130 BRIGHTWATER DR UNIT 1 �,�,� ,�.6�� - r±s��. r _ _ _ _
_ � , _ 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.020308.9
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
UILDING OWNER'S NAME Policy Number
BRIGHTWATER COVE, LLC. UNIT No.1
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
130 Brightwater Drive, UNIT 1
C�N STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 1-9 BRIGH7WATER COVE No.2 P.B.129,PGS.61-62
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
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVFJREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of 800ding)
�. �� �102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Intlicate 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.Builtling 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 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,AR/AH,AWAO
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
Sec�on D or Section G,as appropriate,to document the datum conversion.
Datum NAVD 1988 Conversion/Comments N/A
Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � - , ,r
e
o a)Top of bottom floor(including basement or enclosure) 5.58 . FT ft.(m) m ' '�
o b)Top of next higher 800r 15.12 Ff ft.(m) � �`��; 4 �?�
o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) y� _';j.� - ,,,'' �'�;'�j,• '
o d)attached garage(top of block) 5.58 . FT ft.(m) E� �� •°�� =� ° - � .
o e)Lowest elevation of machinery and/or equipment w � �'^'��
servicing the building(Descnbe in a Comments area) CN a��f N/A . FT ft.(m) �� `` _ � � �
o �Lowest adjacent(finished)grade(LAG) 5.0 FT ft.(m) z'� �; ����,, �r„ � 4 �� -
o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.m �� ✓- {� •,
( ) � •..�4/2�8/05-�M��.
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 10 J �-""`�� ,� '' �°� ,,,�
o i)Total area of all permanent openings(flood vents)in C3.h 1285 sq.in. <
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signetl and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation inform •,
I cerfify fhat the information in Secfions A,8,and C on this certificate represents my best efforts to interpret the data available. �
I understand that any false statement may be punishable by fine or imprisonmenf under 18 U.S. Code, Section 1001. " r�t�� u 3 ��
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANYNAME ���� �pMENT SVCS
RESIDENT KLEIN&STAUBSURVEYING,�NC. CITY OF r�FARWATEI�
,�DDRESS CITY STATE ZIP CODE
8016 Old County R d 54 New Port Richey FL 34653
SIGNATURE --�. DATE TELEPHONE
04128/05 (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 comPany use: .� .
., ,
BUILDING STREETADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
130 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
NIA
❑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 6-8 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)�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 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,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 officaal who is�uthorized bp 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 app!�cable i!em(�j and sign below.
G1.['„�The informa;ion in�;:�.;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 lu;al law io certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community oificial completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.0 The rollc�.ving information(IteTS 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 Construdion ❑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 DATE ,
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
�����°°a "' �' � FEDERAL EMERGENCY MANAGEMENT AGENCY p.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.020308.9 Fa Insurance Company Use:
SECTION A-PROPER7Y OWNER INFORMATION poiicy Number
1
BUILDING OWNER'S NAME �mpany NAIC Number
BRIGHTWATER COVE,LLC. UNIT No.1
BUILDING3 TRB 9h��RDri e(I UNIT'9�t'Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO.
STATE ZIP CODE
CITY FLORIDA �767
CLEARWATER
PROPERTY DESCRIPTtON(Lot and Block Numbers,Tax Parcel Number,Legal Desaiption,etc.
LOTS 1-9 BRIGHTWATER COVE No•2 P•B•�29.P�•61-62
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary•)
RESIDENTIAL HORIZONTAL DATUM: SOURCE: ❑GPS(Type): p�er.
LATITUDE/LONGITUDE(OPTIONAL) ��1927 �NqD 1983 ❑USGS Quad Map ❑
( ##°-##'-##.##" or ##.#�')
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B3.STATE
62.COUNTY NAME FLORIDA
61.NFIP CAMMUNITY NAME 8 COMMUNITY NUN�ER p�NELLAS
City of Clearwater 125096 g7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
B4.MAP AND PANEL �SUFFIX B6.FIRM INDEX DATE EFFECTIVEh2EVISED DATE B6.FLOOD ZOP1E(S) C�A0,use deplh of floodu�9)
EL11.0
NUMBER G ���ER�,� SEPTEMBER 03,2003
102
. �o
610.Indicate the source of the Base Flood Elevation(BFE)data or base flood dePth entered in B �er Describe):_
❑FIS Profile �FIRM ❑Community Determined �NAVD 1988 ❑������1�—
B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 � y� No p�ignation Date_
812.Is the buildin located in a Coastal Bamer Resou N S BUILDING ELEVAT ON INFORMATION(SURVEY R�EQUIRE�D)
SECTI�
Buildin Under Constniction' �Finished Construdion
C1.Building elevations are based on:[]Construction Dra,Nings` ❑ 9
'A new Elevation Certificate will be required when conslruction of the building is complete.9 9 s 6 and 7. If no diagram
�.Building Diagram Number 7 (Select the building diagram most similar to the buildin fa which this cerfificate is bein completed-see page
� 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,AR1A,ARIAE,AWA1-A30,ARIAH,AR/AO
Canplete Items C3:a-i be�ow aarording to the building diagr field me�uremtents and dtatu hconv�ersion calcu ation�Use the�sp provided or Uie Comfinents aea of
Section B,convert the datum to that used for the BFE.Show
Section D or Section G,as appropriate,to document the datum conversion.
NIA
Datum NA._ VD�988 ConversionlComments ; . ; �
`'�.i � : .
Elevation reference mark used LABINS EL.=4.191 Does the elevation reference 5 5 used ap�a�(m)e FIRM? ❑Y� � ,+ , �/
o a)Top of bottom floor(induding basement or endosure) �n � • ' � ?
15.12 . FT ft.(m) �o `'w�� .'
o b)Top of next higher floor NIA . F?ft.(m) �o L r',`'' <' o �° � ''
2 (Y:
o c)Bottom of lowest horizontal sWctural member(V zones on�y) 5� � ��m� � � -w��� � E �„;
to of block w `° �'� °af �
o d)attached garage( p ) -� �?�
o e)Lowest elevation of machinery andla equipment cN Q f °' ` �
servian the building(Descnbe in a Commenis area) oo N/A . Ff ft.(m) E� , a ' � ta����
, _ _`
9 5.0 FT ft.(m) °' � : � :'; ' s „ �.
o fl Lowest adjacent(finished)grade(LAG) z°'� ' `��4/�$/,Q�� r°d
N I�.�,i�I i,,.'� �.
5.1 FT ft.lm) � �/��^+ '+ � t° ��"y'
o g)Highest adjacent(finished)grade(NAG) �
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 10 ;.,� y y�� ,,,
o i)Total area of all permanent openings(flood vents)in C3.h 1285 sq•i��
SECTION D-SURVEYOR,ENGINEER,OR ARCHfTECT CERTIFICATION
This certification is to be s 9 n Sect onsaA,Bband C on this certificaterepresents roy best effo�oyint rpret the data availableo� r
I certify that the informatio �r'� �3 ��
I understand that any false statement may be punishable b fine or imprisonment undICEN E NUMBER ection 1001. T Sv CS
CERTIFIER'S NAME PLS 5052 pM EN
BRUCEA.KLEIN COMPANYNAME C�-� pF G�FARWATEF
TITLE KLEIN&STAUB SURVEYING,INC.
YRESIDENT ��� STATE ZIP CODE
ADDRESS F� 34653
New Port Richey
8016 Old County R 5� DATE TELEPHONE
SIGNATURE j 0428105 (727)834-8140
See reverse side for continuation.
Replaces all previous editions
FEMA Form 81-31,January 2003
For Insurance Company Use. '� � • '
IMPORTANT: In these spaces,copy
the corresponding information from Section A. poii�y Number
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andla Bldg.No.)OR P.O.ROUTE AND BOX N0. Z�P CODE Comp��Y�IC Number
130 Bri htwater Drive, UNIT No.1 STATE �376� � •
CITY FLORIDA
CLEARWATER
SECTION D-SURVEYOR,ENGINEER,OR ARCHffECT CERTIFICATION(CONTINUED
insurance agenUwmpany,and(3)building owner.
�opy both sides of this Elevation Certificatefor(1)commun'�ty offiaal,(2)'
COMMENTS
NIA
�Check here if attachments
DING ELEVA710N INFORMATION(SURVE`!NOT REQUIRED)FOR ZONE AO AN�ZONE A(WRHOUT BFE)
SECTION E-BUI� rtin information for a LOMA or LOMR-F,
�rnthout BFE),comp�ete 11ems E1 through E4. If the Elevation Certificate is intended for use as sUPPo g �6 and 7. If no diagram accuratelY
For Zone AO and Zone A( � leted–see Pa9
SecGon C must be canpleted• simitar to the building for which this cerhficate is being�p
E1.Building Diagram Number_(Seled ihe b�ikling diagr�n most the hi hest adjacent grade. (Use
rovide a sketch or photograph.) m m cm above or ❑b��(chedc one) 9
�epresents the building,p
E2.The top of the bottom floor(induding basement or endosure)of the building is _ft•l )— �� �
natural grade,'rf available). nin s see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)—in.(�)ab°ve the highest adjacent
E3.For Building Diagrams 6-8 w�th°P� g � ������e)the highest adjacent grade. (Use
grade. Complete items C3.h and C3.i on front of form. m in pn above a ❑
�orm of machinery andlor equipment serviang the building is _ft•� )— •� ��
E4.The top of the pl am management ordinance?
natural grade,'rf available). �f the bottom floor elevated in accordance`Mth the�°mmunit�s floodpl �
E5.For Zone AO on�y If no flood dePth number is available,is the top
❑Yes ❑No ❑
Unknown.The local offipal must certifY this ir�ormation in Section G.
SECTION F-PROPER7Y OWNER(OR 0 BNER'�SnRC PR�S�CMo TY�nd E fo ZFone A(O out a FEMA-issued or communily-
owner or owner s authorized representative w ho c a n p����o n s A, , ( _
The property �
issued BFE�or Zone AO must sign here. me st�em���n�EN ATBI E'S NAME co�to the best of my kno w l 9e• '
PROPERTY OWNER S OR OWNER'S AUTHORIZED REPRE STATE ZJP CODE
CITY
ADDRESS DATE TELEPHONE
SIGNATURE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNfT`(�NFORMATION(OPTIONAL)
law or ordinance 10 adminisler the communit�s floodplan management ordinance can complete Sections A,B,C(a E),
and G of this Elevation
The local o�iaal`�o is authorized by and sign be�ow•
a licensed surveyor,engineer,or architecl who is authorized by state
Certificate. Complete the ap�!'�'-�e�'��'�
G1.[�j The infama;ion in S�.'cUon�n�oarmatia�i (I�decatehUe source and date of thenelg alion dat n the Comments area below.)
or Ic�al law to certify elevatx�
muni official complet�d��on E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A .
G2.C�A com b
�,3.�The idlc�Mng information(Items G4-G9)is provided fa commundy floodPlain management purpo •
G6.DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G4.PERMIT NUMBER
G5.DATE PERMff ISSUED
Substantial Improvement — ft�m� Datum:_.
G7.This pem�it has 4��i��fo��N��struction ❑ p�um:_
� � mdudin basement)of the building is _{�.(m)
G8:Elevation of as-built lowest���ag��ik�ing site is:
__.�g.BFE or(i�7�e Aa)d� TITLE
LOCAL OFFICIAL'S NAME TELEPHONE �
COMMUNITY NP,ME DATE
SIGNATURE
COMMENTS
❑Check here if attachments
Replaces all previous editions
FEMA Form 81-31,January 2003�.
.
}� 5��
����
� CITY OF CLEARWATER
• � h`� ��
� �� �t�� : DEVELOPMENT & NEIGHBORHOdD SERVICES DEPARTMENT
��� ,
�:, POST�FFICE BOX 4748� CLEARWATER� FLO�DA 33758-4748
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.FARWATER,FLO�uDn 33756
' TELEPxoNE(72� 562-4567 FAx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION
In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
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(inciuding 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:0 GPS(Type):
(##°-##'-##.##" or ##.�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map�Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE
64.MAP AND PANEL B7.FIRM PANEL B9.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
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe)
612. Is the building located in a Coastal Barrier Resources S stem(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 buiiding 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 ConversionlComments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1 ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
Comments:
Date of Review: Community Officiai:
�levation certificates shall be maintained by the communiry and copies with the attached memo made available by 2quesf
FRANK HIBAARD,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMRER JOIIN DORAN,COUNCILMEMRER
PAUL F.G16SON,COUNCILMEMftER � CARLEN A.PE7'ERSEN,COUNCILMGMBER
��EQUAL EMYLOYMEN7'AND L�FF11tMA'17VE ACTION EMYLOYER��