145 BRIGHTWATER DR UNIT 7 FEDERAL EMERGENCY MANAGEMENT AGENCY
l ` �C����`����' v � 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
Issam Yared
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
145 BRIGHTWATER DRIVE �JwJ IT a
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 7, 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 ##.�k°) ❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depfh 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 tlatum 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' �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,AWA1-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 usetl appear on the FIRM? ❑Yes �No �,�,�.� � '
c.,�a`ru'�'
o a)Top of bottom floor(including basement or endosure) 5.75 . FT ft.(m) � w" ,.., �, ,,,�
N .... Q! . t, .
o b)Top of ne�higher floor 15.91 . FT ft.(m) � ,;, 6�,��o� �
; Ls. a :
o c)Bottom of lowest honzontal structural member(V zones only) NIA FT ft.(m) o o %����.'"�`+ '��� � R``
o d attached ara e to of block 5.75 . Ff ft.m °� � j'��� ��.:° " �
) 9 9 � P ) � ) � �__ __ °" `
,� � �:�.�,,. �
o e)Lowest elevation of machinery and/or equipment / �,� � *� `� a�.,.�= �"�
servicing the building(ELEVATOR EQUIPMENT) 11.75 ft,(m) �� �:�J,� .���.� � �;^
o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) �� ;���q��4g �;``
�
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � +;`��95/05/0�� J
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � ��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 authorizetl by law to certify elevation information.
1 certify that the information in Sections A,B,and C on this certificate represents my best efforts to inferpret fhe data available.
I understand that any false stafemenf may be punishable by fine or imprisonmenf 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 ..---�> New Port Richey FL 34653
SIGNATURE ; � DATE TELEPHONE
__����_ � 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 com�any use:
BUILC�.�STr`tEET ADDRESS(Induding Apt,Uni�Suite,andlor 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
CLEARWATER � FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
'�py both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Sec6on 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 sk2tch 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 next higher floor or elevated floor(elevaGon 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 servidng 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 floai depth number is available,is the top of the botlom 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 owne�s authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best of my knowledge.
ROPERTY 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),and G of this Elevation
Ce�ificate. Complete the applicable item(s)and sign below.
G1.0 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 authorizetl 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 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:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
�GNATURE DATE
JMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
g�,,,� • �._ �;����—. 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.7
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 7, 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 ##.#�#i#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Clearwater 125096-0102-G PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding)
12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flootl Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determinetl ❑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 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" �Finishetl 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,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a�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 tlatum conversion.
Datum NAVD 1988 Conversion/Comments N/A
�
Eleva6on reference mark used LP-15, EL=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No � �d� '� " � �� ". ` `
o a)Top of bottom floor(including basement or enclosure) 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) NIA . FT ft.(m) N 9 , 4�`a � �, `'�' "�"
0 0 .,,.� �, �
o d)attached garage(top of block) 575 . FT ft.(m) w� = :;^p ' r�;
o e)Lowest elevation of machinery and/or equipment � �,.r Y- ° b` � ��
serviang the building(ELEVATOR EQUIPMENT) N/A . Ff ft.(m) � � ; �,,. �' :
o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� '_ PLS 5�5,� �
o g)Highest atljacent(finished)grade(HAG) 5.1 FT ft.(m) � �Ef' .�7 .;�` �Q�'�4f�5
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 ° " 'a�' `
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 cerfify that fhe information in Secfions A,B,and C on this cerfificate represents my best efforts to 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 Roa New Port Richey FL 34653
SIGNATURE '� � DATE TELEPHONE
� _ 10/14(05 (727)834�140
FEMA Form 81-31,January 2D03 See reverse side for continuation. Replaces all previous editio�s
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insuranc�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.7
��N STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 33767 '
SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completetl.
E1.Builtling Diagram Number_(Select the building diagram most similar to the builtling 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 antl 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 gratle,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 authorizetl 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,B,C,and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by 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 applicaule item(s)and sign below.
G1.❑The infoimation 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 la���to cer;i�y elevatie�i��iformation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal completed Secfiion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following informaiion!Items G4-G9)is provided for community floalplain 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(inclutling basement)of the building is: _._ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flootling at the building site is: _._ft.(m) Datum:_
LOCAL OFFICIAL'S NAME ' �� � TITLE
COMMUNITY NAME r � '�.` , °,i ` TELEPHONE
,
SIGNATURE +. - �i;� a, �w�J �� DATE •
COMMENTS _ � •..�. �
� 4�.�
,._. "� �.�..k'f�
T� � - '' e��� Y � P�9
� a k
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
• ����` �' {'�.�;;� ""°s-��.a FEDERAL EMERGENCY MANAGEMENT AGENCY
' ���'�� O.M.B. No. 3067-0077
�r .;� • - 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�nsurance Company Use:
BUILDING 01NNER'S NAME Policy Number
PARADISE COVE, INC. UNIT No. 7
BUILDING STREET ADDRESS(Induding 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 7, 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
L4TITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):____
( ##°-##'-##.##" or ##.##�##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bt.NFIP C�MMUNITY NAME& UNITY NUMBER 62.COUNTY NAME B3.STATE
City of Clearwater 12509 - PiNE�u+s FLORIDA
B4.MAP AND PANEL 67.FIRM PANEL 89.BASE FLOOD ELEVATI S)
NUMBE B5.SUFFIX B6.FIRM X DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE (Zone A0,use depth of ng)
12103C010 G ✓ SEP ER 03,2003 SEPTEMBER 03,2003 AE EL11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 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):
812.Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designai�on Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) �
C1.Building elevations�e 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 ceRificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevation s—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AWAE,AWA1-A30,AR/AH,ARIAO
Complete Items C3.-a�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 NRVD 1988 ConversionlComments N/A �"�4`,`"
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 enclosure) 5.75 FT ft.(m) �
� �`
o b)Top of ne�higher floor 15.91 . FT ft.(m) � ��'�(�
o c)Bottom�f lowest honzontal structural member(V zones only) N/A . FT ft.(m) y� � `,�„F
o d)attached garage(top of block) 5J5 . FT ft.(m) �� , s'''�'�F
o e)Lowest elevation of machinery and/or equipment W� ":j
serviang the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) E� �
o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��' PLS 5052
o g)Hig hest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � 1 C/14i 05
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.
1 cerfify tha t the information in Sections A,B,and C on this cerfrficate represents my best efforts to inferpret the data available.
I understand that any false statement may be punishable by fine or imprisonmenf under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
�TITLE COMPANY NAME
RESIDEN7 KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE Z�P CODE
8016 Old County Roa, New Port Richey FL 34653
SIGNATURE � � DATE TELEPHONE
_ 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�nsuran�com�any use:
BUILDING STREET ADDRESS(Induding Apt.,Unit,SuiYz,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
145 BRIGHTWATER DRIVE UNIT No.7
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 o�aal,(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_(Seled 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 floa(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 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 andlor equipment senriang 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 acxordance with the community's floodpiain management ordinance?
❑Yes ❑No ❑Unknown. The local offiaal 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�ssued or community-
issued BFE)or Zone AO must sign here. The statements in Secfions A,B,C,and E a�coriecf to the best ofmy knowledge.
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-COMMUNITY INFORMATION(OPTIONAL)
The locai official who is authorized by law or or�Jinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Ce�ificate. Complete the applica�le item(s)and sign below.
�1.�The information in Secti�C was lake�i 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 certify elevatio����formation. (In�cate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal completed Set1ion 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 COMPLIANCEJOCCUPANCY ISSUED
G7.This permit has been issued for:�New Construction ❑Substantial Improvement
G8.ElevaGon of as-built lowest floor(including basement)of the building is: __fl.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_
LOCAL OFFICIAL'S NAME �� "` �< � �� TITLE
.
.. : � 3 s
.. � . ......:.e va . . .r
COMMUNITY NAME �` � � '�z� t;^�� TELEPHONE
NATURE . > � � �.j��� � DATE
�°.�+ °
COMMENTS g y
..,.,. y. J."a gt"�
"9 .. 7 f 1 l.��'�..�LJ
,��_� .` F �ir it.�� 9
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
����� �
�'��°��£�����r���� C I T Y O F C L E A R W A T E R
• ��°4�\�a�, Y�Y`�
��°� �- �� ��� DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
�� ,�� � ,s6`'�w'«`'� Posr OF�icE Box 4748, CcFaawn�x, FLO�une 33758-4748
����°�` `r�`��'°��
�'ao-�!y f �q�@K$��� MUNICIPAL SERVICES BUILDING, IOO 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,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
SECT�ON 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 63.STATE
City of Clearwater 125096
64.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
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe)
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 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)1 ft.above adjencent grade
i) Totai area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
Comments: '
�
Date of Review: Community Official:
�vation ceRificafes sha//b aintain by the community and copies with the attachedmemo made available by request
FRANK HIRRARD,MAYOR
GEORGE N.CRE'I'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIRSON,COUNCILMEMRER � CARI.EN A.PE"I'ERSEN,COUNCILMEMBER
��EQUAL EMYLOYMENT AND AFFIItMA7'IVE ACTION EMYLOYER��
. �/
FEDERAL EMERGENCY MANAGEMENT AGENCY �
' ' ' ' ' NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
'`�'� � Expires December 31, 2005
�,�c-,y _�a o`-i 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.7
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX N0. 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 7, 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 63.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIf2EVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS 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 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 forwhich this certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketdi 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,AWAO ,
Complete Items C3.-a�below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the tlatum 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 . ,. ; ;'i.�,, .�
o a)Top of bottom floor(including basement or endosure) 575 . FT ft.(m) � ; �,''+�� `' ��. � `����
o b)Top of next higher floor 15.91 . FT ft.(m) �' L� ✓ '�
� �,..,r�,'`.� wy _
o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o�,� ,.�. �y � �;�
o d)attached garage(top of block) 5.75 . FT ft.(m) ��+ :�� , ', �, `�
o e)Lowest elevation of machinery and/or equipment �'�-2; : �
� s
servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft,(m) �� � c� �' — ' J ,"
o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z''� �"•��+ " '� •� `� �
o g)Highest adjacent(finished)grade(HAG) 5.1 . Ff ft.(m) ���, i �'•.,���Q�,��7��g� �
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. •�,,w.,.
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 informafion in Sections A,8,and C on this cerfificate represents my best efforts 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
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
• PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old Coun d 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 Section A. For insurance com�any use: �
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number . ' ' ' �
145 BRIGHTWATER DRIVE UNIT No.7 .
��N STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation CeRificate is intendetl 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,'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 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 communi�'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 FEMAassued or communiry-
issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME .
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
_� ❑Check here if attachments
�,� SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local offinal wh,�is authorized�y law or ordir.ance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the applicab�e item(s;and sign below.
G1.0 The information in Sectio��C was ta�cen fr�m other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or Ixal law to ceriify elev�ion information. (Intlicate the source antl date of the elevation data in the Comments area below.)
G2.❑A community official complei��a Sectien E for a building located in Zone A(without a FEMA-issued or community-issuetl BFE)or Zone A0.
G3.❑The following information(Items CA-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
G8.Elevation of as-built lowest floor(induding basement)of the building is: _._ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions