The URL can be used to link to this page

181 BRIGHTWATER DR UNIT 1-10 ��Ql��.�6 � FEDERAL EMERGENCY MANAGEMENT AGENCY � �, • , NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 , ELEVATION CERTIFICATE Expires December 31, ZooS Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 1 BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Dnve CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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 ##.##�#t°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME 63.STATE City of Cleanvater 125096 PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:0 NGVD 1929 �NAVD 1988 ❑Other(Describe):_ 612.Is the building located in a Coastal Bamer 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:0 Construction Drawings' ❑Building Under Construction` �Finished Construction • `A new Elevation Certificate will be required when construction of the building is complete. �2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certrficate 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,AWA,AR/AE,AWA1-A30,AWAH,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 tlatum 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 NAVD1988 Conversion/Comments (1929)4.981-(1988)4191=077 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark usetl appear on the FIRM? ❑Yes � o a)Top of bottom floor(including basement or enclosure) 5.0 FT fl.m � ";, � ��. �`'�I'' o b)Top of next higher floor � � °' �' %`<! 14.94 . FT ft.(m) �' �l; y` Y o c)Bottom of lowest horizontal structural member(V zones only) N/A FT ft.(m) Q o;" .>.,'�L �y y ' �° `�� o d)attached garage(top of block) 5.0 FT ft.(m) `� �'� o e)Lowest elevation of machinery and/or equipment W� o '1 � �w` t R-a t r c 7,; servicing the building(Descnbe in a Comments area) 11.0 FT ft.(m) � � �' I 1,-' r��- �''°�"— E m ��-- r1 `�,r;;:" o fl Lowest adjacent(finished)grade(LAG) 4.5 FT ft.(m) Z m ^:'w ''�°'�E� �j `� '� _;�`1 o g)Highest adjacent(finished)grade(HAG) 47 FT ft.(m) �� '��;'�s;�� "% o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 J �,�� ,� r Y,�« o i)Total area of all permanent openings(flood vents)in C3.h 1728 sq.in. .b ,, � ,��.��° 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 thaf the information in Sections A,8, and C on this certificate represents my best efforfs to interpref the data available. 1 undersfand that any false stafement may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 1001. CERTIFIER'S NAME LICENSC NUMBER BRUCE A.KLEW PLS 5052 TITLE COMPANY NAME • • • PRESIDENT KLEIN&STAUB SURVEYING,INC. i ADDRESS CITY STATE ZIP 8016 Old County Road 54 CODE New Port Richey FL 34653 SIGNATURE DATE •� TELEPHONE 11/22J05 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions �!°-a..�� r IMPORTANT: In these��aces,copy the corresponding�nformation from Section A. For insurance com�any use: BUILDING STREET ADDRESS(induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , . ,r ! 181 Brightwater Drive, _ UNIT No. 1 'k CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) . Copy both sides of this Elevation Certificate for(1)community offcial,(2)insurance agenUcompany,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this ce�ificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural gratle,if available). E3.For Building Diagrams 6-8 with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery andlor equipment servicing the building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accortlance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME . ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is«utnonzed by law or.�rtlinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item��)and sign below. G1.0 The in`armation in Sec:tion C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or locai!aw to certrfy e!evatior,irformation. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community official comp!ef�d SFCiior,E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The following information(Item�C�+-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED � G7.This permit has been issued for:�New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: __ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE • COMMENTS EVEL4PME Y O F C L EA R WAT�a ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions ��(�� J/(� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 , � . NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ' �LEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 1 BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 1,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.2�29 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 NAME 8 COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Cleanuater 125096 PINELLAS FLORIDA B4.MAP AND PANEL `� • B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DAT EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 12103C010 G SEPTEMBER 0 3 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flootl depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): _ _. B11.Indicate the elevafion datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building located in a Coastal Bamer 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* �Fnished Construdion `A new Elevation Certificate ' uired when construction of the building is complete. „2.Building Diagram Num r 7 ( ect 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 buil ing,provide a sketch or photograph.) C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARIAE,AR/A1-A30,AWAH,AR/AO Complete Items C3.-a�below aa;ording to the building diagram specified in Item C2.State the datum used.If the datum is d�ferent 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 NAVD 1988 Conversion/Comments (1929�.981-(1988�.191=077 Elevation reference mark used IABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � � r� � o a)Top of bottom floor(induding basement or enclosure) 5.0 . FT ft.(m) � , 'l� ,,� + � , o b)Top of neact higherfloor 14.94 . FT ft.(m) � ,��. ,'� � � , '��- �,,� , � � o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o ,` % y� �,;� � o d)attached garage(top of block) 5.0 . FT ft.(m) w-�; ' + �'' K ,.� a:`�=:, ' ��c'. ,J o e)Lowest elevation of machinery and/or equipment -v z� �T � �'; a� � ; �;�C:; serviang the building(Descnbe in a Comments area) 11.0 . FT ft.(m) �� ,,. � � �.�j ,.�, o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) �z'� '-'�`� >',, '� t '��, o g)Highest atljacent(finished)grade(HAG) 4.7 FT ft.(m) � ', �, s-,',1'�/22/a5"�,° o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 � ` �',�• . J y�a tr o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. 1 certify that the informafion in Secfions A,8,and C on this certifiicate represents my best efforts to interpret the data available. I understand that any false stafement may 6e punishable by fine or imprisonment under 18 U.S.Code,Secfion 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN F�:S 5052 , ,� .; •TITLE COMPANY NAME- `' • t x;.°;' PRESIDENT KY�EIN&�TAUB SURVEYING INC.' �`�' ADDRESS CITY' STATE ZIP CODE 8016 Old County Road 54 New Port RiGhey FL 34653 SIGNATURE > f JATE TEL"FFFfONE ( �122105, , � (727),834�140 FFMA Fnrm R1-31 .laniiarv�M3 SPa ravarca si�la fnr r.nntinuation. Ranlar.ac a�l nravinus ariitinnc . IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: BUILDING STREET ADDRESS(Induding Apt,Uni�Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � • � , 181 Bri htwater Drive, UNIT No.1 . , CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) • Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agent/company,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certi�cate is intended for use as supporting information for a LOMA or LOMR-F; Section C must be completed. E1.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.) E2.The top of the bottom floor(including basement or endasure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6�$with openings(see page 7),the next higherfloor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SEGTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes SecGons A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are conect to the best of my knowledge. • PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments ' SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local,official vrho is aumonzec by Istiv or crrtlinance to administer the communitys 800dplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate, Complete the appliczble item�s)and"sign below. G1.❑The in`s�nation�fn Sec6on C w�s�aken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or local raw to cerfify e!evatior iriformation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A communiiy o�aal com�e�d Secz��r E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0. G3.0 The follo�Mng;nformation(Item;�C�-G9)is provided fa community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(i�Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE � SIGNATURE DATE • COMMENTS DEVEL4PME�T �� Y OF C�EARW,4T�� ❑Checkhereifattachments FEMA Form 81-31,January 2003 Replaces all previous editions �� . � � , ' ,��:� ��A�F 4`4�a� ��$Grc j� 3 � "�� ` � CITY OF CLEARWATER .Y� f ,f��,� � � 'Y'�sw g 5 . . � ��•�.� '.� u��. ��e � �`�, <��# DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT �. , � �a4�'��R� POST�FFICE BOX 4748� CLEARWATER� F�o�DA 33758-4748 ��v x;'� MUNICIPAL SERVICES BUILDING, lOO 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 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 Policy Number A2.BUILDING STREET ADDRESS(including Apt., Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 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 B4.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 12103C0102 5/17/2005 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 89:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the building 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,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 ceRificates shall be maintained by the community and copies with the attached memo made availab/e by request FRANK HIBBARI),MAYOR GEORGE N.CRE"1'EKOS,COUNCILMEMBER JOI IN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMBGR � CARI.EN A.PE"1'ERSEN,COUNCILMEMBER ��EQUAL EMYLOYMENT AND AFFIItMATIVE AC1'ION EMYLOYER�� C � ��v� � � � � � 7 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ,,._, :• " Expires December 31, 2005 -� ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Canpan��Use: BUILDING OWNER'S NAME Policy Number '� r-_ DIGIOVANNI PARTNERS, LLC UNIT No. 1 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brighiwater Drive C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residential,Non-residential,Addidon,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 City of Clearwater 125096- PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of floodirg) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ 611.Indicate the elevation datum used for the BFE in 69:❑NGVD 1929 �NAVD 1988 ❑Other(Describe): 612.Is the building located in a Coastal Bamer 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. •;2.Building Diagram Number 7 (Select the building diagram most similar to the building forwhich this certi�cate 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,AWA1-A30,AWAH,AWAO Complete Items C3.-a�below accortling 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 tlatum to that used for the BFE.Show field measurements and datum conversion calcula6on. Use the space provided or the Comments area of Section D or Section G,as appropnate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments (1929)4.981{1988)4.191=077 ;=;..,'y04 ; Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � " <;�?`�"�k �`; `,3 o a)Top of bottom floor(including basement or endosure) 5.0 . FT ft.(m) � P , 6 '"�`a � '� o b)Top of ne�higherfloor 14.94 . FT ft.(m) � ~'�'p'R�`"'� ".'"�3 '� o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) "� �;, ,'a :��`:�r o d)attached garage(top of block) 5.0 Fi' ft.(m) �� : �-% `° ' W � w., ,;;; -s v .�c > "-. o e)Lowest elevation of machinery andlor equipment ��; j� 4. � A yC �.>° -�_ servian the buildin Describe in a Comments area 11.0 . FT ft.m � ' { � � �'� ,-�' 9 9� ) � ) �� ,.,� �,� o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z N J��+ a�.� � �� - o g)Hi ghest ad jacent(finished)grade(HAG) 4.7 FT ft.(m) � !p��'`(��'�5", o h)No.of permanent openings(flood vents)within 1 ft.above adjacent gr�e 6 � ' o i)Total area of all permanent openings(flood vents)in C3.h 1728 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATIO 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,B,and C on fhis cerfificate represenfs my best efforts to interpret the dafa available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME • PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE 05/26/05 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance company use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , 181 Bri htwater Drive, UNIT No.1 ' ' � CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent gratle. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the ne�higher floor or elevated Floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local offlcial must oertify this infom�ation in Section G, SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct fo the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS � ❑Check here if attachments � SECTION G-COMMUNITY INFORMATION(OPTIONAL) The loca!offiaal�vho�s a�,�thonzed by lau��or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete;he applicabl�iterr��)and sign below. G1.❑The in`�rmatior in Sec��on C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or local la�N to ceRif�+elevation info�mation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A corr�munity official corr��lsted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following'infcn�naCion(!tems G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: �New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flootling at the building site is: __ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE • COMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions /- :-��' � e� � �°{d� l� . FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 • � ELEVATION CERTIFICATE Important: Read thr:instructions on pages 1 -7. JOB No.030111.2 ;FCTION A-PROPERTY OWNER INFORMATION For Insurance Canpany Use: • BUILDING OWNER'S NAME Policy Number D I G I O V A N N I P A R T N E R S, L L C U N I T N o. 1 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,rf 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 61.NFIP COMMUNITY NAME 8 COMMUNIIY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096- PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Communiiy Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe): B12.Is the building located in a Coastal Barrier Resourczs 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 Construdion 'A new Elevation Certficate will be required when construction of the building is complete. •C2.Builtling Diagram Number 7 (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,AWA,AWAE,AWA1-A30,AWAH,AWAO Complete Items C3:a-i below aarording to the buiiding diagram specfied 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 NAVD 1988 Conversion/Comments (1929�.981�1988�.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � o a)Top of bottom floor(induding basement or endosure) 5.0 . FT ft.(m) � `;� r , o b)Top of next higher floor 14.94 . FT ft.(m) � �;�j , o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) o o j�'` � ' %; o d)attached garage(top of block) 5.0 . FT ft.(m) E� � :_ � . o e)Lowest elevation of machinery and/or equipment �; , ,-?? � `� 1�� r � serviang t he bui l ding(Descn b e in a Commen ts area) 1 1.0 . F T ft.(m) �� ,(�r �� ,�. o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z m ��` 'i � o g)Highest adjacent(finished)grade(HAG) 47 FT fl.(m) � ��'�; �.��C}J��6/05,. , � '. o h)No.of permanent openings(flood vents)��thin 1 ft.a6ove adjacent grade 6 J `''E�� ` o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. I certify that the information in Sections A, 8,and C on this certificate represents my best efforts to interpret the data available. I understand that any false sfatement may be punishable by�ne or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old Counry Road 54 New Port Richey FL 34653 SIGNATURE , � .---� DATE TELEPHONE �,_—• ,, -�'� ��-= 05/26/05 (727)834-8140 �� _..___ /� FEMA�orm 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In tnese spaces,copy the corresponding information from Section A. For�nsurance comPany use: - BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri htwater Drive, UNIT No.1 , CI7Y STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. • COMMENTS ITEM C3e IS ELEVATOR ❑Check here if attachments SECTION E-BUILDING ELEVATtON INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as suppoRing information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood tlepth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfatements in Sections A,B,C,and E are correct to the best ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local ufnaal who is authori�e�by la.w ar ordinance to administer the community's floodplain management ortlinance can complete Sectioris A,B,C(or E),and G of this Elevation Certificaie. Comnlete the applica�le item(s;and sign below. G1.❑The informaiion in Sectio��C w�taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or la al law to.artify elevation infcrmation. (Indicate the source and date of the elevation tlata in the Comments area below.) G2.❑H rommunity officia�completed Section E for a building located in Zone A(without a FEMA-issued or communiry-issued BFE)or Zone A0. G3.❑The foilowing informaticn(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions �J y"� ��/� '��% 1 ) �4r= . FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 , Expires December 31, 2005 . � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insuranoe Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 2 BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 2,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.2�29 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 ##.#�#i#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD 1NSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNfTY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125096- PINELLAS FLORIDA B4.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe): B12.Is the building located in a Coast�Barrier Resoum.es System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings` �Building Under Constructiofi ❑Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. �2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cerfificate 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,AWA1-A30,ARIAH,AR/AO Complete Items C3.-a�below aabrding 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 NAVD 1988 Conversion/Comments (192914.981{1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � . o a)Top of bottom floor(induding basement or endosure) 5.0 . FT ft.(m) � , , . ;i o b)Top of neact higher floor 14.94 . FT ft.(m) � , , � ,� � �. o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o � `� o d)attached garage(top of block) 5.0 FT ft.(m) �� ;, ,, , ` F o e)Lowest elevation of machinery and/or equipment w; % ; � y�„ �,� ..,:` , serviang the building(Descnbe in a Comments area) 11.0 . FT ft.(m) E@ .' °- �' �' � o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z� �,��'�� ,'�E�` HA 4.7 FT ft.m � „, ��;��,s _ ,�, ' � o g)Highest ad�acent(firnshed)grade( G) _ ( ) � � ,, Q�/tC�/05,� ;' o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 �� '� ;��' � o i)Total area of all permanent openings(flood vents)in C3.h 1728 sq.in. r SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATI01�! 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,8, and C on this certi�cate represents my best efforts to interpret fhe data available. I understand thaf any false sfatement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE / - DATE TELEPHONE �%� ��--�� ^ � 05/26I05 (727)834�140 �-�"""� ��.-s�� 2,✓��-e,�' _-��- � ��-, FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance comPany use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri htwater Drive, UNIT No.2 CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. • COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Buiiding Diagrams 6�with openings(see page 7),the next higher floor or elevated fioor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the buifding is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The locai official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representa6ve who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued a community- issued BFE)or Zone AO must sign here. The statements in Secfions A,B,C,and E are correct 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 ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local ofnual who is authorized hy Idw or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Ce�ificatE. Com�iete ihP applicable iterr�;s)and sign below. G1.0 The information in Section��was taken from other documentafion that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or locai law to certify Eieva�i�n iriformation. (Indicate the source and date of the elevafion data in the Comments area below.) G2.�A comm�niN o�cial completed SE,'ction E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The following informatinn(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions � ` �� FEDERAL EMERGENCY MANAGEMENT AGENCY r�'�� `�� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 . � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance��mpany Use: BUILDING OWNER'S NAME Po;icy Number DIGIOVANNI PARTNERS, LLC UNIT No. 3 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 3,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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 COMMUNfTY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125096- PINELLAS FLORIDA B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (ZoneAO,use depih of flood'mg) 12103CA102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source�the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): 811.Indicate the elevation datum used for the BFE in 69:�NGVD 1929 �NAVD 1988 ❑Other(Desaibe): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings` �Building UnderConstruction' ❑Finished Construction *A new Elevation Cerfificate will be required when construction of the building is complete. �2.Building Diagram Number 7 (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,AWA,AWAE,ARIA1-A30,AR/AH,ARIAO Complete Items C3.-a-i below according to the building diagram specfied 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 NAVD 1988 ConversioNCanments (1929)4.981�198814.191=0.77 :: Elevation reference mark used LABI NS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � . ' �� , � � . '` o a)Top of bottom floor(induding basement or endosure) 5.0 . FT' ft.(m) � - ; ., `, � o b)Top of next higher floor 14.94 . FT ft.(m) �' ' a" � ' o c)Bottom of lowest honzontal structural member(V zones onty) N/A . FT ft.(m) o o � • .�. , o d)attached garage(top of block) 5.0 . FT ft.(m) W� � . , j � ,� o e)Lowest elevation of machinery andlor equipment - ' � ' ��j �' servicing the building(Descnbe in a Comments area) 11.0 . Ff ft.(m) E � I ' l! . � .` o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z'� ��' /�'�a,'!A T o Hi hestad'acent finished rade HAG 4.7 FT ft.(m) � '�' +,`' i.:j �/2�/05 ` 9) 9 1 � )9 � ) — � �, � ., o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 J / o i)Total area of all permanent openings(flood vents)in C3.h 1728 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATIO 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 certificate represents my 6esf efforfs fo interpret the data available. I understand that any false sfafemenf may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001, CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE � � � DATE TELEPHONE � --''� -- 05/26/05 (727)834�140 i / --- F itA�Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance comPany use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri htwater Drive, UNIT No.3 CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner, • COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certficate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(including basement or endosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certiiy this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are coirect to the besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by!aw cr ordinance to administer the community's floodplain management ordinanoe can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s!and sign below. G1.❑The infornation in Secaon C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local la�v to certify e�2vation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The following infon�,�.�tian(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flootling at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions t j�.�,,: � � i� �i� FEDERAL EMERGENCY MANAGEMENT AGENCY `'��f � � � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 � � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insuranoe Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No.4 BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) Lot 4,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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): ( #�t#°-##'-##.##" or ##.######°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNffY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096- PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flood'mg) 12103C0102G G SEPTEMBER 03,20U3 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Communiiy Determined ❑Other(Desaibe): 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 Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Constn�ction Drawin.gs* �Building Under Construction' ❑Finished Construction A new Elevation Certificate will be required when construction of the building is compiete. �2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cerfificate 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,AR/AE,ARIA1-A30,AR/AH,AR/AO Complete items C3.-a�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 Secbon G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments (192914.981-(1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � �, o a)Top of bottan floor(induding basement or endosure) 5.0 . FT ft.(m) � �, •5 �''�r; E� o b)Top of next higherfloor 14.94 . FT ft.(m) �' � '' ,� °:,' „ � o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o ` '��: � , 'b�- o d)attached garage(top of block) 5.0 . FT ft.(m) E� ; �; • ,� o e)Lowest elevation of machinery and/or equipment W �; ; � �; ��1 y ,�t D ;Y serviang the building(Describe in a Comments area) 11.0 . FT ft.(m) �� %� ;Cy� �' ; o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z'm ' � ,, y ' N� t� �`,�'_ o g)Highest adjacent(finished)grade(HAG) 4.7 FT ft.(m) � •�, '.,'��ft/05, �� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 J �'`� o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. 1 certify that the informafion in Secfions A,B,and C on this cerfificate represents my best efforfs to interpret 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 LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Po�t Richey FL 34653 SIGNATURE / DATE TELEPHONE 05/26/05 (727)834�140 J,, __ ; FFMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: - BUILDING STREETADDRESS(Induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri hiwater Drive, UNIT No.4 - CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. • COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communitys floodpiain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfafements in Sections A,B,C,and E are conect to the besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The loca;omcial wF��is authorize.i by I?w or ordinance to administer the community's floodplain management ordinance can compiete Sections A;B,C(or E),and G of this Elevation Certificaia. ComF;ete the applicab�E ite�m(s)and sign below. G1.�The informa�or,in Spctior G was t�en from other documentation that has been signed and embossed by a licensetl surveyor,engineer,or architect who is authonzed by state or IoczJ law to ce;�fy elevation infc�nation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The folio�Mng informa6;.�i�(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: �New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(inclutling basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)tlepth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions _ .,.. � �, %' -� ` �`,� '3 ' r :� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 • � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 5 BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive C��. STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 5,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if ner,essary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): � �°_��_�.�^ o� �.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME 8 CON�vIUNITY NUMBER 62.COUNTY NAME B3.STATE City of CleanNater 125096- PINELLAS FLORIDA B4.MAP AND PANEL 87.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of floodrcg) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0 610.Indicate the source of the Base Fioai Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Desaibe): B12 Is the building located in a Coastal Barrier ResourGes 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 c�nsUuction of the buiiding is complete. �2.Building Diagram Number 7 (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,AWAE,AWA1-A30,ARIAH,AR/AO Compiete Items C3:a-i below aa�rding 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,conveR the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of SecGon D or Section G,as appropriate,to document the datum conversion. Datum NAVD 1988 ConversionlComments (1929)4.981-(1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � ; o a)Top of bottom floor(induding basement or enclosure) 5.0 . FT ft.(m) � �-1' o b)Top of next higherfloor 14.94 . FT ft.(m) `� �`�; � ; o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT fl.(m) o o ~1 �j , �'� ' o d)attached garage(top of block) 5.0 . FT ft.(m) w � '�'� ; � ry� , a, ` ` o e)Lowest elevation of machinery and/or equipment �j �� , ` serviang the buiiding(Describe in a Comments area) 11.0 . FT ft.(m) �� , �� o fl Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z'� + •�, o g)Highest adjacent(finished)grade(HAG) 4.7 FT ft.(m) �� +�� ."`'fk5/2f/0"5 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 � �' '�'<;>'};� , o i)Totai area of all permanent openings(flood vents)in C3.h 1728 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 ceRify elevation information. 1 certify that the information in Sections A,8,and C on this cerfificafe represents my besf efforts to interpret the dafa available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 "' DATE TELEPHONE SIGNATURE�� i/ �� 0526/05 (727)834�140 , � _ (;' �, FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ali previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: - BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri htwater Drive, UNIT No.5 " CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community oificial,(2)insurance agenVcompany,and(3)building owner. • COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must ceRify this informa6on in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner a owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The stafements in Sections A,B,C,and E are coriect to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments � SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local o�icial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Com�lete the appiicable item!s}and sign below. G1.�The informati�n in Section C wa�ta�cen from other documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authorized by state or la;al law to c.ert'rfy elevat;on infor�naGon. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑/�community offici�!i;ompleted Section E for a building located in Zone A(without a FEMA-issued or communiiy-issued BFE)or Zone A0. G3.0 The iellowing information;Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED __— _ G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 2003 Repiaces ail previous editions ' �, /�• f j,,�`f: ��--- .��3 7 � FEDERAL EMERGENCY MANAGEMENT AGENCY • NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 � � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 6,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residential,Non-residen6al,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.##fl##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUN(TY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096- PINELLAS RORIDA 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 85.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIf2EVISED DATE B8.FLOOD ZONE(S) (Zone A0,use deplh of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,20U3 AE EL.11.0 610.Indicate the source of the Base Flood Eleva6on(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe): B12.Is the buiiding located in a Coast�Barrier Resourc,es 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 Cerfificate will be required when construction of the building is complete. �2.Building Diagram Number 7 (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,AR/AE,ARIA1-A30,AWAH,AR/AO Complete Items C3.-a-i below aocording 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 appropnate,to document the datum conversion. Datum NAVD 1988 ConversionlCanments (1929�4.981-(1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � -�� °!.�., o a)Top of bottom floor(induding basement or endosure) 5.0 . FT ft.(m) � ;� �' .��„, �' '; o b)Top of ne�higherfloor 14.94 FT ft.(m) � �'d;�,•.`;�o'. �.` ��> o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o � ,°� 1 �� ' ':`�. o d)attached garage(top of biock) 5.0 . FT ft.(m) �� ;C,� �= 1`F" j1 ; : o e)Lowest elevation of machinery and/or equipment w � • `� �� r; 1� a V•. •: serviang the building(Describe in a Comments area) 11.0 . FT ft.(m) � @ �%i~� ', y` }I/� '� o �Lowest adjacent(finished)grade(LAG) 4.5 . FT ft.(m) z� !�� '� �\ i' ` :�,'' o g)Highest adjacent(finished)grade(HAG) 47 FT ft.(m) � � � %�, ��1�/2�,1p� '`_ o h)No.of pertnanent openings(flood vents)within 1 ft.above adjacent grade 6 � �+`'� ,'�.` ' " o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. 1 cerfify that the information in Sections A,8,and C on this certi�cate represents my best efforts to interpret the data available. 1 understand that any false statemenf may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 1001. CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNA�� ,--`" _ � DATE TELEPHONE � � {'i'�� s''--- 0526/05 (727)834-8140 /—� r � ; �FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. Forinsurance com�any use: - BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 181 Bri htwater Drive, UNIT No.6 - CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. . COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) . E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfatements in Sections A,8,C,and E are conect fo the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE � SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local off�ual who i�authorized�y!aw er ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete tha:pplicable:!em(s;and sign below. G1.�The in�ermation ir Section C was t�ken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or iocal 1aw to certify e1�;vation infom�ation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community c�icial completed Section E for a builtling located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following informatien f liems G4-G9)is providetl for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for:�New Construction ❑Substantial Improvement G8.Elevation of as-built lowest 800r(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is; _._ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions �� ,��'`�'''�f— _� �� FEDERAL EMERGENCY MANAGEMENT AGENCY � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 � � '��`� ` Expires December 31, 2005 , ' ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. JOB No.020024.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CLEARWATERTOWNHOMES, INC. UNIT No. 1-10 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 161 BRIGHTWATER DRIVE C�N STATE ZIP CODE CLEARWATER FLORI DA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.) LOTS 1-10, ISLAND TOWNHOMES Plat Book 127,Pages 46-47 BUILDING USE(e.g.,Residential,Non-residential,Addition,Acce.ssory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): � �°_��_�.�� o� �.�°) ❑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 City of Clearwater 12509fr0102-G PINELLAS FLORIDA 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0 ' B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Communiiy Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe): B12 Is the building located in a Coast�Bamer Resources System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Buiiding elevations are based on:❑Construction Drawings` �Building Under Construdion` ❑Finished Construction *A new Elevation Certificate will be required when cbnsVuction of the building is complete. •C2.Building Diagram Number 7 (Select the building diagram most similar to the building fa which this certificate is being compieted-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,AWA,ARIAE,AR/A1-A30,ARIAH,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,conveR 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 NAVD 1988 Conversion/Comments N/A `.? Elevation reference mark used LP-15, EL.=4.191 Dces the eleva6on reference mark used appear on the FIRM? ❑Yes �No ' o a)Top of bottom floor(induding basement or enclosure) 5.50 . FT ft.(m) � ' "�,- o b)Top of next higher floor 15.67 . FT ft.(m) � � '� o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) o o � ; ' � o d)attached gara ge(to p of block) 5.50 . FT ft.(m) �� ^` ,"� `' ` , o e)Lowest elevation of machinery andlor equipment W�'�� ' � � M! '. + � �.:; serviang the buiiding(ELEVATOR EQUIPMENT) N/A . FT ft.(m) � �� \ ° ` " o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z�'� 3, (1 ;�Z$ g(��`` o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � �' �%; C8/'f.ri/0� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � ' o i)Total area of ail permanent openings(flood vents)in C3.h 1280 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 elevation information. 1 cerfify that the information in Sections A,B,and C on this certificate represents my best efforfs to interpret the data available. 1 understand that any false statement may be punishable by fine or impnsonmenf under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC, �ADDRESS CITY STATE ZIP CODE 8016 Old CountyJ� ad 54 New Port Richey FL 34653 SIGNATURE� ,y� J '� � DATE TELEPHONE 08115/05 (727)834-8140 ,� _.._. FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 161 BRIGHTWATER DRIVE UNIT No.1-10 . CIIY STATE ZIP CODE Company NAIC Number � CLEARWATER FLORIDA 33767 SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. • COMMENTS N/A ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Ce�ificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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 buiiding,provide a sketch or photograph.) E2.The top af the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statemenfs in Sections A,B,C,and E are correct to fhe best ofmy knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is aut�onzed hy law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Comp;ete the applicable item(sj and sign below. G1.❑The informatic;�in Section C wss taken fi�om other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation inforr�ation. (indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offiaal contpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following inforrnaticn(Iterns G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME:�_� � ' ": , �°��•�. �,�-.z , ; ,�, TITLE ' ' - - � � ' �� ` �� COMMUNITY NAME „ a;� �' ;,- � :�� ._�� TELEPHONE � SIGNATURE „ DATE ,`:- a-��-, COMMENTS - � t" # .'1 6 y.� - .-..,:'--,..., _ ..�'-,.. =>'i. �2 �� ' ""`' ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions �,�� Y - �' ti�� 7 ;� �� J FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 , Expires December 31, 2005 �� ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. JOB No.030084.2 SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use: BUILDING OWNER'S NAME Policy Number PARADISE COVE, INC. UNIT No. 1-9 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BRIGHTWATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PRAPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7, PARADISE COVE PLAT BOOK 128,PAGES 19-20 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): � �°_��_�.�^ o� �.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNRY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125096,648�� PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): 611.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe): B12.Is the building located in a Coastal Bamer 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:0 Construction Drawings' �Building Under Construction* ❑Finished Construction 'A new Elevation Cerhficate will be required when construction of the building is complete. •C2.Building Diagram Number 7 (Select the building diagram most similar to the building forwhich this cert�cate is being completed-see pages 6 and 7. If no diagram aocurately 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,ARIA1-A30,ARIAH,ARIAO Complete Items C3.-a-i below accorciing 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 appropnate,to document the datum conversion. Datum NAVD 1988 ConversionlComments N/A Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No ,"-, `, - o a)Top of bottom floor(including basement or endosure) 5.75 . Ff. ft.(m) � <,,,'y�: o b)Top of next higher floor 15.91 : FT ft.(m) � ''�-/ ��'�.;, o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o � f •'�' ��, ` �' o d)attached garage(top of block) 5.75 : FT ft.(m) �� `�- +. ,. o e)Lowest elevation of machinery andlor equipment W`° t , . r`s � �' serviang the building(ELEVATOR EQUIPMENT) �UA . FT ft.(m) �� .,,�� '- 3, <:�� o fl Lowest adjacent(finished)grade(LAG) 4.2 . Fl ft.(m) �� ,'•"�.} ;•��:S 5052, , '.; o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ��T�,.QS/11/Q5- ` o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � f ' .' � o i).Total area of all permanent openings(flood vents)in C3.h 1280 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 elevation information. I certify thaf fhe information in Sections A,B,and C on this cerfificate represents my best efforfs to interpret the data available. I understand fhat any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. •ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE � - - 05/11/05 (727)834�140 FEMA Form 81-31,January 2003 See reverse side for continuation. Repiaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance comPany use: � BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 145 BRIGHTWATER DRIVE UNIT No. 1-9 • ° CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. • COMMENTS N/A ❑Check 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(without BFE),complete Items E1 through E4. If the Eleva6on Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this cerfificate is being completed-see pages 6 and 7. if no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(an)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: if no flood depth number is available,is the top of the bottom floor elevated in acc;ordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statemenfs in Sections A,8,C,and E are correct to the besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local off�dal who is authonzed'oy law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the a�licable item(s)and sign below. G1.❑The information in Section C��ras taken ftom other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to cerc�y elevation information. (Indicate the source and date of the elevation tlata in the Comments area below,) G2.0 A communiiy offiaal��pleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following informatior(!tems G4-G9)is provided for community flootlpfain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: �New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMfVIUNITY NAME -'e ,�a;;a z °� i g _ _ � � � ��. TELEPHONE s...._ .. . .. t ._. . ._..... ..3 SIGNATURF ; ti�� f<r ��f° , z ;:r � DATE COMMENTS . t �",� i�� i' � j k ` � �� ❑Check here if attachments FEMA Form 81-31,January 2003 `�- =-�"� '° '°$ � °` �-�-- Replaces all previous editions S��' � �e°"� �°`� FEDERAL EMERGENCY MANAGEMENT AGENCY �� =,.��t�''�v,t NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 , Expires December 31, 2005 " �.� ELEVATION CERTIFICATE U �� o � Important: Read the instructions on pages 1 -7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 2 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brighiwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 2,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residen6al,Non-residential,Addi6on,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):_ _ ( ##°-##'-##.##" or ##.#�#t#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:___ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096- PiNE��s FLORIDA 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building located in a Coastal Bamer 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 Construdion' �Finishetl Construction � 'A new Elevation Certificate will be required when construction of the building is complete. ,2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this ceRificate 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,AWAE,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 NAVD 1988 Conversion/Comments (1929)4.981-(1988)4.191=0.77 � Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � � -- o a)Top of bottom floor(including basement or endosure) 5.0 . FT ft.(m) � �y+ �'� � �n �,� � � � � � o b)Top of next higherfloor 14.94 FT ft.(m) -,, c , o c)Bottom of lowest horizontal structural member(V zones only) N/A FT ft.(m) � �,� I �' . �, o d)attached garage(top of block) 5.0 FT ft.(m) �� °= 4 - o e)Lowest elevation of machinery and/or equipment W`° ` ' � � ;, servicing the building(Descnbe in a Comments area) 11.0 FT ft.(m) �� - o fl Lowest adjacent(fnished)grade(LAG) 4.5 . FT ft.(m) z'� � � o g)Highest adjacent(finished)grade(HAG) 47 FT ft.(m) � ;�1 il22/0:�'� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 J o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. 1 cerfify that fhe information in Sections A,8,and C on this certificate represents my best efforfs fo interpret the dafa available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER� ' BRUCE A.KLEIN ' ° PL'�5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Roa New PoR Richey , FL 34653 SIGNATURE � . DAl'E TELEPHONE � 11/22/p5 (727)834-8140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number t. • , 181 Bri htwater Drive, UNIT No.2 � , CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) . Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building tliagram most similar to the building for which this certifcate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The propeRy owner or owners authorized representative who completes Sedions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME . ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments � SECTION G-COMMUNITY INFORMATION(OPTIONAL) The locz!officia!who is authorized by law or ordinance to administer the community's Floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete tf��e applicable itern(s)and sign below. G1.❑The infor�natior�in Sec±�cm C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to c;ertify eleva,er,infornation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offidal completetl Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following inforriatior(Items G4-G9)is providetl for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _,_ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE NOV 2 z 2aO5 DATE • COMMENTS DEVELnP� nE-r ��r.� ClTV OF C1 FAR�nierco ❑Check here if attachments FEMA Form 81-31,January 2003 Repiaces all previous editions ��--� '� Ce °�� °`� FEDERAL EMERGENCY MANAGEMENT AGENCY ¢;;��t 4�,,,� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ��e ,�� - Expires December 31, 2005 � � ,��.� ELEVATION CERTIFICATE I' 1' important: Read the instructions on pages 1-7. JOB No.030111.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No.2 BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 2,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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 COMMUNfTY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096- PINELLAS FLORIDA B4.MAP AND PA L B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER� B5.SUFFIX B6.FIRM ATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103CA10 G BER 03,2003 SEPTEMBER 03,2003 AE EL11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Deteanined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Desaibe): B12.Is the building located in a Coastal Bamer 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 Drauvings' ❑Building Under Construcfion' �Finished Construction `A new Elevation Certificate will be required when constn�ction of the building is complete. 2.Building Diagram Number 7 (Select the building diagram most similar to the building forwhich this cerfificate 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,ARlA,ARlAE,ARlA1-A30,AR/AH,ARIAO 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,conveR 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 appropnate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments (1929)4.981-(1988)4.191=0.77 ; ; , �, ,�� Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark usetl appear on the FIRM? ❑Yes � ,`��"'�' '+•1 � o a)Top of bottom floor(induding basement or endasure) 5.0 . FT ft.(m) � `� ��' o b)Top of next higher floor 14.94 FT ft.(m) � , '� �`�� cn 1 k �.w� a 9 � o c)Bottom o f lowest honzonta l structura l mem b er(V zones on ly) N/A . F T ft.(m) N�, ;� �� x� c� .;,,,� o d)attached garage(top of block) 5.0 FT ft.(m) E° � ;~� s� `� 1 o e)Lowest elevation of machinery and/or equipment W� ;�', � '> • �' � � � � serviang the building(Descnbe in a Comments area) 11.0 . FT ft.(m) j c ;,/_ ��.-��t t z� �` ..:'' o Lowestad'acent finished rade LAG 4.5 . FT ft.m z m � ` ; � ��. ,` fl � ( )s ( ) ( ) ��, , . r <: ;; . . � , ��, o g)Highest adjacent(finished)grade(HAG) 4.7 Ff ft.(m) � �;, ` -* 1��2%0�� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 ° � x J o i)Total area of all permanent openings(flood vents)in C3.h 1728 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a lantl surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that fhe information in Sections A,B,and C on this certificate represents my best efforfs to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S..Code,_Secfion,10,01:,.� CERTIFIER'S NAME LICENS�N,�IMBER t � �° BRUCEA.KLEIN °"' '`-`'�PL'S�505,� ,, ;.'' •TITLE CE)MPANY NAME a � '� PRESIDENT �'EtLEIN&STAUB SURVEYING INC ADDRESS CITY STATE ZIP CODE 8016 Old Couniy Roa New Port Richey , FL; 34653 SIGNATURE � . DATE� ' TELEPHONE � 11/22IQ5.`; (727)834-8140 FF��A Fnrm R1-31 .lan�iarv�M3 Saa ravarca ciria fnr cnntini iatinn Ranlacac all nravini ic ariitinnc IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance Com�any us�: BUILDING STREETADDRESS(Induding Apt,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ' , ' 181 Bri htwater Drive, UNIT No.2 . CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) • Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similarto 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.) E2.The top of the bottom floor(including basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higherfloor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent gratle. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statemenfs in Sections A,8,C,and E are correct to the besf ofmy knowledge. . PROPERIY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The loca officia!who is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete Se�tions A,B,C(or E),and G of this Elevation Certificate. Complete the applicable itern(s)and sign below. � G1.�The infonnatior��!Sec�an C was taken from other documenta6on that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authonzed by state or local law to c�rtify elev�ior,infornation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offiaal completeci Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following infQriatio^�(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMff ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of 800ding at the building site is: _._ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME - TELEPHONE SIGNATURE N�V 2 2 ZQ�5 DATE • COMMENTS DEVELnPn/�. ClTY OF �C:LEAR��T�� . .�,-,--�r ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces ali previous editions - e �,e '�''� +: ': �� ` `� CITY OF CLEARWATER � � ��., _ ��.rv, � �,�'z_ � DEVELOPMENT & NEIGHBORHOdD SERVICES DEPARTMENT ��:.. POST OFFICE BOX 4748� CLEARWATER� FLO�DA 33758-4748 MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756 TELErxoNE(72� 562-4567 Fn�c(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 Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 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 B4.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B� FIRM PANEL gg.FLOOD ZONE(S) B9 BASE FLOOD ELEVATION(S) NUMBER 5/17/2005 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) 12103C0102 B10. Indicate the source of the Base Fiood 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 B9:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. Is the building 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,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) Totai area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community Official: �levation certificates shal/be maintained by the community and copies wifh the attached memo made available by request FRANK HIBAARD,MAYOR GEORGE N.CRE7'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMBER � CARI.EN A.PE7'ERSEN,COUNCILMEMBER ��EQUAL EMYLOYMENT AND AFFIRMAI'IVE ACfION EMPLOYER� � � (� �- �G �(,— L 3 3 J� FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 , �'"� , � � ' Expires December 31, 2005 � ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.030111.2 � SECTION A-PROPERTY OVI"�ER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No.2 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive GTY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) Lot 2,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 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 NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 12509fr PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of fiooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe): B12.Is the building located in a Coastal Bamer 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 requiretl when construction of the building is complete. �2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this ceRificate 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,AWA,AR/AE,AWA1-A30,ARIAH,ARIAO 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,conveR 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 NAVD 1988 Conversion/Comments (1929)4.981-(1988)4.191=0.77 Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appearon the FIRM? ❑Yes � ,,:•��,� o a)Top of bottom floor(including basement or enclosure) 5.0 Ff ft.(m) � ,� �a ? :� `",y o b)Top of next higher floor 14.94 . FT ft.(m) `� "�'' r '� � } �� . ?v � t o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o � ` ��`� c"��;. �', o d attached ara e to of block 5.0 . FT ft.m �-� ''� �' , .,�,��'� �"�`�=. ) 9 9 � P ) � ) w � � �, ,, : o e)Lowest elevation of machinery and/or equipment ��; ;, __�� `"X�, �,,; serviang the building(Descnbe in a Comments area) 11.0 . FT ft.(m) �@ �� ` ' '� � ��fi= o fl Lowest adjacent(fi�ished)grade(LAG) 4.5 FT ft.(m) z� ��. ` /''�,n �'��w`' � , o g)Highest adjacent(finished)grade(HAG) 4.7 FT ft.(m) �N ` �'��b'� °'y `` o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 � "�+.�`��,,.,,'° o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. I certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpref the data available. I understand that any false statement may be punishable by�ne or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER JACK W.SMITH PSM 6140 TITLE COMPANY NAME • PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE 05126/05 (727)834�140 Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions . _ _ IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � , - .+ ' 181 Brightwater Drive, UNIT No.2 � CITY STATE ZIP CODE Company NAIC Number , CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFIGA7i0N(CONTINUED) • Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)buildir��c�r,ier. COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest atljacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h antl C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS � ❑Check here if attachments ,�_�� SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local o�icial who is authorized�y law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Comp!zte tnF applicable i�err{�)and sign below. G1.❑The information i�i Section C wae�tak�n from other documentation that has been signed and embossed by a licensetl surveyor,engineer,or architect who is authorized by state or local law to�rtify e;EVation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A commurity nfficial�mpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The foilowing informatior,(i!ems G4-G9)is providetl for community floodplain management purposes. �----G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED --- G7.This permit has been issuetl for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flootling at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE � �'f�� -�� ,m COMMUNITY NAME TELEPHONE �. `s� SIGNATURE DATE w>� ��T � 3 2005 ' • COMMENTS �- r+�r � n� f"',�,Ar��1��R ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM . " ' Expires December 31, 2005 - ELEVATION CERTIFICATE important: Read the instructions on pages 1 -7. JOB No.030111.2 � SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number DIGIOVANNI PARTNERS, LLC UNIT No. 2 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 181 Brightwater Drive CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 2,VILLA DEL SOL OF CLEARWATER P.B.128,PGS.28-29 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LC�NGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-#,-.##" or ##.#i#�) ❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. - SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COA�A�AUNITY NUMBER 62.COUNTY NAME 63.STATE City of Clearwater 125096- PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in 69:❑NGVD 1929 �NAVD 1988 ❑Other(Describe): 612.Is the buildng 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. Building Diagram Number 7 (Select the building diagram most similar to the building for which this cerfificate 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,AWA1-A30,AR/AH,AR/AO Complete Items C3.-a�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,conveR 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 Sedion G,as appropriate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments (1929)4.981�1988�4.191=0.77 t --r . - Eleva6on reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � , , 'b - o a)Top of bottan floor(induding basement or endosure) 5.0 . FT ft.(m) � � o b)Top of next higherfloor 14.94 . FT ft.(m) `� � �� { ; � .a'�i m _ ��`�, ..., r �, ��'.� �`'" .- o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) N m; - � �- ty o d)attached garage(top of block) 5.0 . Ff ft.(m) �-�g� � % - - ' o e)Lowest elevation of machinery and/or equipment w i°' ` '- - ,- -�; ,.. seroiang the building(Describe in a Comments area) 11.0 . FT ft.(m) E� _ ',� -'-` � ` � o fl Lowest adjacent(finished)grade(LAG) 4.5 . Ff ft.(m z'� �� `� ` � ; '`� % 1 � �� y, ,. _ �'•C.. o g)Highest adjacent(finished)grade(HAG) 47 FT ft.(m) � J'`, -.� 15�22/0�A: o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 6 J o i)Total area of all permanent openings(flood vents)in C3.h 1728 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 elevation information. I cerfily that the information in Sections A,B,and C on this certificate represenfs my best efforfs to interpret 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 NAME LICENSE NUMBER' : � BRUCE A.KLEW ' PLS 5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. ��RESS CITY STATE ZIP CODE o Old County Roa�� New Port Richey FL 34653 SIGNATURE .i" "` " ,�---,, 3 ,% ` DATE TELEPHONE / „�''.._...�-- , ��--1� ; 11/22/05' (727)834-8140 ,�____- FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTAPJT: In these spaces,copy the corresponding information from Section A. For insurance comPany use: BUILDING STREET ADDRESS Qncluding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number _ � 181 Brightwater Drive, UNIT No.2 " CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenVcompany,and(3)building owner. • COMMENTS ITEM C3e IS ELEVATOR ❑Check 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(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as suppo�ting information for a LOMA or LOMR-�j Section C must be completed. E1.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.) E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i oniy),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The stafements in Secfions A,B,C,and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CIIY STATE ZIP CODE • SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the communit�s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable itern(s)and sign below. ' G1.0 The informatior.!ri Section C�vas taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify eleva;en infornation. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community offidal completeri Se�tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following inforr�atior�(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: ❑New Construction ❑Substantial improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum: G9.BFE or(in Zone AO)depth of fiooding at the building site is: _._ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME � TELEPHONE SIGNATURE � ��,� r ` � a �` DATE � � ��,�s • COMMENTS f�,—� }�ID� j�`" c�9 ��A�v,��€'�S`�.`° €�::�a"�=`� � P � ��y i�� .�'6'�° i...� �'��d ; ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions