200 BRIGHTWATER DR UNIT 5 T
. �
�`�'°"""�� � n �(] (� EDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
. � 3 R•� � u L� �-�'�_. I NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
��I� 1 4 t003 � E L E V A T I O N C E R T I F I C A T E
mpo� Read fhe instructions on pages 1-7.
SEC110N A-PROPERIY OWNER INFORMATION For Insurance Compary Use:
BUIL I�Q Policy Number
._ _��.l.T�,_.,�:;�...:.:,.^.�f A�.�t.l��'��i .._...,
BUILDING STREET ADDRESS(Including Apt.,Und,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
Zd� BRIGHTWATERDRIVE �;��-�s
CITY STATE ZIP CODE
CLEARWATER, FLORIDA 33763
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT_rj OF THE PLAT OF"BRIGHTWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66
BUILDING USE(e.g.,Residential,Non-residential,Addfion,Accessory,etc. Use a Comments area,ff necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( #f#°-##'-##.##" or ##.###31#� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRIII�INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY fV�viBER B2.COI�ITY NAME B3.STATE
CITY OF CLEARWATER 125096 PINELLAS COl�1TY FLORIDA
B4.MAP AND PANEL � W.FIRM PANEL 69.BASE FLOOD EIF/ATION{S)
NUMBER B5.SUFFIX 66.FIRM I DATE EFFECTNEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth offlooding)
1250�6-0007 D AUGUST, AUGUST 19,1991 AE EL.11.0
B10.1nd�cate the sourcz of U�e Base Flood Elevation(BFE�daha flood depih entered in B9.
❑FIS Profile XXX FIRM ❑Canmunity Determined ❑Othe�(Descnbe):
611.Ind�cate the elevation datun used for the BFE in B9:❑NGVD 1929 ❑NAVD 1988 ❑Other(D�aibe):
612.Is the budding located in a Coastal Bamer Resour�es System(CBRS)area a Othawise Proteded Area(OPA)? ❑Yes ❑No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buildng elevations are based on:�Constuction Drav,nngs* ❑Buil��g Under Construction* XXX Finished Construction
'A new Elevation Certifica�w+n be required when caistruction of the buading s canplete. �
�2.Buik�ng Diagam Nunber_ (Select the bui�ing dag�am most sin8ar to the builcing for which ttris certi6cate is being canpleted-see pages 6 and 7. If no ciagram (�
accurately reFxesenls U�e bu�ding,provvide a ske�h or photograph.) `�'O
C3.Elevations-Zones A1-A30,AE,AH,A(vririth BF�,VE,V1-V30,V(v�ih BF�,AR,AR/P4 AR/AE.ARlA1-P30,AR/AH.AR/AO �
Canplete Items C3.-a-i below accord'uig to the bu�ckng ciagam specified in Item C2.State fhe dahun used.If ihe datum is ciiferent from tt�e datum used for the BFE in
Section B,convert the datrxn to that used for the BFE.Show field measurements and dahm wrnrersion calculation. llse the space provided or the Commenls area of N
Section D or Section G,as appro�xiate,to docUnent the dattan corrv�sion. �
Datun NGVD 1929 Conve�sion/CanmeMs N!A .. �
El�ation reference mark used No.155.EL.4.981 Does the ele�ration reference mark used ap�ar on the FIRM? ❑Yes XX No ' :,-' W
a)Top of bottan floor(ncluding basernent a enclos�ue) 6. 50 ft(m) m ,4�~ , �. �
b)Top of next higher floor 15. 90 ft(m) � �'� ��, ..�/'
c)Bottom of lowest haQOntal structural mernber(Vzones ony) IV/A. _ft(m) N� �'�"�w� �� �' �-�� ..�'° ,
•�} �.
�Attached 9arage(toP of slab} 6. 50 ft(m) W� � ~''� � � c�'. o
e)Lwuest elevation of mach�ery andlor ec�u�xnent - �^ �-
xn
servicing the buildmg(Desaibe in a Canmenis ar�) N/A._ft(m) �� B R �KL�t N ' r°
fl Lo+�st adjacent(fini�gade(LAG) 6. 0 ft(m) z�� i'. �� x'" '�v .
9)Higl�est adjacent(finis�9rade(I-IAG} 6. 2 ft.(m) � � .� ° ' Q.7./'1.2t ,
h)No.of permanent openings(flood v�ts)wi�un 1 ft above a�acent gade 14 J p'�� .� ���'�� .,�
i)Total area of aN permanent openings(flood vents)in C3.h 632 sq.in.
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATiON
This certifica6on is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevafion information.
- 1 certily that the informafion in Sections A,B,and C on this certificate represents my best elforts to interpret the data available.
1 understand that any false statement may be punishable by 6ne or imprisonment under 18 U.S.Code,SecUon 1001.
CERTIRER'S NAME UCENSE NUMBER
BRUCE A KLEIN PLS 5052
TfTLF 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
07/12i.03 {727}834$140
�.
� _ . __ _ _ _. ___ .
IMPORTANT: In these spaces,copy fhe corresponding infom�ation from Seation A For insurance comPar,�use:
BUILDING STREET ADDRESS(Including Apt.,Unit,S�te,and�or Bld� No.)OR P.O.ROItfE AND BOX N0. Pdic,y Number , ,
BRIGHTWATER DPoVE
CITY STATE ZIPCODE ComparryNAlCNumber
CLEARWATER FLORIDA 33763
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUEDj
Copy both sides�this Elevation Certificate for(1)carmunity offiaal,(2)insurarxe agent/cornparry,and(3)building owner. �
COMMENTS
�UA
❑Check her�if attachments
SECTION E-BUILDING ELEVAl10N INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BF�
For Zone AO and Zone A(wilhout BF�,canpleie Items E1 Uuough E4. If the Elevation Certificate is int�nded for use as suppa�ting infamation for a LOMA or LOMR-F,
Section C must be cortpleted.
E1.Buiicing Diagam Nunber_(Select the build�ng diagarn most similar to the building for wMch this certificate is being compl�ed–see pages 6 and 7. If no c�agram accurately
reExesen�the bul�ng,provide a sketch or photog�h.)
E2.The bp of the bot�m floor(ncfucing basernent or endosure)of the builcing is _ft(m)_in.(an)�above or ❑below(chedt one}ihe highest adjacent gade. (tJse
natwal gade,if available).
E3.Fa BuikGng Diac,�ams 6-8 with openings(see page�,the neact hi�er floor or elevat�d floa(elevation b)of the buildng is _it(m)_in.(an)above the highest adjacent
gade. Corr�pl�e items C3.h and C3.i on fror�of form.
E4.The k�p of the plat(�orm of machinery ancYor eq�sprnent servicing ihe bu�dmg is _ft(m)_in.(an)❑abwe or ❑be�ow(check one}the highest adjacent grade. (lk,�e
nahaal gade,'rf available).
E5.Fa Zone AO oNy: If no flood depth rnmber is au�k�ble,is the top of the bottan floor elevated in aocordance wifh ttie canmunity's floodplain managernent arinance?
❑Yes ❑No ❑Urdcnown. The local oficial must ce�ti(y tlus ir�amation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFlCATION
The properiy owner or owners aulhor¢ed representative who canpletes Sections A,B,C(I�rns C3.h and C3.i or�y),and E for Zone A(without a FEMA-'ssued or c�mmunity-
issued BFE�or Zone AO must sign here. The sfafemerds in Sec:bbns A,8,C,ard E�e conad to the best ofmy knowledge
PROPERTY OUVNER'S OR OWNER'S AUTHORIZFD REPRESENTATNE'S�lAME •
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-CONBNUNITY INFORMATtON(OP710NAL)
The local cffcial wF�is authorved by I�zw or ordinance to acfnirdster the community's flooc�lain ma�gement orcinance can complete Sections A,B,C(or�,and G of this Elevation
c�nF,�te. co�tr,e a�,le item{s)and sign below.
G 1.0 Th�infamGtion in Sectio^C was taken fran�her docunerdation that has been signed and ernbossed by a licer�sed siave�or,engincer,or architect who s aulhor¢ed by state
or local law to a�fy ele��tion irifamation. (Ind�cate the source and date of the elevation data rc�the Carxr�ents area below.)
G2.�A com,muniiy off�ial c�r�pleted Section E for a bu�ng located in Zone A(without a FEMA-�sued or comnunity-issued BF�or Zone A0.
G3.�The folbwing infamation Qtems G4-G9)is provided f�carmurrity flooc�lain manag�ner�purposes.
G4.PF�tM1T NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.TFus permit f�s been issued for:�New Construc6on ❑Substantial ImFxwement
G8.Elevation�as-built towest floor(nduding���the buiking is: __it(m) Dahm:—
G9.BFE or(n Zone AO)depth of floodng at the builcing site is: __1t(m) Dahm:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
, _ �
���2 O � (� EDERAL EMERGENCY MANAGEMENT AGENCY
• 'i1 �� L� ��"' . NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
�j � Expires December 31, 2005
,��� 1 � t003 � ELEVATION CERTIFICATE
• �, mportant: Read the instructions on pages 1-7.
,. SECTIONA-PROPERTYOWNERINFORMATION ForinsuranceCom�arylke:
BUIL I�� ���fl . » Policy Number
._._�.�.l.I,�t.. <
BUILDING STREET ADDRESS(Including Apt.,Unit,Sude,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
ZG� BRIGHNVATERDRIVE �,��-¢�s
CIN STATE ZIP CODE
CLEARWATER, FLORIDA 33763
PROPER7Y DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legai Description,etc.)
LOT� OF THE PLAT OF"BRIGHTWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66
BUILDING USE(e_g.,Residerttial,Noruesidential,AddRion,Accessory,etc. Use a Comments area,ff necessary.)
RESIDENTIAL
tATITUDFJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.##N##� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SEC110N B-FLOOD INSURANCE RATE MAP(FIRN�INFORINATION
61.NFIP COMMUN(TY NAME&COMMUNITY f�AJMBER B2.COIA�JTY NAME B3.STATE
CffYOFCIEARWATER 12�.�096 PINELLASCOtAVTY FLORIDA
B4.MAP AND PANEL �,�/ 67.FIRM PANEL B9.BASE FLOOD ELEVATtON(S)
NUMBER B5.SUFFIX .FIRM I DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth offloodng)
1250960007 D UGUST AUGUST 19,1991 AE EL 11.0
B10.ind�cate the so�e�Uie Base Fbod Elevatia�(BFE� entered in 69.
❑FIS Profile XXX FIRM ❑Canmumly Determined ❑Ott�er(Desa�be):_
611.Ind�cate the elevation dahm used for the BFE in B9:0 NGVD 1929 ❑NAVD 1988 ❑Othef(Descnbe):—
B12.Is ihe bu�ng la:ated in a Coasial Barrier Resaa�es Systan(CBRS)area or Ofhe►wise Protec�ed Area{OPA)? ❑Yes ❑No Designation Date_
SECTION C-BUILDING ELEVATION INFOPoIMTION(SURVEY REQUIRED)
C1.Buik�ng elevations are b�ed on:❑Constructior�Drmtnngs" ❑Buik�ng Urxier Construction* XXX Fnistied ConstrucGon
'A new Elevation Certifica�wi8 be requ�ed when cortstrtxtion of tlie buading is canplete. �
• '2.Buil�ng D�n Nunber_ (Select the buiking d�ac,�rn most sin&�to the buiking fa which itbs cerfficate is being corr�leted-see pages 6 and 7. If no ciagam �(�
acc�rcatey repre9enis the bu�xj,praide a ske�h or photograph.) °p
C3.Elevations–Zones A1-A30,AE,AH,A(with BF�,VE.V1 V30,V(vatl�BF�,AF�ARI/�AR/AE,AWA1-P30,AR/AH,AR/AO �
Complete ftems C3.-a-i below ac�dng to the bu�ng dag-am specafied in Item C2.Sfate the dahsn used.If Uie dahen is d�fferent from the dat�n used for tt�e BFE in
Section B,convert the datran to that used for the BFE.Shav fieid mea�uanenis and daiun conversion calatlation. l�e the space provided or the Carmer�ls ar�of N
Section D or Section G,as appropriate.to docunent the dat�xn cwiversion. �
Dahm NGVD 1929 ConuersioNCarxner�s N!A �
Elevation reference mark used No.155.EL 4.981 Does the elevation reference mark used appa�r on the FIf�+A? ❑Yes XX No �
a)Top of bottian floor(ncludng basernent or enclos�e) 6. 50 ft(m) m �
b)Top of next hi�er floor 15.�R(m) � �' ,,
c)Bottan of lo�st ha¢ontal struchual merr�ba(V zones onty) WA_ft(m) _
00
�AttaChed 9arage�toP of slab} 6. 50 R(m) W W� `� .
e)Lw�est elevati�of machinery and�or ec��ment �m -
serviang the bu�d�g(Des�be in a Carrrienls area) WA-_R(m) E� BRIJGE A. KLE W
fl Lo4vest adjacent(finished}gade(LAG) 6. 0 ft.(m) z'� � ;:,f :". . �
9)Fi9hest adlacer�(fini�gade(1-lAG) 6. 21t(m) m� � , . 07/12/03
h)No.of pamar�ent openirx,�s(flood ven�}within 1 it above ac�acent gade 14 � � i '.
)Total area of aB pertnanent openings(flood venis)in C3.h 632 sq.in.
SECTION D-SURVEYOR,ENGINEER,ORARCHITECT CERTIFlCATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to cerfify eleva4on infamation.
� 1 ce�tify fhat the information in Secfions A,8,and C on this certificate represenfs my best efforts fo inferpret fhe data available.
1 understand that any false statement may be punishable by fine or imprisonmenf under 18 U.S.Code,Section 1001.
CERTIFIER'S�IAME LICENSE NUMBER
BRUCE A KLEIN PLS 5052
T(fLE COMPANY NPME
PROFESSIONAL SURVEYOR 8�MAPPER KLEIN 8�STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
� 8016 Old Counly Road New Pat Richey FLORIDA 34653
SIGNATURE DATE TELEPHONE
07/12i.03 (127}834-8140
IMPORTANT: In these spaces,copy the corresponding information from Section A For insi,rance comPary use �
BUILDING STREET ADDRESS Qncluding Apt.,Uni�S�te,ar�a Bk�j.No.)OR P.O.ROUTE AND BOX N0. Pdic,y Number • „
BRIGHTWATER DRIVE -
CITY STATE ZIPCODE Comparry NAIC Number
CLEARWATER FLORIDA 33763
SEC110N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)carrnunihr ofiaal,(2)insis-ar�ce agenUcanparry,and(3)buikting owner. ` (
COMMENTS
�llA
❑Chedc here'rf attachments
SEC110N E-BUILDING ELEVAl10N INFORINATtON(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(IMTHOUT BFE�
For Zone AO and Zone A(witl�out BF�,cary�le�tterr�s E1 tluough E4. If the Elevation Certifipte is intended for t�e as s�pa�ting infamation for a LOMA or LOMR-F,
Section C mtst be corrpleted.
E1.B�Icing Diagam NUr#�_(Select the buil�ng cGag�n most sirrular to the buildmg for which this certificate is being carpi�ed—see pages 6 and 7. If no dac�n accwately
reFxesents ihe buddng,prwide a sketch or ptwtogaph.)
E2.The t�p ofthe bot�m floor(mducing basernent or�ue)of the buiking is _ft(m}_in.(an)�abwe or ❑�o�rv��or,e�n,�n�r,esc aa��nt 9ade. �
nahaal gade,if availabie).
E3.For 8uiidng Diagams 6-S with openirx,�s(see page�,the next hi�floa or eleva�d floor(elevation b)of U�e bud�ng is _tt(m)_in.(an)above the hi�adacent
gade. Car�lete itar�s C3.h and C3�on front of form.
E4.The t�p of the plaiio�tn�machinery and�or e�mer�serviang the buddng is _ft(m)_in.(an)�aba✓e or ❑below(chedc one)the highe�ac�acent gade. (Use
nahpai gacie,rf available).
E5.For Zone AO or�y: If no flood depth nur�er is av�hable,is the top of the bottmi floor ele�rated in accordance wifh the carvrumity's floodpla�marragement orcinance?
❑Yes ❑No ❑UnknoNm. The local ol6dal mustce�ti(y tlms ir�famation in Section G.
SEC110N F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFlCATION
The properiy owner or rnrme�'s autha¢ed reEx�ve who carpletes Sections A,B,C Q�rns C3.h and C3.i only),and E fa Zone A{without a FEMA-issued or caTUnunii�r-
i�BFE�or Zone AO must s�here. The st�emerds in Secbons A,B,C,and E a�e coned fo the besf ofmy knowledge.
PROPERTY 01Nt�R'S OR OWNER'S AUTHORIZFD REPRESEf�ITATNE'S�IAME
ADDRESS CITY STATE ZIP CODE '
•
SIGNATURE DATE TF�Hp�
COMMEMS
❑Check here if attachments
SECTION G-CON�AUNITY INFORMATION{OPTIONAL}
The local otficial wF�is author¢ed by law or ordin�ce tfl a�nir�ster the carxnunity's flooc�i�n managernent orcirmnce can car�lete Sections q B,C(or E�,and G o�this Elevation
CertiF�te. Car�plete the z{�p6r,�le item(s)and src,�n below.
G�.�The mfamation in Sectior,.r Hes taken from dher cbcunerdation that has been signed arxi err�ed b�a licer�sed siaveyor,en�neer,a ar�hitect who is aufha¢ed byr state
or loc�law to catify ele��5on ir�amatioa (Indcate the so�e and�te of the elevation data�the CarmienLs az�below.)
G2.Q A corranimiiy ofiaal oar�pleted Section E for a bu8�g bcated in Zone A(wiUwut a FEMA-issued or oanmunity-issued BF�or Zone A0.
G3.�The foUowing ir�amation(itaru G4-G9)is praided ftx corrmurrity flooc$�fain manag�nent pixposes.
G4.PERMIT NLNABER C�i. DATE PERMIT ISSUED G6.DATE CERTIFICATE CF COMPLIANCFIOCCUPANCY 1SSUED
�7.rr�s perrnit has been i�d for:p New cors�ction ❑subsh�,tia��rrprweme�,t
G8.Ele�ratim of as-buift bvuest floor(ndu�ng be�tr�n�of the builcing s: __ft{m) Datun:_
G9.BFE a(n Zone AO}depth of fl�oodng at tt�e builcing site is: __it(m) Dahm:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TElEPHO�
S�GNATURE DATE
COMMENTS
•
.� , .
, . � y CITY OF CLEARWATER
r �K�.
` '' � DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
POST�FFICE BOX 474g� CLEARWATER� FLO�DA 33758-4748
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.EARWATER,FLO�uDn 33756
TELEPxoNE (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 sedion(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 5
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 ##.##il##°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map 0 Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
B4.MAP AND PANEL 67.FIRM PANEL 69.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
810. 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)
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. Buiiding 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 O�cial:
�levation certificates shall be maintained by the community and copies with the attached memo made availab/e by request
FRANK HIRRARD,MAYOR
GGORGE N.CRE7'EKOS,COUNCII.MEMRGR JOI W DORAN,COUNCILMGMBLR
PAUL F.GIBSON,COUNCILMEMB@R � CARI.GN A.P�"1'ERSEN,COUNCILMEMB�R
��EQLIAL EMYLOYMEN'1'AND f�FIRMA7'IVE ACTION EMPLOYEK��