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145 BRIGHTWATER DR UNIT 3 �� f� � ��c"`( --� �:� C`�-- FEDERAL EMERGENCY 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.030084.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Gail M. Sm th and Robert E. Smyth, HNV BUILDING STREET ADDRESS(I cludi g Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BRIGHNVATER DRIVE�til��3 CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 3, 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 ##.#�#1#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEJREVISED 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):_ 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' ❑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,ARIA,AR/AE,AR/A1-A30,AWAH,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 appropnate,to tlocument the datum conversion. ' Datum NAVD 1988 Conversion/Comments N/A Mv�� }�' °� . .� � Elevation reference mark used LP-15 EL.=4.191 Dces the elevation reference mark used appear on the FIRM. ❑Yes �Ma K�, A �+ r 7 � e o a)Top of bottom floor(including basement or endosure) 575 FT ft.(m) � � ��;� �� , �;�� " � � o b)Top of ne�higher floor 15.91 FT ft.(m) Q � �'`�,., � �%,��,�:� ,F�, .d o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) N�� '= j;,� �. � � �1 o d attached ara e to of block 575 . Ff ft.m °� �' W � ) 9 9 � P ) ( ) � �-''%`, �,;`e�' -� ,�', o e)Lowest elevation of machinery andlor equipment � �.!a��"�,'��q�� „� �-� �' servicing the building(ELEVATOR EQUIPMENT) 11.75 ft.(m) E� �� , ��;:';�_ 1'� o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) �� ?`�y?�.��''j 40 o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) � 05/05/06 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 signetl and sealed by a land surveyor,engineer,or architect authorized by law to ceRify elevation information. I cerfify that the information in Sections A,B,and C on this certificate represents my best efforfs to interpret the data available. I understand that any false statement may be punishable by 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. ADDRESS CITY STATE ZIP CODE 8016 Old County Road 54 ,-� - l� New Port Richey FL 34653 SIGNATURE -'-'� DATE TELEPHONE � ��7 �� , � 5-06 (727)834�140 �-�-�'" .�- / , FEM orm 81-31,January 2003 See reverse side for continuation. Replaces ali previous editions �IMPOR`i ANT: In these spaces,copy the corresponding information from Section A. For insurance com�any use: ' F��P.Di� ?�TREET ADDRESS(Induding Apt,Un�,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number • . 145 BRIGHTWATER DRIVE UNIT No.1-9 �:,IIY � "�,_ STATE ZIP CODE Company NAIC Number ,:;LEARWATER � FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) opy 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 and Zone A(without BFE),complete Items E1 through E4. If the Elevation CerGficate 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 builtling,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or endosure)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 higherfloor 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 andlor equipment seroiang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent gratle. (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 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 stafements in Secfions A,B,C,and E are correct to the best of my knowledge. OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME DDRESS 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),and 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 suroeyor,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 official 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 �6. 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 GNATURE DATE .OMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions a� � , . FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 �;o�ac�a ELEVATION CERTIFICATE a � � 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. 3 BUILDING STREET ADDRESS(Inciuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BRIGHTWATER DRIVE C�Ty STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 3, 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): ( �°-,�'-�'#.#t�" or #�.�°) ❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.____, SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COfviMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE City of Clearwater 125090 PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B5.FIRM INDtX DATE crFECTIVEfr�EVISED DATE B8.FLOOD ZONE(S) (Zone A0,use deptl�oi flooding) 125095-0102 G SEPTEMBCR 03,20�3 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevaiion(BFE)data or base flood depth entered in B9. ❑F!S Profile �FIRM ❑Community Determined ❑Other(Descnbe): 611.Indicate the elevaiion datum used for the BFE in B9:0 NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.is the building I�ated in a Ccastal 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' �Building Under Consiruction` ❑Finished Construction `A new tlevation Cerfificate will be require�wnen construction of the buiiding is compleie. •C2.Buiiding Diagram Number 7 (Sel�.t the building diagram most similar to the building ior which this certiiicate is being compleied-see pages o and 7. If no diagram a�uraiely represenis the building,provide a sketch or photo�raph.) C3.Elevaiions—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AR/AH,AR/AO ' Compleie items C3.-a-i below according to the building diagram spe�ified in Item C2.Staie the datum used.If the datum is different from the datum used for the BFE in S�iion B,convert tne datum to that used for the BrE.Show neld mezsuremenis and datum o�nversion�aicula'tion. Use the space provided or the Comments�rea of Sq;tion D or Section G,as appropnate,to document the datum conversion. '' Datum NAVD 1988 ConversionlComments N/A ��"�.�i;'f f t f �levation referen;,e mark used LP-15. EL.=4.191 Does the elevation reference ma�C used ap�ar on the FIRN? ❑Yes �R¢�� °`�T�> t: o a)Top or bottom floor(induding basement or enciosure) 5.75 r7_ft.(m) m�'_-fi „ti . f� 0 01 Top of nex:higher Floor 15.91 FT ft.(ml � � "�� ;r,. �� d`" �� c�- �, - o cj Boitom or`iowesi norizontal structural m2mb2r(V zon2s oniy) N/A �I ii.(m) �.o_ �' � �. � o d)attacned garage(iop of block) 5.75 . FT ft.(m) - E�� - � � �-=.` � . lll� a�., fiJ MM-. v � o e)Lowest elevation of machinery and/or equipment �•�; • �'� � servicing the building(ELEVATOR EQUIPM=NT) N/A FT ft.(m) '�� '•� P,`;� , o T�Lowest adjacent(rinished)grade(LAG) 4.2 FT ft.(m) �•� _, �;'�C� � o g)Highest adjacznt(nnished)grade(HAG) 5.1 F=f ft.(m) � ' * ��'S/11/05 o h)No.of permanent openings(flood venis)within 1 ft.above adjacent grade 14 " '�� . J o i)Totai area of all permanent openings(flood vents)in C3.h 1280 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCNITECT CERTIFICATlON This cerfification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the informafion in Sections A,B,and C on fhis cerfificate represents my besf efforts fo interpret the dafa available. I understand that any ialse sfatement may be punrshable by fine or imprisonmenf under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER 3RUCE A.KLEIN PLS 5052 TITLE COMPANY NAME . PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CIIY STATE ZIP CODE 8016 Old County Roa 4 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 Section A. For�nsurance Compan�use: BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite;and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Poliry Number . 145 BRIGHTWATER DRIVE UNIT No.3 , ' CITY STATE ZIP CODE Company NAIC Number� CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHfTECT CERTIFICATION(CONTINUED) • Copy both sides of this Elevation Certificate for(1)community oificial,(2)insurance agent/company;and(3)buiiding owner. COMM�NTS 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. i�the Elevation Cerfincafe is iniended for use zs supporiing iniormation for a LOMA or LOMR-F, Secfion C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this c,�rtificate is t�ing completed—see pages 6 and 7. If no diaaram accurately represents the building,provide a skeich or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑ah�ve or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(se2 page 7);the next higher floor or elevated fla�r(elevation b)of the building is _ft.(m)_in.(cm)above the high�st adja;znt 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(che�k 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 property owner or owners authonzed representative who completes S�tions A,B,C(Items C3.h and C3.i only),and E for Zon�A(wifhout a FEM,4-issued or community- issued BFE)or Zone AO must sign here. Tt�e statements in Secfions A,B,C,and E are correcf to the besf of my knowledge. . PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIV�'S NAME . ADDRESS CITY STATE ZIP CODE � SIGNATURE DATE TELEPHONE COMMENTS _ ❑Check here if attachments 1, _ SECTION G•COMMUNITY INFORMATION(OPTIONAL) Tne la;al cficial wno is authonze�'uy lav,�o;ordinance to administer the communiiy's f oodplain management ordinance can compieie Seciions A,B,C(or t),and G of tnis Elevaiion Certifcaie. Complete the ar�plicao!e item(s!and sigr below. G1.❑The infoi mation in Secfion C was taken from other d�umentation that has b2en signed and embossed by a license�surveyor,engineer;or archileci who is authonzed by stale or!xal law tn ce�fi;elevation ii�iorm2;ion. (Indicate the source and date of the elevation dafa in the Comments area below.) G2.�A communi.y ofiiciai completed Sa�ion E for a building located in Zone A(without a FEtJ�A-issued or community-issued Bi=E)or Zone A0 G3.�The followir�infom?efion(I!ems i�a-G9)is provided for communiy floodpiain management purp�ses. G4.PcRMIT NUM3ER G5. DATE PERMIT ISSUED G6. DATE CERTIFICHTE OF COMPLIANCElOCCUPANCY ISSUED G7.This 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 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 � ' ' 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.3 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(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 3, 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&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096-0102-G PINELLAS FLORIDA B4.MAP AND PANEL B7.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) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base FloaJ Elevation(BFE)data or base flood depth entered in 69. ❑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.Building elevations are based on:❑Construction Drawings` ; 3uilding Under Construction* f�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,AR/AE,AWA1-A30,AR/AH,AWAO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used forthe 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 usetl appear on the FIRM? ❑Yes �No ;°, �;;,,:��x •'%' � --. o a)Top of bottom floor(including basement or enclosure) 5J5 FT ft.(m) � ' �'.;.� A '��.�� ` :.�"° � o b)Top of ne�higher floor 15.91 FT ft.(m) �' ° � � o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) w � ��9°f,�` ° + ° � �" o d)attached garage(top of block) 575 FT ft.(m) �� °r��; . �, � J � J o e)Lowest elevation of machinery and/or equipment -� _ �� .., servicing the building(ELEVATOR EQUIPMENT) N/A . F=f ft.(m) � @ ' � � - .�, € " � �� {:: a--� r. * �. . o fl Lowest adjacent(fnishetl)gratle(LAG) 4.2 . FT ft.(m) z�� ,, PLS 5�;�2�. o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � �, ��<�a�� 1�p�1�� , �".1-�._° ep p: :., o h)No.of peRnanent openings(flood vents)within 1 ft.above adjacent grade 14 � a `r�r ` �` �� 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 cerfificate represents my best efforts to interpret the data available. I undersfand that any false stafement 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 Ro New Port Richey FL 34653 SIGNATURE DATE TELEPHONE e- 10/14/05 (727)834-8140 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance Company use: BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , : , 145 BRIGHTWATER DRIVE UNIT No.3 J CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) . Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS 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 next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's 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 owners authonzed 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 statements in Sections A,8,C,and E are correct fo 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 offcial who is autho��etl bv law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complet�the applicable item(sj ar�sign�low. G1.�The information in SE�ction C was taiian from o+.her documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or la;;,�law to cerf�y elevation infcn��atior.. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official complet?d�ection E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.0 The following i^formation(Items G4-G�{)is provided for community 800dplain management purposes. G4.PERMIT NUMBER —'� G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for; ❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ � �� LOCAL OFFICIAL'S NAME � � ti,�.%b � r � TITLE � u p H<� COMMUNITY NAME ,w;;�Y ' �;� RW� TELEPHONE SIGNATURE • � �� , �;j�� " DATE � COMMENTS ��., �. �,� s,�b� ` ,�`�� ""+�� . �- ,� � ,, *,`� ".°�.�.'. �}� �.,�,, �-l e ,..�5 L..,,s`�,�V r°0 i �i . 4 ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions , - �' -�'�` °•�� -'��- FEDERAL EMERGENCY MANAGEMENTAGENCY 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.030084.2 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: � BUILDING OWNER'S NAME Policy Number PARADISE COVE, INC. UNIT No.3 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 PROPERN DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.) LOT 3, 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 LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.#t�##t°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAN�& MUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearwater 125096- � PINELLAS FLORIDA B4.MAP AND PANEL 87.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUN�E B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depUi of flooding) 12103C0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Flood Eleva6on(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):_ 612.Is the building located in a Coastal Bamer Resources System(CBRS)area or Othenxise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevaUons are based on:❑Construction Drawings* 3uilding UnderConstruction* g Fnished Construdion `A new Elevation Certficate will be required when construction of the building is complete. •"2.Building Diagram Number 7 (Select the building diagr�n most similar to the building for which this ce�cate is being c�mpleted-see pages 6 and 7. If no diagram v accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,ARIA1-A30,AR/AH,ARIAO 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 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom 800r(induding basement or enclosure) 5.75 . FT ft.(m) � o b)Top of next higherfloor 15.91 . FT ft.(m) �' � a a� � o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) o� o d)attached garage(top of block) 5.75 FT ft.(m) �� o e)Lowest elevation of machinery and/or equipment `11-`� � .� � servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) E� o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� � PLS 5052 o g)Highest adjacent(6nished)grade(HAG) 5.1 . FT ft.(m) � f 10/14!()5 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � I 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,8,and C on this certi�cate represents my best efforts fo inferpret the data available. I undersfand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Secfion 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 Ro New PoR Richey FL 34653 SIGNATURE DATE TELEPHONE �l <- 10/14/05 (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 insurance Com�any use: BUILDIN�STREET ADDRESS(Induding Apt,Uni�,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number • ' � 145 BRIGHTWATER DRIVE UNIT No.3 CITY STATE ZIP CODE Company NAIC Number ' CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) opy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS N/A ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certficate 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 avalable). 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 community's floodplain management ordinance? ❑Yes ❑No ❑Unknovm. The local offiaal must cerfify 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�ssued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are conect to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �DDRESS CITY STATE ZIPCODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The tocal offic�al who is authou�ed bv law or ordir.dnce to atlminister the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item(sj ard sign�low. G1.�The information in SE.�ction C was taicen from o±her documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or la;al law to certify elevation infcn iietion. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offidal completed�ection E for a building located in Zone A(without a FEMAassued or community-issued BFE)or Zone A0. G3.�The following ir�formation(Items C',4-G9)is provided for community floodplain management purposes. �PERMIT NUMBER ' G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY 15SUED 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:_ �.. LO�AL OFFfCIAC`5 I�AME - ' ;. , -�� E�--, - - -- TITLE �€;� . ._. < < „ : �,.. .,._ .; .,_.;:� COMMUNITY NAME :� `" `°�.�;;; � TELEPHONE e' �IGNATURE a �•� �"i�'� � �� DATE OMMENTS _ �•, :,�•,- �.�;r�o �r-s--�• �� .��' ,.�� u.�'�'«.��J < �� r=,` �°'. (`'�� '��s' ��'�. �" s 'r�'`�sF.�Fn"'i��. �� 1 ':,1 s,f�t ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions . . , ' ' �$��d��c�`��.� ��`��'��g "`��°`„�R C I T Y O F C L E A R W A T E R �� - � � � e�s�'��la, �$ : `�� \:,.�� DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT "��,�� ,.��"�� PosT OFFicE Box 4748, C�Enxwn�x, F�o�u�n 33758-4748 �"`�*��X��',��'^�� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756 �'��:r'.��r r:�,..ti,. TELEPHONE �72� 5�2-4567 Fnx(727) 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 NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096 B4.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B�•FIRM PANEL gg,FLOOD ZONE(S) B9�BASE FLOOD ELEVATION(S) NUMBER 5/17/2005 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) 12103C-0102 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile ❑ F�RM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in B9: 0 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 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: �vation certificates shall be maintained by the community and copies with the attached memo made available by request . FRANK HIRBARD,MAYOR GEORGE N.CRE'CEKOS,COUNCILMEMRER JOIIN DORAN,COUNCILMEMBER PAUL F.G►BSON,COUNCILMEMRER � CA21.EN A.PE1'ERSEN,COUNCILMEMAER ��EQUAL EMPLOYMEN"I'AND AFFIItMATIVE ACTION EMYLOYEK��