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130 BRIGHTWATER DR UNIT 4 - , , FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 . �(�1(��-�a 31 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020308.9 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BRIGHTWATER COVE, LLC. UNIT No.4 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 130 Brightwater Drive, UNIT 4 CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.) LOTS 1-9 BRIGHTWATER 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 B3.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of flooding) C� c "G0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood E�evation(BFE)data or base floal depth entered in B9. ❑FIS Profle �FIRM ❑Community Determinetl ❑Other(Descnbe):_ VD 1929 NAVD 1988 ❑Other Describe:_ B11.Indicate the elevation datum used for the BFE in B9:❑NG � � ) B12.Is the building located in a Coastai Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_ i 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. ' I the buildin dia ram most simitar to the buildin for which this certificate is being completed-see pages 6 and 7. If no diagram .2.Building Diagram Number 7 (Se ect g g 9 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,AWA1-A30,ARIAH,ARlAO 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 Conversion/Comments NIA 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 enclosure) 5.58 FT ft.(m) � �,,�` � / '"�� v� �,r � ' o b)Top of next higher floor 15.12 FT ft.(m) ,,� ,. � o c)Bottom of lowesi horizontal structural member(V zones only) NIA FT ft.(m) �o w,°, e�' �� .��. o d)attached garage(top of block) 5.58 . FT ft.(m) �� .r„ �,, � � o e)Lowest elevation of machinery and/or equipment �� `� ''`' ,� � � servicing the buiiding(Descnbe in a Comments area) NIA FT ft.(m) �� ` � ``� o fl Lowest adjacent(finished)grade(LAG) 5.0 FT ft.(m) �� ,%•`;�� "'� �� o g)Highest adjace�t(finished)grade(HAG) 5.1 F_f fl.(m) � � �,�it `04/28/05 '�� ' + o h)No.of permanent openings(flood vents)within 1 fl.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 signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation infor I certify fhaf fhe informafion in Secfions A,B,and C on this certificate represenfs my besf efforts fo interpret fhe dafa 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 ��Y O � ��c 5 BRUCE A.KLEIN PLS 5052 �TITLE COMPANY NAME DEVEL�PMENT SVCS RESIDENT KLEIN&STAUB SURVEYING,INC. ��ARVIIAT ADDRESS CITY STA FZ 0 ER 8016 Old County Ro 54 New Port Richey FL 34653 SIGNATURE ! DATE TELEPHONE / _ 04/28/05 (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 insur�nce Com�any use: _ BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 130 Bri htwater 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 Certifcate 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 Certi6cate is intended for use as supporting information for a LOMA or LOMR-F, Secfion C must be completed. E1.Building Diagram Number_(Select the buiiding diagram 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 endosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (Use natural grade,'rf availabie). 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 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 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 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 loczl off�ciai who is autho�zed oy law or ordinance to administer the community's flootlplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Compiete ti ie appGcable item(s)and sign below. G1.[]The infor,mation in Section C was taken from other documentation that has been signed and embossetl by a licensed surveyor,engineer,or architect who is authonzed by state or locai law to certify e!evation information. (Indicate the source and date of the elevation data in the Comments area below,) G2.❑A�com��unity officia!mmpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.0 The following informati�n(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 all previous editions . FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �2��a 31 ELEVATION CERTIFICATE Expires December 31, 2005 • Important: Read the instructions on pages 1-7. JOB No.020308.9 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number BRIGHTWATER COVE, LLC. UNIT No.4 BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 130 Brighiwater Drive, UNIT 4 C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTI'DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOTS 1-9 BRIGHTWATER 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): � �°_��_�.�� 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 63.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUf BER r 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of floodirg) � 0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0 B10.Indicaie 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 69:0 NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building located in a Coastal Bartier 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 for which this certificale is being completed-see pages 6 and 7. If no diagram v 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,ARIA1-A30,AR/AH,AR/AO Complete Items C3:a-i below according to the buiiding diagram specfied in Item C2.State the datum used.if the datum is di�erent from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum�nversion calculation. Use the space provided or the Commenis area of Section D or Section G,as appropnate,to document the datum conversion. Datum NAVD 1988 Conversion/Comments N/A Elevation reference mark used LABINS EL.=4.191 Does the elevation reference maric used appear on the FIRM? ❑Yes � _ ,;°' , ' �` o a)Top of bottom floor(including basement or endosure) 5.58 FT ft.(m) � , ' o b)Top of next higher floor 15.12 FT ft.(m) � ��:��`�,�'�� o c)Bottom oi lowest horizontal structural member(V zones only) NIA FT ft.(m) �o y,��Iy-�-� s`' � o d)attached garage(top of block) 5.58 FT fl.(m) E� > ;� � 'r�� o e)Lowest elevation of machinery and/or equipment �; %�`-�� + � ',�` �::. servidng the building(Descnbe in a Comments area) N/A . FT ft.(m) E� :� �� o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT fl.(m) �� c" 3 �� " '� ��' ", o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � j �04/28l05 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 10 � ' �- !' `:y,'- � o i)Totai 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 signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation info 1 cerfify fhat the information in Secfions A,8,and C on this certificafe represents my best efforfs to interpret fhe dafa available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Secfion 1001. CERTIFIER'S NAME LICENSE NUMBER ��Y O � ��c 5 BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME DEVELOPMENT SVCS pRESIDENT KLEIN&STAUB SURVEYWG,INC. • ADDRESS CITY STA Fzp��qR�/ATER 8016 Old County Ro 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE , 04/28/05 (727)834�140 FFMA Form 81-31.Januarv 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,Un�,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 130 Bri htwater Drive, UNIT No.4 CffY STATE ZIP CODE Company NAIC Number � _ CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHfTECT CERTIFICATION(CONTINUED) / • t Copy both sides of this Elevation Certificate for(1)commun'�y offiaal,(2)insurance agenUcompany,and(3)building ownec COMMENTS N/A ❑Check here'rf attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITNOUT 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 floa(induding 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�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. Compiete 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 aca�rdance with the communilys 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 canpletes Sec6ons 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 \ � CI�NQTI IRF �pT` T`��oy��L COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local offiaa�who is authaized'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 ii-�a applicable item(s)and sign below. G1.0 The inf�rnation in SecNon 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 law to certify�'evation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A corrumunity o�cia�completed Sec.tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The following information(Items G4-G9)is provided fa communiiy floodplain management purposes. C�4.PERMff NUtv1BER 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 IowesTfloor(induding basement)of the building is _._ft.(m) Datum:_ G9.�BFE or(in Zone A0�dep�i�f fl�ding at the building site is: _._ft.(m) Datum: �-- — LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE StGNATURE DATE � COMMENTS • ❑Check here if attachments FEMA Form 81-31,January 20D3 Replaces ail previous editions 't�rc `* '�� ITY OF CLEARWATER � � C � '�` �� q=~�� £�� ' DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT , „ ., .. - � POST OFFICE BOX 474H� CLEARWATER� FLO�DA 33758-4748 MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 TELEPxorrE(72� 562-4567 Fnx(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 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:0 GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑ Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE 64.MAP AND PANEL 67.FIRM PANEL 89.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 - 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) 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 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 tlie building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents) 1 ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community O�cial: �levation certificates shall be maintained by the commundy and copies with the attached memo made availab/e by request FRANK HIRF3ARD,MAYOR GEORGE N.CRE'l'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMBER � CARI.EN A.P@1'ERSEN,COUNCILMEMBER ��EQUAL EMYLOYMEN'1'AND AFFIRMA'I'IVE AC7'ION EMYLOYEK�