130 BRIGHTWATER DR UNIT 9 FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
��0�� --��a3€� 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:
BUILDING OWNER'S NAME Policy Number
BRIGHTWATER COVE, LLC. UNIT No.9
BUILDING STREET ADDRESS(Including P,pt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
130 Brightwater Drive, UNIT 9
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY 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):
( ##°-##'-##,##" 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
B4.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding)
����-0102 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 Profle �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 Othenvise 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 compieie.
.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being compieted-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or phoiograph.)
C3.Elevations—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AR/A1-A30,AWAH,AWAO
Complete Items C3:a-i below according to the building diagram specifed in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Se;tion 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 appropriaie,to document the datum conversion.
Datum NAVD 1988 ConversionlComments NIA
Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Y'es �
o a)Top of bottom floor(including basement or enclosure) 5.58 F=f ft.(m) � , , , �
o b)Top of next higherfloor 15.12 FT ft.(m) �' ���°� ' `� { 'A
o cj Bohom of lowest horizontal sirucfural member(V zones only) IVIN i=T ft.(m) o o` ������ � ,'
o d)attached gara ge(to p of block) 5.58 FT ft.(m) E-� '� ,•'�.'' „�' } _ �
o e)Lowest elevation of machinery and/or equipment w � ., � :,,� +�a ` + �
servicing the building(Descnbe in a Commenis area) N/A FT ft.(m) ��� �` � �
_ � @.,.�,, . r_. ..,. ..�
o fl Lowest adjacent(finished)grade(LAG) 5.0 FT ft.(m) z� � � •; �
o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � ��`�n �p�$/ �t " �
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 10 J ��;f,� . �� .;�
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 informa i
I cerfify that the information in Secfions A,B,and C on this cerfificate represents my best efforfs to interpret the data available. ,,
1 understand that any false stafemenf may be punrshable by fine or imprisonment under 18 U.S. Code, Section 1001. MA� �: � ��5 M
CERTIFIER'S NAME LICENSE NUMBER
BRUCEA.KLEIN P�s5o5z DEVELC�F'IVfENT �VCS
TITLE COMPANYNAME CITY QF rl..F.
�'RESIDENT KLEIN&STAUB SURVEYING,INC. '
.ARUVATER
�ADDRESS CITY STATE ZIP CODE
8016 Old Counry, ad 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� .. r 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 ir,surance company use: _
BUILDING STREET ADDRESS Qnduding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
130 Brightwater Drive, UNIT No.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 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,'rf available).
E3.For Building Diagrams 6�with openings(see page 7),the ne�1 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 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 ofticial who is authonzed tr��'�or ordinance to administer the community s floodplain manag2ment ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the app6ca�le item;s)antl sign below.
G1.❑The informotion in S�ction C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by stafe
or)xal law to certrfy°levation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A community offiaai comple4ad Strtion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.[�'The tollowing informa`tion(ltems G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NU dER 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 Replaces all previous editions
FEDERAL EMERGENCY MANAGEMENT AGENCY
�/"/)�� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
�,�-����W�--(��jc�3� 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:
BUILDING OWNER'S NAME Policy Number
BRIGHTWATER COVE, LLC. UNIT No.9
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
130 Brightwater Drive, UNIT 9
CIIY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCR�PTfON(Lot and Block Numbers,Tax Parcel Number,Legaf Description,efc.)
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
LATITUDEJLONGITUDE(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 COMMUNffY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 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 flooding)
����64frcti— 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 eniered in 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_
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 Resour�es System(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buiiding 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.
� r�.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certficate is being completed-see pages 6 and 7. If no diagram
acxurateiy 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,AR/AO
Compiete Items C3:a-i below accorcling 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 sp�e 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 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) 5.58 . FT ft.(m) � �', '
o b)Top of ne�higherfloor 15.12 . FT ft.(m) � �. .�t+y�,° � � •�
o c)Bottom of lowesi honzontal structural member(V zones oniy) NIA FT ft.(m) �� �„%'� r', F ���j� �"
o d)attached garage(top of biock) 5.58 . FT ft.(m) �g �� -� �.�� ��j'� � ; ?_
3
o e)Lowest elevation of machinery and/or equipment W� `' '`� � ` :�=�
� �,t "s�.°'a. . ,
seroicing the building(Descnbe in a Comments area) N/A . Ff ft.(m) E�r' � �' c� ;�'
o fl Lowest adjacent(finished)grade(LAG) 5.0 FT ft.(m) z'� a - •j y` �: � �
o g)Highest adjacent(finished)grade(HAG) 5.1 FT fl.(m) �� ,��x��, �`p q,��'Jg/�y��`�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 10 � " , � ' � '" '�'`
*_�;
o i)Total area of ali permanent openings(flood vents)in C3.h 1285 sq.in. ; �� ' " 's F'
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ' '�"J
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation inform _ �„,`'
1 certify that fhe information in Sections A,B,and C on this certificafe represenfs my best efforts to interpret the dafa aveilable.
I understand that any false stafemenf may be punrshable by fine orimprisonmenf under 18 U.S.Code,Section 1001. ��3 MAY C 3 t��
CERTIFIER'S NAME LICENSE NUMBER
BRUCEA.KLEIN P�s5o�2 DEVELt�PMENT SVCS
TITLE COMPANYNAME CITY UF �;!_FqRU1/ATEF
�'RESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
� 8016 Old County ad 54 New Porf Richey FL 34653
SIGNATURE� DATE TELEPHONE
� 04C18/D5 (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 Insu2nce Company Use: _
BUILDING STREEf ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number •
130 Brightwater Drive, UNIT No.9
��' STATE ZIP CODE Company NAIC Number +
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) / �
Copy both sides of this Elevation Certi6cate for(1)community official,(2)insurance agent/company,and(3)building owner.
t
COMMENTS
N/A
❑Check here rf 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 canpleted.
E1.Building Diagram Number_(Select the building diagram rrmst similar to the building for which this certificale is being completed—see pages 6 and 7. If no diagram�curately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or endosure)of the building is _fl.(m)_in.(cm)0 above or ❑below(check one)tfie highest adjacent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6-8 with openings(see page 7),the ne�higher floor or elevated floor(elevation b)of the twilding is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front ofform.
E4.The top of the platform of machinery andlor 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 community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local offiaal must certrfy this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESEMATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Secfions 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 sfatements in Sedions A,8,C,and E are correct to the besf 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-COMMUN(TY INFORMATION(OPTIONAL)
The local offiaal who is authonzed bV i�v 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 appiica�le item(s)and sign below.
G1.❑The informa6on in�on C�was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or ar�hitect who is authorized by state
or local law to certry Jevation infamation. (Indicafe the source and date of the elevation data in the Comments area below.)
G2.�A community offiaa�`completed S�r�n E for a buiiding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The foliowingrinform�bon(lfems G4-G9)is provided for community floodplain management purposes.
�
G4.PERMIT NUM'dER 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 a`s-builf lowe�t floor(induding basement)of the building is: __ft.(m) Datum:_
'G9.BFE or(in Zone AO)depth oj 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
- , •�»,���,:�.;_
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"&���� � F 's F DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
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�� � _„r , f �` POST OFFICE BOX 474H� CLEARWATER� FLOa�DA 33758-4748
4u A' �yi MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLORIDA 33756
TELEPHONE�7Z� 562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS & COMPLETION
In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community 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
64.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B�•FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S)
NUMBER EFFECTIVE/REVISED DATE (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 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 e^✓hen construction of the building is complete.
C2. Building Diagram Number (Select tl�e 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 equip�nent 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:
�levafion certificates shall be maintained by the community and copies with the attached memo made availa6/e by request
FRANK HIftBARD,IVIAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBER JO[IN DORAN,COUNCILMEMBER
PAUL F.GIBSON,COUNCILMEMBER � CARI.EN A.PE7'ERSEN,COUNCILMEMAER
��EQUAL EMPLOYMENT AND AFFIFtMATIVE AC1'ION EMPLOYER��