200 BRIGHTWATER DR UNIT 10. '
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T�s.�rr�o:�� (�27j 562-4567
MEMO C� REUiEW Ft)R �CCJRRECl`NES5 b`1
fn accardance with pa�Yicipatio� in the NFiPiGR3 program, a!i �levation o�rt�iC3tes are reqnired trr
8eeeptance by ttse t�mmunit�+. This ctfmpiete fotm shait be atEached>to aN etevation certi%afe� ena
elevatian ceFiificates.
The ettached ei�vatkm certiPicate esquires carrectio�s by the surveyor ai section(sj pr
The'attached etevaEi�n certitirate i� cmrtiplefe and ccscrect
X Minor corr�ciio�s have been made i� fhe belaw msifted sedians by Gcsmmuniky Okicia!
�s�c:r�csr� a _ awrtic+�w�rv �NCnau
rv
< A1. 6UILDtlUG QkNNER'S NRME
A2, 6UiLpiNG STREET ADDRESS
2QQ BRIGWTWATEit DRIVE - I
�_CiTY STi
A3. f ROPERTl QESCRIPTI4AE (I
AA, BUiLDFNG USE (e:g.. Resider
A5: 1AT17U1JEtLC?NGITUDE ((}Pi
{##° - #ik' - ##,�" or ##.##�4qfq�°}
€
1. NFtP:COMMUNIT�' NfiME 8, G�
ZIP Cf3L7E
ot and 91ack Numbers, Tax Farcel Number, i.ffg�t Descriptbn,
!i�1, Nan.t22s:dcrvt�at, Ac)dition. Acce85ary, etC.}
IONi�L�t HQRIZONTAL DATU�tiO;
❑ M:A1� i 92? � hIAD 198a
5ECTIQN B- FL(}af� INStJitt�lN�E `RA7'E MAP
t
+ B4. MAP AND PAN�L g7. F
B�a. SUF�fX 88. FiE��ll lNDEX L7A't'�
� Nt1MBER � �� 61181t992 EF�ECTltIE
810. indicaie lhe saurce of ihe �ase Fhrod E evation (BFEj dataar 4ase Aoati deptt4 e
❑�tS Pro ile [j FCRM [� Gammuniry Dsterminsd I
Ei1 t. Indicate etevation da#um used for BFE in 88: � tVGV[� 1928 I
�
rt�d in'. ttem B9:
Other{�escrid�}
�EARWA`TER
t?Ql� SERViCES DEPARTMENT
a�Ar�, Fe.a�u�,► 3375$-47�$
r�e AvEn��, C�vvn�sa; F�.or�t 33756
F�c (i27)" X 2-457d
.�NI�'LETtQN'
ic r$v%tived fcr conectn�ss a�nd cornptetiort y�rit>r to
rrtained on f�e antl �avkie wifh requested copies of
>r ta atx:tsptance by the communiry
AT70N Fot ihsurance Gompaay Use=
om
Paticy Numt�u
QX NC?. Campariy PtAI� Number
St}tlRCE: � GPS (TYP�)�
C7 uSGS t��d �z C� �r
� INFQRMA7'IfiN
. 93 STRTE �
B9, BASE FLtK7p ELEVATtOFK5} j
BB. FLQt}Q �ONEi31 (torwe AO. use depth of flaoding) ,
f
I
❑ O#F+et (Oes�r�e) .
'ea OPPi 2 Y�S h10 naiian CSate
s�cnr�r� c - avi�.o�ra� ��evn�or� ���a�zn+iat�on� �sut�rr��r ��cau���ay '
Gi. 6uildi��q eleva�pr�sare bas2d-art: Ci Cor�st►uctian Uraw3ngs' ❑ Building UnderCo�tructfion' � Fkti�had Cor�sttuctian �
"A new �levation Gett'tficate w6! De r�qy'tred whfen construc#idn oititie ht�ikiin� is c�mptete: �
E3. 8uilding Diagram hiumbor {Select the bui(ding diagr�m most simiiar to the buik9ing for which tfiis cedif3cate is beir�g compkrtad - ste pgg�a 6 m�d`7. If nst
diayram accarste{y rapr�asents the building. providP e sketch or photograph.} i
C3. Etevetions —Zones A1-A30, PiE. AH, R(with 8FE}, VE. V1-V3Q, Y(with 8FE}, AR, ARtR. AWAE, ARlAt-�430� AWAH, AR1RO.
Campietc �tema C3.-a-i belrnv according to the buiMmg diagram specified in Itertt G2. Stafe the dat�r s�ed. Ef the d�ttmi is tlift�+ent from the datrxn usdd f�r the
BFE in Section B, convert the dalum tn thak used for the BFE. Shuw 6e�i m¢asurements amd datum canversiCn catcu�ation. I.�e the sps�ce�aarovided or ihe Cammez�ts
area of Section D of Section G. as appropriate, (o documcnt the d�#um eorniersion,
Datum CornersianlGomments
E�evation feference ms�lc use0 Dces the elevation reference mark used ap�ar nn the f iRM? ❑ Yes �Nq
e) LowesE etevatipn of mas:t�inerar-dr equipmenk servking the buii�r"� (t3escritre:in Cc�mments ates) tt. (�)
h} No. o# psrrnanent openi (Naod vcmts)1 ft: above adjencertt Arade
il Totat area of i pe anent opsnings (tioad ve►�t&I in G3.h sq.in. {sq.tm}
Cemments: ,
Date of Review: � Camrnunity OffiClal: �+. � �
�cdevetin.� certihcates s�nee Cy me c�in■,r � rry en:s�eo 'es wetr; r??e.attacheamema mada avsiratrte bY r«ruest ... �. �.. ..
` � � . «r ( .... . , . '.
. .. . . . . . � _. . . . . . . .
� . FFANK tiiRtL�Ri'S, I4LtYOB� t„ . . � . . . . . . � ��
Geokc;E N. Cri�7�cc�s, C.a uvc�c.�s�ca��c jc3�xiv �wvv, Ccyu��sucr�+�R ' I
P:�irt, l�. GitssoH, Cowt►u1FMnFR � CnxeFrr A PF'���v, Co�mec���ett 1
I
••Er�tlAL EMHL{)YMFiKt ANt) AFF[tt!�tA'CFV� ACTTUN� �MPLOYER„ ` . . � . . � ..
i
�r!°� i(`,' �� � �u:r I� � ��
FEDEt2AL EMERGENCY MANAGEMENT AGENCY
'i � � I NATtONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
; �� ,J�,��,. �.,� Z1�,3 �,{ � Expires December 31, 2005
�����-�` '' �-J ELEVATION CERTIFICATE
�..,.�.r�
����� �� �u�nE►�1 SE�VICES (3E�'T Important: Readtheinstructionsonpages1-7.
-�--------°—'�'°" SEC110N A-PROPERTY OWNER INFORMATION For insurance Compary Use: '
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS(Including Apt. Und,Sude,andlor 81dg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
ZG� BRIGHTWATER DRIVE (� ,,T��
CITY STATE ZIP CODE
CLEARWATER, FLORIDA 33763
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT �(1 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,if necessary.)
RESIOENTIAL
LATITUDElLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#####� ❑NAD 1927 ❑NAD 1983 �USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FlRIII�INFORMATION
61.NFIP COMMUNfTY NAME&COMMUNITY NUMBER B2.COl�1TY NAME 63.STATE
CffYOFCLEARWATER 125096 PWELLASCOUNTY FLORIDA
B4.MAPAND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 86_FIRM Il�EX DA EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S} (Zone A0,use depth offlooding)
125096-0007 D AUGUS AUGUST 19,1991 AE EL.11.0 �
B 10.Ind�cate the source�the Base Fiood Elevation(BF�daha or base flood depth entered in B9. (�
❑FIS Profile XXX FIRM ❑Canmunity Determined ❑Oth�(Descnbe): ��
B11.Ind�ate the ele�ration datun used for the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe): �
B12.Is the bu�ding tocated in a Coastai Bamer Resources Sjrstem(CBRS)�ea a Otherwise Protected Area{OPA)? ❑Yes ❑No Designation Date p
SECTION C-BUILDING ELEVATION INFORMATtON(SURVEY REQUIRED) �
C1.Building eleva5ons are based on:❑Construction Drav�ings" ❑Buil��g Under Construction* XXX Finished Construction G
'A new Elevation Ce�tificate�in be required when c�nstrtxtion of the bu�ding is canplete. a�
�2.Building Diagam Nunber_ (Select the builcing dagam most sinaar to the builcing for which this certificate is being cx�mpleted-see pages 6 and 7. If no ciagram �1`�
accuratey represenis ttie bu�d�ng,�a�a�ce�cn or pnoto�ra�r,.� �
C3.Elevations—Za�es A1-A30,AE,AH,A(with BFEj,VE,V1 V30,V(vath BF�,AR,ARIA,AR/AE,AR/A1-P30,AWAH,AR/AO �
Complete Items C3.-a-i below according to the bu��ng ciagram specified in Item C2.State ihe datrun used.If the datt�n is d�fferent from the datum used for the BFE in
Section B,cornre�t the dahim to that used for the BFE.Shouv field measuremenis and dahm corrversion calculation. Use the space prrnrided or fhe Corrmenis area of
Section D or Section G,as apprnFxiate,to doarnent the dahim cornersion.
Datum NGVD 1929 CornrersioNCanmer�ts N�A
Elevation reference mark used No.155,EL.4.981 Does the�eration reference mark used app�on the F�RM? ❑Yes XX No —
a)Top of bottan floor(r�luding basemerrt or enclos�ue) 6. 50 ft(m} � ,, -
b)Top of next higher floor 15. 90 ft(m) `� '''�'� `�' � '�°�, ,
c)Bottan of low�st haQOntal structural mernber(V zones only) N/A. _it(m) N� '` � K ' �
a � �.
c�A tt a c h e d 9arage(t o P of slab) fi. 50 ft(m) E a* � '�; � ,� . a. ,'.,.
e)Lowest elev�ation of machinery ancU�equQment w � '�; . �.�+ �
. �. � _
servicing the bu�dmg(Desaibe in a Canmenis area) WA-_tt(m) ��. 8►RU C L'A. t�E a,:s : ,�.•
�Low�st adjacent(finished)gade(LAG} 6. 0 fk(m) z�� � �. �, � �,,._ «„. , '-
9)Hi9hest adJ'acent(finis�9ade(I-!AG) 6. 2 ft.(m) � R; �,�,�°-07�'2f�1� �
h)No,of permanent openings(flood ven�)wifhin 1 ft above ac�acent gade 14 � �
J
)Total area of aN}�ermanent openings(flood ven�)in C3.h 632 sq.in ��';� � �s, � �
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.
� I cerfify that the informafion in Sections A,8,and C on fhis cerSfrcate represents my best elforfs to interpref the data available.
1 understand thaf any false sfatemenf may be punishable by fine or imprisonment under 18 U.S.Code,Sec�ion 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A KLEIN PLS 5052
TITLE COMPANY NHME
PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old Couniy R 54 New Pat Richey FLORIDA 34653
SIGNATURE DATE TELEPHONE
' 07/12/.03 (72�834-8140
IMPORTANT: In these spaces,copy the corresponding information from Section A For irr,urance compary use:
BUIIDING STREET ADDRESS(Includng Apt.,Unit,Suite,ancYa Bld�.No.)OR P.O.ROIJfE AND BOX N0. Fdi�y Number
BRIGHTWATER DRIVE ;,
CITY STATE ZIPCODE ComparryNAlCNwnber
CLEARWATER FLORIDA 33763
SECTtON D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATIQN(CONTINUED) �
Copy bath sicles of this Ele✓ation Certificate for{1)cortmunil�r offiaal,(2)insurance agent/canpany,and{3}buikiing rntimer.
COMMENTS
WA
❑Check here if attachments
SECTtON E-BUILDING ELEVATION 1NFORMATtON(SURi/�1'NOT REQUIRED)FOR ZONE AO AND ZONE A(IMTHOUT BFE)
For Zone AO and Zone A(wilhout BFE',canplete Items E1 tluough E4_ If the Elevatbn Certificate is intended for use as suppor6ng infamation for a LOMA or LOMR-F,
Section C must be completed.
E1.Buildng Diagram Nunber_(Select the buildng c�ag�n most smilar to the building for which this certificate is being corrpl�ed—see pages 6 and 7. If no c�agram accuratdy
reExesents the bulding,praide a sketch or phota�aph.)
E2.The�p of the bottan floor(nclucing basement or endosure)of the builcing s _ft(m)_in.(an)�above a ❑below(checit one)the highest adjacent c�rade. (lk,,�e
natur�gade,if available).
E3.For BuikGng Diagams 6-8 with openings(see page�,the next hi�er floa or elevated floor(elevation b)of the buiiding is _ft(m)_in.(an)abwe the highest adjacent
gade- Canplete iterr�s C3.h and C3.i on tror�of fam.
E4.The bp of the platfKam�f machinery and�or equipment servicing the bu�ding is _ft(m)_in.(an)❑abwe or ❑t�elow(checic one}ttie highest adjacent grade. (Use
nat�uuai gade,rf available).
E5.For Zone AO onl�r: If no flood d�th rnmber is availabie,is the top of the bottan fbor ele✓ated in aocorcfance v�th the canmunity's flooc�lain managern�t a�r�ance?
❑Yes ❑No ❑Urdcnov+m. The local otfiaal must ce�tify this irifamation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTA7IVE�CERTIFlCATION
The property otimer or owners autha¢ed represeritative who canptetes Sectior�A,B,C Q�ns C3.h and C3.i or�y),and E for Zone A(without a FEMA-issued or communiiy-
issued BFE�or Zone AO must sign here. The stafanerds in Sec6'ons A 8,C,a�d E�e correcf to fhe best ofmy knowleo!ge.
PROPERTY OWNER'S OR OUVNER'S AUTHORIZED REPRESEf�lTATNE'S NE�ME •
ADDRESS CITY STATE ZIP CODE
SI�NATURE DATE TELEPHONE
COMMEM'S
❑Check her�if attachments
SEC110N G-CONIMUNITY INFORMATION(OPTIONAL)
The local official wtw is author¢ed by law or ordinanoe to a�niruster ihe community's flooc}�lain management ordnance can canplete Sections A,B,C(or E},and G of this Elevation
Certificate. Canplete�e app�Cable iiem(s)and sign below.
G 1.�The i�i'amation in S��ion G was taken from�her docuner�tation that h�been signed and err�sed by a licensed s�veyor,engineer,or archi�ct who is aulhor¢ed by state
or local law to certify elevation ir�ornation. (Indicate tlie soiuce and date of the elevation data in the Canmenis are�a below.)
G2.❑A ca?xnunity nff�ial c�rnple`�ed Section E for a bu�ding located in Zone A(without a FEMA�ssued or communiiy-issued BF�or Zone A0.
G3.�The foiiar�g it�famation(ii�rns G4G9)is provided fa carmunity flooc�lain manag�nent purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLJANCE/OCCUPANCY ISSUED
G7.This permit f�s been issued for:�New ConstrucUon ❑Subshantial In�xaement
G8.Eledatia�of as-buift lowest floor(including baserr�en��the builcing is: _._R(m} Dahtn:_
G9.BFE or(n Zone AO)depth of floaing at the builcing site is: __ft(m} Dahm:
LOCAL OFFICIAL'S NAAAE TITLE
COMMUNITY f�IAME TELEPHONE
SIGNATURE DATE •
COMMENTS
�l `� � `� `.�"..�..'�
� FEDErtAL EMERGENCY MANAGEMENT AGENCY
�U�, � � 20�3 NATtONALFL00DINSURANCEPROGRAM O.M.B. No. 3067-0077
��� , Expires December 31, 2005
�
ELEVATION CERTIFICATE
���gu�yEt�� gEF�v10ES DEPT Importartt: Readtheinstructionsonpages1-7.
_;-Ti-�..------ SECTION A-PROPERTY OWNER INFORMATION Fa lnsurance Gompary Use.
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS(Including Apt�Und,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
Z� BRIGHNVATER DRIVE L� ����
CITY STATE ZIP CODE
CLEARWATER, FLORIDA 33763
PROPER7Y DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Descripfion,etc.)
LOT �(,� OF THE PLAT OF"BRIGHIWATER TOWNHOMES",PAT BOOK 126,PAGES 65&66
BUILDING USE(e.g.,Residerrtiaf,Non-residential,Addition,Accessory,etc. Use a Commerrts area,ff necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-�J#.##' or ##.#####� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FlRN�INFORMATION
B1.NRP COMMUNfTY NAME&COMA�RJNiTY tt�JMBER TY NAME B3.STATE
CITY OF CLEARWATER 12`.�096 � PINEL CO1.1�1TY FLORIDA
84.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NlAv16ER B5.SUFFIX 86.FIRM It� DA EFFECTNEIREVISED DATE 68.FLOOD ZONE(S} (ZoneAO,use depth offbodng)
1250960007 D AlK�l1S AUGUST 19,1991 AE EL 11.0 �
610.Incicate the source�the Base Fbod E{evation depth entered in B9. �
❑F!S Profile XXX FIRM ❑Community Detetmined ❑Oth�(Desatbe):_ N
B11.Ind�cate the elevation datun used for the BFE in 6.9:�NGVD 1929 ❑NAVD 1988 ❑Other(Descnbe):—
612.Is the bud�ng la;ated in a Coastai Barner Res�r,es S}rstem(CBRS)area a Otherwise Proteded Atea(OPA)? ❑Yes ❑No Designation Date p
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED} N
C1.Building elevatias are based on:�Construclion Dravnngs' ❑Buildng Unde�Ca�strtxtion* XXX Fnished Cons6uction �
*A new Elevation Certificate v�iA be requa�ed when castrtxtion of the bu�ng is canplete. �
• ,�2.Buil�ng Diagarn Nunber_ {Select the buiking dagarn most sm�to the builcing for which this certi6cate is being canpleted-see pages 6 and 7. If no ciagarn �
acctxately repra9en�the bud�ng,provide a sketcFt or Photog'aph.)
C3.Ele�rations–Zones A1-A30,AE,AH,A(with BFE),VE,V1 V30,V(witli BF�,AF�AR/P4 AR/AE,ARlA1-P30,ARlAH,AR/AO (J
Corr�plete Items C3.-a-i below a�rg to the buic�ng ciag�n specified in item C2.Shate the datr�n used.if ihe dahxn is ciiferent fran the dahan used for ihe BFE in
Section B,convert the datrmi to that used for the BFE.Show field measurements and dahm cornrersion c�CUlation. llse the space praideci or ihe Commer�ls area of
Section D or Section G,as apprnpriate,to docunent the dahan conversion.
Dahm NGVD 1929 Conversior�Canmen��YA '
Elevation reference mark used No.155.EL 4.981 Does the elewation reference maric used app�r on the FIRM? ❑Yes XX No
a)Top of bottan floor(ndudng basernent or enclo�re) 6. 50 ft(m) m .
b)Top of next higher floar 15. 90 it(m) �'
a
c)Bottan of lowest ha¢on�al struct�al rnernb�(Vzones only) N/A._ft(m) y� ;- :{�°
d}Attached 9arage(toP of slab) 6. 50 ft(m} E��. ..
e)Lowest elevation of mach�ery and�ec�uiprnent W``° • .�
m-m � _
se�vicing the bu�cimy(D�crd�e in a Cmxrien�area) N/A._fC(m) �' •BF'�UGE P,. h�E
fl Lou�st adjacen#(finishec�gade{LAG) 6. 0 it(m) ; z�
9)Fi9hest 2dl�er�(fin�gade(HA�) 6. 2 tt(m) �� 1 07112JiJ�
h)No.of pamar�ent openings(ibod ven�)within 1 ft.above a�acent gade 14 �"�''
J
)Total area of aq permanent openings(flood verr�)in C3.h 632 sq in.
SEC110N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTiFICATION; =
This certificafion is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify eleva6on information.
- 1 certify that the informafion in Sections A,8,and C on this cerfificate represenfs my best eiforts to inferpret fhe data available,
!unders(and that any fafse statemenf may be punishable by fine or impRSOnment under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A KLEIN PLS 5052
TR� . COMPANY NAME
PROFESSIONAL SURVEYOR&MAPPER KLEIN&STAI�SURVE`(ING,INC.
AD�RESS CITY STATE ZIP CODE
• 8016 Old County R 54 New Port Richey FLORIDA 34653
SIGNATURE DATE TELEPHO�
� 07/1?J.03 (727}834-814D
IMPORTANT: In these spaces,copy the corresponding information from Section A For ir�urance company use ,
BUILDING STREET ADDRESS Qncludng Apt.,Unit,Suite,and/a BWy.No.)OR P 0.RCLlTE AND BOX N0. Pdu,y Number
BRIGHTWATER DRIVE
CITY STATE ZIP CODE Compary NAIC Nimber .
CLEAFZWATER FLORIDA 33763
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy both sides�this Elev�ation Certificate for(1)carmunily offiaal,(2)insurance agendcorr�parry,and{3)building owner. �
COMMENTS
t�llA
❑Check here if attachments
SECTION E-BUILDING ELEVATION 1NFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONEA(iMTHOUT BFE�
For Zone AO and Zone A(wiUiait BFE�,comple�Iterr�s E1 through E4. If the Elzvation Certif�ate is intended for use as supporting infamation for a LOMA or LOMR-F,
Section C must be carpieted.
E1.Builcing Diagarn Nunber_(Select the build�ng ctiagam most sir�lar to the building for v�ch this certificate is being ccxnpl�ed–see pages 6 and 7. If no dagr�n accurately
reExesents the budd�ng,praide a sketch or photogaph.)
E2.The�p of the botb�m floor(mcluding basernc�nt or endos�e)of the buiking s _ft(m}_in.(an)�above or ❑bebw(check one}the hi�est adacent gade. (Use
nat�aal gade,rf available).
E3.Fa Buil�ng Diagarns 6-8 with openings(sce page 7�,the next hi�er floor or eleva�d floa(ele�ation b)of the bu�ng is _ft.(m)_in.(an)abwe the highe�adpcent
gade. Carr�plete ite�ns C3.h and C3.i on frwitof fam.
E4.The @�p of the plattiwam of machinery and+or eq�ipme,nt sevicing the bu�dm9 is _ft(m)_in(an)�abwe or ❑bebv✓(chedc one)the hi�est adacent gade. (lk�
nahpal gade,rf avaihabie).
E5.For Zone AO ordy: If no flood depth nunber s av�lable,is ihe top of the bottom floor elevated in accorc3ance with tlie carununily's flooc�lain management aYinance?
❑Yes ❑No ❑Urdviown.The la�i ofiiaal must ce�tify this ir�famation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTA7IVE)CERTIFlCATION
The property owner or ow�'s autliorized represer�tative who�Sedions A,B,C Q�rns C3.h and C3.i ady),and E for 7_one A(without a FEMA-issued or canmuniiy-
issued BFE�or Zone AO mtst sic�here. 7he sfafemenfs in Sectiot�s A,B,C,and E a�e coned to the best ofmy knowledge
PROPERTY OVVNER'S OR OVIMER'S AUTHORIZED REPf�SENTATNE'S NAME
ADDRESS CITY STATE ZIP CODE •
SIGt�IATURE DA7F rFi�unn�
COMMEPITS
❑Chedc here if attacfunents
SECTION G-CONRNUNITY INFORMATION(OPTIONAL)
The la;al official who s authoreed by law or ord�nance to a�nir�ster the carunur�ty's flooc$�lain manag�nent orcinance can arr�ete Sections A,B,C(or E�,and G of this Elevation
Certificate. Corr�ete!!�e app�r,�le i�em(s)and sign below.
G1.C The uiformation in S�,^li�on G�ss talcen fran�her docunerrtation that has been signed and ernbossed by a licer�sed surve�or,engineer,or archi�ct who is author¢ed by state
or loc�law t�catify ele�ration ir�or,nation. pndcate the so�e and date�the elevation c�ha�the Canmen�az�below.)
G2.�A carr�n�fi/�fiCial car�ple`�ed Section E for a bu�dmg located in Zone A(without a�EMA�sued or c�rrrnunity-issued BF�or Zone A0.
G3.0 The foiav,ring infamation{'r�err�s G4-G9)is{xarided for corrmuraiy flooc�hain martaganent purposes.
G4.PERMff NINABER C�i. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY 15SUED
c�.rr;��„�r,��,�d�r.❑rvew co�aor, ❑s�t�,t�i i��,t
G8.Ele�ration of as-b�lt bwest floa(ndu�ng bas�nen��the buildng s: __ft(m) Dahm:—
C�J.BFE or(n Zone AO}depth of tl�ood�at the buikiny srte is: __ft(m} Dahm:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNIIY NAFAE TELEPHONE
S�GNATURE DA?E
COMMEMS
•
. •
� �
���� �� � � CITY OF CLEARWATER
.
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g ^ � �'.°" � DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
`` ' POST�FFICE BOX 4748� CLEAFtWATER� FLO�DA 33758-4748
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,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 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 O�cial
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 10
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:0 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 B2.COUNTY NAME B3.STATE
64.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S)
NUMBER 8��8��992 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
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)
B11. Indicate elevation datum used for BFE in 69:� NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
B12. Is the buildin 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)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 shall be maintained by the community and copies with the attached memo made availab/e by request
�
FRANK HIBBARD,MAYOR
GEORGE N.CRE'I'EKOS,COUNC[LMEMAER JOI IN DOR4N,COUNCILMEMAER
PAUL F.GIBSON,COUNCILMEMRER � CARI.EN A.PE'1'GRSEN,COUNCILMEMRGR
��EQUAL EMYLOYMEN'I'AND AFFIItMATIVE AC1'ION EMPLOYER��