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120 BRIGHTWATER DR UNIT 6 ` '' � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ��3 �' (a �q I ELEVATION CERTIFICATE Important: Read the instructions on pa es 1-7. SECTION A-PROPERTY OWNER INFORMATION Fa Insurarxe Canpany Use: BUILDING OWNER'S NAME Policy Number MENNA DEVELOPMENT BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 120-6 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER BEACH FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tau Paroel Number,Legal Description,etc.) LOT 6,BELLE AQUA VILLAS II BUILDING USE(e.g.,Residential,Non-residentiai,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL 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 B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE CLEARWATER 125096 PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVF�REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth ot flooding) 12509Cr0102 G 9N3o03 9ill3103 AE �� B10.Indicate the source of the Base Flood Eleva6on(BFE)data or base flood depfh entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Ofher(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_ 612.Is the building located in a Coastal Bamer Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Desi nation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:0 Construction Drawings' ❑Building Under Construction* �Finished ConsUuction � 'A new Elevation Certificate will be required when canstruction of the building is complete. .Building Diagram Number 8(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,ARIA,ARIAE,ARIA1-A30,AR/AH,AR/AO Complete Items C3.-a-i below aocording to the building diagram specfied in Item C2.State the datum used.If the datum is diRerent irom the datum used for the BFE in Sec6on B,convert the datum to that used for the BFE.Show field measur�ments and datum conversion calculation. Use the space provided or the CommenLs area of Section D or Section G,as appropriate,to document the da(um conversion. Datum NGVD ConversioNCommenis Elevation reference mark used LP 10 BM#1 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No ° o a)Top of bottom floor(induding basement or endosure) 7. 14 ft(m) � ; , o b)Top of next higher floor 11 .06 ft.(m) �' � o c)Bottom of lowest honzontal shuctural member(V zones only) WA._ft.(m) °/ °' ', " ' f. o d)Attached garage(top of slab) 7. 14 ft(m) w a ,�� :� �' o e)Lowest eleva6on of machinery andlor equipment _� , serviang the building(Describe in a Comments area) WA._ft.(m) E� � " ' �e o fl Lowest adjacent(finished)grade(LAG) 5.05 ft(m) z'.� ` ; , , �:'` . �� o g)Highest adjacent(finished)grade(HAG) 5. OS ft(m) y o h)No.of permanent openings(floal vents)within 1 ft.above adjacent grade 7 � xS i2 i�G„'l p� o i)Total area of all permanent openings(flood vents)in C3.h 1203.29 sq.in.(sq.cm) 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 elevation information. I certify that the information in Sections A,8,and C on this cerfificate represenfs my best efforts to interpret the data available. 1 understand fhat any false statement may be punishable by fine or impnsonment under 18 U S Code Section 1001 CERTIFIER'S NAME GEORGE A.SHIMP II LICENSE NUMBER 2512 TITLE PRESIDENT COMPANY NAME GEORGE A.SHIMP II&ASSOC.,INC •ADDRESS CITY STATE ZIP CODE 3301 DESOTO BOULEVARD PALM HARBOR FL 34683 SIGNAT DATE TELEPHONE JOB N0.050738 9/02/05 727-784-5496 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions iMPORTANT: In these spaces,copy the coResponding lnformation from Section A. For Insurancs Company Usei - � 9UILDWG STRE..�ADORESS(iruluding Apt,Uni�Suite,and/a 8kig.No.)OR P.O.ROIJ'TE AND BOX N0. Po�,y Number ; 124&BRIGNTWATER DRIVE �� STATE ZIP CODE CLEARWATER � � �tipanYNAl�i�y►nbe[ SECTION D-SURVEYOR,ENGiNEER,OR ARCHtTECT CERTIFICATION(CONTINUED) ' CopY both sides of this Elevation Certificate for(1)cortununity ofl'iaai,(2)insurance agenUcompany,and(3)bu�ding owner. COMMENTS ❑Chedc here if attachments SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE� For Zone AO and Zone A(wrthout BFE),complete Items E1 ihrough E4. lf the Elevatlon CerfrfiRcate is intended fo�use as suppo�ting informatlon for a LOMA or L4MR-F, Sec6on C must be canpleted. E1.Building Diagram Number_(Seled fhe buiiding diagram most similar to the bui�ing fa which this certificate is being completed—see pages 6 and 7, If no disgram accurately rep�esents the buiWing,provide a sketch a photograph.) • E2.The top af the bottom floor(uiduding basement a endasure)of the building is _ft(m)_in.(cm)0 above or ❑belaw(chedc one}ihe highest adjacent grade. (Use natural grade,if av�lable). E3.For 8uilding Diagrarns 6-8 wiih openings(see page 7},the neut higher floor or elevated fbor(elevation b)of the building is �ft.(m)_in,(cm)above 1he highest adjacent grade. Canplete items C3.h and C3.i on front of fam E4.The top of fhe plaffortn of machinery andlor equipment servicing ihe building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)�he highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: if no flood�pth number is available,is the top of the boaom floor elevated in acc�dance with 1he community�s floodplain management or�nance? ❑Yes ❑No ❑Unknown. The local offidai must certifiy this ir�ortnation in Section G SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIf"1CATION The prope�ty owner or owne�s authorized rep�esentative who completes Sedions A,B,C(Items C3.h and C3�ady),and E for Zc,ne A(without a FEMA-issued o�canmunity- Issued BFE�or Zone AO must sign here. The statements in Sections A,B,�and E a�e correct to the besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATlVE'S NAME • ADDRESS CITY STATE ZJP COOE SIGNATURE DATE TELEPHONE COMMEfVTS ❑Chedc here if attachments SECTION G•COMMUNITY INFORMATION(OPTIONAL) The I��who is au(h�s�ad by law or ordinanca to admn�ster the corrununi s fl ty' oodplain management ordinance can compiete Sections A,6,C(or E),and G of�is Elevatfon Ce�ificate. Cor�t�ete�z�•-pdic�ie'•!em(s)and sign below. G1.�The in,;;;m�vn;r Sec?�c�i C w�s iaken from othe�documentatlon that has been signed and embossed by a licensed surveyor,engineer,or archlted who fs authorized by slate or local law io��fy�qvatior,informatlon. (Indicate the source and date d the eleva6on data in ihe Comments area below.) G2.[]A communiN�dai xmpleted Seclion E for a bu�ding bcated in Zone A(without a FEMA�ssued a communityissued BFE)or Zone A0, G3.�The fouow;�g i�orrna�on(items G4-G9)is provided fa community floodpiain management purposes. G4.PERNNT NUM6ER G5. DATE PERMIT ISSiJED G6.DATE CERTIFICATE OF COMPLIANCFJOCCUPANCY ISSUED G7;This pemtit has been issued for:Q New ConsUuction ❑Substantial Improvement G8.E3evaUon of as-built lowest floor(induding basement)of fhe bu�ding Is: _,_ft.(m) Da1um: G9.BFE o�(in Zone AO)depth of flooding at the building site is: v,_ft,(m) Datum. LOCAL OFFiCIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE • COMMENTS ❑Chedc here if attachments FEMA FOm181-31,Januery 2003 0__�_�_ _��___..,_._ __....__ ' , , FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 � � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 �.,�a(�3— ia �ai ELEVATION CERTIFICATE Important: Read the instructions on p es 1-7. SECTION A-PROPERTY OWNER I NFORMATION For lnsurance c«rpany use: BUILDING 01NNER'S NAME Policy Number MENNA DEVELOPMENT BUILD G STREETADORESS(Incl ing�t., it,Suije,andlor Bldg.No.)OR P.O.ROUTE AND BOX NO. Gompany NAIC Number 12 BRIGHTWATER DRIVE o � �e ' CITY STATE ZIP CODE CLEARWATER-II��.r.,u� FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Par�el Number,Legal Descripfion,etc.) LOT 6,BELLE AQUA VILLAS I I BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAI) HORIZONTAL DATUM: SOURCE: GPS(Type): ( ##°-##'-##.##" or ##.###�l#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUN�TY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE CLFARWATER 125096 PINELLAS FLORIDA 84.MAP ANO PANEL � 87.FIRM PANEL 89.BASE fL00D ELEVATION(S) NUMBER 85.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Za�e A0,use dep�h of flooding) �'� G "'9+'93�'93-- 9�03r03 AE 11 n te e Base Flood Elevation(BFE)data or base flood depth enbered in B9. ❑FIS Pro61e �FIRM ❑Community Detertnined ❑Other(Descnbe):_ 811.Indicate(he elevation datum used for the BFE in 69:�NGVD 1929 ❑NAVD 1968 ❑Other(Desaibe):_ B12.Is the buil�ng located in a Coastal Bamer Resour�es System(CBRS)area or Othervvise Protec6ed Area(OPA)� ❑Yes �No Des' nation Dabe S�CT!OR��-B;;lLD{N.^�EL�VATlON I�vr�OR�.'�TICN(SUitVE`r'itEQUiREuj C1.Building elevations are based on:�Construction Drawings' ❑Building Under Conshuction* �Finished ConstnKfion 'A new ElevaUon Certificate will be required when construc6on of the building is complete. 2 Building Diagram Number 8(Select the building diagram most similar to the building for which this certi6cate is being canplebed-see pages 6 and 7. if no diagram accurately represenfs fhe building,provide a sketch or photograph.) C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,ARIA1-A30,AR/AH,AR/AO Complehe Items C3:a-i below acoording to ihe building diagram speafied in Item C2.State the datum used.If the datum is diffierent from the datum used for tl�e BFE in Sec�on B,convert the datum to that used for the BFE.Show field measurements and datum conversion cakxilation. Use the space provided or fhe Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NGVD ConversioNCommenfs ., a Eleva6on reference maric used LP 10 BWH�1 Does the elevation reference mark used appear on the FIRM? ❑Yes �No , h � � , '; ! 5 `. ',� o a)Top of botbm floor(induding basement or endosure) 7. 14 R(m) � �,M�"f �� I�� f � : o b)Top of ne�higher floor 11.06 ft(m) � r r *� r. o c)Bottom of lowest horizont�sUuclural member(V zones only) WA._ft(m) � °' :�;, `� '' ' ��' ,; o d)Attached garage(top of slab) 7. 14 ft.(m) E� ` � ,Y F ` o e)Lowest elevation of machinery andlor equipment w`° ^�� ` " �� •�.n sennang the building(Describe in a Comments area) WA._ft.(m) � � �' o �Lowest adjacent(finished)grade(LAG) 5.05 ft.(m) Z � 4�, "� � i� o g)Highest adjacent(finished)grade(HAG) 5. 08 ft(m) J� � �` ;*� `�, r o h)No.of permanent openings(flood vents)within 1 R above adjacent grade 7 � �ts��..::�,�j i� �t - o i)Total a�ea of all permanent openings(flood vents)in C3.h 1203.29 sq.in.(sq.cm) `- , . . - SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land suNeyor,engineer,or architect authorized by law to certify elevation information. I cerfify that the information in Sections A,B,and C on this certificate represents my best efforts to inte�pr�t the data available. 1 understand that any false statement may be punishable 6y fine or imprisonment under 18 U S Code Section 1001 CERTIFIER'S NAME GEORGE A.SHIMP II LICENSE NUMBER 2512 TITLE PRESIDENT COMPANY NAME GEORGE A.SHIMP 118�ASSOC.,INC .ADDRESS CITY STATE ZIP CODE 3301 DESOTO BOULEVARD PALM HARBOR FL 34683 SIGNAT DATE TELEPHONE JOB N0.050738 9/02105 727-784-5496 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions 1MPORTANT: In these spaces,copythe coResponding information from Section A. EorinswanceCompanytJsa; ,. � BUILDWG STRE_�T AODRESS(�kxling Apt,Uni4 Suite,andla 6kJg.No.)OR P.O.ROU TE AND BOX N0. Po6cy:Nu[nher 120-6 BRIGHPNATER DRIUE - - CTIY STATE Z1P CODE Company�NAIC t�iun6et _ ; CIFARWATER �, 34630 - SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFiCA710N(CONTINUED) �PY bofh sides of this Elevation Ce�Cate for(1)corrurwnity�i'iaal�(2)insurance agent/company,and(3)bu�du�g owner. • COMMENTS ❑Chedc here if attachments _ SECTION E•6UILDING FIEVATION 1NFORMATlON(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT 8FE) Fa Zone AO and Zone A(wiUiout BFE),compiete Items E1 fhrough E4. If the Elevatlon Certificate is intended for use as supporting infotmatlon for a LOMA o�LOMR-F, Sec6on C must be canpleted. E1.Build'ing Diagram Number_{Select 1he buii�ing diagram most simdar to the building for which this ceitificate is being completed—see pag�6 and 7, if no d�ram accurately represents the buil�ng,Provide a sketd�a P��9�•) ' E2.The top�ttie bottom floa(i�lu�ng basernenk or endosura)of the buiiding is _R(m)_in•(cm)�above or ❑belaw(chedc one)lhe highest adJacent grade. (Use natu�l grade,'rf av�'iable). E3.For Buliding Diagrarns fr8 wiU�openings�see pa��,the next higher floor or elevated floor(elevation b)of the twil�ng is ^ft.(m)_in.(cm)above the highest�acent 9rade. Ccxnpieie items C3h and C3J on front of fam. E4.The top of the�atiam�f mac�i�y andlor equipm�t servicing the bu�din9 is _ft.(m)_in•(cm)�above or ❑belaw(chedc one)ihe highest adjacent grade. (Use nahual grade,if availahle). E5.F�Zone AO oniy: If no flood depth number is avalabie,is the top of fhe bottom floa elevated in accadance w'rfh fhe communitys floodpain managernent or�nance? ❑Yes ❑No ❑Unknown. The bcal offiaal must c�tiiy this ir�amatiai in Seclion G. _ SECT{ON F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERT1f1CATI0N The propeRy awner a owners authaized reptesentative who�es Sedions A,B,C(Items C3.h and C3a onlY)�and E fa Zc,ne A(wifhout a FEMAassued or carununity- Issued BFE�or Zone AO must sign here. The st�ements�Sectioru A,B,�and E are conect to the 6est of my knowfedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATiVE'S NAME � ADDRESS CITY STATE Z1P CADE SIGNATURE DATE TELEPHONE COMMENTS . ❑Chedc here if att�hments SECTION G•COMMUhI1TY INFORMATION(OPTlONAL) The la�l offiaal who�s autl;cxi�d by law or or�nance to administe�the canmunitys floodpl�n management o�inarxs can canplete Sectlons A,B,C(or E�,and G of lhis Devalfon Ce�Ui�cate. Compiete 0��pGc�ie!�ern(s)and sign below. . Gi.0 The i►�erm��.in Sec�c�C rvas taken from oU�doa.ur�entatla�that has been signed and embossed by a licensed surveya,engJneer,or ard�ited who(s authotized by st�e or tocal law�.��ify��a'va6on infortnaUon. (In�icate tlte sour�e and date d the e�vation data in fhe Comments area below.) G2.❑A comnwnity�Ciai campleted Secfion E for a bu�ding la;ated in Zone A(witiwut a FEMA-issued a communityissued BFE)o�Zone A0, G3.�The folbwing ir�o�rnation(Items G4G9)is provided for corrvnuniry iloodplain management purposes. G4.PERIWT NUMBER G5.DA'TE PERMtT ISSUED G6.DATE CFRTIFICATE OF COMPIVWCElOCCUPANCY ISSUED c7:rnis pertnit nas beer,issued for.p rlew cautruction p su�Improvemenc G8.Eievation�as-built lowest floa('indu�ing baserneny of the bu�ng 1s: ._ft.(m) �atum G9.BFE w(in Zone AO)depth of flood'uig at the buiiding site is: �,_ft.(m) Daium: LOCAL OFFICIAL'S NAME TITLE CAMMUNITY NAME TEIEi'HONE SIGNANRE DATE COMMENTS ❑Chedc here if attachmenis FEMA FoRn 81-31,January 2003 0--�--- -��---•-�-•-- -�.-.--- � � ♦ • � ' ,a��`�.� ��'��" ��gt�4�� CITY OF CLEARWATER ��5 • ��4h�`�f'�� . �;�x� � ; DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT ��'a 4'�.. . � �� POST OFFICE BOX 474H� CLEARWATER� FLOa�DA 33758-4748 �� ` �� MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 ° � TELEPHONE�72� 562-4567 F�(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 eievation 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 Policy Number A2.BUILDING STREET ADDRESS(including Apt., Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 120 BRIGHTWATER DRIVE-UNIT 6 CITY CLEARWATER 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 84.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEL gg.FLOOD ZONE(S) B9�BASE FLOOD ELEVATION(S) NUMBER 5/17/05 EFFECTIVE/REVISED DATE (Zone A0,use depth of flooding) 12103C0102 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) B11. Indicate elevation datum used for BFE in 69: ❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. Is the buildin located in a Coastal Barrier Resources System(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,ARlA1-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 all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: PLEASE SEE ATTACHED DOCUMENTS FROM MDM MENNA DEVELOPMENT&MNGT INC.ADDRESSING ELEVATION FOR THE PROJECT. Date of Review: Community O�cial: �levation ceRificates shall be maintained by the community and copies with the attached memo made availab/e by request FRANK H[RBARD,MAYUR GEORGE N.CRE'1'GKOS,COUNCILMEMACR JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMBER � CARLBN A. PE7'ERSGN,COUNCILMEMBER ��EQUAL EMPLOYMEN'I'AND f�F1RMA'1'IVE ACl'ION EMNLOYER�� . * � ' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.6. No. 3067-0077 • NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 " . ELEVATION CERTIFICATE - (� — Im ortant: Read the instructions on a es 1•7. SECTION A-PROPERTY OWNER INFORMATION Fa�r�anoe carpany use: BUILDING OWNER'S NAME Policy Number MENNA DEVELOPMENT BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bklg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 120-6 BRIGHTWATER DRIVE ��'�y STATE ZIP CODE CLEARWATER FL 34630 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 6,BELLE AQUA VIUAS II 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 ##.�� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAA4E&CONWIUNIIY NUNBER 82.COUNT`!NAME B3.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA 84.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFU( 86.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zaie A0,use deplh of flood4ig) 12.509('>0007 D 8119�91 8l19191 AE 11 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile ❑FIRM ❑Cammunity Detemtined ❑Other(Describe): 811,Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe): B12.Is the building located in a Coastal Bartier Resouroes System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designaati�on Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construcfion Drawings' �Building Under Construction* ❑Fnished ConstrucUon 'A new Elevation Certificate will be required when consUuction of the building is complete. •C2.Building Diagram Number 8(Seled the building diagram most similar to the building for which this cerGficate is beiing completed-see pages 6 and 7. If no c5agram accurately represents the bui�ing,provide a sketch or photograph.) C3.Elevations-Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,ARIA1 A30,ARIAH,AR/AO Complete Items C3:a�bebw acoording to the building diagram speafied in Item C2.State the datum used.If the datum is different from the datum used fa the BFE in Section B,convert the datum to that used fa the BFE.Show field measurements and datum conversion calculation, Use the space provided a the Canrn�nts area of Section D or SecUon G,as appropriate,to document the datum conversion, Datum ConversionlComments Elevation referenoe mark used LP 10 BM#1 Does the elevaUon reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floor(induding basement or endosure) 7. 14 ft.(m) � o b)Top of next higher floor 11.06 ft.(m) `� � o c)Boaom of lowest haizontal structural member(V zones only) NA._ft.(m) �o o d)Attached garage(top of slab) 7. 14 ft,(m) �� o e)Lowest elevation of machinery andla equipment W� serviang ihe builc�ng(Describe in a Comments area) NA._ft.(m) �� o fl Lowest adjacent(finished)grade(LAG) 5.05 ft.(m) z'� o g)Highest adjacent(finished)grade(HAG) 5. 08 ft.(m) � #2512 5/02/05 o h)No.of permanent openings(flood vents)within 1 ft.above a�jacent grade 7 � o i)Total area of all permanent openings(flood vents)in C3.h 1203.29 sq.in.(sq.cm) SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the informafion in Sections A,B,and C on this cerfificate represents my best eiforts fo inferpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U,S.Code,Section 1001, CERTIFIER'S NAME GEORGE A.SHIMP II LICENSE NUMBER 2512 TITLE PRESIDEM COMPANY NAME GEORGE A.SHIMP II&ASSOC.,INC � ADDRESS CITY STATE Z1P CODE 3301 DES ULEVARD PALM HARBOR FL 34683 SIG DATE TELEPHONE JOB N0.050242-F 5102/05 727-784-5496 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANI': In these s aces,co the cones ondin information from Section A. For Inauranoe Company Usei�' '<'� � BUUDWG STREETADDRESS(lndudir�Apt�Unit SuiOa�arxila Bklg.No.)OR P,O.ROUTE AND BOX N0. p�,�,� , 120-6 BRIGHTWATER DRIVE ,,:,:, , .; , , ; C� STA1� ZIP CODE c�wA� � �,�I� , ' a� . I 1 q 1 �':I rll.l��', r��!�:I SECTION D-3URVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION(CONTINUED) �PY both�dea of this ElevaUon Cerfi�cate for(1)oarunuNty of�al�(2)insuranoe aBenUcomPanY�and(3)bui�(ng owne�. . COMMENTS ❑Chedc here if attachments 8ECTION E•BUILDINt3 ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE� Fa Zone AO and Zone A(wlihout B�,oompl�e Items Ei ttuough E4. If the Elevatlon CerUflcate is intended for use ae supporf(ng Intortnatlon for a LOMA a LOMR-F, Sectlon C must ba corr�pleted, Ei.BuUding piagram Number_(Select the buil�ng diagram most slm�ar to the building ta which this c�rtiftcate is being cornpleled—see pagea 6 and 7. I(no dfagram aocurately ��e��9,provida a sketch or photo8raph.) E2.The top of ihe boGpm ibor(indud(ng basement or endoaure)of tha buil�ng is _ft.(m)_in.(cm)L7 abova or ❑below(chedc one)the hi9h�t adlaoen�9rade, (Use natural grade,if available). E3.For BuU�ng Diagrams 6�8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the buil�ng is _,ft.(m)_in.(cm)above the Nghest a�acent 9rade.Canplete items C3.h and C3J on front of form, E4.The iop af 1he pla�ortn of mad�nery andla equ(pment servidng the build(ng is _ft.(m)_(ndpn)�above or ❑below(check one)ihe highest adjaoent grade. (Use natural grade�if available). � E5.ForZone AO a�ly: If no flood depih number is avaUable,is the top of fhe bottom Aoor elevated in a000rdar�ce wilh ihe oommunit�s floodpiain managert�ent ordnance? ❑Yes ❑No ❑Unknown._The local o�del must oerGfy this infamation in SecUon G SECTION F-PROPERTY OWNER(OR OWNER'3 REPRESENTATIVE)CERTIf�ICATION The property owner or owner's authaized representatve uu�w oomple�SecOons A,B,C(Iterns C3.h and C3J anly),and E(or Zc,ne A(wiUwut a FEMA�issued or conmuNty. issued BF�or Zone AO must sfgn hera The statements!n Sectians A,B,C end E ere care�to fhe best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Chedc here if attachments .,...___ SECTION G•COMMUNtTY INFORMATION(OPTIONAL) lhe la�l o�d�who is autho�zad by lawao�in�ceto adnyrnster ihe ooRUrwnity's floodpl�n management ordfnance can complete Sec�ons A,B,C(or E�,and G of fhia Elev�lon CeiUttcate. Complete the�pp�Cable item(s)and sign below. Gi.(]The infarmaUon in Sechon C was taken from other docximentatlon ihat has been signed and embosaed by a lioensed surveya,englneer,or arc�(tec;t who is autho�zed by state or local law i�certify elevaiion infomiaUon. (Indk;ate tite sour�oe and date of the elevaUon data in ihe Commenls area bebw.) ��A�muNh�flc+al o�mpletod Sedion E for a bullding located in Zone A(wiU�out a FEMA-issued a oanmuNry-issued BFE)w Zone A0. G3.�The folbwing Infamation(Items G4-G9)is provided fa corrunuNty floodplaln mana8ement purpo�, �.��N�� G5.OATE PERMIT ISSUED G6.DATE CERTIFiCATE OF COMPLIANCFJOCCUPANCY ISSUEp G7:Th(s pertrdt has been(ssued for:[�New ConsUudion ❑Substantial Improvement G8.Elevatlon�as�built bwest flaa pnduding basement)of Ute buDding is: _,,,_ft.(m) Dalum: (�9.BFE or(In Zone AO)depth of floo�ng at the buU�ng site�s: _:^ft.(m) O�um; LOCAL OFFICIAL'S NAME ;,� �- y T� �� COMMUNITY NAME ' a �,� � �" � TELEPHONE sicw��u� �� QEC 2 1 2005 * DATE � COMMENTS .� °-�T�, -•,s- �''i T V' ��- � �",�F�1ji�`,�T E F� ❑Chedc here if a�achments FEMA Form 81-31.Januerv 2nns _ ,