161 BRIGHTWATER DR UNIT 1 FEDERALEMERGENCY 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.020024.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
•BUILDING OWNER'S NAME Policy Number
CLEARWATER TOWNHOMES, INC. UNIT No. 1
BUILDING STREET AODRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NA�C Number
161 BRIGHTWATER DRIVE
CITY - STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcei Number,Legal Description,etc.)
LOT 1, tSLAND TOWNHOMES Plat Book 127,Pages 46-47
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 COMMUNffY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
City of Clearwater 125096-0102-G PINELLAS RORIDA
64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.ROOD ZONE(S) (Zone A0,use depih of floodirg)
12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0
610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):
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 BarrierResources 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:�ConsVuction Drawings* ❑Building Under Construction' �Fnished Constnx�ion
'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
aocurately represents the building,provide a sketch or photograph.)
.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AWA1-A30,AWAH,AR/AO
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion ca�ulation. 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
Eleva6on 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) 5.50 . FT ft.(m) � ����'•y `-'
o b)Top o f n e a c t hig her floor 1 5.6 7 . F f ft.(m) � ,�� b,� � �. r
o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) y � ' �a� i�� r" ;,`�
o d)attached garage(top of block) 5.50 . FT ft.(m) E�' :�',�,--�� '�.
o e)Lowest elevation of machinery and/or equipment W; �� � ;
d � � r ti
servicing the building(ELEVATOR EQUIPMENT) NIA . FT ft.(m) � ' �� f �-• • �.%:
• o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z' � `�,c_ ��'"' pLS Y�0�2� �'.;'�
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) �N F�, e�,` ` 1�r,'�s',.t��-•;''
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � f e y F ��".--.> �
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. �
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information in Sections A,B,and C on fhis certificate represents my best efforts to interpref the data availa6le.
1 undersfand 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
PRESIDENT KLEIN&STAUB SURVEYING,INC.
��DRESS CITY STATE ZIP CODE
3 Old County Rqad 4 New Port Richey FL 34653
SIGNATURE ; i` '` DATE TELEPHONE
i '_ 08/14/05 (727)834-8140
, �
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance comPany use:
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bltlg.No.)OR P.O.ROIITE AND ROX N0. Policy Number '
161 BRIGHTWATER DRIVE UNIT No. 1 ' .
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 off cial,(2)ins�rance 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 Cerfificate is intended for use as supporting information for a LOMA or LOM�F,
Section C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this cerfificate is being completed—see pages 6 and 7. If no diagram accurately
represents the building,provide a sketch or photograph.) .
E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if availabie).
E3.For Building Diagrams 6-8 with openings(see page 7),the ne�higher floor or elevated floor(eleva6on 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 avaifable).
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 o�dinance?
❑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 cbmpletes Sec6ons A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The stafements in Sections A,8,C,and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE •
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The locai officia�vho is u;�thorzed by law or ordinance to administer the community's floodpiain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the appi!r:�ble item(s)and sign below.
G1.�?he information��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
o*local iaw to cErfi(y�evati�,n inforrr�:tion. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A c•ommunit�r official comple;?d Section E for a building located in Zone A(without a FEMA-issued or wmmunity-issued BFE)or Zone A0.
G3.0 The follow7ng informa+��n(Ite�n�Cr",-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 issuetl 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-a�the�pikii�t��"°;������'�� ._ft.(m) Datum:
;: ':; � �� �
LOCAL OFFICIAL'S NAME �� _v �� -J �� ; ,a � TITLE
. �
COMMUNITY NAME $_,i � �.¢�A; TELEPHONE
: ... F 'S % �
SIGNATURE i DATE
COMMENTS -. •
„ � , �:��
❑Check here if attachments
F�MA Form 81-31,January 2003 Repiaces all previous editions
� � —�r3"� �
' FEDERAL EMERGENCY MANAGEMENT AGENCY
�' ,• '� �n���'I'� � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Il� f'!.°.. � ''�,�� �"'�� Expires December 31, 2005
�,3�.o '�a f`,,,,�, . ek��� ELEVATION CERTIFICATE
S aw� �°� �� G Important: Read the instructions on pages 1-7. JOB No.020024.2
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
� BUILDING OWNER'S NAME Policy Number
CLEARWATER TOWNHOMES, INC. UNIT No. 1
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
161 BRIGHTWATER DRIVE
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 1, ISLAND TOWNHOMES Plat Book 127,Pages 46�7
BUILDING USE(e.g.,R�idential,Non-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.)
RESIDEPffIAL
LATITUUE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#/�##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
� SECT�ON B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COYIMUNIN NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE
City of Clearwater 125096-0102-G PINELLAS FLORIDA
B4.MAP APJD PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
12103C0102G 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 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
611.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 Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings' ❑Building Under Constructionx �Finished Construction
i `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
accuratety 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,ARIAE,ARIA1-A30,AR/AH,ARIAO
Canpiete Items C3:a-i below aocording 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 calcula6on. Use the space provided or the Co�nments area of
Section D or Section G,as appropnate,to document the datum conversion. � '�``
Datum NAVD 1988 ConversionlComments N/A ..=��7�i����ot� ' '
Elevation reference mark used LP-15�EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No >� �� ,r �,>'.1� a,.
o a)Top of bottom floor(induding basement or endosure) 5.50 . FT ft.(m) � ��,�`��« s•�+•��•,;`'�;,3n�',Q
o b)Top of next higher floor 15.67 . FT ft.(m) � ���"'�'�� � � :• `' ,�_ ' ��
o c)Bottom of lowest honzontal structural member(V zones only) N/A . FT ft.(m) o�t�� : '���' , � •, �� �
o d)attached garage(top of block) 5.50 . FT ft.(m) ��' �-• �,,� ,j � _
o e)Lowest eleva6on of machine ry and/or e qui pment �'� , '� r, `` ' » � ::
serviang the building(ELEVATOR EQUIPMENT) NIA . FT ft.(m) ���� ::•,� .f 3�± ��:� '` '�
o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z'�"�� � o p,��,�0� ,`
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � �a�.; ''�o�,. ,�, ��!+�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 J f'+4� �`����;4�:�,�� .
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. T�.ps�y�,,��4�;'°
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,B,and C on this certificate represents my best efforts to interpret the data available.
1 undersfand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
� PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Oltl County R New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
� . � 08114/05 (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 company use: •
BUILDING STREET ADDRESS(Induding Apt.,Uni�Suite,and/or Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number
161 BRIGHTWATER DRIVE UNIT No.1 • L
CITY STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 337g7
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy both sides of this Elevation Certificate for(1)community offaal,(2)ins�rance 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 Cerfificate is intended for use as supporting infortnation 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 floa(induding basement or endosure)of the building is _ft.(m)_in.(cm)❑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 andlor equipment serviang the building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest atljacent 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 offiaal 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 conect 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 locai oifiaa;�vho is��thor?ed by la�v or ordir.ance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certific�te. Complete the appi;r,�ble iterr�!s)and sign below.
G1.�?ne informa�on�,i Section C was taken fi;m other documentatio�that has been signed and embossed by a licensed suroeyor,engineer,or arch�ect who is authorized by state
or loc�l iaw to c�ify�levati�;a infom�tian. (Indicate the sour�e and date of the elevation data in the Comments area below.)
G2.�A�mmuni,�offiaal comple?�d�.�ti�n E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The follo�ving infor*na!ion(Ite�ns Cr:�9)is provided for community floodplain management purposes.
G4.PERMIT NUPABER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCFJOCCUPANCY ISSUED
G7.This permit has been issuetl for:0 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 af floodin � ' _,_ft.(m) Datum:
�;�
LOCAL OFFICIAL'S NAME `''k ..,� TITLE
�� !
COMMUNITY NAME � �
�`�� �C.� 1 � 2�� TELEPHONE
SIGNATURE DATE
COMMENTS � �
�
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
- r v -
FEDERAL EMERGENCY MANAGEMENT AGENCY
: � '�,r._� y��,,;,���F"J'� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
�j� ,. /,,:.. ���j Expires December 31, 2005
��3- D e�.C��� G e���� ELEVATION CERTIFICATE
S e�-� � � Important: Read the instructions on pages 1-7. JOB No.020024.2 �O-v�/
• SECTION A-PROPERTY OWNER INFORMATION For Insuranoe Company Use:
BUILDING OWNER'S NAME �� Policy Number
CLEARWATER TOWNHOMES, INC. UNIT Na 1�'�
BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and(or . . UTE AND BOX N0. Company NAIC Number
161 BRIGHTWATER DRIVE
C�7Y STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.)
LOT 1, ISLAND TOWNHOMES Plat Book 127,Pages 46-47
BU�LDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,rf necessary.)
RESIDENTIAL
LATITUUE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( #t�-##'-##.#k#" or ##.#�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
� SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNffY NAME&COMMUNITY NUMBER 62.COUNTY NAME 83.STATE
City of Ciearwater 12509Fr�0'�'p� PINELIAS FLORIDA
B4.MAP AND PANEL � ��- B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FI M I DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Lone A0,use depth of iboding)
12103C010 G SE ER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.indicaie the source of the Base Fiood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_
B11.Indicate the eleva6on datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Desaibe):_
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:0 ConsVuction Drawings' ❑Building Under Construction` �Finished Construction
`A new Elevation Certificate will be r�quired when cbnstn�ction 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.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,ARlA1-A30,ARIAH,ARIAO
Comp�ete Items C3.-a-i below aa;ording to the building diagram speafied in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Sec6on B,convert the datum to that used for the BFE.Show fieltl 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 ConversionlComments NIA
PPe � �.,.,z� �.^-�`--�„—
Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark used a ar on the FIRM. ❑Yes �No �t ,�,,t���F�,.s
o a)Top of bottan floor(induding basement or endosure) 5.50 . Ff ft.(m) � . ;Q -��S U 5 � �'� ;f
o b)T o p o f n e x t h i g h e r fl o o r 1 5.6 7 . F f ft.(m) � �� �**�,��,." N �
o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) N �t �:''�-,� . , . ^�
o a=�': aa e� ,. �
o tl)attached garage(top of block) 5.50 . FT ft.(m) �-�' �'j �;�� � '� ,` . °
�__.: ,
o e)Lowest elevation of machinery and/or equipment � �; ,�' �,�~'� � ,, ; �„
servidng the building(ELEVATOR EQUIPMENT) NIA . FT ft.(m) � � E ,,y w!'' ' � �, � r•.rv �k
o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) ��,'s 1 � ��C; PLS �p�2 ,.ti ��`r
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) J ', }4�•���1�7'����%u-`
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 that the informafion in Sections A,B,and C on this certificate represenfs my best efforts to interpret fhe data available.
1 undersfand thaf any false statemenf 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 t y R New Port Richey FL 34653
SIGNATURE � TELEPHONE
� , � 08114105 (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 Company Use: ,
BUILDING STREETADDRESS(Induding Apt,Uni�Suile,and/orBkig.No.)OR P.O.ROUTEAND BOX N0. Policy Number
161 BRIGHTWATER DRIVE UNIT No.1 , •
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 off cial,(2)ins�rance agenUcompany,and(3)building owner.
COMMENTS
NIA
❑Check here if attachr��ents
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certficate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed–see pages 6 and 7. If no diagram accur�tely
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,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 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 acxordance with ihe communit}rs floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local officiai must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who canpletes Sedions 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 corred 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 locc�offiaal�vho is:,�thor%ed by i�w or ordirance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the appiic�ble itern!sl a�d siyn below.
G1.0?he in,'oRnation i;�Section C was�aken fr�h�n other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state
or Ix�iaw to ckr6fy E;evatic;�inforr��fiun. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A�mmunit�offidal comple�ed S�,�tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The fdior,4�rg infor*na+�on(Ite�ns Crt�9)is provided fa community floodplain management purposes.
G4.PERMIT NUP�BER 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 buiiding is: _,_ft.(m) Datum:
G9.BFE or(in Zone AO)depth of floodin t1h ' i�i ._ft.(m) Datum:
�:�; ��c —
LOCAL OFFICIAL'S NAME `` '`R�' _� TITLE
�;� �
COMMUNIIY NAME �,;��„ �4�,� ` � 2��� �� TELEPHONE
SIGNATURE � DATE •
–��.
COMMENTS � � T'}!R/
iZ��!��y Y i
�✓� � 1� �• � -s�,
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
� - ".
� �$����c�� CITY OF CLEARWATER
• � ,�I�, �
� � p DEVELOPMENT & NEIGHBORHOdD SERVICES DEPARTMENT
9� � `O` POST OFFICE BOX 4�]4g� CI.EARWATER� FLO�DA 33758-4748
�,q�-ERF� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756
TE�PxorrE(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 sunreyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION "For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type):
(##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 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)
12103C0102
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89.
❑ 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 buildin located in a Coastal Barrier Resources S stem 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,ARlAH,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 maintained by the community and copies with the attached memo made available by requesf
FanrrK H►annx[�,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBGR JOIIN DORAN,COUNCILMEMBER
PAUL F.GIBSON,COUNCILMEMRER � CARLEN A.PE7'ERSEN,COUNCILMEMBER
��EQUAL EMPLOYMENT AND AFFI1tMATIVE ACTION EMPLOYER��
. , __ _ _ �/
� � FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
�� a' °O� ELEVATION CERTIFICATE
05�o°�
Important: Read the instructions on pages 1-7. JOB No.020024.2
SECTION A-PROPERTY OWNER INFORMATION For Insuranoe Company Use:
� BUILDING OWNER'S NAME Policy Number
CLEARWATER TOWNHOMES, INC. UNIT No. 1
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
161 BRIGHTWATER DRIVE
C�Ty STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.)
LOT 1, ISLAND TOWNHOMES Plat Book 127,Pages 46-47
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 ##.#t#�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNtTY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zaie A0,use depih of flooding)
125096-0102 G SEPTEMBER 03,2IX13 SEPTEMBER 03,20U3 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base floai 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 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 wili be required when construction of the building is compiete.
•;2.Building Diagram Number 7 (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.)
C3.Elevations—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,ARIAE,ARIA1-A30,ARIAH,ARIAO
Complete Items C3.-a�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 ConversioNComments NIA
Elevation referenoe mark used LP-15, EL.=4.191 Does the etevation reference mark used appear on the FIRM? ❑Yes �No +
o a)Top of bottom floor(induding basement or endosure) 5.50 . FT ft.(m) � ��.�� �'���°� �
�.,��` '� , r ;�.:
o b)Top of next higherfloor 15.67 . FT ft.(m) � � ` �;r ,-'` � ,
o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) �o j��:��' cv ,y`.��
o d)attached garage(top of block) 5.50 . FT ft.(m) ."W�:: ;.,.. ...� -,.`'
o e)Lowest elevation of machinery andlor equipment �;� u. �
°' `' t,E,
serviang the buitding(ELEVATOR EQUIPMENT) NIA . FT ft.(m) '� @ ; ��Y. .. � p�., m
o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z'N , ' �` �.'�:� t1;-;��'
o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � �'�,.;�� ••°,� b8/12/04 �' j
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � � ,`'� � ��1�
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 that the information in Sections A,B,and C on fhis 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,Secfion 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
•ADDRESS CITY STATE ZIP CODE
8016 Old County Ro 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
_ 08/12I04 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance Company use: � •
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Polic,y Number
161 BRIGHTWATER DRIVE UNIT No.1 • � '
�� 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 oifiaal,(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 Cer6ficate 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)0 above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6 8 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 serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf 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 Seaions 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,8,C,and E are correct to the best ofmy 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 locai offiaal who is a.uthorized by iaw�T 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 appi�i;able ifem(s)and sign below.
G1.�The informatien in Section C was tal;en from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or local law t�ceR'rfy elevation informa6on. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal campleied 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 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
� ����i�g Ph�t�g��ph�
See Enstructions for Item A6.
For Insurance Company Use: i
uilding Sir�et Address(including Apt., Unit, Suite, and/or Bldg. lVo.)or P.O. Route and 8ox No. Poiicy Number
�61 Brightwater Drive, Lot No. 1
Clty Clearwater State FL ZI P COC12 33767 Company NAIC Number
�
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
I following.
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�,II �hotos Taken 7/24/2007 '
•
S .� (� � � 0 V ��-
L5
NOV 0 1 2007
PLANNING&DEVELOPMENT SVCS
CITY OF CLEARWATER
•
�'�,
•
. , - � ����ding i�h�togr�p�hs
� Continuation Page
For insurance Company Use:
�iilding Street Address(including Apt., Unit, Suite, and/or Bidg. No.)or P.O. Route and Box No. Poiicy Number
1 Brightwater Drive Lot No. 1
C(ty Clearwater StBt@ FL ZIP COd@ 33767 Company NAIC Number
I
If submitting more photographs than will fit on the preceding page, afFix the additional photographs below. Identify ail
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."
Right Rear Right Side Rear
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