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161 BRIGHTWATER DR UNIT 2 L/' � i � �� r �_.. �. y-- �q FEDERAL EMERGENCY MANAGEMENT AGENCY �/�.,� � ,�J r . sr J�.�Ff /�'�'" �'"' NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 � Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pa es 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.2 BUILDING STREET ADDRESS(InGuding 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 Blodc Numbers,Tax Parcel Number,Legal Description,etc.) LOT 2, 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 ##.#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 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102G G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base 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 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 aocurately 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,AWAH,AWAO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show 6eld measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. �*` ' ''� Datum NAVD 1988 ConversionlComments N/A y a��,�y' '�� . " � +"�' � �,�,R � i!.. Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No o a` o#�a�e��rR ,�'` "� �" o a)Top of bottom floor(induding basement or endasure) 5.50 . FT ft.(m) � ° {� �° �'.si�*�'�� '� �ai�. ��'1�ee° i � �».: , �� t�'j� . o b)Top of next higher floor 15.67 . FT ft.(m) � � �,.�:� C�f �,- :� � �°��f o c)Bottom of lowest horizontal structural member(V zones only) N/A . FT ft.(m) ov� ��w r� '°' , s,.N + r o d)attached garage(top of block) 5.50 . FT ft.(m) �� o�„' �,> „ ' �' b W o e)Lowest elevation of machinery and/or equipment W� : ' 4�, ' �„ servicing the buiiding(ELEVATOR EQUIPMENT) N/A . FT ft.(m) ��,. .�,_. ,��!;� �2, o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� T '` °sp $ b°'"'��,� ' o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ;�,�'��,,� �j��'� o h N o.of rm an en t o nin s fl o o d v e n t s wi t hin 1 ft.abov e ad'a cen t r a d e 14 " �� ` �� ) pe pe 9 � ) 1 9 � Q�. o i)Total area of ail permanent openings(flood vents)in C3.h 1280 sq.in. 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,8,and C on this cerfificate represents my best efforfs to interpret the data available. 1 undersfand that any false stafement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A,KLEIN PLS 5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 8016 Old County Ro New Port Richey FL 34653 SIGNATURE 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,copythe corresponding information from Section A. Forinsurancecom�anyuse: • � BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 161 BRIGHTWATER DRIVE UNIT No.2 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 offiaal,(2)insurance agenUcompany,and(3)building owner. COMMENTS NIA ❑Check here if attachments SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),compiete Items E1 through E4. If the Elevation CeRificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(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 senriang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,'rf available). E5.For lone AO oniy: If no flood depth number is available,is the top of the bottom floor elevated in ac.cordance with the communiry's 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 canpletes 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 Secfions A,8,C,and E are correct to the besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ------�---- ❑Chedc here if attachments � SECTION G-COMMUNITY INFORMATION(OPTIONAL) The Ic;,al of�a�l who is authorized by law or oroinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Cefificate. Complete the applicable item(sj and sign below. G1.[]The information in Section C was iaker,rrom other documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authorized by state or loc��l�,v to�rtify elevation iniannation. (Indicate the source and date of the elevation data in the Comments area�elow.) G2.❑A com��,unity offiaai compi?ted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. . G3.�The follc�rnng in'n^nat:on(Ite!ns 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(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 : ; " `t� ��" TITLE �zr�v �� i,� "� �� GOMMUNITYNAME �;'-_�� `� � TELEPHONE SIGNATURE v DATE • COMMENTS ��o��;��,��,�-�"' SVC�iS �ITY O� ��_�.=�'.r��IVAT�R ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions «� �.; -` v ...; ,� • <�- � '� �� ._ ��'r4 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 �, �, ft ,;,,,,f�t-r,;� ;+ �.��`c�'' �" NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. JOB No.020024.2 • ; SECTIONA-PROPERTYOWNERINFORMATION ForinsuranoeCompanyUse: BUILDING OWNER'S NAME Policy Number CLEARWATER TOWNHOMES, INC. UNIT No.2 BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Company NAIC Number 161 BRIGHTWATER DRIVE CITY STATE ZIP CADE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 2, 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): ( #t#°-##'-##.##" or ##.##�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Oiher. SECTION B-FLOOD INSURANCE RATE MAP(FIRMj INFORMATION 61.NFIP COMMUNITY NAME&COMMUNffY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater 125096-Il� PINELIAS FLORIDA 64.MAP AND PANEL i�- Q� B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.�R INDE DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 12103C0102 G SEP'ffh�l6ETtQ3,'2003 SEPTEMBER 03,2IX13 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):_ 611.Indicate the eleva6on datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):_ B12.Is the building located in a Coastai 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` ❑Buiiding 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,AWAE,AWA1-A30,AWAH,AWAO Complete Items C3:aa below according to the building diagram specified in Item C2.State the datum used.If the datum is d'rfferent 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 calcutation. Use the space provided or the Comments area of Section D or Section G,as appropnate,to document the datum conversion. _ _ . _ Datum NAVD 1988 ConversionlCanments NIA Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No � o a)Top of bottom floor(induding basement or endosure) 5.50 . Ff ft.(m) � 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) �m " ` { o d)attached garage(top of bloc;k) 5.50 . FT ft.(m) ,�� ` 1 o e)Lowest elevation of machinery and/or equipment w , � �� ,"/ serviang the building(ELEVATOR EQUIPMENT) N/A . FT ft.(m) E� �' � . • � t � � .: o �Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z� ;, pLS 505� • o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � ' ,�10�q�f05 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. !certify fhat the informafion in Sections A,8,and C on fhis certificate represents my best efforts to interpret the data available. i understand that any false stafement may be punishable by fine or imprisonmenf under 18 U.S.Code,Secfion 1001. CERTIFIER'S NAME LICENSE NUMBER BRUCE A.KLEIN PLS 5052 TITLE COMPANY NAME • PRESIDENT KLEIN&STAUB SURVEYING,INC. ' ADDRESS CITY STATE ZIP CODE • 8016 Old County Ro New Port Richey FL 34653 SIGNATURE DATE TELEPHONE . Q8I14I05 (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 com�any use: � '' BUILDING STREET ADDRESS(Indudirg Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 161 BRIGHTWATER DRIVE UNIT No.2 ' �m' STATE ZIP CODE Company NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTtNUED) • Copy both sides of this Elevation Certificate for(1)community offiaa�,(2)insurance agenUcompany,and(3)building owner. COMMENTS N/A ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 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 plafform 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 flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Secfions 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 statemenis in Sed'rons A,B,C,and E are correct fo the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS � ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The Ic:.al of�a�l who is authorzed b;�law or oroinance to administer the communit�s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete!he a�plicable itemjsj and sign below. G1.�The informati�n in Section C was t�ker irom other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or loca�la�,v to�rtify eleva?io�inf�rmaaon. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A crom��,unity oifiaal com�lete�Secti�n E for a building located in Zone A(without a FEMA-issued or community-+ssued BFE)or Zone A0. _ G3.�The follcrrnng;�fc.�nat;on(Items G4-G9)is provided for wmmunity 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 bu�ding 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 � � .;� .h �ay, �� TITLE m w P '+..��6mr'��:�rff COMMUNITY NAME ; 3;�� " TELEPHONE ,�, SIGNATURE '�� i.ws�,� , �i�u.i DATE COMMENTS �`t y�� i—�<4 �. f�t� • L_zL...�i,�em�kd��5:'�.+�V� � V Y�S ��i''�` �� _�-:'°:�4'+�'�n�� ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions �- i ��-°�'"�i � ��, � C ITY OF C LEARWATER � � . , � � � p DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT �jp � `O` POST OFFICE BOX 474H� CLEARWATER� FLOx�DA 33758-4748 �'ATER�� MUNICIPAL SERVICES BUILDING, lOO SOUTH MYRTLE AVENUE,CI.EARWATER,FLO�uDn 33756 TELEPHONE�72� 562-4567 F�vc(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 O�cial 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. IATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION .NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE City of Clearwater-125096 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE Bg•FLOOD ZONE(S) �Zane AO,use depth of flooding) 12103C0102 5l17/2005 610. 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) 611. 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 Othervvise 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 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 O�cial: gy,�levation ce�tificates shall be maintained by fhe community and copies with the attached memo made available by request . FRANK HIRRARD,MAYOR GEORGE N.CRE'I'EKOS,COUNCILMEMBER ,]OIIN DORAN,COUNCILMEMBER PAUL F.GIBSON,COUNCILMEMRER � CARLEN A.PE7'ERSEN,COUNCILMEMBER ��EQUAL EMPLOYMENT AND AFFIRMAI7VE ACTION EMYLOYER�� . ,� " FEDERALEMERGENCY MANAGEMENT AGENCY •� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �� a�� Expires December 31, 2005 os��a . 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. 2 BUILDING STREET ADDRESS(Induding 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 2, 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 ##.�#°) ❑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 63.STATE City of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVE112EVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125096-0102 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL11.0 610.Indicate the source of the Base Floai 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):_ 612.Is the building located in a Coastal Bamer Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawingsx �Building Under Construdion" ❑Finished Construction `A new Elevation Certificate will be requiretl when construction 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,ARIA,ARIAE,ARIA1-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 NAVD1988 ConversionlCanments NIA ,,w Elevation reference mark used LP-15, EL.=4.191 Dces the elevation reference mark used appear on the FIRM? ❑Yes �No-. � ` � �T ""� � o a)Top of bottan floor(induding basement or endosure) 5.50 . FT ft.(m) � �` y,.�.,�°�,,��,�}✓'r l � o b)Topofnexthigherfloor 15.67 . FT ft.(m) � ✓ ..•' ,� , (,J�'` �-� , �, �:� � _-. o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) o'o� �:,� �` w►i° •. ;,.�. o d)attached garage(top of block) 5.50 . FT ft.(m) w� � '� ° �. o e)Lowest elevation of machinery and/or equipment -�; �- ` � serviang the building(ELEVATOR EQUIPMENT) rUA .,FT ft.(m) �@' � ' � ;';, " o fl Lowest adjacent(finished)grade(LAG) 4.2 . FT ft.(m) z'�',: , *`` ' "O �C~';.�:.� o g)Highest adjacent(finished)grade(HAG) 5.1 . FT ft.(m) � r, . �, 08/12L0�}�'�` ' .,...# o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � ��'�� '��a� o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. .�,�,�, SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION �. This ceRification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information in Sections A,8,and C on this certificate represents my best efforfs to interpret the data available. I understand fhat any false sfatement may be punisha6le 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 Couniy Road 54 New Port Richey FL 34653 SIGNATURE DATE TELEPHONE � 08112ro4 (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 STREET ADDRESS(Induding Apt,Uni�Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Polic,y Number . 161 BRIGHTWATER DRIVE UNIT No.2 � ' 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 offiaal,(2)insurance agenUcompany,and(3)building owner. COMMENTS N/A ❑Chedc 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 aocurately 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,if 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 platform of machinery andlor equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use naturai grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ordinance? ' ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The properry owner or owners authorized representative who completes Secctions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The sfatements in Sections A,B,C,and E are correct to the 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 offiaal who is authorized by!aw or ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Con�plete the applicable iternjs)and sign below. G1.❑�he information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or arch�ect who is authorized by state or local law to certify�evatior information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A commurity offiaal com�l•�d Se�±ion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The foliowing information(Items G4-G9)is provided fa 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