200 BRIGHTWATER DR UNIT 3 FEDERALEMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
��� ((� � O � `� Expires December 31, 2005
� ; ELEVATION CERTIFlCATE
� � Import�rt: Read the instructions on pages 1-7.
' SEC110N A-PROPERIY OWNER INFORMATION For Irisurance Compary Use:
B LDIN OWNER'S N M Policy Number
pEvE�o��sE�T SERViCES t7EPT
B LDING � - nit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
�C�� BRIGHTWATER DRIVE ���t/l i 3
CITY STATE ZIP CODE
CLEARWATER, FLORIDA 33763
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
BUILDING USE(e.g.,ResideMial,Non-residential,Adddion,Accessory,etc. Use a Comments area,ff necessary.)
RESIDENTIAL
LATITUDEJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-�{#.#tF' or ##.#####°� ❑ NAD 1927 ❑NAD 1953 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRIM INFORMATION ,
B1.NRP COMMUNITY NNME&COMMUNITY NUMBER B2.COIJ�ITY NAME B3.STATE
C(TY OF CLEARWATER 125096 PINELLAS COI�JTY FLORIDA
B4.MAP AND PANEL B7,FIRM PANEL B9.BASE FLOOD ELEVATION(S) �
Nl1MBER B5.SUFFIX 66.FIRM Il�EX DATE EFFECTIVE�REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
12509Fi0007 D AUGUST. ,1 i AUGUST 19,1991 AE EL.11.0 —�
B 10.Ind�cate the souree of the Base Fiood Elevation(BFE)daha or base flood depth entered in B9. �
❑FIS Profile XXX FIRM ❑Caronunity Qetermined ❑Other(Descnbe): N
611.Ind�ate the ele,ration�hm used for the BFE in 89:�NGVD 1929 ❑NAVD 1988 ❑Other(D�aibe): (
612.is the bu�c�ng located in a Coastal Bamer R�System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date_ p
SECTION C-BUILDING ELEVATION INFORMATfON(SURVEY REQUIRED) �
C1.Buildng elevations are based on:�Construclion Dravnngs' ❑Buildng Under Cons6�uction* XXX Finished Construction �
*A new Eleuation Certificate�+q be required when casfixtion of U�e bu�ding is cariplete.
•2.Building Diagam Ntrnbe�_ (Select the buildng dagam most sin�ar to tt�e builcing for which this certificate is being completed-sce pages 6 and 7. If no ciagram
accuratey r�nis tl�e bu�ding,provide a ske�ch or photogaph.)
C3.Elevations-Zones A1-A30,AE,AH,A(wiih BF�,VE,V1 V30,V{wilh BF�,AR,ARlA,AR/AE,ARJA1-P30,AR/AH,AR/AO
Complete Items C3.-a-i below accordir�g to the buil�ng ciagam specified in item C2.State the dahun used.If tl�e dat�n is cifrerer�from fhe datum used for the BFE in
Section B,conveit ihe dahxn to that used for the BFE.Show field measurements and dahm cornrersion calculation. Use the space provida�i or fhe Carmenlss area of
Section D or Section G,as appropriate,to doamer�the datum conve�sion. _ .
Dahm NGVD 1929 ConversionlCarnnerds t�YA
Eic�ation reference mark used No.155,EL 4.981 Does Uie elevation reference mark used appe�on ihe FIf�A? ❑Yes XX No = �j
a)Top of bottan floa(ncludng basemerrt or enclos�ue) 6. 50 ft.(m) � ���'',„ , 0. , . � _
b T of next h floor 15. �it m `� '� Y
) aP � ( ) � . � .,-.�, " „� -
c)Bottan of lowest ha¢or�fal structural rr�mber(Vzones ony) WA. _ft(m} "� `�-� �-° '° E z ,;, ,
0 o a_, e::�� �.�
d�a�n�d s��(�ors�� s. �o�(m) �� ,;r ��
e)Lowest elev�ation of machrc�ery and�or ecw�ment W m '!"
se�vicing fhe bu�dmg(Describe in a Canmenis ar�) rllA._ft(m) E� �(�R���AE�?KLEi N . '�'
fl Lwuest ac�acer�(finished}gade(LAG) 6. 01k(m) z� � . .,%� � "�' ��' �
9)�9��1��(finist�gade(I-IAG) 6. 2 ft.(m) � '-;'��" 07/1?1�3.��` ''°
h)No.of permanent openings(flood ven�)within 1 ft above a�acent gade 14 � ` �'� "�-;- � `
)Total area of atl permanent openings(flood vents)in C3.h 632 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 eleva6on information.
� I certify that the informafion in Secfions A,8,and C on this certificate represents my best etfo►ts fo inferpret the data available.
1 understand tf►at any false sfafement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
CERT�FIER'S NAME LICENSE NUMBER
BRUCE A KLEIN PLS 5052
TITL.E COMPANY NAME
+PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County Road New Pat Richey FLORIDA 34653
SIGNATURE ��' � DATE TELEPHONE
�__ _. ; 07/12/.03 {72�834-8140
IMPORTANT: In these spaces,copy t�e corresponding infortnation from Se�tion A For ins�rar,ce compary use:
BUIIDING STREET ADDRESS Qncludng Apt.,Unii,Suite,ancYa Bldg.No)OR P.O.ROl1TE AND BOX N0. Pdic.y Number
BRIGHTWATER DRIVE - -
CITY STATE ZIPCODE ComparryNP,ICNumber �
CLEARWATER FLORIDA 33763
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy bofh sides�tli�s Elevation Certificate for{1}carmunily offiaal,(2)insurarxe agenNcanparry,and{3)buikiing owner.
COMMENTS
WA
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BF�
For Zone AO and Zone A(wi�hout BF�,canple�Iterns E1 through E4. If the Elevation Certificate is intended for use as suppating infamation for a LOMA or LOMR-F,
Section C must be carpleted
E1.Builcing Diagam Nunber_(Select the build�ng diag�n most sirrular to the building forwhich this cerBficate is being ccxrpl�ed—see pages 6 and 7. If no cfagram accurately
reExesents fhe buldng,prwide a sketch or photog�h.)
E2.The�p of the bot�m floor(ncluc3ng basement or erx�OSUre)of the builcing is _ft(m)_in.(an)�abwe a ❑belo�nr(check one)the hi�est adjacent gade. (Use
natural gade,if available).
E3.For Buil�ng Diacyams 6-8 with openings(see page�,the next hi�er floor or eleva�d floa{ele�ration b)of t�e buildng is _ft(m)_in.(an)abwe the highest adjacent
gade. Cmiplete itans C3.h and C3.i on fror�of fam.
E4.The t�p of the plattorm of machinery and�or equipment servicing the budding is _ft(m)_in.(an)0 above or ❑below(chedc one)the highest adjacent gade. (Use
nahual gade,if available).
E5.For Zone AO only: If no flood depth nUnber is av�lable,is the top of the bottom floor ele✓ated in accordarxe with tlie canmunily's flooclplain managernent ord�nance?
❑Yes ❑No ❑Urdcnown. The local ofidal must certify this ir�formation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE�CERTIFlGATION
The properiy ovrmer a o�mer's aulhor¢ed reExesentative who car�pletes Sections A,B,C Q�rns C3.h and C3.i oniyy),and E for Zone A(without a FEMA-issued or carununity-
issued BFE}or Zone AO must sign here. The sfafeme�ds in Secbons A,B,C,and E�e co�d to the besf of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESEt�lTAT1VE'S NAN1E •
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMEt�lTS
' ❑Check her�"rf attachments
SECTION G-CONRVIUNITY INFORMATION(OP710NAL)
The local official v;��is author¢ed by ia�N or orciinance to acinirtister the community's flooc$�lain ma�pg�nent orcinance can camplete Sections A,B,C(or�,and G of this Elevation
Certificate. Canplete the app�Cable itan(s)and sign below.
G1.❑"I he�famation in Section C was taken irom dher docunentation that has been signed and embossed by a licensed surve�ror,engineer,or ar�hitect who is autha¢ed by state
or local la�:�to cc�ify elevation inf�rrnation. {Indicate tlie sow�e and date of the eledation daha in the Carunenis are�a below.)
G2.�A wrrtimur�iiy o�Cial��xnpleteG Section E for a bu�ny located in Zone A(wifhout a fEMA�ssued or canmunity-issued BF�or Zone A0.
G3.�The following ir�amaticrn(lteins G4-G9)is prv,nded for conmumty flooc�lain managernent purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPIJANCFlOCCUPANCYISSUED
G7.This perrnit t�s been issued for:❑New Corstrlxtion ❑Subshantial Impra✓ement
G8.Elevation of as-buift lovuest floor(ndudirx�besernent)�the twilcing s: __ft{m) Dahm:_
G9.BFE or(n Zone AO}depf�of floodng at the buil�ng site is: __R(m) Dahm:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGt�lATURE DATE �
COMMENTS
' FEDERALEMERGENCY MANAGEMENT AGENCY
. }{ ,� � � � � ��, � NATIONAL FLOOD INSURANCE PROGRAM O.p.B. No. 3067-0077
� Ex ires December31, 2005
� I� ; ELEVATION CERTIFICATE
� ;
. � Importartt: Read tfie instructions on pages 1-7.
$ SECTfON A-PROPERTY OWNER INFORMATION Forirsurance Canpary Use:
6 LDIN OWNER'S NAM Policy Number
pEu��ai�r�E�t SE�v�CES �EPT
B LDING � -- nit,Sui[e,ancUor Bldg.No.)OR P.O.ROUTE AND BOX NO_ Company NAIC Number
GL' BRIGHTWATER DRIVE ��1/%i 3
CITY STATE ZIP CODE
CLEARWATER, FLORIDA 33763
PROPER7Y DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 3 OF THE PLAT OF"BRIGHI�lVATER TOWNHOMES",PAT BOOK 126,PAGES 65&66
BUILDING USE(e.g.,Resideniial,Norxesidential,Addfion,Accessory,etc. Use a Comments area,ff necessary.) •
RESIDENTIAL
LATITUDFJLONGffUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(fype):
( ##°-##'-##.#iF' or ##.##7#tl#� ❑NAD 1927 ❑NAD 1983 0 USGS Quad Map ❑Other.
SECTION B-F D INSURANCE RATE MAP(FIR(u�INFORMATION
B1.NFIP COMMUNffY NAME&COMMUrUTY NUMBER 62. OIXVTY NAME B3.STATE
CffY OF CLEARWATER 12`.�09E PINE� S COUNTY FLORIDA
64.MAP At�PMIEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) �
NlAv16ER B5.SUFFIX .FIRM INDEX ATE EFFECTNEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth offloodng)
125096-0007 D AUGUST L AUGUST 19,1991 AE EL.11.0 --�
B10.incicate the so�a�e of the Base Flood Elevation or base entered in B9. N
❑FIS Profile XXX FIRM ❑Commumty Determir�ed ❑Olher(Desa�e):_ N
B11.It�icate the elevation datun tsed ftx the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Otl�er{Desaibe):— (
B 12.Is the buddng bca�d in a Coastai Barrier Resa�es Systern(CBRS)area a Otl�erwise Proteded Area(OPA)? ❑Yes ❑No Designation Date_ p�
SECTION C-BUILDING ELEVATION INFORINATION(SURVEY REQUIRED) �
C1.Buik6ng elevations are based on:�Constrtxtion Dravoirx�s" ❑Buildng Under Consfiuction* XXX Finished Construction W
'A new Ele�ration Certifica�wi6 be re��ed when constrix.ian of the bu�ng is canplete. �
• Z.Buildng Diagarn Nur�ber_ (Select the builcir�y c5agarn most sindar to the buiicing for wtuch ttns certi6cate is being corr�leted-sce pages 6 and 7. If no d�agam
accwatey reExesenis me bu�irxj,prwitle a ske�h a photogaph.)
C3.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V11/30,V(wrfh BF�,AR,AWA,AR/AE,AR/A1-A30,ARIAN,ARIAO
Cc�mpiete Iterr�s C3.-a i below accordug to the bu�ng dagam specfied in Item C2.Shate ihe datran used.If the dahun s ddFererrt fran me dahun used for�e BFE in
Section B,convert ihe datrnn to that used for the BFE.Shav field�ernents and dahm conversion calailation. Use tlie space provided or the Commertls area of
Section D or Secfion G,as appropriate,to dor,unent the datran cwrversion. r
Dahm N(�'VD 1929 Cornrersion�Canmenis rYA
Elevation reference mark used No.155.EL 4.981 Does ihe ele�ration reference mark used app��r m the FIRM? ❑Yes XX No
a)Top of bottom floor(ndudng basane�t a enclos�ue) 6. 50 ft(m) �
b)Top of nact hi�er floor 15. 90 R(m) �
c)Bottom of lowest ha¢ortlal struchuai rr�(Uzones ony) wA._R(m) o o �',-�
c�Attached garage(top of slab) 6. 50 ft(m) w ° ' ;�/w'=—v ` _
e)Lowest ele�ration of machine�Y and/ar equ�xnent - !t
� `= j�
se�viang ihe bu�dng(D�aiUe in a Cm�rnen�area) �UA._R(m) E� BRUCE A:KLEIN
f}Low�est adjace�(finishe�gade(LAG) 6. 0 it(m) z'�
9)�9��►��fi���MA�) 6-?R�m) � 07/12/03 .
h)No.of permanent openirx�s(ilood venis)wrfhin 1 it above ac�acent gade 14 �
)Total area d atl permanent openings(flood ver�)in C3.h 632 sq.in.
SEC110N D-SURVEYOR,ENGINEER,ORARCHITECT CERIIFlCATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
" 1 certify fhat the information in Sections A,B,and C on this cerSficafe represenfs my best efforfs to inte�pret fhe data availa6le.
1 understand that any ialse stafement may be punishab/e by fine or imprisonment under i8 U.S.Code,Section 1001.
CERiIFIER'S NAME LJCENSE NUMBER
BRIiCE A KLEIN PLS 5052
TITLE COMPANY NAME
PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAI�SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
. 8016 Old County R NeNr Pa#Richey FLORIDA 34653
SIGNATURE � DATE TELEPHONE
_ /_ ; ' o�nti.os �r2�asa-a�ao
IMPORTANT: In these spaces,copy t�e corresponding infom�ation from Section A For ir�urance coR,pary use �
BUILDING STREET ADDRESS Qn�ludng Apt.,Uni�S�ate,andla Bld�No)OR P.O.ROl1iE AND BOX N0. Pdi�y Numt�
BRIGHTWATER DR1VE '
CITY STATE ZIPCODE ComparryN{11CNumber
CLEARWATEFZ FLORIDA 33763
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) .
Copy both sides of ttus Elevation Ce�tificate for(1)cor�nunit�r otfiaal,(2)insur�xe agendccmparry,and(3)building owner. �
COMMENTS
N/A
❑Chedc her�if attachments
SECTION E-BUILDING EI.EVATION INFORMA'T10N(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITliOUT BF�
For Zone AO and Zone A(w�taut BFE�,canplete Items E1 Buough E4. If tlie Elevation Certificate is int�nded Tor use as suppating infamation for a LOMA or LOMR-F,
Section C must be cmpleted
E1.Buking Diag�n Nunber_(Seled the txilcing c�ag�n most sirrul�to the buildng for which this cefificate is being carple�ed—see pages 6 and 7. If no dagam acx�xately
reExesen�ihe bu�ng,provide a skeich or Photogaph.)
E2.The bp of the botA�m floor(mciucing basernent or endos�e)af ine build�ng s _ft(m}_in.(an)❑above or ❑b�ow��x one��n�,est aa��nt�de- (use
natraal gade,if avalabie).
E3.For Buil�ng Diagams 6�v�ith openings(see page�,the next higher floa�or elevated floor(elevation b)�the buddng is _it(m)_in.{an)abwe the highest a�acent
gade. Cm�pl�e items C3.h and C3.i on Gor�t of fam.
E4.The t�p of the platf�am of machinery ar�or e�prnent�rvicing the buddmy is _ft(m)_in.(an)�abvue or ❑bdow(check one)the highest adacent gade. {Use
nahral gade,if auailable)-
E5.For Zone AO ordy: If no flood depth nunber is avaik�ble,is the top of the botmm fba elevated in aoca�lance with Uie carurwni(y's flooc�lain managernent or�nance?
❑Yes ❑No ❑Urdcnoum. The la�l offiaal must ce�tify it�s infamation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S f�PRESENTATIVE)CERTIFlCATION
The properiy ov�er a owr�e�s autha¢ed repr�ve who carpletes Sec5ons A,B,C Q�rns C3.h and C3.i or�y),and E for Zone A(without a FEMA-'ssued or carununi�-
issued BF�or Zone AO mtst su�here. The statements in Sections A,B,C,aod E a�e coned to�e best ofmy knowledge.
PROPERTY OUV�R'S OR ONMER'S AUTHORIZFD REPRESE�lTAT1VE'S�IAME
ADDf�SS CITY STATE ZIP CODE .
SIGNATURE nnTF ���un�,,�
COMMENTS
❑Check here'rf attacfunents
SECTION G-CONA4IUNITY INFORMATION(OPTIONAI)
The bcal official v:",�is auUior¢ed by Ia�N or ordn�ce to a�nirgster the canmunity's flooc�lain management orcinance can car�ete Sections!�B,C(or�,and G of this Elevation
Certi6cate.Corr�ete the appkcabl�itan(s)and sign below.
G1.❑Ihe mfamation in Section C w�talcen from�her docunenfation that has been signed and errd�ossed by a licer�sed suveyor.engincer,or�chi�ct who is aulha¢ed by state
or bcal ha�v to ce�!ify eleva6on ir�forrnation. (Indcate the soiace arxl c�te of the elevaGon data in the Canmenls ar�below.)
G2.�A axr�n��iiy ofl'iaal�.•�xnpletec�Section E fa a bu�g la�ted in Zone A(v�ithout a fEMA-�sued or carrnuniiy-issued BFEj or Zone A0.
G3.❑The fo�rnriing ir�amatinn tltem G4G9)is praided for canmurnty floocplain managemer�purpos�.
G4.PERM(f NUMBER Cf.DATE PERMIT ISSUED G6.DATE CERT�FICATE OF COMPLIANCFJOCCUPANCY ISSUED
G7.This perrnit t�as been issued for.�New Cor�struc6on ❑su�st�,�ai i�w�n�,t
G8.Eledation of as-bt�ft bwest floor(nduding baserr�en��the builcing is: __it(m) Datun:_
G9.BFE a(n Zone AO)depth of floocing at the buiking site is: __ft(m) Datun:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNIIY I�IAME TELFPHO�
SIGNATURE DATE
COMME�tTS
.
" . , . -
. >
�.
-� , .
� ITY OF LEARWATER
• DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
POST�FFICE BOX 474g� CLEARWATER� FLOa�DA 33758-4748
� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.EARWATER, FLO�unn 33756
TECEPxorrE (72� 562-4567 F�ix(727) 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 Offcial
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 3
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 ##.##�1##°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 83.STATE
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8•FLOOD ZONE(S) �Zone A0,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 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 buildin 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 wiit 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:
�e/evation certificates shall be maintained by the community and copies wifh the attached memo made availab/e by request
•
FRANK HIBAARD,MAYOR
GEORGE N.CRC"I'GKOS,COUNC[LMBMAGR JOI W DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMRER � CARLEN A. PETBRJEN,COUNCILMGMBER
��EQUAL EMNLOYMEN"f AND AFFIKMA'fIVE AC7'ION EMPLOYEK�