145 BRIGHTWATER DR UNIT 1 � � , FEDERALEMERGENCY MANAGEMENT AGENCY
� � � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
' � �� �� �� - ���J �� ELEVATION CERTIFICATE Expires December 31, 2005
Important: Read the instructions on pages 1-7. JOB No.030084.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
SUILDING OWNER'S NAME Policy Number
John W.Withers
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
145 BRIGHNVATER DRIVE 6/N�� �.-
CITY STATE ZIP CODE
CLEARWATER FLORIDA 3g7g�
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 1, PARADISE COVE PLAT BOOK 128,PAGES 19-20
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGtTUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
� ��"�-�•�� °f �•��) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME 8�COMMUNITY NUMBER 82.COUNTY NAME 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flaoding)
12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE
EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)tlata or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in 69:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_
B12.Is the building located in a Coastal Bamer Resoum,es System CBRS)area or Otherwise Protected Area(OPA? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:0 Construc6on 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 certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G;as appropriate,to document the datum conversion.
Datum NAVD 1988 Conversion/Comments N/A
Elevation reference mark used_LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No � �+?" ��"',
o a)Top of bottom floor(including basement or enclosure) 5.75 FT fl.(m) - �` y 9`°•a�•: ��
o b)Top of next higher floor 15.91 FT ft,(m) � °''�`.°�, �,�,�, ♦
o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) N� � n�-� ^7�"� `�;,
o d)attached garage(top of block) ^ 1
5.75 . FT ft.�m) �°, � '='� '�"' '
, � ,..
o e)Lowest elevation of machinery and/or equipment lu- ,,�;,.,-� 1.r'E -
serwcing the building(ELEVATOR EQUIPMENT /� °' ''� `� �� _
) 11_75. FT ft.(m) �-�. ,, • �.,� �
o �Lowest adjacent(finished)grade(LAG) �-~--" �19 °!'�v�: �°r� '�'' ' �°
4.2 . Ff ft.(m) z.�' � � •� 4��:
o g)Highest adjacent(finished)grade(HAG) 5,1 . F_f ft.(m) N� �����'� ���' �
o h)No.of permanent openings(flood vents)within 1 ft.above atljacent grade 14 � �`±,���05�OS`�'
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. J
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 information in Sections A,8,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable b fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
JACK W.SMITH
PSM 6140
TITLE COMPANY NAME
�PROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC.
DDRESS CITY STATE
8016 Old County Road 54 ZIP CODE
SIGNATURE � - New Port Richey FL 34653
% J DATE TELEPHONE
r-
---�--w� C✓ � 05-05-06 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation.
Replaces all previous editions
� IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance company use:
�—
BUILDIN(=STREE7;,DDP,ESS Qnduding Apt.,Unit,Suite,andlor BkJg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
r' '�"' 145 BRIGHTWATER DRIVE UNIT No.1-9
' CITY ' � STATE ZIP CODE Company NAIC Number
CLEARWATER " ��'� � FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
py both sides of this Elevation Certificate for(1)community offidal,(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. tf the Elevation Certificate is intended for use as supporting informa6on for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Select the building tliagram most similar to the building for which this 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 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The sfatements in Sections A,8,C,and E are correct to the besf of my knowledge.
�OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
,�DRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS —
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),antl G of this Elevation
Certificate. Complete the applicable item(s)and sign below.
G1.❑The information 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 local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued for:❑New Construction ❑Substantial Improvement
GS.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
'GNATURE DATE
�MMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
�_ _ .__ .. ._...
�,,. ..
w`��,�EDERAL EMERGENCY MANAGEMENT AGENCY
`3C� ��''�'�! - ��1��j � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
-..-___.. ._ ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7. JOB No.030084.2
SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use:
BUILDING OWNER'S NAME Policy Number
PARADISE COVE, INC. UNIT No. 1
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
145 BRIGHTWATER DRIVE
CfIY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legai Description,etc.)
LOT 1, PARADISE COVE PLAT BOOK 128,PAGES 19-20
BUILDING USE(e.g.,Residential,Non-residen6al,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS(Type):
( �°-�#'-#�`#.#�" or #�.�°) ❑NAD 1927 ❑ NAD 1983 ❑USGS Quad Map ❑Other:__
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMIJ�UNITY NAME&COMMUNIIY NUMB�R 62.COUNTY NAMc B3.STATE
Ciry of Clearwafer 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL E9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B5.FIRM INDEX DATE EFFECTIVEJREVISED DATE B8.FLOOD ZON�(S) (Zone A0,use depth of flooding)
125090-0102 G SEPTEMBER 03,2003 SEPTEM3ER 03,2003 AE �L.11.0
310.Indicaie the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Pronle �FIRM ❑Community Determined ❑Other(Descnbe):_
B11.Indicaie the elevation datum used for the BFE in B9:0 NGVD 1929 �NAVD 1988 ❑Other(Descnbe):_
B12.Is the building located in a Coastal Bamer Resources System(CBRS)area or Othenvise Protc�ted Area(OPA)? ❑Yes �No Designation Date
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Buiiding elevations are bzsed on:0 Construction Drawings' �Building Under Construction` ❑Finished Construc�ion
',A new Elevation Certincate will be require�when construction of the building is complefe.
C2.Building Diagram Numb�r 7 (Sele�t the building aagram most similar to the building for which this ceriificate is being completed-see pages o and 7. If no diagram
accurately represents the building,provide a sketch or phoiograph.)
C3.�levafions—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,ARlA1-A30,AWAH,AR/AO
Compleie Items C3:a-i�low according to the building diagram sp�fied in Item C2.St3re th2 da'tum used.If the datum is different from tne datum used for the BFE in
Se�tion B,convert tne datum to that usetl for the BFE.Show iield measuremenis and daium conver�ion calculation. Use the space provided or the Comments area of
Se�iion D or Seciion G,as appropriate;to document the datum conversion.
Daium N,4VD 1988 Conversion/Comments N/A
Elevation r2ference mark used LP-15. EL.=4.191 Does the elevation reference mark used app�ar on the FIRN? ❑Yes �No ' �., , ° �
• ���,��a �„��
o a)Top oi bottom floor(including basement or enclosure) 5.75 FT ft.(m) � -Pl�ti ,.�. �,, f/�, ,
o b)7op o`next hianerfloor 15.91 r i ft(ml ���`� � `' -'� � �
�
o cj Boitom o�low�st norizontai struc[urai memb�r(V zones oniy) N/A �I it.(m) o o,,+,�..� �,��'- �'�'» �, � �a �� �
o d)atlached garage(top oi block) _�,5 FT ft.(m) E� �`�+ �-' ��.�.,,
' W m �"�
o e)Lowest elevation of machinery and/or equipmznt :��- s— � _
servicing the building(ELEUATOR EQUIPIJ�EN I) NIA FT ft.(m) � �� ���` � �
E� R� •, `.�
o t�Lowest adja�ent(finisned)grade(LAG) 4.2 FT ft.(m) z'� '� ' ,� ~' 1� `; ;;,
�
o g)Hignest adjacent(finished)grade(HAG) 5.� Fl ft.(m) � r� �s?s �•.,,��p�5(��•�Q�,�
o h)No.o�permanent o�nings(flood venis)within 1 ft.above adjacent grade 14 � ' ,�� � �,t":`�
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. ,
SECTION D•SURVEYOR,ENGINEER,OR ARCH(TECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevafion information.
I certify thaf the in�ormation in Secfions A,B,and C on fhis cerfificate represents my best efiorfs fo inferpret fhe data availabie.
1 unders(and that any false statemenf may be punishable by fine or imprisonment under 18 U.S. Code, Secfion 1001.
CtRTIFIER'S NAME LICENSE NUMBER
SRUCE A.KLEIN PLS 5052
TITLE COMPANY NAN1E
�RESIDENT KLE!N&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County o 54 New Port Richey FL 34653
SIGNATURE � DATE TELEPHONE
- � 05/1 i/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�nsurance company use: �
BUILDWG STREET ADDRESS(induding Apt.,Unit,Sui1e,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Poliry Number
145 BRIGHTWATER DRIVE UNIT No.1
CITY STATE ZIP CODE Company NAIC Number
CLEARVJATER FLORIDA 33707
SECTION D-SURVEYOR,ENGINEER,OR ARCHfTECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Cerfificate 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 Ifems E1 through E4. If the Elevation Certincate is intended for use as supporfing information for a LOMA or LOMR-F,
Se�fion C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for���hich this ceRifcate is being comoleted–see pages 6 and 7, li no diagram accurately
represents the buiiding,provide a sketch or phoiograph.)
E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)�ab�ve or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see pag2 7),the next higher floor or elevafed flo�r(elevafion b)of the building is _ft.(m)_in.(cm)above fhe highest adjaceni
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery andlor eauipment servicing the building is _ft.(m)_in.(cm)0 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 boflom floor elevai�in accordance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local ofncial must�zrtify this information in S�tion G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authonzed representative wfio completes Secfions A,B,C(liems C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issu2d BFE)or Zone AO must sign here. The sfatements in Se�fions A,8,C,and E are correcf fo the best of my knowledoe.
PROPER iY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CI iY STATE ZIP CODE
SIGNATUR� DATE TELEPHONE
COMMENTS
_ ❑Check here if attachments
� SECTION G-COMMUNITY INFORMATION(OPTfONAL)
1 ne I�ai o�icial who is authonz�:.'ev la��v or ordinance to adminisier the communi?y's�;oodplain mar�agem�nt ordinanre ca�complete Sections A,B,C(or E),and G of this tlevation
Certifi�ate. Compiete the appiicabie�!em(sj and sign below.
G1.[I Th��oforma±ion in:,��cfion C was taken from other documentation that has been signed and embossed by a licensed surveyor,enaineer,or archit�t who is autnonzed by state
or Icral law���certi�y elevati�n information. (Indicate the source and date of the elevafion data in tne Comments area below.)
G2.[,�communi�,�officia��x�mp�e;ed S�ti.�n E for a building located in Zone A(without a FEMA-issu2d or community-issued Brt)or Zone A0.
G3.❑i ne foliowing informafior.(Items��4-G9)is provided for community floo�plain management purp�ses.
——>—
G4.PERMIT NUMBcR G5. DATE PERMIT ISSUCD G6. DATE CERTIFICATE OF COMPLIANCJOCCUPANCY ISSUED
G7.This permit has t�en issued for: �New Construcfion ❑Substantial Improvement
G8.Elevation of as-built lowest floor(inciuding 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
` ���'�c`q� FEDERAL EMERGENCY MANAGEMENT AGENCY
lJ—' � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7. JOB No.030084.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
PARADISE COVE, INC. UNIT No. 1
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
145 BRIGHTWATER DRIVE
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lotand Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 1, PARADISE COVE PLAT BOOK 128,PAGES 19-20
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNIIY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096-0102-G PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding)
12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_
B12.Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Builtling elevations are based on:❑Construction Drawings' Building Under Construction� �Finished Construction
`A new Elevation Certifcate will be required when construction of the building is complete.
•�2.Building Diagram Number 7 (Select the building tliagram 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,AWA1-A30,AR/AH,AR/AO
Complete Items C3.-a�below according to the building diagram specifietl in Item C2.State the tlatum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropnate,to document the datum conversion.
��;.�����,�.
Datum NAVD 1988 Conversion/Comments N/A �"'�
-� ,�
Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No - ,��,�Y1z o a ��. '
o a)Top of bottom floor(including basement or enclosure) 575 . FT ft.(m) � :�.�,' �a°' `°° ���f� ,p
o b)Top of next higher floor 15.91 . FT ft.(m) � �^n,��°�`� � �T,t� '-`� r
. •.
�,. .. . ..:�
o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) o Q� , -t=- ' ��� ``"' �
o d)attached garage(top of block) 575 . FT ft.(m) �4,, ; �;'- � '' ' ' , .,
w m, ,... c :_ ,..,.. �4-� t., . e
o e)Lowest elevation of machinery and/or equipment -�,,� � R : f�
seroicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) � �� �' ° � �;> �4�. r°F,
o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) �N '+,a, • ;:s,a e PLS 50��. `'�
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � "�y�q�"�'� �� � �1��°� -��
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.
I certify that the information in Sections A,B,and C on this certificate represents my best effoRs to interpret the data available.
1 undersfand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old Couniy 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� 10/14I05 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IM PORTANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: �
BLiILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , , '
145 BRIGHTWATER DRIVE UNIT No.1
CI-Y STATE ZIP CODE Company NAIC Number
�LEARWATER FLORIDA 33767
_ SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Cupy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner.
CUMMENTS
N/A
_ ❑Check here if attachments
_ SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For;?one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certifcate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.f3uilding Diagram Number_(Select the builtling diagram most similar to the building for which this certificate is being completed–see pages 6 and 7. If no tliagram accurately
represents the building,provide a sketch or photograph.)
E2.7he 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.f=or Building Diagrams 6-$with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in,(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's flootlplain 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 owne�s authorized representative who completes Sections A,B,C(Items C3.h antl 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,8,C,and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME •
ADDRESS CIIY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
� SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The ocai official who is authorzed by Izv�or ordinance to administer the community's flootlplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete tl�e app�ic,;:ble item,$)and sign below.
G1.❑The inro�natic��in Section C v!as taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state
oi local'ia�v te c2rtify eleva�iun infornat�o�. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A comrnunity official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�]The foilcwing;��ir,;�nation(Iten:s G4-G9)is provided for community floodplain management purposes.
G4 PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.i his permit has been issued for: 0 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 � �" ° k`� i: �� TITLE
�F l�r ;A �'
F
COMMUNITY NAME 1 "' �:�ti�a ia� TELEPHONE
�
SIGNATURE t.,.'` :: ��'� '� � '�� �'""t DATE •
COMMENTS
: r•; � ��
— e��: , s !t �r��,.s�
�..�3..:'
, :��.�
- r `��: ' �F'° PN�7i����
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces ail previous editions
�
� ���� jF¢ �e�'�.
$�����`�����'��fi` C I T Y O F C L E A R W A T E R
� 4�'` ��'' ,��
• ` ��b �!�',' �� � �
�� - =����� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
,,;�`�"� , �.,,��� POST QFFICE BOX 474g� CLEARWATER� FLOa�DA 33758-4748
�r�,�� �.,
,� �✓���;�: '�°�a�
�y.�#i� ��r y a�� MUNICIPAL SERVICES BUILDING, lOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756
��'''`"° TELEPxoNE (72� 562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS & COMPLETION
In accordance with participation in the NFIP/CRS program,ali 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
NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096
64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8 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 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 CeRificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no
diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the
BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1 ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
i
Comments: ,
Date of Review: Community Official:
�ation certificates shall be maintained by t e community and copies with the attached memo made available by request .
FR4NK HIBBARI),MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMRER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIBSON,COUNCILMEMBER � CARI.EN A.PE7'ERSEN,COUNCILMEMBER
��EQUAL EMYLOYMENI'AND AFFIftMA'PIVE AC1'ION EMPLOYER��
r
•
� � � �� ���s r�'���
� (�,� Z,v--`��`�,'�
_ '
� � � i
, 1
•
•
�
_ . - ,j`
FEDERAL EMERGENCY MANAGEMENT AGENCY
� NATIONAL FLOOD fNSURANCE PROGRAM O.M.B. No. 3067-0077
=.�;�� Expires December 31, 2005
avd� - O5i`�`� ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 •7. JOB No.030084.2
• SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
PARADISE COVE, INC. UNIT No. 1
BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
145 BRIGHNVATER DRIVE
Ci7l' STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcei Number,Legai Description,etc.)
LOT 1, PARADISE COVE PIAT BOOK 128,PAGES 19-20
BUILDING USE(e.g.,Residential,Non-resideniiai,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
J�TITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( #�°-�#'-�;#.#,�" or �. '�,,;,,'°) ❑NAD 1927 ❑NAD 1983 ❑ USGS Quad Map ❑Other.__
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.Nf=1P COMMUNI7Y NAME R�COMMUNIIY NUMB�R 62.COUNTY NAME B3.STATE
City of Clearwater 125096 PWELLAS FLORIDA
' B4.MAP AND PANEL B7.FIRM PANEL E9.B FLO ELEVA ION )
NUMBER B5.SUFFIX B5.FIRM IND�X DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONc(S) (Z ne A0,use depih of floodin
125090-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.indicate the source of the Base Flood Elevation(BrE)data or base flood depth entered in B9.
❑FIS Pronle �FIRM ❑Community Determined ❑Other(Describz):_
311.Indicaie the elevation datum used for the BFE in B9:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_
812.Is the building locaied in a Coastal Bamer Resources Sysiem(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevafions are based on:�Constniction Drawings' �Building Under Construcfion' ❑Finished Corstruction
`,A n�w Elevafion Certificate will be require�when construciion of fhe buiiding is complete. L
� C2.Building Diagram Num'�r 7 (Sele�t the buiiding diagram most similar io the building for which this ceriificate is being completed-see pages 6 and 7. if no diagram
accurately represents the building,provide a skeich or photograph.)
C3.clevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AfZlA1-A30,AWAH,AR/AO
Complete liems C3.-aa�low awording to the building diagram specified in Item C2.State the datum used.if the datum is different from the datum used ior the BFE in
S�tion B,convert the datum to that used for the BFE.Show field measurements and datum conversion calcufafion. Use the space provided or the Comments area of
Se�tion D or Sedion G,as appropnate,to dxument the datum conversion.
Datum NAVD 1988 Conversion/Comments N/A �
�levation reference mark used LP-15, EL.=4.191 Does the eleva'tion reference mark used ap�ar on the FIRN? ❑Yes �No � r
o a)Top oi bottom floor(including basement or enclosure) FT ft.(m) � � ���t���j'�'�Li�
o b)Top of n2xf hiaher floor FT ft(m1 � `�(p`'' •r•,'``��� �",
�
, a ��_ ' �f
o cj 3o�tom o�lowest norizontal struciurai memb�r(V zones oniy� I�1//� �I fi.(m) �N@-���'''�„ti� �,� �,,,, y
y o+�.7 . C1 � d� •
o d)atlached garage(top oT block) 5.75 . F=f ft.(m) W� � .� � �
o e)Lowest elevation of machinery and/or equipment �� � ;6,. e�.? �
servicing the building(ELEUATOR EQUIPIJ�ENT) NIA FT ft.(m) �� -;, � � q ° 4,; ?
o r�Lowest adjacent(iinisned)grade(LAG) 4.2 . FT ft.(m) z.m 4' ``� ; ��
o Hi hest ada^ent finished rade HAG 5.1 . FT ft.m �� ''�, .^ .� � � .":'�4:�
9) 9 J � ( )9 ( ) O � 05/11/U�
o h)No.o�permanent opsnings(flood vents)within 1 ft.above atlja�ni grade 14 ; , �� �' '�f:� �
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. '�
SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to cerfify elevation information.
I cerfify thaf the iniormation in Sections A,B,and C on this certificate represents my best efiorfs fo inferpret fhe dafa avaifable.
!understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CtRTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEW PLS 5052
TITLE COMPANY NAME
� PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County R '54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� 05/11/05 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Secfion A. For Insurana,Company use
BUILDWG STREET ADDRESS(induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number . �
145 BRIGHTWATER DRIVE UNIT No.1 � -
CITY STATE ZIP CODE Company NAIC Number
CLEARVJATER FLORIDA 33707
_ SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance ag2nt/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(wiihout BFE),o�mplete Ifems E1 through E4. If the Elevation CeRincate is intended for use as supporting information for a LOMA or LOMR-F,
Se�tion C must M completed.
�1.Buiiding Diagram Number_(Select the building diagram most similar to the building for which this certifcate is being completed–see pages 6 and 7. li no diagram a�.,urately
represents the building,provide a sketch or photograph.)
E2.The top of ihe bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑b�low(che�k 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 flo�r(e�evation 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 1op of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)❑above or ❑below(ch�k one)the highest adiacent grade. (Use
natural gratle,'rf availab�e).
E 5.For Zone AO oniy: If no flood depth number is available,is the iop of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local oficial must cerfify this informafion in Section G.
_ SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authonzed representafive who completes Secfions 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 Secfions A,8,C,and E are correct to the best of my knowledoe.
� –PROPERTI'OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME •
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
_ _ ____ ❑Check here if attachmenis
SECTION G-COMMUNITY INFORMATION(OPTfONAL)
The lo;,;�onida who is authonze��oy Ia�N or ordinance to adminisl2r the communiiy's floodplain managemenf ordinance can complete Se;,tions A,B,C(or Ej,and G of tnis tlevation
Certincate. �omplei�the cppiicau�e iierr,;;s;and sign below.
G1.�Th�information in S�fion C wasfaken from other documentation that hzs been signed and embossed by a license�surveyor,enaine�r,or architc�t who is authonzed by state
or��ai law io ceriifiy elevai�on inr�r��ation. (Indicate the source and date of tne elevafion dafa in tne Comments area below.)
G2.,�]A community offic�i compl:�ed Sa�!ion E for a building located in Zone A(without a FEMA-issued or community-issued Brt)or Zone A0.
G.3.�The fo��owing informa;�r�jltem;;�4-G9)is provided for community floo�piain management purp�ses.
r G4.PERMIT NUM6�R G5. DATE PERMIT ISSUCD G6. DATE CERTIFICATE Or COfv1PLIANCJOCCUPANCY ISSUED
I
G7.This permit has b°en issued for: �New Construdion ❑Substanfial Improvem2nt
C8.Elevaiion of as-built fowest flo�r(inciuding basement)of the building is: _._ft.(m) Datum:_
C9.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 ali previous editions