140 BRIGHTWATER DR UNIT 1 ��C�����-,��/�,�� 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.030094.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
HARBORSIDE TOWNHOMES, 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
140 Brightwater Drive
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lots 1 OF Harborside Townhomes (P.B.127,Pgs.80-81
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
� LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUh4: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
�4
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 B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding)
125096-0102 G SEPTEMBER 03,2003 SEF"��iv16ER 03,2003 AE EL.11.0
B1 . n i e e source of the Base Flootl 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:�Construction Drawings� I Building Under Construction' nished Construction
'A new Elevation Certificate will be required when construction of the building is com�lete.
C2.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,AR/AH,AWAO
Complete Items C3.-a-i below accortling to the building diagram spec�ed in Item C2.State the datum used.If the datum is different from the datum usetl 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 ConversioNComments N/A
Elevation reference mark used LABINS EL.=4.191 Does the elevation reference rnark used appear on the FIRM? ❑ Yes �
o a)Top of bottom floor(including basement or enclosure) 5.49 FT ft.(m) m Y
o b)Top of ne�higherfloor _15.67 . FT ft.(m) � ��,.� ;,�•�;�� t�� '
o c)Bottom of lowest horizontal structural member(V zones only) NIA FT ft.(m) N� �;+�' ,
o d)attachetl garage(top of block) 5 49 FT ft.(m) �� � ��✓ �'
o e)Lowest elevation of machinery and/or equipment w� ;� '` , �' �
�. �
serviang the building(Descnbe in a Comments area) 11.2 FT ft.(m) E� w' - , -; �.
o fl Lowest adjacent(finished)grade(LAG) 5.0 FT ft.(m) z'� a °c"' " �
, �
o g)Highest adjacent(fnished)grade(HAG) 5.1 FT ft.(m) � ,1 +.r`, .(�J1�4 ,,,;. �t ,
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 _ � � �' 3 "�' " � '
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 cerfify that the information in Secfions A,8, and C on fhis certificate represents my best efforfs 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
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
�
08/16/04 (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 insuranoe com�any use:
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
140 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 agenUcor�pany,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(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 serviang the building is _fl.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent orade. (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 Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issuetl 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 authorized by lavu 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 applicable item(sl and sign below.
G1.❑The information in Scc�„tion C was t3ken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or lo�al law;o certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offidal completed Sc��tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.0 The fd!gwing infom�ation(Items G4-G9)is provided for communiry 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 DATE
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
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SURVEYORS • ENGINEERS • LnND PLANNERS
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and/ot Beeigna, Associated L�nd 'fitle Croup, 7nc. , Commonwealth . �u �i.rs COUNTY, FLORIDA
Land Title Insurnnce Compnny
LEGAL D6SCRIPTION: I�I
Lot 48, BAYSIUG SUDUIVISION N0. 2, according Co the pint chereof n9 recorded
in Plat Book 27, Pages 32 nnd 33, of. the Public Recor.cls of I'inellas CciunCy, Clorlda. O
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SURVEYOR'S NOTES:
1.) AU. CORNERS f(H111U IIAVF. I!0 N11A1[tER DESICI7Al111C !`RFNOUS SIIRVEYOR OR COMf N1Y FxcrPt nc ci�rew�.
�. Aff. S•CAfLUrc .,��� .;;�•,:"_', :,;� efEnt,i7s:•r.0 rrit �'I.nt �RILE;S qlliERYASF. NOIEU.
J. 1�0 �.INOERG�oUNU ENCROACyIAlEN15, FOUNDA1101:5 cNt 1111tJ1!ES IUVE PEEIJ IOCAIEU OR SIICw11 IINLESS O111ERNASE NOIEU.
1.� NO INSIRUMENfS OF RECORD RFFLECIINC EASEMEIIiS, RIG!(iS--OF-WAY Al1U/OR Ori11EA51!!� WFRE FI�RIlISIIED 11115 SURVEYOR
EXCEPT AS SIIONM IiEr+EOrl. ���
SJ EIEVAl10N DMUAI:----.------!��- HENCIIlAAfiK:-_.--._-_—/l4—
BASIS OF' BEARINGS.�!.�?lYY L!�!E��%F I-TN!ATCR OR!f!E_:_V• 9•02�//"E�OaR o[/�r _-•--
6.) 11115 IS IO CERIIfY IIUI 1 IIAVF CUIISULlEp IIIE �FUERAL IIISUIIAIICF AI�MIIlISIItAIIW�f1.1HN��1IAZARII BOUNU�RY MAP
COMMUNIIY No._!Te5Q9� PnIJEI No. �(��Q EfFfC11VE pAIE __�'l9_'.?1_. M�U IIIF IIEREUH I�ESCRI�EO �
PRO!'ERfY MPEARS 10 BE IfJ 7.Ot�F.�.E_. WIIII A BASE EiFVAII(HJ UF 1%00 _.._IA.S.L.
7.) TIIE SURVEY pEPIC1ED IIFREON i5 HO! C01�EpED HY PROFESS�OMAI LIABII.ItY IIJSURAHCF.
' • ABBREVIATION LEGEND: CER7IFIED FOR Bou.�oa,eV SU�✓6Si
• f.I.R FWND IRON ROD, SI2E INDICA7ED SEC. SEC110N I IIEREBY CERTIFY i11AT 71115 SURVEY IAEETS T}IE MINIMUM
S.I.R. SET IRON ROD, 1/2' LB. No. 5�08 1WP. TONTiS111P TECHNICAL STANUA(tOS AS SET FOR1H BY TF1E FLORIDA
F.�p. FOUND IRON PIPE, SIZE INpICATED RCE. RANGE BoARD OF PROFESCIONAL SURVEYORS AND MAPPERS IN
F.N.u. FOUNO NAN. AND DISK � DEED cIUP7El2 etr,17-e, FtoRIDA ADI�INISTRAIIVE cOUE,
S.N.D. SET NAIL AND DISK, L.B. No. 51oe P PLAT PURSUAN� fo SF.C11P1� 172.027, FLORIDA SiAiUIES.
� F.C.M. FClJND CONCREiE MONUTAENT �A1 MEASURED ^ REVISED: •
P.R.M. PER�AANENT REFERENCE MOKUMENT (C CALCULAIE� � REVISED:
P.C.p. PERWF.NENT CoNTROL PoINi CoNC. CONcRETE DAiE; 7/?41R4
Yo P.i. PdNT Oq° INiER5EC110N COV. COVERED
�.C. PdNT OF CURVE �SP{I. ASPIIALT F r✓�1.e0 �• ELL/OTr� P•L.S 'M'J9a7
P.0.0. POINT OF 9E�INNINC P�A1T. PAVEMfNT UtJLESS IT BEARS 11fE SICNAIURE AND 111E ORIGINAI RAISED
R/W RICNT-OF-WAY FI.EV. ELEVAl1oN SEAL OF A FLORIDA LJCENSED SURVEYOR AND MAPPER 11119
TYP. TYPICAI N]' Nou9E Y/E URAINNG, SKFTCl1, PIAT OR AIAP IS FbR INFORMAIIONAI
I'URPOSES.(1111.Y AIID (S t101 VAl ID.
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. Poiicy Number
140 Brightwater Drive UNIT No.1
CITX 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(induding basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)tfie highest adjacent grade. (Use
natural grade,'rf 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 _fl.(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 seroiang 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 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 representa6ve 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 of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHOWZED 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 authonzed t�y law�r ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Completz the a�plicable�!em(s)and sign below.
G1.0 The�nformauon in Section 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 IavJ!o certriy elevation infermation. (indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal campletec�Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.0 The follov�ng informatioi�(I±ems 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 ❑Substantiai 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 DATE
COMMENTS •
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces ali previous editions
FEDERALEMERGENCY 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.030094.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
HARBORSIDE TOWNHOMES, 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
140 Brigh(water Drive
CITY STATE ZIP CODE
CLEARWATER FLORIDA 337g7
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1 OF Harborside Townhomes (P.B.127,Pgs.80-81
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 �p��:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 12509fr0102 PINELLAS FLORIDA
64.MAP AND PANEL 67.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 floodig)
12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0
B10.Indicate the source of the Base Flood Eleva6on(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 Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUI
C1.Building elevations are based on:�Construction Drawings' iuilding Under Construction* �inisherl Con
*A new Elevation Certificate will be required when constniction of the buildng is complete. �
C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this certificate is being ed-see pages 6 and 7. If no i
accurately represents the building,provide a sketch or photograph.) MAY 19 Zp05
.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,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�i�r�N�r��th�����e��
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use��pr�o��(�r��r�e f-�R
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 Dces the elevafion reference mark used appear on the FIRM? ❑Yes � � ,�a � ; �..;
o a)Top of bottom floor(induding basement or endosure) 5.49 . FT ft.(m) � --
o b)Top of neact 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 , �4 `
o d)attached garage(top of block) 5.49 . FT ft.(m) E� _ '*
o e)Lowest elevation of machinery and/or equipment W `° � � T, '�
servidng the building(Descnbe in a Comments area} 11.2 . Ff ft.(m) �� ;, ;�
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z'm � •
o g)Highest adjacent(finished)grade(HA�) 5.1 FT ft.(m) �� � '� ,p�gp�$� -�-,
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � �� � ,��
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.
1 certify that the informafion in Sections A, B,and C on this certificate represenfs my besf efforts to interpret the dafa available.
1 understand that any false statement may be punishable by�ne or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITCE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
�DRESS � CITY STATE ZIP CODE
6 Old County R,pa 54 ! New Port Richey FL 34653
SIGNATURE � , � ; •'" ,.— _., DATE TELEPHONE
, ,��,_---,� � �' ' 05118/05 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Repiaces all previous editions
(�,� L�r�i���.��n+� FEDERAL EMERGENCY MANAGEMENT AGENCY
��°�� ��r ' �'--'3 -�� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
- Expires December 31, 2005
� � ELEVATION CERTIFICATE
� (���m�ortant: Read the instructions on pages 1-7. JOB No.030094.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
HARBORSIDE TOWNHOMES, 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
140 Brightwater Drive
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1 OF Harborside Townhomes (P.B.127,Pgs.80-81
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
IATITUDE/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 COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096-0102 PINELLAS FLORIDA
64.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 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 Determi�ed ❑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 REQUI
C1.Building elevations are based on:�Construction Drawings' iuilding Under Construdion' �inished Con
'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 certificate is being ed-see pages 6 and 7. If no i
accurately represents the building,provide a sketch or photograph.) MAY 19 2005
C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,ARIA1-A30,ARIAH,AR/AO
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is��r�����'�e��(`is
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use���pr�i c��C�i���ef'��
Section D or Section G,as appropnate,to document the datum conversion.
Datum NAVD 1988 ConversionlComments N/A """'�
Elevation reference mark used LABINS EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes � 4�u � �� i�.�,
o a)Top of bottom floor(induding basement or endosure) 5.49 . FT ft.(m) � w ,,'�>��M ' �'
o b)Top of ne�higher floor 15.67 FT ft.(m) � ' `'�.'$,, Y �„ ,, , �
,�,�;�. vdi ,
o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) o o ;:d; .�r Q., � • "
o d)attached garage(top of block) 5.49 FT ft.(m) �� - w :�' `�
o e)Lowest elevation of machinery and/or equipment W@ ` �i� � � ��
a � �"v : „y ��_—
serviang the building(Descnbe in a Comments area) 11.2 . FT ft.(m) �@ �- � ,:� �L �,;
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z�'� ��� � ;� s•'�"`
o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � �,x�17�f FBt��"°�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 �
���"
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 ceRify elevation information.
1 certify that the information in Sections A,8,and C on this cerfificate represents my best efforfs to interpref the data available.
I 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.KLEIN PLS 5052
TITLE COMPANY NAME
• PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
05/18/05 (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
140 Bri htwater Drive UNIT No.1
��n 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 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 antl 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�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 adj�:ent 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 owner's 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 Secfions A,8,C,and E are correct to fhe best of my 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 local offir,ial who is authnnzed 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
Certincate. Complete the a;�plicable�tem(s)and sign below.
G1.�The�nformation in Section(;was;�ken from other documentation that has been signed and embossetl by a licensed surveyor,engineer,or architect who is authorized by state
or loca!lav�to ce�tify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A community official a�mplete�Section E for a building located in Zone A(without a FEMA-issued or community-issuetl BFE)or Zone A0.
G3.❑The followmg�nformatior�jl�ems 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 issuetl 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 DATE •
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
S��-� ��� �,� L�r1+���"\�d� FEDERAL EMERGENCY MANAGEMENT AGENCY
. g—'3 -a� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
� � • ELEVATION CERTIFICATE
3 (� 1�m�ortant: Read the instructions on pages 1-7. JOB No.030094.2
SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use:
BUILDING OWNER'S NAME Policy Number
HARBORSIDE TOWNHOMES, LLC UNIT No. 1
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAiC Number
140 Brighiwater Drive
CITY STATE ZiP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.)
Lot 1 OF Harborside Townhomes (P.B.127,Pgs.80-81
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 62.COUNTY NAME B3.STATE
City of Clearwater 125096�6?fl2` 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) (Zone A0,use deplh of flooding)
12103CA10 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 89.
❑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�Bamer Resources System(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUI
C1.Building elevations are based on:�Construction DraJVings' 3uilding Under Construction' �inished Con
'A new Elevation Certi6cate will be required when construction of the building is complete.
•C2.Building Diagram Number 7 (Select the building diagram most similar to ihe building for which this certificate is being ed-see pages 6 and 7. If no i
accurately represents the building,provide a sketch or photograph.) MAY 19 2005
C3.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AR/A1-A30,ARIAH,AR/AO
Complete Items C3.-a-i below accorcJing to the building diagram specified in Item C2.State the datum used.If the datum is���r�ll�i���t ��'�ie�J�'
Section B,conveR the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use i,�pr�a��(�i��r�e�-E R
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 � �''; '�'a .� "-.r,,
o a)Top of bottom floor(induding basement or endosure) 5.49 . FT ft.(m) � �`',,�
o b)Top of ne�higher floor 15.67 . FT ft.(m) �
� --.I� -a�,U i`: '
o c)Bottom of lowest horizontal structural member(V zones only) NIA . Ff ft.(m) o o , : . " f°� -
o d)attached garage(top of block) 5.49 . FT ft.(m) E� �' : " ?� 4- --
o e)Lowest elevation of machinery and/or equipment W � � �
�� "� . ... - .
servidng the building(Desaibe in a Comments area) 11.2 . FT ft.(m) �� + ��'� 'S, �.
o fl Lowest adjacent(finished)grade(LAG) 5.0 . FT ft.(m) z m _�`s-,� �
�
o g)Highest adjacent(finished)grade(HAG) 5.1 F7 ft.(m) � 'r,=��,CJ9pt$LrQ*�5�"-�•�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � '� ��
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in.
SECTION D•SURVEYOR,ENGINEER,ORARCHfTECT 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 certificafe represents my best efforfs to inferpret the data available.
1 understand that any false sfatement 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 Counry R 54 New PoR Richey FL 34653
SIGNATURE DATE TELEPHONE
05118/05 (727)834-8140
�
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. Fa insuran�Company use:
BUILDING STREET ADDRESS(Induding Apt.,Uni�Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
140 Bri htwater Drive UNIT No.1 �
�m' STATE ZIP CODE Company NAIC Number ' • •
CLEARWATER FLORIDA 337g7
SECTION D-SURVEYOR,ENGINEER,OR ARCHfTECT 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(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 fr$with openings(see page�,the next higher 800r 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 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 communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknovm. The local offiaal must c�rtify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or ovmer's 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 sfatemenfs in Secfions A,8,C,and E are correcf fo the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CIIY STATE ZIP CODE •
CI(_NATI IRF IIATF TFI FPI-I(JNF
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized N�law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certifiate. Complete the a��licable�tem(s)and sign below.
G1.❑The inform�on in Section C was;aken from other documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authorized by state
or local law to certriy elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal campletec��ection E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0.
G3.�The followirg�nformatior�(I±E�rns 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 ❑Substantiai 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
•
❑Chedc here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
. . ,"
��
� � C ITY OF C LEARWATER
� ��� A
'�'= ` DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
Q�•�� , �
POST�FFICE BOX 474g� CI.FARWATER� FLO�DA 33758-4748
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756
TELEPxoNE (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 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 B2.COUNTY NAME 63.STATE
City of Clearwater 125096
B4.MAP AND PANEL B7.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)
12103C-0102 5/17/2005
B10. indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in 69:❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe)
B12. Is the building located in a Coastal Barrier Resources S stem(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Desi nation 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 Official:
�levation ceRificates shall be maintained by the community and copies with the attached memo made availab/e by request
FRANK HIRBARI),MAYOR
GEORGE N.CRE'CEKOS,COUNCILMEMBGR JO[IN DORAN,COUNCILMEMBER
PAUL F.GIBSON,COUNCILMEMA@R � CARI.EN A.PE'I'ERSEN,COUNCILMEMRER
��EQUAL EMPLOYMENT AND AFFI}tMATIVE ACTION EMPLOYER��