and(3)twikJing owner. i
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVA710N INFORMATtON(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BF�
For Zone AO and Zone A(without BFE},canplete ftems E1ltuough E4. If the Elevation Ce�tificate is intended for use as suppating infamation for a LOMA or LOMR-F,
Section C must be canpleted.
E1.Builcing Diagarn Nunber_(Select the builcing diagam most srnilar to the building fa which this certificate is being carpl�ed—see pages 6 and 7. If no c�agram accura
�Y
reExesenls the buld�ng,prwide a sketch or photog�h.)
E2.The 4�p of the botbm floor(nclucing basement or�ure)of the builcing is _ft(m)_in.(an)�above or ❑below(chedc one)the highest adjacent gade. (Use
natt�l gade,if available).
E3.For Buil�ng Diac�gams 6-8 w+th openings{see page�,the next hi�floor or eie,rated floor{elevation b)of t�e buading is _ft(m)_in.(an)above the highest adjacent
gade. Corripl�e iterr�s C3.h and C3.i on frnr�of fam.
E4.The t�p of the platt�orm of machinery ancYor equipnent servicing the budding is _ft(m)_in.(an)�abwe or ❑below(check one)the hig�st adjacent grade. (l.1se
nahual gade,if available). �
E5.For Zone AO onlyr: If no flood depth ntmber is avaik�ble,is the top of the bottan floor elevated in accordance with the canmunity's flooc�lain management a�nance?
❑Yes ❑No ❑Urdcnown. The local otfiaal must ce�tify Uus irifamation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFlCATION
The prope�iy anmer or owners author¢ed reFxesentative who canpletes Sections A,B,C Q�ems C3.h and C3.i oniyy),and E for Zone A(without a FEMA-issued or canmuniiy-
issued BF�or Zone AO must sign here. The stafaner�s in Secbons A,B,C,a�d E a�e corred to the best ofmy knowledge
PROPERTY OWNER'S OR OUVNER'S AUTHORIZED REPRESEtJTATNE'S NAME •
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here rf attachments
SEC110N G-CONRNUNITY INFORMATION(OPTIONAL)
The la;al oificial who is a:rthorized by law or adinanoe to adnir�ster fhe canmunity's floocpiain management orcinance can complete Sections A,B,C(or�,and G of this Eledation
Certificate. Complete Uie•a�;�le item(s)and sign bel�v.
G 1.r]The infam��n in S�iion G v�s taken irom�her cbcuner�tation that has been signed and embassed by a licensed sim+eyor,engine,er,or ar�hi�ct who is aulhor¢ed by state
or Ixal lawto catif�elevation infamation. (Indicate the sour�e and date af fhe elevation data in ihe Corrxnents ar�below.)
G2.[1 A carrunun;f olfiaai crorr�le±ed Section E for a bu�ng loc�ted in Zone A(r�thout a FEMA-�ssued or canmuniiy�ssued BF�or Zone A0.
G3.�The fo�owing iniamation(iterns G4-G9)is provided for corrmunity flooc�l�n managerner�t purposes.
G4.PERMiT 1!JMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPIJANCEIOCCUPANCY 1SSUED
G7.This permit has been'ssued for.�New Corstruc6on ❑Subshantial Irrpraement
G8.Ele�ration�as-buiit lowest floor(nduding basernen�of the buil�ng is: __it(m) Datun:
G9.BFE or(n Zone AO)depth of floodng at the buil�nng site is: __R(m) Dahm:
LOCAL OFFICIAL'S NAME TITLE
COMMUNIN t�IAME TELEPHO�
SIGNATURE DATE •
COMMEM'S
� FEDERALEMERGENCY MANAGEMENT AGENCY
� � � �2, 0 � ��� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
O , Expires December 31,2005
` ELEVATION CERTIFICATE
,J��, � � 2003 �mportant: Read the instrudions on pages 1-7.
�' SECIIQN A-PROPERIY OWNER INFORMATION Fo(Insurance Canpary 11se;
��� t L Policy Number
r
B G S7REET ADDRESS(including Apt.,Unit,Suite,andJor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
ZG%U BRIGHTWATER DRIVE G/i✓iT L
CITY STATE ZIP CODE
CLFARWATER, FLORIDA 33763
PROPER7Y DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT Z OF THE PLAT OF"BRIGHTWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66
BUILD�NG USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Commerrts area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(fype):
( ##°-##'-##.#�X' or ##.##�i##� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOO RANCE RATE MAP(FlRN�INFORINATION �
61.NFIP COMMUNITY NAME&COMMUNITY MJ�ABER B2.C NAME B3.STATE ��
CfTY OF CLEARWATER 12`.�096 � PINELLAS OI.NTY FLOftIDA Q
O
B4.MAP AI�PANEL ��{ 87.FIRM PANEL B9.BASE FLOOD ELEVATION(S) N
NUMBER B5.SUFFIX ' B6.FI t�DATE EFFECTNEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of floodng) �
1250960007 D AUGUST L AUGUST 19,1991 AE EL 11.0 G
610.Incicate the souR;e of ihe Base Flood Ele✓a data a base flood depth�in B9. �
❑FIS Profile XXX FIFdv1 ❑Cammunily Defermined ❑Other{Desa�be):_ �
B11.Irxicate the�edation dahm used fa the BFE in B9:�NGVD 1929 ❑NAVD 1986 ❑Olhe�(Descnbe):-
612.Is the bu�#ng located in a Coas�al B�rier R�S�rstan{CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes ❑No Desic�ation Date_ �
SEC110N C-BUILDING ELEVATION INFORMATtON(SURVEY REQUIRED)
C1.Buik�ng elevations�e b�ed on:�Cor�sfixtion DravArx�s"' �Buiking Urrc�r Constrt�ctia�* XXX Fnished Construction
'A new El�ation Certificate wie be requ�ed when construction of the tw�ng is canplete.
2.Buil�ng Diag�n Nur�ber_ (Select tlie buiking dagarn most sin�to the builc�ng for wt�ch ttds certificate is being cm�leted-�e pages 6 a�7. If no dagarn
• accuratey represenis the bu�ding,provide a ske�h or photoc�aph.}
C3.Elevations-Zones A1-A30,AE,AFi,A(v�1h BFE),VE,V1 V30,V(wifh BF�,AR,AR/A,AR/AE,ARIA1-P30,ARlAFi,AR/AO
Cornplete Items C3.-a-i below accordng to ihe budc5n9 d�agam specified in Item C2.State fhe datrm used.If ihe dahxn is ciffere.nt fran fhe datwn used for the BFE in
Section B,convert the dahan to that used for the BFE.Show field�emenis and datrm corrversion cala�lation. Use the space prarided or Ihe Carmerds area of
Section D or Section G,as appropriate,to docur�ent ttie da6�an cbnversion.
Dahm NGVD 1929 Conversion/Conurien�N±A -
Eleuation reference mark used No.155.EL 4.981 Does the elevaation reference mark used�on the FIRM? ❑Yes XX No � g. _ �
a)Top of bottom floor(nducfing basement or encl�ure) 6. 50 ft(m) „°'';?�''�
m ys .�
b}Tap of next hi�er floor 15. 90 ft(m) � � ,,1 �,''�,'� ,
�}aottan of bwest noreo�ai ssauuc�i rr,err�(vzones ony) N/A._ft(m) �W ''� �: � _
�
�Attached gar-age{top of slab) 6. 50 ft{m) E� `.��� .�'`.-F _ r_
e)LoH.est eleuation of machinery ancYor equipment w � , ... _
� m
servicingthebu�cing(DesaibeinaCarvnen�ar�) WA._ft(m) �� BRl10E'?�. KL�IN�. -
fl Lowest adpcer�(finishe�gade(LAG) 6. O it(m) m� . .
g)l�ghest adjacerrt(finished)gade(HAG) 6. 2 ik(m) m `"07/12/03 '
h)No.of pamanent openings(flood venls)wittan 1 ft above a�acent gade 14 �
)To�al area of atl permanent openings(flood verds)in C3.h 632 sq in. �`^
SECTION D-SURVEYOR,ENGINEER,ORARCHITECT CERTIFICATtON
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevafion infamation.
1 certify that the informafion in Sections A,B,and C on this certificate represenfs my best ef(orfs fo inferpref fhe dafa available.
1 understand that any farse statemenf may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRIK:E A KLEIN PLS 5052
TftLE COMPAM'NAME
PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAUB SUF�/EYING,INC.
qpp�� CITY STATE ZIP CODE
• 8016 Old County R 54 N�r Pat Richey FLORIDA 346�3
SIGNATURE � DATE TELEPHONE
- , ` 071121.03 (12�834-8140
IMPORTANT: in these spaces,copy the corresponding information from Section A F«i�uiance compary use: .
BUIIDING STREET ADDRESS(Includng Apt.,Uni�Sute,and�a BId3.No.)OR P.O.ROUTE Af�BOX N0. Poli�y Number � �
BRIGHTWATER DR1VE
CITY STATE ZIP CODE Comparry NAIC Nixnber
CLEARWATER FLORIDA 33763
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFlCATION(CONTINUED) .
Copy bafh sides o#ihis Elevation Ce�tificate for(1)c�rrrnunity officaal,(2)insia�arxe agenUcomparry,and(3)build�ng owner. . �
COMMENTS �
WA
❑Chedc here if attachments
SECTION E-BUILDING ELEVAl10N INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(iMTHOUT BF�
Fa Zone AO and Zone A(�tha�t BFE�,canple�Iterr�s E1 ttuou�E4. If the Elevation Certificate is in�nded for use as st�pating infamation for a LOMA or LOMR-F,
Section C must be canplefied
E1.B�icing D'�agr�n Nur�ber_�Select the buiking�am most�rular io ttie building fa u+t�ch this certificate is being corrplded—see pages 6 and 7. If no ciagram accuratety
reExe�enis ihe bu�ng,ao�+ide a sketch or pf�otogaph.}
E2.The t�p of the botk�rn floor(mclucing bas�nerrt or endos�re)of the b�king is _ft(m)_in.(an)�above or ❑�e+ow�cn,eac one��,e M�st a��r,t yade. Nse
���,������.
E3.For Buik�ng Diagams 6-8 vath openings(see page�,the next I�gher floor a elevated floa(eleuation b)of the bu�ng is _ft(m)_in.(an)abwe the highe�adpcent
gade. Cm�le�e items C3.h and C3.i on front d fam.
E4.The bp of the plaUam�machinery and�or e�rnent servicing the buida�g is _it{m)_in.(an)�abwe or ❑below(ct�edc one)the t�ghe�ac�acent gade. (Use
nahsal gade,if avaitable).
E5.For Zone AO ordy: If no flood depth nunber is avrok�ble,is the top�the bottan floor elevated in accadance v�ifh tt�e caruruinily's flooc�lain marnagement oninance?
❑Yes ❑No ❑Urdcnoum. The la�l ofixaal must c,�rtify tltis infamation in Section G.
SECTION F-PROPERTY OVIMER(OR OWI�R'S REPRESENTATIVE)CERTIFlCATION
The properly owner or owners autha¢ed repres�ative who corr�pfetes Sections A,B,C Q�ns C3.h and C3.i only),and E for Zone A(vrithout a FEMA-'ssued a corrmunity-
iss��ed BF�or Zone AO must sgn here. The sfafemenfs in Sec�ias A,B,C,arid E are coned to the besf ofmy knoudedge
PROPERTY OVVNER'S OR OWNER'S AUTHORIZFD REPRESEMA'TNE'S P1AME
ADDRESS CITY STA7E ZIP CODE ' *
SIGNATURE DATE ?E��HO��
COMMENTS
❑Check here'rf attachrnents
SECiION G-CONANUNITY INFORMATION(OPTIONAL)
The bcal official who s a:rthori.�ed by law or adin�ce to adnirnster the corrgnur�ly's flooc�lain management orcinance can car�ete Sections,�B,C(a E},and G of t}�s Elevation
Certiixate. Corripie��the�pGcable item{s)and sic�below.
G1.�The�fam�.°*,an in S�tion C Nss iaken from a�her doamentation ihat has been signed and err�ssed by a licer�sed siaveyor,engineer,or ar��ct who is aufhor¢ed by state
or laal law to cetif�+elevation infamation. (Indcate fhe source and date of the elevation daha in the Cmmienis azea below.)
G2[.,l A carmim;i officia!carnie±ed Section E for a bu�g b��ted in Zone A(wiUmut a fEMA�ued or corrmunity�ssued BF�or Zone A0.
G3.Q The fo8owng imamation(Itgrs G4-G9)is praided frx c�rrmur�iy floa$�I�n managernent purposes.
G4.PERMiT NUMBER C�i.DATE PERMIT ISSUED G6.DATE CERTIFICATE aF COMPLIANCEIOCCUPA(�Y ISSUED
G7.This pertr�t has been issued for.�New Cor�truc6on ❑s�,�ai i�o,�e�,t
G8.Eledation of asb�ft bwest floor(ndudrg beserr�en�of ttie buiking is: __ft(m) Dahm:_
G9.BFE or(n Zone AO)depth of floocing at the b�kjng site s: __ft.(m} Dahm:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNIN tyAME TELFPHOt�
SIGNATURE DATE
COMMENTS
.
. � .
xr � ����1 .t CITY OF CLEARWATER
� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
POST QFFICE BOX 4748� CLEAftWATER� F�o�,DA 33758-4748
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756
TECEPxorrE (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 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 2
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
1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
64.MAP AND PANEL 87.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVElREVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding)
8/18/1992
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 B9: � 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 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,Vi-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)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:
�e/evation ceRificates sha//be maintained by the community and copies with the attached memo made availab/e by request
FRANK HIf36ARD,MAYOR
GEORGE N.CRE'1'EKOS,COUNCILMEMftHR JOIIN DORAN,COUNCILMEMB[R
PAUL F.GIRSON,COUNCILMEMBGR � CARI.EN A. PG7'ERSEN,COUNCILMGMB@R
��EQUAL EMYLOYMENT AND f�FIRMA'PNE ACTION EMPLOYEK��