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145 BRIGHTWATER DR UNIT 8 . '�� ; �C,";�j� �- 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 Bruce VanWingerden BUILDING STREET ADDRESS(Includi g Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 145 BRIGHTWATER DRIVE U i�l� Q CITY STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Biodc Numbers,Tax Parcel Number,Legal Description,etc.) LOT 8, 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 B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.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 flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Detertnined ❑Other(Descnbe): 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:0 Construction Drawings* ❑Building Under Construction` �Finished Construction *A new Elevation Cerfificate 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,AWA,ARIAE,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 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. � ��,a'tiir'� Datum NAVD 1988 Conversion/Comments N/A �-� �,a � , Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No � `�; .a o,, 'r o a)Top of bottom floor(including basement or enclosure) 575 . FT fl.(m) � `=� � °�r�_ + � � o b)Top of next higherfloor 15.91 . FT ft.(m) �' �k �� r'1 ~ N N �•...3 �� 6 o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) �o � :: �,� k;;0 " '`'� o d)attached garage(top of block) 575 . FT ft.(m) �� ,e� �' o e)Lowest elevation of machinery and/or equipment �� `� � •?'"`°� � seNiang the building(ELEVATOR EQUIPMENT) 11_75. FT ft.(m) �`� � � � o fl Lowest adjacent(finished)grade(LAG) 4.2 . F=f ft.(m) �� , Y �;� `��'�}s�` � o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � °Q�/Q5(06 o h)No.of permane�t openings(flood vents)within 1 ft.above adjacent grade 14 � o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret fhe 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 �ROJECT SURVEYOR KLEIN&STAUB SURVEYING,INC. 4DDRESS CITY STATE ZIP CODE �016 Old County Road 54 .� New Port Richey FL 34653 SIGNATURE ' i i DATE TELEPHONE _� %.`�� 6 y,y � 05-05-06 (727)834�140 / f. �_._- _.... FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions � IMPORTAIJT: In these spaces,copy the corresponding information from Section A. For insurance company use: Bl 4LGING 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 . C:TY 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 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 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 cer6ficate 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 gratle. (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 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 grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are correct to the best of my knowledge. 40PERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME JDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A.,B,C(or E),antl G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offiaal completed Section E for a building located in Zone A(without a FEMA-issuetl or community-issued BFE)or Zone A0. G3.�The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for:❑New Construction ❑Substantial Improvement 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 iMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions _ _ � _ _ /� `� ��,i"' �!� �'p�r°`� ' � `'�;� ,� , • •f ' FEDERAL EMERGENCY MANAGEMENT AGENCY �'�;;� % .��`�-'� s °� � "� 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.8 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 8, PARADISE COVE PLAT BOOK 128,PAGES 19-20 BUILDING USE(e.g.,Residential,Non-residentiai,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): � �°_��_�_�� pr �.�°) ❑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 125096-0102-G PINELLAS FLORIDA B4.MAP AND PANEL 67.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 Booding) 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): 811.Indicate the elevation datum used for the BFE in 69:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building locatetl 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 tliagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,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 antl 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 =�._y, Elevation reference mark usetl LP-15 EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No �� `- �'�'r �"'. o a)Top of bottom floor(induding basement or enclosure) 575 FT ft.(m) � ,�' ^°`� y A ` „ '` o b)Top of next higher floor 15.91 FT ft.(m) �' ,ti��.��' ✓' o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o o , �•''� '�' �^.`. � ��h =. o d)attached garage(top of block) 575 . FT ft.(m) E� � . - �, � - "`� o e)Lowest elevation of machinery and/or equipment w`° `° . fi` " C,; � � ,' � .�, �`r.�` , servicing the building(ELEVATOR EQUIPMENT) NIA . FT ft.(m) E@ ,; ;,�, �,,;- o fl Lowest atljacent(finished)grade(LAG) 4•2 . FT ft•(m) z°' i °~� •PLS 5�2 "= � o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) U `� ��'"��'G�1�6 o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I cerfify that the information in Sections A,B,and C on this cerfificate represents my best efforfs to interpret the data available. I understand thaf 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 CIIY STATE ZIP CODE 8016 Old County R 4 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE 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 ComPanyUse: • • ` � BUILDING STREETADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number , • 145 BRIGHTWATER DRIVE UNIT No.8 � CITY STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � Copy both sides of this Elevation Certifcate 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(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment 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 floal depth number is available,is the top of the bottom floor elevatetl in accordance with the community's Floodplain management ordinance? ❑Yes ❑Na ❑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 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 u��iio is auihonze�by law or ordinance to administer the community's floodplain management ortlinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Corr�alete the applicaule item(s)an�+sign below. G1.❑T��e infermation in Section C was!aken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorizetl by state or local la�:�-t�cer±'rfy elevation ir�format�on. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community offcial completed Sr��tion E for a building located in Zone A(without a FEMA-issued or community-issuetl BFE)or Zone A0. G3.❑The followirg infonn4;ion!Items G4-G9)is provided for communiry floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7.This permit has been issued for: �New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding basement)of the building is: __ft.(m) Datum: G9.BFE or(in Zone AO)tlepth of flootling at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME '�"'` �-'�-° '�` � ; ''„ TELEPHONE � E'�.a,t SIGNATURE � "° DATE � COMMENTS ��' ;..�.�. ,�.� q j. '"a�� ,�%3 i �' ��t �r�. q ei•,'y . 5«.. . ..��,« . . �. �,� ��x ��° �- �'�� " '��_�� ❑Check here if attachments FEMA Form 81-31,Janua 2003 `� � rY Replaces all previous editions _ ____ / Ff � i✓. . { ... � -- ., . .. . _ o • FEDERAL EMERGENCY MANAGEMENT AGENCY '' '��m �'�'� �� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ��;'!'� ,e:.r . • � 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 Canpany Use: BUILDING OWNER'S NAME Policy Number PARADISE COVE, INC. UNIT No.8 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 Blodc Numbers,Tax Parcel Number,Legal Description,etc.) LOT 8, 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 61.NFIP COMMUNITY NAME&COMMU ITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096- � � xJ PINELLAS FLORIDA 64.MAP AND PANEL /�, 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRP01 I DEX DATE EFFECTIVE/REVISED DATE 88.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102 G $ER�EAqBER�� 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 B9:0 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 Construdion' �Finished Construction A new Elevation Certificate will be required when construc6on of the building is complete. �2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cert�cate 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,AWA,AWAE,AWA1-A30,ARIAH,ARIAO Complete Items C3.-aa below aa:ording 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 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) N/A . FT ft.(m) N � I o d)attached garage(top of block) 5.75 . FT ft.(m) E� � o e)Lowest elevation of machinery and/or equipment W 10 servicing the building(ELEVATOR EQUIPMENT) N!A . FT ft.(m) � ' E m ` o �Lowest atljacent(finished)grade(LAG) 4.2 . FT ft.(m) z'� P L S 5 0 52 o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � � 10/14/05 o h)No.of permanent openings(flood vents)within 1 ft,above adjacent grade 14 � o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify thaf the information in Sections A,B,and C on this cerfi�cate represenfs my best efforts to interpret the data available. 1 understand thaf any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001 CERTIFIER'S NAME LICENSE NUMBER BRUCEA.KLEIN PLS5052 TITLE COMPANY NAME PRESIDENT KLEIN&STAUB SURVEYING,INC. •ADDRESS CITY STATE ZIP CODE 8016 Old County R 4 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE 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 STREE,T ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 145 BRIGHTWATER DRIVE UNIT No.8 � 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 agenVcompany,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 BFEj For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting informa6on for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building 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 _fl.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _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 platfam of machinery andlor equipment serviang the buiiding is _ft.(m)_in.(an)❑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 bottan 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 oumers 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 coned 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 1oc21 offiaal v��no is authorized by taw or or.�'.inance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Con�alete the applicaire item(s)arni sign below. G1.�T��e infe;mation in Sectibn C was;aken from other documentation that has been signed and embassed by a licensed surveyor,engineer,or architect who is authorized by state or local Ia�A�to cer±ify elevatioa u rformation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official completed S�,�tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The following infonna;ion(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(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 COMMUNITYNAME '� ��;y� ' g ,' i�'� TELEPHONE , � �GNATURE - � '� ` 't" � DATE MMENTS � '� �, `'�`''� �,�,,; � � ��s,�.� _ �„'e.t d'e"`,j�4 �F � �� —� �� ,��;�w�� ❑Check here if attachments FEMA Form 81-31,January 2003 '°�`� 4 p � . Replaces all previous editions � ��'L��A�� `r`"�#��'� CITY OF CLEARWATER ��a � �� ,,,. , �.0 a �: �� 4�� DEVELOPMENT & NEIGHBORHOdD SERVICES DEPARTMENT ��- � °°� �'� � �y,�`�� pe A �� x' POST OFFICE BOX 474H� CLEARWATER� FLO�DA 33758-4748 ��''��q a�'�� ?$� MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756 R``" '"�4}` * TELEPxotvE(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 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 Biock 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 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 12103C-0102 5/17/2005 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in B9:� NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. Is the buitding 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 sha/l be ma tained by t community and copies with the aftached memo made available by reQuest FanNK His�nfu�,M:+YOR GEORGE N.CRE'I'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMAER � CARI.EN A.PE7'ERSEN,COUNCILMCMBER ��EQUAL EMYLOYMEN7'AND AFFIftMA'1'IVE AC7'ION EMYLOYER�� ' FEDERAL EMERGENCY MANAGEMENT AGENCY i'� � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �C�' Expires December 31, 2005 `aooy - o�a o�; 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.8 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,Legai Description,etc.) LOT 8, 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 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUMY NAME 63.STATE City of Clearwater 125096 PiNE�t�+s FLORIDA 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIftEV�SED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of Mooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community 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' �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,AR/AE,AWA1-A30,AWAH,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 Sec�on 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 floor(induding basement or endosure) 575 . Fi' ft.(m) � ��`�'":��'��/'J;�,�' f o b)Top of next higher floor 15.91 FT ft.(m) �; � .• � . o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o� �':,�� ca ,. -�� o d)attached garage(top of block) 5.75 . FT ft.(m) W� ^'e� i� u , c> y� o e)Lowest elevation of machinery and/or equipment - — ,_ � �, servicing the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) ��' �c� � 4= : o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��,; '� � .��,�� ," o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � i � 05/1,1185� . o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 J '�r►'�••••.C�;,1" o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. '�, `<<.�.�.s. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ,�,r; 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 efforts to interpret the data available. I understand fhat 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 County Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE 05/11I05 (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,and/or Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number . 145 BRIGHTWATER DRIVE UNIT No.8 . 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)communiry 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 intentled 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 avaitable). 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 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 owners authorized representative who completes Sections A,B,C(Items C3.h antl C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Secfions A,8,C,and E are cor�ect 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 y.. ❑Check here if attachments � _� SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authori�ed t�y la�ti�cr orc.��.er�ce to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Comple!�the applicable!tem(sj a�d sign below. G1.�The i;�formation in�ction�;;was tahen 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 cerf fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community o{ficia!completed S�tion�for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.0 The following information(Items G4 G5;is providetl 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(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