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SECTI4N E CEAT�ATION
�tris ce�ilfc�0n is fo be signed by a lar►d stxvey'or.engineer�or ard�i4ect who is�ttlrorized by state w local law to cerG'�y elevat��
td
. � KiformaCbtl wt�the eiev�on a�fo!Tr�etion for Zones A1 A30,AE,AH,A(wifh BFE),Vi-V30,VE,anci V(with BFE)is requi►ed• ;
comrtux�ity cf�ls who are sulhor�ed by wc�l taw«ord'in�noe to pro�ride fbod�n manageme�t i�orrt►a�O".m��0�'9"�
wcii�w�ion. in d�e r,ase of Zaies AO and A(v�iftwut a FEMA rx comrn��ity issued BFE).a buAding offic�ai.a Properly owne�.�'an
�a�er's,c�pr�e may aiso sfgn 1l�e oer�on•
Rerere�,ce�+ei a�ins s,7 and 8-D�thng Fe�ues-If ihe ceAifiet is unablg b oertltp to txeakaway/r�or►-breakaweY wafl,
' er�doibtr�s�ze.I�caMon:d servicKrg equipn�ent.�ea u�se,waN openir►gs,or unfmist�ed area Feature(s).then fist the Feature(s)not
, irtdi�ded iri�e oet�ior►usxier CorrKtients belO+N. The dia�ram rpurd�er,Section C,ttem 1,must s�ll be errlered.
,. /asr�Ih�ttie a�brr+�on hr Seaporrs 8�d C ar�is c�te represerrls r►ry'Gest ellivrts tio in�rpret ifie data avarlable-
. ;1 u�nd thetaAy f�s�R►Bl�t n'►8r bB pt�shable bY fine OI'impriso�►merrf under 78 U.S C•ode,Sec�ion 1001. _
06ii1F�fiSTMME IICENSE NUMBEa(a Nfpc Seel)
�a�r� nr� 1�}+iINGS l 81►S�
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��:$p !��� C I TY OF CLEARWATER. "=
/�bFiESS' C''Y STATE � g_
- `' !�_ 3tXl`I�i Hi S�I AVENtJE CLEARWATER, FL(�I DA 3 4 616 � =;
T SIC�IIUF�' �� DATE PHONE _ '�'�
3 46 7
s C�episs lif6t�ld.be anetlp d✓` t�or:1)canrnurdty oniciat.2)insurance agerNk�ompat�►,and 3)bulklMg a�n� +�-_
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_ � . ��IWMIC@If:•.: � ELE'��/ '. .
EIFYATqII � •�py�(S(T � .
LEV� �
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The d'rgrams abae iNu�'�ate ihe pants at wltiCh the ele�v'ations stiould be measured in A Zor�es and V Zones.
Elevaliatis�or aM A Zones should be me�sured at the bp of 1he refere�oe level floor.
Elev�ons(or aN V Za�es shoald be meas+�red at gte batMm d the bwest hotizon�al strtx�txal menlber.
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THE NATiOMAL FL�D INSURANCE PROGRAM
ELEVAl1QN C�RTIFICATE
PURPOSE OF THE EL�VATiON CERTIF(CATE
The Eieva6on Cerdfiq0e is an importarrt administrative tool of the Nffiional Flood Msu�anoe Program(NFIP).
: As part d the apr�ernent for
���dng iood ir�xar�oe available in a carnrxudty,the NFFP requires the comnnx�ity to a�o�a ilooclpi�ir�
�!��'�araoe��g oertain mininMxn requireif�enis intended M rech�oe luture flood k�ses. One such
��Y�'+�e.6(eva�on of tha lo�w�est floor(indudin9 basement)of�ne+w and �'�is tt� _
a rsco�t!af aN such irM�rmaAion.' The Elewador►Cer6�e is one way for a oommunity to cort��ed str�hmes,and mairRain _
requirement :>
��on�is alsn►equired�o prc�pe►►iy raLe post-FlRM strixrimes,which are buildinOs oor��cted atter pubNq�ion d ihe =
Yt=N90.V�anQ V ��'tor tbod�surarioe in FlRM Zones At-A30.AE.AO.Pre-FlRM strucdxes bekig ra��S�,
����� h�8F�'s). fn ad�itlort,the Eie�watlon CertificaEe is also needed for �_��
r`.
��99 Of UMS�9 C�06S f10t Ifl$Iy►y118y/�FB��11@ SIpOd�{JI�IIGB pUt(�fgqtll/�lilg�x- 'fr19 E�8'V8110f1 CiBfb�j@ 15 O►lly/U99d�pfpM1llf�B
�������OOfT�t10B MN1�1�I@ Op�fpTNp11(Y flpp��p�1C9S.1�d648R111f181f19 p1�Op6f n004
LOMR irom the Feder�t E �'�'��a��br a Letlar d Map Amendme�or Revision(L^AA�►a LOMR).Only a�OMA or
Mer�r�g ir�tiA�Non tu ��y����(��►?�amerxi the FIRM�d the Feder�l requiremerK flor a
�quire The Pu►d�aa�e af flood ir�xarxe. Nole thai the ler�ding ir�Oitution rt►a�recluire fkwct iru�ano�,
This certi�e is only used ta cer9fy the eleva0on af the►eferer�ce tevel d a building. B a non-residential building is being�oodpro�fed. -
��F�.�1'�n9 Certifica�e must be comp;e0ed in addilion to oertify��9 the buildi�9'S elevation. Floodproo{'mg of a rec.,iclertbat buiiding
'sssued an exoepdonp8un�M,q��elevadon r�equirerneMs or affect the insuranoe rating unless the cartxnuni:y has been
f�oodProofed nesiderrtiat basements.
�STRIlCT��NS FOR CO�IPLETING THE ELEVATION CERTIFlCATE
The Ele�w�on Certifir,ale is fv be completed br a land surveyor,erx,�inee*�or arot�ect vrho is autl►or¢ed by siate or bcal law to oar0(y
���►►��o�►�f�en the elevation Pcdortnation for Zones A1-A30.AE.AH.A(wilh 8FE's).V1-V30.VE,and V(with BF'�'s)is
req�+sed• Co�r�xMlY offida�wFw are aWhorized b�r local law or adinanoe bo prvvide floodpiain mar�agement infom�atio►i may a�o
ooA'�lele this fam. For Zones AQ and A(Mrithout BFE's).a buikfin9 0�,a propsrty owr�er,or an ow►�er's represe�a�tivE may also -
p+ovicie the ir►Fonnationn on tlws oertifir,aoon.
�A Prop�ty M�ormado� ;`:
The ElevaOon Certificale ide�ifies the building,i1s owner arxi As location. Provicle!he buildin9 owr�er's�me(s).the buflding's aorr�plele
sV'eei addness,and lot and block rxxnber. If the popeRy address is a nxai rou0e or PO bwc number,provide a legal desaiP�on a an
a6bnevialed locadon desaiption based on distanoe from a reference poi�.
SECTION B f�ood�cs Reb M�p�bn
In order b propery completg the Elevatio�CeAific�e.d is r�eoessary to bcaFe the building on the appropriate FIRM.and recad the
ePP�P��orrnation. To obhain a FIRM,oartact the cortrnunily or cak 1-900-333-1363.
The Ele+*abon Ce►ORca�e may be cariple�ed based on either M�e FIRM in etfec�at the time of the ceAification or the FIRM in effeCt wrtien
construCtion of the tw.Mdirg rv�s st�ted.
�sa�1-G using uie FlRM k�dex and me appro�xia6e F�ril�+l pa►iel f«the oomrrn,nity,record a,e carm,unity nurr,ber,aenel(or P�)
nixnber,�'ix.ard k�dex daDe. From the appropriale FIRM F�ar�el,locate the property and record tl'ie mne and 1he BFE(or flood ci�1t►
nurtiber)at the buiidirg site. BFE's are s.'iorr�on a FtRM b►Zones A1-A30,AE.AH,W-V30,and VE;flood depfh�umbers are sho�rn
for 7�one/40.
�7.Fieoord the vertical dalu�eystem b whid�the elewations on the applir,able FlRM are reberenced. The datum is specified in the. -
�ipper rigtttoortie►of the tiUe block vf the RRM. -
Me�tA 8�In A o►V Zones where BFE's are nat prwirled on the FIRM.the comrtwrrry maY have establisl'�ed 8FE's based on c1a�a from df�
saw�es. For subd�ons and other dev3loixne�K 9ne�r than 50 bts a 5 acres.e�abtishment of BFE's is required by oarwrwrpy
�oociplain marr�pe.'nent a�dK�anoe_ MRien ths' is�e case.carr�lete this item.
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SECTqN C BuNc�ng Eleystion IMormefion
n�"��Elevaflon Ce�tificate uses a building's reference level as the poirtt for measuring its eleva5on. Pages 5 and 6 of ihis Eieyaip�
�age cantain a series vf eight cti�rams of ve�ious buildi�9 tYPes that are�o be used to help de4erm'rne the re6erence leyvgi,
elevation as�in Ite�r►�s�ris this building.record the diagram rtumber,and use the indic�ted refererx,�level to meastxe flte
-'';�;
:.���.��Pr'��bcation's FIRM Zone.oorr�ple3e t6em 2a,2b,2c,or 2d. Use the refer�nce level sho+�m iri the �'h
P�'of m¢astxemetit. As shotim in the diac�ram on the baCk of the Certificame.lor aM A Zones,lhe �;.
ele�va�ion shadd be me�sured�fhe,bp of the referenoe level floor. For�V Zones,the elevation should be rt�xed at�e bororn of
the bw�es!horizo�at s�rt►�sr�member oF the refereiice Ievef floor. Reporting of eleva6orts in 16ems 2a and 2b slwi�ld 6e 1u the iteiaqe�t.
�of a 100�or�v�ty,�less p�ot�ibiped bY st�e or local ondinarx�e.the re�erence level etevaaon may be Yax�ded clo�~b�e: �.
neawst-whole bot("�e��°�Fx,pAbMed). ,
' ... � ��-�wf'
����bcaled in FlRM Zot�es A1-A3Q,,4E,AH,and A(wifh BFE's).record the elevation(to the ne+azest ten{fro(a tno4
d 1he 1op d the�oo"r iderMilied as the refer�anoa 1eve1 in the a�p6ca6ie�n -� �`
�S 2�.Fa sftticpxes bcaied in F1fih1 Zones V1-1l30,VE.and V(wqh BFE's),reco►d tl�e e�e'va4on(to the neare541en1fi afg i�oot)drie �� `
bollan of�te'iow�est Aor�onlai;���i�bet'of the floor 1der�tified�fhe refererxe level in the a p�p l i c a b l e d i a g r�m, .:�
I l a a a 2(cj.Fa�a�s ioca@ed in FlRM Zone A(w+1f�a,t BFE's).r�eoord the t�eigM(to the nearest benlh of a foot)of the rop of tl�e flow`
�d as the refener�oe 1e�et{irom tlie a�p� � .
d�epram)above or below the F�igttest a�}aceM c�r�de�next to fhe dYd�
�M�n�,F�str�xg�n9s bcated in FWM Z.ane A0..1he FlRM will s1�ow the hase flood dep�Mi. For�ocatior�s ai FIRM Zone AO rec�d�qg
k Ifo fh9 r�eareet Lenlh af a fopt)of�e t4Ri�i fhe Noor ider�Bfed as the re�snenoe level(irom the
��.�x 9��e inxr�ede�ely next 1�►{fte buuilydi�ng, For po�-pN� ��'�►'�)8bo��e a belslt: r
- reqiires�at yis r�iue eqaai or exoeed the base fleod deplh P�r�ded on the Fl�RM For ttiose few�ooms ►rxx�wb'es�� .�:�;
���•���lY�need to de�errnine'rf the�owest floor is elevaAed in acoo►danoe with Meir flpodpfain rt�an�� :• _
_. _.._..,
_ �., -
Nem�Reoad the ver�cal datum syste��used in ider�ti(yirg the referenoe level elevations for aN _ ^
the ele+i�oris'ts�Qer�erK U�an tha:used on the FIRM,then canrert the ���. ff the d�um used in tr�t�g t� .
���ersion equa�ion t�ndtY tl�e Cortxner��ction on Page 2. �"��tertis 2a-d to fhe dalum used on the FlRM.ard s!'�r
I�em/�lndcale if fhe ele+ralion reFerenoe mak used apq�ears on the FIRM. Rel+evence marks other tf�thase stawn on the FlRM may be
�����M��e�, ,�!�J 9►'��d st�sider�oe.the most reoentfy adjus�d re�etenoe mark s{ey�or�s�� - -
Nem 5�Inticale�tite t�Terenoe{��in making tfte elev2liort meas�xemerrt is based on aclua!�a� .
as
Goc�n�on�awar�gs shoufa ony be used if tne tx,7air,g do�;not yet nave me reference Iever noor irt
oon�ruc�is o�onip�e/e. br tl�e buildi�-,9 durin9"�e course of cor:sln�ction. A post�E�yyp�'��,.�'�e w�N� be need�ed o�i�oe -
�a�E�eoad 1he ele►�abon m�af the Ivwest grade a�jaoe�rt to the _
defn�ed as�e erevaUon d the groix�d,sidevva�lc.pa�.dedc support,or basem���!iO the nearest lerph ofi a�no2). Ada�t 9rade is
me�urement should he to the nearest tenfi vi a bot'rf ttws Ce�tifica�is beeig used to�suppor��a�Y next to the�re. 71rs -
►e4�est for a LOM/VLoAAR_
SECiION D C.onrN�dt�r� �! .`
Con�6ion d tt�is� �on i�s not���in order to meet the minimum flooalp{ain man� .� ,
1VFlP. Otlterwise, �. requiremerrts d�e .
llenl 1.The OorrlrrNxlihr�g App�jrt r►t�►lerlt at�fla�lcE �1 .`5
����@�'a+�1B�@�Bfef10@�8V@�d(���pMleSt}�OOr Wla�bOfl Of�12 bU1�I1�'S"�OMM@St�OOi'��1@�'E. FOf�{r� -i =
�epan�,Y.reoord the elevaoon of the lowe�t fbor. same. If ihe oommunitY dete�r�fh�there is a . ,.
tkm 2 ErMer d�e. Tt�ese terms are defined by Iopl ond;r�anc�
�
SECTION E C�r� ; -
Car�iele as indicaled. The E�evaroon Certificate may on�y be��,a�
or locaf�aNr�o cer�y eiew�on i�Ortnation whsn ttie elevation� ��.engineer�or a�tN6ea;�rho is aulhorized bY stafa
(wilh BFE's)is reqirred, Conr►�u�itY�who are �f�Zones At-A30.AE.AH.A(r�BFEsI,V1-V30.VE,and V
may also sign riis oe�tif�c�Aon. ki the case of 2ones 40��y�o�R BFE'�orbnance to provide flop,dp������
�x'eeer�a�ve n'�►sgn ths oerbfication• � �^9 o�aal,a properq owner,or an owner•S
Cerliiqlion is narrk�My b the ir�fom�atip�Provided in SeaOons B and C. If the ce�tiGer is ur�to
d�gram 6.7 a 8(Secliun C,Ibem 1).e.9•.beca�ise of ' ref�nenoe IeyeF '
�Y�the selecbon d -
���9�e�fs),�e aerti6er must list the Fe�)�quded��������0^�eedBd b delgmw�e � -
d�n nurt�used i�or ihe Retere��oe leaet must stiq be en�ered in Secbon C,1����°�Page 2. The -
Page 4
' ;j . -
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.. � .�.:. '.�.� . v, . . ' . - .
:
...:,.!4 .. �._�_�: .. . . . . -..� ';.i�.
U.S�DEPARTMENT,OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
�ederal Emergency Management Agency Expires March 31,2012
' National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. Building Owner's Name CITY OF CLEARWATER Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number
#210 DREW STREET
City CLEARWATER State FL ZIP Code 33755
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ��� ��� _� r ��G
OFFICIAL RECORD BOOK#1205 PAGE 410 PUBLIC RECORDS, PINELLAS COUNTY,FLORIDA �
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL/DOCK MASTER BUILDING
A5. Latitude/Longitude:Lat.27-58-05.407 N. Long.82-48-12.445 W. Horizontal Datum: � NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 8
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 507 sq ft a) Square footage of attached garage sq ft
b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade 6 within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b 66 sq in c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? � Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61. NFIP Community Name&Community Number B2.County Name B3.State
CITY OF CLEARWATER #125096 PINELLAS FLORIDA
B4.Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
108 H Date Effective/Revised Date Zone(s) AO,use base flood depth)
6/09/71 5/17/05 AE 12.00
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe)
B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe)
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑ Yes � No
Designation Date ❑ CBRS ❑ OPA
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. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,ARlA1-A30,AR/AH,AR/AO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized N.O.A.TIDAL B.M.8726724AVertical Datum N.A.V.D. 1988
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7.97 �feet ❑meters(Puerto Rico only)
b) Top of the next higher floor ❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 5.80 �feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
� Lowest adjacent(finished)grade next to building(LAG) 5.09 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 7.78 �feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.65 �feet ❑meters(Puerto Rico only)
structura�support
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 on this Certificate represents my best efforts to interpret the data availab/e.l ` `` ''
� � a a "�A�+ r ,�
•'� a•i^ s~ i�,�Af p��J
understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.❑ \�• .��2� .,:.�-•.,� ., ,
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a � ,^� r�i,ti��s',:�;,4�f, ` �'#.
licensed land surveyor? � Yes ❑ No • � �'- %� '"� "'
� ,,,�:=w *"! �
Certifier's Name RICHARD R.HAMILTON License Number #3659 _ �; t�"�~"� '`�y`��' .
,.-}
Title REGISTERED SURVEYOR 8�MAPPER/FLORIDA Company Name CITY OF CLEARWATER �9 R �;�',°-q' #�'-' ; �� �
Address #711 MAPLE STREET Ciry CLEARWATER State FL ZIP Code 33755 � ��1�.� �� �r�,��� .�'�`;'�
,'.'�,
Signature � Date 04/16/10 Telephone 727-462-6127 'r,J'J:��f •••y�•{� s' �,,�`
�l l�n..cc�+� �• �, . �} ' � -^ti� .,r
,r�%r, .tit • � ',
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous ed' ons
� �
IMI�ORTANT: In tl�ese spaces,copy the corresponding information from Section A. For Insurance Company Use:
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
� #210 DREW STREET
City CLEARWATER State FL ZIP Code 33755 Company NAIC Number
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner.
Comments C2E/BOTTOM OF AIR CONDITIONER UNIT
Signature . Date 04/16/10
�,� �.,. � Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or�below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Buiiding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of siab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG.
E5. 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 o�cial 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,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,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 o�ciai who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items GS and G9.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to ceRify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
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: ❑feet ❑meters(PR)Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum
G10.Community's design flood elevation ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
J �
� Building Photographs ',
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy►vumber
#210 DREW STREET
Clty CLEARWATER State FL ZI P COd@ 33755 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,
following.
PHOTOGRAPH#1 /TAKEN APRIL 08, 2010/FRONT VIEW TO THE WEST
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� Continuation Page
For Insurance Company Use:
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number
#210 DREW STREET
Clty CLEARWATER State FL ZIP COd@ 33755 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and "Left Side View."
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PHOTOGRAPH #2 I TAKEN APRIL 15, 2010/REAR VIEW TO THE EAST '
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.����$E�`'�c%, CITY OF CLEARWATER
fC��.��r����
v��.��Qr pLANN[�lC,c�DEV"EI.(>P�IE;V"I'DEPAR 1 MEN'I'
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�C9�j` '''����� 1VIUtiICIP.AL SEKV"ICL�S BUILDIN6, IOO SOUT'A MI'RTLE c'�VEI�C;E, CLEAR�Y��TER, FLORID9�37SC�
,ATER�,�� T�L�rxo;v�(727)�62-4767 F�(727)>62-486>
Conditions Associated With
BCP2008-11329
210 DREW ST
The following conditions must be satisfied before the nermit can be qrocessed. Status
Building Review Vern Packer 562-4571
1/26/2009 NOTE- Please cloud any/all changes on the plans before Met
returning them for re-review. -A response letter shall be
submitted with all responses for clarification.
NOTE-Additional Conditions may be necessary based on
the responses to conditions or to new information not on
hand at time of review.
1/27/2009 Provide Product Approval package for this project, include Met
manufactures installation instructions for the following
items; Windows, Skylights, Exterior doors, Shutters,
Roofing, Structural Components, New and Innovative
building envelope products. Approvals may be found at
www.floridabuilding.org- Product Approval- Product
Search.DlD NOT PROVIDE PACKAGE. CLOUDED
NUMBERS ON FRONT PAGE A1.1 NEED PRODUCT
APPROVAL PACKAGE AND SPECS. INSTALLATION
INSTRUCTIONS AS REQUESTED.
Product approval package is necessary and will be
provided when truss engineering is completed upon
permitting. Job must submit Florida product approval once
truss engineering is available. OK to permit with approvals
to come at truss engineering.
1/27/2009 Provide Product Approval package for this project, include Met
manufactures installation instructions for the following
items; Windows, Skylights, Exterior doors, Shutters,
Roofing, Structural Components, New and Innovative
building envelope products. Approvals may be found at
www.floridabuilding.org- Product Approval- Product
Search.DlD NOT PROVIDE PACKAGE. CLOUDED
NUMBERS ON FRONT PAGE A1.1 NEED PRODUCT
APPROVAL PACKAGE AND SPECS. INSTALLATION
INSTRUCTIONS AS REQUESTED.
Product approval package is necessary and will be
provided when truss engineering is completed upon
permitting. Job must submit Florida product approval once
truss engineering is available. OK to permit with approvals
to come at truss engineering.
Print Date:4/30/2010 Page: 1 of 8 CaseConditions
��EOL�AL EA4PL05'�ifE[�'I'�IVD AFFIRhIe1'19�"�L�C.TTON EMPLOY"�R°
The following conditions must be satisfied before the qermit can be processed atu
1/27/2009 Provide details for all"flood proofing"methods for doors, Met
windows, and other openings
the building is in a flood zone .map shows it to be a ve
zone with an elevation of 14 ft. the cost of remodel is over
50 percent of the value.cost of job=230,000.00 value per
pinellas county 142,800=GIVEN WAVER AT FLOOD
BOARD. see mis2008-02001 meeting 3/12/2008
1/26/2009 Provide details for H/C accessibility from the public way Met
(street/sidewalk)to the entrance of the building. provided.
1/26/2009 Please provide a cost breakdown sheet for remodeling Met
cost showing, up to the required 20%, accessibility
upgrades.
1/26/2009 pickets for aluminum railing system shows the pickets to Met
be spaced 5 inches on center. page A2.1... then shows
four inches on center page S1.1... height of railing detail
shows 36 inches on page A-2.1 then it shows a height of
nine feet?on page A1.1.
1/26/2009 give run/rise of stairs...... give width of stair landing. Met
C OF O CONDITION -ZONING Wayne Wells 727-562-4504
12/8/2008 All site improvements, including landscaping, that relate to Not Met
this building (to be reviewed and constructed under
separate permit) must be completed prior to issuance of
the Certificate of Occupancy.
Environmental Review Ed Chesney 562-4742
1/30/2009 Please note: Review is limited to the building only. Plans Met
submitted are for the Upland Improvements Project,which
will be submitted for review again at a later date.
Review is limited to building only.
Fire Review Leonard Rickard 562-4327 x3078
1/23/2009 Need to provide an address on the building Per: Met
Ordinance 4138-86 All developed properties must have
their address number clearly visible from the street they
face
(address side).All non-residential properties must have
numbers at least 6(six) inches in height.
1/23/2009 Door swing in Shower#2 is wrong direction, this will Met
impede door swing Womens Bathroom. Change door
swing.
1/23/2009 Provide fire extinguisher at time of fire final Met
Mechanical Review Jane Sloan 562-2619
1/30/2009 1.Please provide locations and details on dryer venting. Met
Print Date:4/30/2010 Page: 3 of 8 CaseConditions
��EOliAL EMPLOYbIEN'I'AI�D t'�FFIR�I�1'17VE L�CI'ION EMPL0I�R°
The following conditions must be satisfied before the permit can be qrocessed. Status
Plumbing Review Jane Sloan 562-2619
1/30/2009 NOTE- Please cloud any/all changes on the plans before Met
returning them for re-review. -A response letter shall be
submitted with all responses for clarification.
NOTE-Additional Conditions may be necessary based on
the responses to conditions or to new information not on
hand at time of review.
01/28/2009: No response letter explaining dwg changes?
1/28/2009 FD need to primed as deep traps are no longer accepted Met
by code.
1/27/2009 Plumbing fixtures and traps below the BFE? Is this Met
bui ing a substan i ?
Variance obtained from the Board of Adjustment and
appeal. See 3/12/08 minutes. Case: MIS2008-02001.
� —
1/27/2009 Plumbing fixtures and traps below the BFE? Is this Met
building a substantial improvement as per FEMA?
Variance obtained from the Board of Adjustment and
appeal. See 3/12/08 minutes. Case: MIS2008-02
1/28/2009 owers a o e vented bya Met
combination drain and vent system. Note: Wash boxes and
showers could be circuit vented. This would require a dry
vent connected between the two wash boxes and with a
drain size of 3"from the EWC to the most up stream wash
box. Contact JEW for further info if necessary.
1/30/2009 No hot water as required by FPC 607.1? Met
01/28/2008: Tankless water heater noted on dwg, but no
info is provide in the fixture schedule or elsewhere on the
dwg. If electric why is it not shown on the main panel?
Traffic Review Bennett Elbo 562-4775
1/26/2009 On page C-10 remove all wheel stops on the East side of Met
parking lot.
PERMIT IS FOR BUILDING STRUCTURE ONLY NOT
THE SITE. THESE CONDITIONS SHALL BE ON THE
SITE PERMIT. B E 1/26/2009
1/26/2009 Provide wheel stops for all handicapped parking spaces to Met
prevent a vehicle from bumping into the handicapped
parking sign.
PERMIT IS FOR BUILDING STRUCTURE ONLY NOT
THE SITE. THESE CONDITIONS SHALL BE ON THE
SITE PERMIT. B_E 1/26/2009
1/26/2009 Show on the"site details page", a current City of Met
Clearwater handicapped parking space detail.
PERMIT IS FOR BUILDING STRUCTURE ONLY NOT
THE SITE. THESE CONDITIONS SHALL BE ON THE
SITE PERMIT. B_E 1/26/2009
Print Date:4/30/2010 Page: 5 of 8 CaseConditions
°EOL-AL EMPLOYb{EIv1'A[�D AFFIIt�4I�'17VE f�C'I'ION EMPLOY�R��
The followina conditions must be satisfied before the permit can be arocessed a u
1/26/2009 Show on the"site detail page", a F.D.O.T truncated dome Met
detail (index 304 page 6 of 6). Use web link provided
http://www.dot.state.fl.us/rddesign/rd/RTDS/08/304.pdf
PERMIT IS FOR BUILDING STRUCTURE ONLY NOT
THE SITE. THESE CONDITIONS SHALL BE ON THE
SITE PERMIT. B E 1/26/2009
1/26/2009 Show 20' x 20' sight visibility triangles at ali driveways. Met
There shall be no objects in the sight triangle which does
not meet the City's acceptable vertical height criteria at a
level between 30 inches above grade and eight feet above
grade.
(City's Community Development Code, Section 3-904).
PERMIT IS FOR BUILDING STRUCTURE ONLY NOT
THE SITE. THESE CONDITIONS SHALL BE ON THE
SITE PERMIT. B E 1/26/2009
1/26/2009 Show on the site plan location of pedestrian crosswalk Met
signage and provide detail per current"Manual on Uniform
Traffic Contro� Devices"standards.
PERMIT IS FOR BUILDING STRUCTURE ONLY NOT
THE SITE. THESE CONDITIONS SHALL BE ON THE
SITE PERMIT. B E 1/26/2009
1/26/2009 Submit a civil site plan for a review. Met
Zoning Review Wayne Wells 727-562-4504
1/30/2009 Electric service to the building must be underground. Met
1/30/2009 Sheet A-2.1 - Provide exterior building color scheme on Met
the elevations(may be through a numbering system with a
legend). Provide color samples/swatches of proposed
exterior colors.
Print Date:4/30/2010 Page: 7 of 8 CaseConditions
°EOUAL EA4PLOYitE�'I'AIVD.c'�FFIR4I�1'I'I��t�CI'ION EMPLOY"�R��
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�a��''S � �pSKIN'S CORR M'AP OF CSWY 6US. DIST X: 240,865 �; -�_=
�L}C 2`�.�"9-� 32f7 OF S 130 FT MOL & BLKS 3;.�, & 5 Y�:' 32�.,272 t����
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NONRESIDEN7IAL PROP USE� 320 PET�F:
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1992 1991.: -
Overide: � � ='K
�E'PLACEMENT COST APPROACH -'�
'l�ie�; 23.570 13,57Q �,"a,
.Depreciated: 13,Q70 13,240
. �Xfs�: 45,990 45.940. _ �_
,l�and: 1,86p.000 1,860,000 �
' �otatl: 1.919,060 1.929,230
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,�Total_ �
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JI�S� VAIUE CONCLUSION
� �atal: 1.640.100 4 �a 1 ,658,800
3US7 VALt1E HYSTORY
•,�iE: 1,203,900 89: 1 ,203.9q0 90: 1,261,700 ' Y
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