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145 BRIGHTWATER DR UNIT 6 � C Q ��`{" C� �'�� FEDERAL EMERGENCY MANAGEMENT AGENCY � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 � Expires December 31, 2005 � � � ELEVATION CERTIFICATE 4 � � 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 Richard J.Scinta,Jr. BUILDING STREET ADDRESS(InGudi t.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BR�GHTWATER DRIVE�N l�� CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) LOT 6, 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 ##.###q#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNIY NAME 63.STATE City of Clearwater 125096 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 depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevafion(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ B11.Intlicate the elevation datum used for the 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 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,AR/A1-A30,AWAH,AR/AO Complete Items C3.-a-i below according to the builtling diagram specifietl 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 providetl or the Comments area of Section D or Section G,as appropnate,to document the datum conversion. Datum NAVD 1988 Conver�ion/Comments N/A � Elevation reference maric used LP-15, EL.=4.191 Dces the elevation reference maric usetl appear on the FIRM? ❑Yes �No �1�d o a)Top of bottom floor(including basement or endosure) 5.75 . Fr ft.(m) � .:,_. .�°•'* ;�`a o b)Top of next higher floor 15.91 . FT ft.(m) � ��•'e,.�,��6. r„��'" • e , 6.� o c)Bottom of lowest honzontal structural member(V zones only) N/A FT ft.(m) N� M" a'*' "u ' �'� o� ,' , "'� z_�'.,�3 �.'� ..�-,= "; - . o d)attached garage(top of block) 575 . FT ft.(m) ��— ,, �� , o e)Lowest elevation of machinery and/or equipment ��W � ..-''�� ' ' `� - L�m-� servicing the building(ELEVATOR EQUIPMENT) 11.75 ft.(m) £� '- -�;..'„m;� ��= o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��,' t+,`�'�1�'��'4�1" di�_��'�' o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � 'fl5��5/06 o h)No.of permanent openings(flootl vents)within 1 ft.above adjacent grade 14 � �`" '��',4 J 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 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 Roatl 54 � New Port Richey FL 34653 SIGNATURE , / DATE TELEPHONE _m�', ,��„ �, �/ 05-05-06 (727)834�140 ;- - �.. r'' ...... --_L �--� 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,Uni�Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 145 BRIGHTWATER DRIVE UNIT No.1-9 � CITY �` STATE ZIP CODE Company NAIC Number CI_EAi2WATER 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 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 enclasure)of the building is _ft.(m)_in,(cm)0 above or ❑below(chedc 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 serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local 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 communiry- issued BFE)or Zone AO must sign here. The sfatements in Secfions A,B,C,and E are correct to the best of my knowledge. ��ROPERTY 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 offiaal who is authonzed 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 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 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 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(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 IGNATURE DATE �OMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions �� 'US�� 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.6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.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 6, 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 64.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 depth 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 floal 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 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' 0 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 certifcate 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,AWA1-A30,AR/AH,AWAO Complete Items C3.-a-i below according to the building diagram specfied in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropnate,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 "._ ,�cs":;.1 � �-� �� o a)T o p of bo ttom floor(includin g basement or enclosure) 575 . FT ft.(m) � �', G u.•' - o b)Top of next higher floor 15.91 FT ft.(m) `� �"~ -- � t-�i'. A � �" � �. ' �- o c)Bottom of lowest horizontal structural member(V zones only) NIA . FT ft.(m) o o` �'� �•c �;r�� `x '' ;, o tl)attached garage(top of block) 5.75 . FT ft.(m) E� ��,`t'.:�' � . � ' o e)Lowest elevation of machinery and/or equipment w� r w, �'` � ' �= servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) � m �~, ��' ��, #��-� r ' '' o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��' ."?G �� p�,S``505z- ti� o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � � �� ` ';��py��/(�. " o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 J " � 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 fhat the information in Sections A,8,and C on this certificate represents my best efforts to interpret the data available. I understand that any false stafement 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 Ro New Port Richey FL 34653 SIGNATURE -1 DATE TELEPHONE ` 10/14/05 (727)834�140 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. 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 145 BRIGHTWATER DRIVE UNIT No.6 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,antl(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 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 ne�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 communitys 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,B,C,and E are correct to the besf 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 officiai who is authon�ed by iav��or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Ccmplete the appi;c�ble item(s)a�d sign below. G1.❑l"he infr,rmation 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 law to c.�rtify eievati;,.^,infom�ation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official comp�ied�ect�on E for a builtling located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following ir�ormation(Items 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 ❑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: LOCALOFFICIAL'SNAME C._,w . � TITLE � COMMUNITY NAME �,,. ��m ��;: F : TELEPHONE � � SIGNATURE 6� ' ; DATE � COMMENTS ��'—��'`'�� _� �� _ , !;, ,.-': � �:i=��:J �...: ; a ar � '� .. . ',a s r��=e i �i°`. - � ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces ail previous editions `�� 'U��+-�' , FEDERAL EMERGENCY MANAGEMENTAGENCY ` � 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 Insuranoe Company Use: BUILDING OWNER'S NAME Policy Number PARADISE COVE, INC. UNIT No. 6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BRIGHNVATER DRIVE C��' STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 6, PARADISE COVE PLAT BOOK 128,PAGES 19-20 BUILDING USE(e.g.,Residen6al,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&CO UNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 12509 PINELIAS FLORIDA B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX OATE . EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102 G , SEPTEMBER 03,2003 AE , EL.11.0 B10.Indicate the source of the e Floal Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined �Otl�er(Describe): B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ��NAVD 1988 ❑Other(Describe): 812.Is the building located in a Coastal Barrier Resourczs 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 Construdion* �Finished Constn�dio A new Elevation CeRificate wili 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,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 differeni 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 ConversionlComments N/A z 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(induding basement or endosure) 5.75 . FT ft.(m) � ,.� '�. �� o b)Top of next higher floor 15.91 . FT ft.(m) � ��` ,�� o c)Bottom of lowest horizontal structural member(V zones only) N/A FT fl.(m) y� �� o d)attached garage(top of block) 5.75 . FT ft.(m) w� � , �� o e)Lowest elevation of machinery andlor equipment . � , r servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) E� � � ,�4j o �Lowest adjacent(finished)grade(LAG) 42 . FT ft.(m) �z'� � PLS 5052 +;�� g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � 10/14/05 ' �rh)No. of permanent openings(flood vents)within 1 ft.above adjacent grade 14 J �4 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 sunreyor,engineer,or architect authorized by law to certify elevation information. 1 certify that fhe information in Sections A,8,and C on this cerfificate represents my best efforfs to rnterpref the data available. 1 understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME RESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Ro 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 IMPORTANT: In these spaces,copy the corresponding information from Section A. For insuranoe com�any use: BUILDWG STREET ADDRESS(Induding Apt,Unit,Suitet�ndior'Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 145 BRIGHTWATER DRIVE UNIT No.6 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),wmplete 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(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 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(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 best of my knowledge. PERTY 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 favd 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 thP appi;;,uble item(s)a�d sign below. G1.0 The infcrma6on in Section C was taken from other documenta6on that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify e�evati;,.^.infom�ation. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community offidal completed�eclion E for a building located in Zone A(without a FEMA-issued or communityassued BFE)or Zone A0. G3.�The following irformation(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 Construdion ❑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:_ LOCALOFFICIAL'SNAME �, �,.�.. -;, � TITLE : � � COMMUNITY NAME k ;; � :�; , " � �, TELEPHONE � �_ ,G ATURE �,. �.'�.} DATE COMMENTS � �<�;T'��„� ��, :,'.. _ x i��. i _,�x:'�'„o.ti,t t. ,,... � ; w .�t e3..-"s a�'3e"`si �� . � ' „ " ° ` ❑Check here if altachments FEMA Form 81-31,January 2003 Replaces all previous editions t��E•`Y#r,��,� �A�r�°��t K�r��'�"'"' � CITY OF CLEARWATER • �'��.�:� e��, �� , �;�� °�° �� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT � = :�.� �4� .�..� p ,�.�� 1 .- + �+'� POST OFFICE BOX 4740� CLEARWATER� FLOa�DA 33758-4748 ��"' '�t�fr��'�,��p�� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.FARWATER,FLO�unn 33756 fiiw�r.,e+k fi:�i�'t� TELEPHONE�72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & COMPLETION In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is compiete 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 63.STATE City of Clearwater 125096 B4.MAP AND PANEL g5.SUFFIX 66.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 B9. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in B9:❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C -BUILDING ELEVATION iNFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required 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 b the community and copies with the attached memo made available by request FRANK HIBBARD,MAYOR GEORGE N.CRE'1'EKOS,COUNCILMEMA[R JOIIN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMAHR � CARLEN A.PE"1'GRSEN,COUNCILMGMRER ��EQUAL EMPLOYMEN"I'AND f�FFIRMATIVE AC1'ION EMYLOYER�� FEDERAL EMERGENCY MANAGEMENT AGENCY °/ NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �C.'� � Expires December 31, 2005 a��•= o��a�s ELEVATION CERTIFICATE • Important: Read the instructions on pages 1 -7. JOB No.030084.2 SECTION A-PROPERTY OWNER INFORMATION For lnsurance Company Use: BUILDING OWNER'S NAME Policy Number PARADISE COVE, INC. UNIT No.6 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BRIGHNVATER DRIVE CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERIY DESCRIPTION(�ot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 6, 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 LATITUD�/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 N.AM�&COMMUNITY NUMBER B2.COUNTY NAM� B3.STATE � City of Ciearwater 125096 PINELLAS FLORIDA B4.fvlAP AND PAN�L B7.r IRP,�PANEL 69.BASE FLOOD ELEVATION(S) NUMBER E5.SUFFIX Bo.FIRM INDEX DATE EFFECTIVE rREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of flooding) 125090-0102 G SEPTEMBER 03,2003 SEPTEMBCR 03,2003 AE fL11.0 B10.Indicaie the source of the Base FIo�J Eleva[ion(BFE)data or base flood depth entered in B9. ❑FI5 Profile �FIR��i ❑Communiry Determined ❑Other(Describe):_ B11.Indicate the elevaiion datum used for the BFE in B°:�NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building locaied in a Coastal Bamer Resources System(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Ci,Building elevafions are based on:❑Construc'tion Drawings` �Building Under Construction� ❑Fi�ished Construciion 'A new Elevation Certi6cate will be required when construcfion of the buiiding is complete. C2.Building Diagram Numo-�r 7 (Sel�t the buiiding diagram most similar to the building for which this certificate is being completed-see pages 6 and 7, li no diagram awuraiely represents the buiiding,provide a sketch or phota�raph.) C3.tlevations—Zones A1-A30,AE,AH,A(with BFE),Vt,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AR/AH,ARJAO ' Complete Items C3:a-i bzlow according to the building diagram spe;;ified in Item C2.State the datum used.If the datum is different from the dafum used for the BFE in S�tion B,convert the datum to that used for the BrE.Show field measurements and datum conversion calculation. Use the spa�e provided or the Comments area of S�iion D or Seciion G,as approprate,to d�ument the datum conversion. Datum NAVD 1988 ConversionlCommenis N/A Elevafion reference mark used LP-15. EL.=4.191 D�s the elevaiion reference mark used ap�ar on the FIRM? ❑Yes �No "�_,, o a)Top of bottom floor(including basement or enclosure) 5.75 Fi ft.(m) � _ ,��•��-��,�, ' 0 0)Top of nexi higher floor 15.91 Ff fl.(m) ��,:�,�� . '� " . U °, ":�"�� d o cj 3ottom or lowesi horizoniai structurai membzr(V zonzs only) N!A r i �.(m) �i„'�, °S,. � � ` `" ' ` - o d)attached garage(top oi biock) 5.75 FT P�.(m) �'P° •"� , ��^ � ��, o e)Low2st elevation of machinery and/or equipment �' � ' "'' , servicing ihe buiiding(ELEVATOR EQUIPMENT) N/A FT ft.(m) �� °°�• ' ` o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��j � � �� '� � � � . � � '�� o g)Highest adjacent(finished)grade(HAG) 5.1 FT ft.(m) ��,i�, ., ��' � �5/11� @�� o h)No.o�permanent openings(flood vents)within 1 ft.above adjacent grade 14 � �t,� �''•"''�9�� o i)7otal area of all permanent openings(flood vents)in C3.h 1280 sq,in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This cer�ification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certiiy that the informafion in Sections A,8, and C on this certificate represents my best efforfs to inferpret the data available. 1 understand thai any false sfatemenf may be punrshable 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 CIIY STATE ZIP CODE 8015 Old County Roa 4 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE r � � 05/11/05 (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. r=or�nsurance comoany use: BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Numf�r , 145 BRIGHTWATER DRIVE UNIT No.6 ' CITY STATE ZIP CODE Company NAIC Numtx• CLEARWATER FLORIDA 33767 ` SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTlNUED) � Copy both sides of this Elevation Cerlificate 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),compleie Items E1 through E4. If the Elevation Certificaie is intended for use as supporting informafion for a LOMA or LO�v1R-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 compleied—see pages 6 and 7. If no diagram axurately represents the building,provide a sketch or photograph.) E2.The top of the boriom floor(including basement or enclosur2)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 6-8 with openings(see page 7),the next higher floor or elevafed flo�r(elevation b)of the building is _ft.(m)_in.(cm)above the highesl adjacenl grade. Complete items C3.h and C3.i on front of form. E4.The top of the plaiform of machinery and/or eauipment serviang the building is _ft.(m)_in.(cm)�a�ve or ❑below(check one)the highest ad;acent orade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is availabie,is the top of the bottom flo�r elevated in accortlance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Secfion G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owne�s authonzed representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FENiA-issued or communiN- issued BFE)or Zone AO must sign here. The stafements in Secfions A,B,C,and E are coirecf to the besf of my knowledge. • PP,OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME � ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS �� ❑Check here if attachments ° SECTION G-COMMUNfTY INFORMATION(OPTIONAL) Tne I�a!o5icial who is autnonz2d by law o;o�dinance to adminisier tne communiry s ila�dplain management ordinance can complete Se�iions�,B,C(or c),and G of this Elevation Certifcate. Comc!°te thC applicable iiern(sj:�r�d sign below. G1.0 The information in Section C was±aken frem other d�umentafion that has been signed and embossed by a licensed surveyoc engin�r,or archit�f who is authonzed by sfate or loc3!law to c��ti�eielafion information. (Indicate the source and date of the elevalion data in the Comments area below.) G2.�A community c`��cial ctimpleted��tion E ior a builtling locafed in Zone A(wifhout a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The foi!ov�ing information;Iter�is C�4-^'�)is provided for community floaJplain management purp�ses. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED Go. DATE CERTIFICATe 0�COMPLIANCE/OCCUPANCY ISSUCD G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-built I�west 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