2095 EDGEWATER DR /���������� � FENAT ONAL FLOOD INSURANCE PROGRAMCY O.M.B. No. 3067-0077
�`a Expires December 31, 2005
. ELEVATiON CERTIFICATE
� Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION Forinsurance Gompany Use:
.BUILDING OWNER'S NAME Policy Number
Ed ewaterTownhouses L.L.C.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
2095 Edgewater Drive(Main House)
CfTY STATE ZIP CODE
Clearvvater FL 33755
PROPERTY DESCRiPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2,EDGEWATER TOWNHOMES,PLAT BOOK 129,PAGES 85-86,PINELLAS COUNTY,FLORIDA
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.)
Residental
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 CAN�vIUNITY NAME&COMMUNITY NUMBER 62.COUMY NAME B3.STATE
City of Clearwater 125096 Pinellas CouMy Fbr�a
B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 88.FLOOD ZONE(S) (Lone A0,use depth of flooding)
125096016 H 9/03R13 5117/05 AE 13.0
B10.Indicate the source of the Base Fiood Elevation(BFE)data or base flood depth entered in 69.
❑FIS Prafile �FIRM ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe);
B12.Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation DateN/A
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings* �Building Under Constructionk ❑Finished Construction
'A new Elevation Certificate will be required when construction af the building is complete.
� Buiiding Diagram Number 1(Select the building diagram most similar to the building for which this cefificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph.)
C3.Elevations–Zones A1,430,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,ARIA1 A30,AR/AH,AWAO
Complete Items C3.-a-i below acxording 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 cafculation. Use the space provided or the Comments area of
Section D or Sechon G,as appropnate,to document the datum conversion.
Datum 1988 Conversion/Comments � �
Elevation reference mark used � Does the elevation reference mark used appear on the FIRM? ❑Yes �No
❑ a)Top of bottom floor(including basement or enclosure) 13. 2 ft.(m) � L..t,�' ��.���
❑ b)Top of next higher floor N.A ft.(m) � �,�� ` �^—����r '� �
❑c)Bottom of lowest honzontal structural member(V zones only) N.A ft.(m) w � ., ,,�� "� ��'•� "����.
❑ d)Attached garage(top of slab) N. A ft.(m) �D r� ,����s����� �:�. `
❑ e)Lowest elevation of machinery andlor equipment W� . �� � `� �-
� � �' � � �f,
serviang the building(Descnbe in a Comments area) N.A ft.(m) �� ,.„ "�:<; .*, �w
❑fl Lowest adjacent(finished)grade(LAG) 12.1 ft.(m) z'� .'��`�t �� � `�-
„� . /�;, , ��,
❑ g)Highest adjacent(finished)grade(HAG) 13. 1 ft(m) y ,��;`^
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 � � �;,;P;�'"" ;
❑ i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm) d
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I cerfify that the information in Sections A,B,and C on this certificate represenfs my best effo�fs to interpref fhe dafa available.
1 undersfand that any false statemenf may be punishable by fine or imprisonment under 18 U.S.Code, Section 1001.
CERTIFIER'S NAME Mark J.McCarthy LICENSE NUMBER RLS-4651
TITLE Registered Licensed Surveyor COMPANY NAME Burcaw&Assoaates Inc,
.DDRESS CITY STATE ZIP CODE
6402 West Linebaugh Avenue Tampa FL 33625
SIGNATURE f ti ' DATE TELEPHONE
fL`� ° �! C � 2-15-06 813-882�815
l �`�..��� �� ,�,----�-.-�--
��
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding ir�formation from Section A. For�nsurance Company use:
BUILDWG STREET ADDRESS(Induding Apt,Uni�Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. PolicyNumber
2095 Ed ewater Drv� Main House
CITY STATE ZIP CODE Company NAIC Number � , „
CleaNUater FL 33755
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
' Benchmark used was of 1929(N.G.V.D)National Geodetic Verfical Datum called as"J-06"City of Clearwater Benchmark
having an elevation of(8.69)
Conversion factor of-0.88'from 1929 datum to achieve 1988 datum
LAG and HAG grades are rough due to building construction ❑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.
E1.6uilding Diagram Number_(Select the building diagram most similar to the building forwhich this certificate is being completed—see pages 6 and 7. If no diagram accurately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if 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 serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc 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 certiiy 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 sfatemenfs 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 local official who is authurized by law a�ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or�,and G of this Elevation
Certificate. Compfeie th�applicable item(s)and sign below.
G1.�The informa�on in Section C was taken from other documentation that has been signed and embassed by a licensed surveyor,engineer,or ar�hitect who is authorizetl by state
or local law;�certify eleva�ion ir�o�nation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A communiiy offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following mforriation(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:0 New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:
G9.BFE or(in Zone AO)depth of flooding at the building site is: __ft.(m) Datum:_
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 � Replaces all previous editions
���/1 O I ]�/`1���� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
(J `"C �J NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATiON CERTIF�CATE
+ � F Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION Eorinsurance Company Use:
� BUILDING OWNER'S NAME Policy Numberr
Ed ewaterTownhouses L.L.C.
BUILDING STREET ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIG Number
2095 Edgewater Drive(Main House)
CITY STATE ZIP CODE
Clearwater FL 33755
PROPERTY DESCRIPTION(Lot and Bbdc Numbers,Tvc Parcel Number,Legal Description,etc.)
LOT 2,EDGEWATER TOWNHOMES,PLAT BOOK 129,PAGES 85-86,PINELLAS COUNTY,FLORIDA
BUILDING USE(e.g.,Residential,Non-residerrtial,Addition,Accessory,etc. Use a Comments area,if necessary.)
Residental
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.#1#" or ##.�� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE
City of Clearwater 125096 Pinellas County Fbr�a
B4.MAP AND PANEL B7.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)
125096016 H 9/03/03 5I17/05 AE 13.0
B10.Indicate the source of the Base Floai Elevation(BFE)data or base floal 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(Desaibe):
612.Is the building located in a Coastal Barrier Resources System(CBRS)area or Othenxise Protected Area(OPA)? ❑Yes �No Designation DateN/A
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings* �Building Under Construc�on* ❑Finished Construction
'A new Elevation Certificate will be required when constniction of the building is complete.
�2.Building Diagram Number 1(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 represer�s the building,provide a sketch or photograph.)
C3.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AWAE,AR1A1 A30,AR/AH,ARIAO
Complete Items C3.-a�below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Secfion G,as appropriate,to document the datum conversion.
Datum 1988 ConversioNComments �
Elevation r�ference marlc used ' Does the elevation reference maric used appear on the FIRM? ❑Yes �No s=
❑ a)Top of bottom floor(including basement or enclosure) 13. 2 ft.(m) m �r,�`�"`��;G,�� ��
❑ b)Top of next higherfloor N.A ft.(m) `� �'' ��- '�
❑c)Bottom of lowest honzontal structural member(V zones only) N.A ft.(m) o o ����� �'`"��
❑d)Attached garage(top of slab) N. A ft.(m) W� „�! r�s �;� _ ,
❑ e)Lowest elevation of machinery and/or equipment _� � `��- _ �':
serviang the buiiding(Describe in a Comments area) N.A ft.(m) �� • .,� �E �,�y,�" ��
❑fl Lowest adjacent(finished)grade(LAG) 12.1 ft.(m) z'� �� " �`��� �
❑ g)Highest adjac:ent(finished)grade(HAG) 13. 1 ft.(m) U � �q,��-t���'r�
❑ h)No.of perrnanent openings(flood vents)within 1 ft.above adjacent grade 0 J
❑ i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm)
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 thrs cerfificate represenfs my best efforfs to interpret fhe dafa available.
I undersfand that any false statemenf may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 1001.
CERTIFIER'S NAME Marfc J.McCarthy LICENSE NUMBER RLS-4651
TITLE Registered�censed Surveyor COMPANY NAME Burcaw&Associates Inc.
�
�DDRESS CITY STATE ZIP CODE
6402 West Linebaugh Avenue Tampa FL 33625
SIGNATURE �^,f' � 1 C. ,��;' . DATE TELEPHONE
f������ . ����;,��;--""—�,�,,�� 2-15-06 813-882-4815
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTAM: In these spaces,copy the corresponding information from Section A. ; For�nsurance compar�y use:
BUILDING STREETADDRESS(Indud'mg Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Polii>y.Number
2095 Ed ewater Drive Main House`
CITY STATE ZIP CODE Company NAIC'Number � ,
Cleanruater FL 33755 '
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agent/company,and(3)building owner.
COMMENTS
' Benchmark used was of 1929(N.G.V.D)National Geodetic Vertical Datum called as"J-06"City af Clearwater Benchmark
having an elevation of(8.69)
Conversion factor of-0.88'from 1929 datum to achieve 1988 datum
LAG and HAG grades are rough due to buiiding construction ❑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 forwhich this cer�ficate is being completed—see pages 6 and 7. if no diagram accurately
represents the building,provide a sketch or photograph.)
E2.The top of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf available).
E3.For Building Diagrams 6-8 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 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 af the bottom floor elevated in accordance with the communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must cer�fy 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 onty),and E for Zone A(without a FEMA-issued or community-
issued BF�or Zone AO must sign here. The sfatements in Sections A,B,C,and E are correcf 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 local o�ncial 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 af this Elevation
Cer'�ficate. ComNlete the applicable item(s)and sign below.
G1.❑Tne ir�ormatior in�er,tion C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or ar�hitect who is authonzed by state
or local la�a to certify elevation infortnation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A comrrn�nity offiaal complete�Section E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0.
G3.�The followiny in•`o�ration(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 lowestfloor(including basement)of the building is: _._ft.(m) Datum:
G9.BFE or(in Zone AO)depth of flooding at the building site is: __ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE •
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
��'r`��• ��� ELEVATION CERTIFICATE
, ' Important: Read the instructions on pa es 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Ir�suranoe Company Use:
� BUILDING OWNER'S NAME Policy Number
Ed ewaterTownhouses L.L.C.
BUILDING STREET ADDRESS(Inciuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
2095 Edgewater Drive(Garage)
C�7y STATE ZIP CODE
Clearwater FL 33755
PROPERTY DESCRIPTION(Lot and Bbck Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2,EDGEWATER TOWNHOMES,PLAT BOOK 129,PAGES 85-86,PINELLAS COUNTY,FLORIDA
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,'rf necessary.)
Residental
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 COMMUNfTY NAME&COMMUNIN NUMBER 62.COUNTY NAME 83.STATE
Ci�of Clearwater 125096 Pinellas County Fbrida
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 85.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (ZoneAO,use depth�flood'mg)
125096016 H 9iO3l03 5/17105 AE 13.0
B10.Indicate the source af the Base Flood Elevation(BFE)data or base flood depth entered in 89.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):
B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Desaibe):
B12.Is the building located in a Coastal Bamer Resouroes System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation DateN/A
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:0 Construction Drawings* �Building Under Construction' ❑Finished Construdion
'A new Elevation Certificate will be required when consVuction of the building is complete.
�2.Buiiding Diagram Number 1(Select the building diagr�n 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-V3(l,V(with BFE),AR,AR/A,AR/AE,ARIA1 A30,ARIAH,AR/AO
Compiete Items C3.-a-i belrnm aa:ording to the buiiding diagram speafied 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 conve�ion caiculation. Use the space provided or the Comments area of
Seclion D or Section G,as appropriate,to document the datum conversion.
Datum 1988 Conversion/Comments
Elevation reference mark used ' Does the elevation reference mark used appear on the FIRM? ❑Yes �No �• - -
❑ a)Top of bottom floor(induding basement or endosure) 13. 7 ft.(m) � G��'` �� ,S� .
❑ b)Top of next higherfloor N.A ft.(m) �' /� r {�""' V
❑c)Bottom of lowest honzontal structurai member(V zones only) N.A ft.(m) y� ` �G�� r� � �
❑ d)Attached garage(top of slab) N. A ft.(m) E� �y .,�,/s�/��� '°�
w m �..�. � '�:
❑ e)Lowest elevation of machinery andlor equipment �, - , . � c� w
serviang the building(Describe in a Comments area) N.Aft,(m) �; ryr �j�� � " y a->;.�
❑fl Lowest adjacent(finished)grade(LAG) 13.1 ft.(m) z� ��t, ����
❑ g)Highest adjacent(finished)gra�(HAG) 13. 6 ft(m) � ��;>E"
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjac�nnt grade 0 �
❑ i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm)
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 thaf fhe informafion in Sections A,B,and C on this certi�cate represents my best efforts to interpret the dafa available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Secfion 1001.
CERTIFIER'S NAME Mark J.McCarthy LICENSE NUMBER RLS-4651
TITLE Registered Licensed Surveyor COMPANY NAME Bur�aw&Assoaates Inc.
ADDRESS CITY STATE ZIP CODE
6402 West Linebaugh Avenue Tampa FL 33625
SIGNATURE �? �;, �------ �' , DATE TELEPHONE
��' ' 2-15-06 813�82-4815
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,andlor BkJg.No.)OR P.O.ROUTE AND BOX N0. Policy Numtier � ,
2095 Ed ewater Drive Gara e
CITY STATE ZIP CODE Company NAIC Number
Clearwater FL 33755 �
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) •
Copy both sides of this Elevation Cefificate for(1)canmunity offiaal,(2)insurance agent/company,and(3)buiiding owner.
COMMENTS
' Benchmark used was of 1929(N.G.V.D)National Geodetic Vertical Datum called as"J-06"City of Clearwater Benchma�k
having an elevation of(8.69)
Conversion factor of-0.88'from 1929 datum to achieve 1988 datum
LAG and HAG grades are rough due to buildin construction
❑Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WRHOUT 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 buiiding for which this ce�ificate 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 enclasure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(an)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top af the plafform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no 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 informaation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authonzed representative who completes Secfions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or communiiy-
issued BF�or Zone AO must sign here. The statements in Sections 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
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local offiaal who is authorized'oy law or ordinance to administer the communit�s floodplain management orciinance can complete Sections A,B,C(or E),and G of this Elevation
Cefificate. Complete ine applicable item(s)and sign below.
G1.�The ir�omation in�ec�on C was taken from other documentation that has been signed and embassed by a licensed surveyor,engineer,or architect who is authorized by state
or Ic,cal law to c;ertify elevation ir�formation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community offiaal comple�ed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following ir�o�mation(Items G4-G9)is provided forcommunity 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(including basement)of the building is: _._ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum;_
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE .
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
nu� 1� ur iu: 54a Whitney Hank N E 727 5Z2 4688 p. 12
•� /. � FEDERAL EMERGENCY MANAGEMFJJTAGENCY
NA710NALFLOODINSURANCEPRQGRAM �•M-B- �o. 3067-0077
� Expires December 31, 2005
� �LEVATION CERTIFICATE
• �' �� `a�1lY�� Im vrt3nt: Rcad khe instructions on a es 1-7.
S�CTION A-PROPERTI'OWNER INFORMAiION Fot Insur�nceC«n�ny U c:
l3UI�.pING OWNFf{';NAMF PoliCy Number
EdqewaterTownhouses L.L.C.
BUILDING STREETADDRESS(Includin�l Apt.,Unit,Suile,and/or eldg.No.}OR P.O.FtOUTC AND C30X NO, ^ Comp..�ny NAIC Number
209G Edgewaier prive(Garege)
CiIY -.�_^�., STAT� ---�ZIP CODE
Cloorwotor FL 33755
— -- — -• ---...........
PROPER7Y OESGRIPTIpN(Lot end 61ock NumbExs,'fax Fdrt:el Nwnbc�r,Legal Dt:.^,criptiop,rtc.) .
�OT 2,[DGCWATER TOWNHOMES,PLAT BOOK 129,PAC�S S�J6,PW ELLAS COUNTY,�LORIDA
DUILDING USG(c.g..Rcsidenti�l,Non-residential,Addition,Accessory,etG UsB 8 Comrnefils afB�,I(t1CCCSSary.) ��
RusidonWl
LATITUDEILONGITUDE(OPTIONAL) HOR120N7AL DA7UM:������ SOURCE: GPS(�ypc}: �
( �t�Y"-tilf'-#lit.tttf" or ith'.ftNthtlt"� 1�NAD 1J27 ❑w�D i�t3's U USGS Ouar1 Map []olhdr:
S�CTION B-FL000 INSURAf�CE RATE MAP(FIRM)INFORMATION
' B1.NFIP COMMUNITY NAME&GONIMUNIN NUMRER 82.COUNIY NAME T 63.STAT[
� Cifyv�CleErwaler 12�G PuiullaSCounlY Fbritl�
i 6d.M�AND PANFL �B7.FYtM F'AN[L 0�:SAS�FLOOD C1EVA710N(5)
NUMF3F,R 85.SUFFUC BG.FIRM WDEX DATE �FFECTIVCIR[VISCD DATC CiB.FLOOD 20NE{S) (Zaw A0,usc dcptll of Iboding)
� 1Z�D9G01G N �3f0�lCJ3 Sl77NS AF. 13A
Q19,Indicate tl�e source of the Easo Flood E�vaUon(6FE)data o�basc�ood dcpth cnicrcd in BB,�T�—
❑FIS Profile �FIRM ❑Community0etermi�ed ❑Oihar(Describa):_
�11.Incli�ale ll�e eleva(ipn daWm Used for ihe aFG in O9:❑NGVD 1929 �NAVD 1998 ❑Olher(DesCribo);_
E12.Is ihe buildinq located in a Cc�astal Bamer ResOUrrks Systerrl(CBRS)afe3 Of 01heM�ise ProteClOd ArO�(OPA)� ❑Ycs �No Desi�naiion paletWA
SECTION C-BUILDING ELEVATION 1NFORMATION(SURVEY REQUIRED)
C1.Duilding elev�tions aro�5t?d on:�ConsirticGon Drawings' �Bu�ding Undcr Con;trudion� �Finished Construct�on
'A new[lev,fion CarlifiCatp will bc�rc�qUU(�f wtst�n con,structipn of iho building is�omplctc.
C2.Buiiding Diagr�m Number 1{Seled the building diac�ram most sim�af to the builtlirx�fof wtliCll Ihis CeNfiG�1e is t�ing Canploted-scc poges 6 and 7. If no di�i�ram
accur�loly reprosonts ihQ building,provido a skctch w photogr�ph,}
C3.Elev�tions-Zones At-A30,AE,AM,A(wdh BFE),VE,V1-U30,V(wiih eFE),AR,AR/A,AR/A�,/�F�IA1•A30.ARlAH,AR/AO
Complete Ilems C3.•�•i below aecording b the buildirig.diagram specified in Item C2 State Ihe tlalUm used,lf the d�tum is ditforant frnm the daium used for Ule BFE in
Se�lion B,converl Ihe ddlum lo tlta!usetl(or Ihe BFE 51tow fie�d measurements and datum ConvofSlon plculatipn. Use the space pravided or lhe Gommont�arc�af
Sectinn(1 nr C�.rnnn(�'a�����M�u��,�w�:�;W i iBi ii u�c uBiW i I l:ul iYef$IOfI.
Datum1�88 CornersioNCommenls
Elev�tion r�f�mnce mark usad�,Does ihe elava6on r�foronco mark usai appcar on thc FIRM? ❑Yes �No
i� a)7op o(boltom floor(in�luding basemenl or enclosure) 13. 7 fl.(m) ,-,;
u b)Top o(next nigher floor 23.2 A,(m} �L
�� c)oodom or lowest honzontal slructura�member(V zones onry) N,A ft.(m) ��
c� d)Ah�chg���rgg�(fop of sklb) N;A ft.(m) `'°
u c)Lowcst c�va�on of rr�achincry andlor cquipment w�
servicing the building(Describe in a Gomments aroa) "
N.F�ft.(m) � `_.
o LoK�est ad'acent finished ratle U1G F �
�1 1 � )9 t ) 13.0 ft(m) =o,
v g)Highest adjacent(futished)grade(FIAG) ��, ,��,�m� ��'
c� h)No.otportnanont Cponing�(fiopd vpnts)within 1 ft..�bpvo�djaPOht gr�p p J
o i)7olaJ area of all permanent openings(Oood venLs)in q.h 0 sq.in.(sq.cm)
5ECTlON D-SURVEYOR;EHGINFER,�R ARCHITECT C�R7fFICA710N
7hi�cerfiticotion is io hc signcd and scalod by a land survoyor,onginepr,or architeCt authorizod by taw to cortify clevation informotion.
/cortify thaf tho inform�tion rn Soctions A,[3,an�C on tl�is cortl/icata ropresen�s my bost oh'oKs to in(prprpl fh0 data availpblo.
_1 undArsr�nd fhat any rafse s(atement n�ay be unishabl�by fine or imprisonment under 18 U.S.Code,Section 100i,
C�RTIFIER'SNAME WiIGamD.Tusing LIGENS[NUMB�R PSM�S148
TITLG Professional Surveyor antl Mapper COMPIWY f�U1Mt durCaw 8 Associales Inc. � � �
Aao��ss — ---�.___----�---�--._... . .. .......
...._.. ........._._..---------�-�--�-------
CITY STATE zIP CODE
G402 West Lincbaugh Avonuo T�mpa f� 33625
SIGNATURE DATE
TELEPN�NE
• _.,,...__.�...--- - 8-24-0Fi 613•882-4915^.^-.
�EMA Fpan g1-31,January 2003 Soo rovcrsu sido for continuation.
f�aplacos at!prevlou�edlt(ons
nug iD ur iu: 54a Whitney Hank N E 7z7 5Z2 4688 p. 12
t
. FEDERALEMERGENCY MANAGEMENTAGENCY
' NA710NAL FLOOD INSURANCE PROGRAM O.M.B. No. 3a67-0077
Expi�es Decembcr 31, 2005
� �LEVATION CERTIFICATE
� '� '`{„�� w CI��(�s..7� im rtan� Rcad the instructions on a es 1-Z.
SECTION A•PROPER7Y OWNER INf ORMA170N Fa�c�c«r,wmy u c:
SUIIDING OWNER',NAMF policy Number
Edgewater Townhouses L.L,C.
BUILDING STREET ADDRESS(lnciudinn Apt.,Unit,Suite,arxVor 6ldg.No.)OR P.O.FtOUTL•nND DOX NO. Company NAIC Numb�r
209v Ed;lf;water prive(Garege)
Cl7Y _.•...�., $TATE ^ ZIP CO�E
C1o�rw�tor FL 33756
PROP�RN pE$�RIPTION(Lpt and Hlxk Nurnb�;,Taz f�-ar�61 Nu�nbUr�Lcpa�D�aipli0n,CtC.) . � ���� ���'��
lOT 2,[AGEWATER TqWNHOMES,RLAT BOOK 129,PACES 85-d8,PINELIAS COUNTI',�LORIDA
QUILDING US[{c.g.,t2e�identi�i,Non•re�idenQ�i,Addition,Accassory,etc, Use a Comrnenis�rea,if nec�sary.) -'
ftu�idunt�l
IATITUDGLONGITUDE(OPTIONAL) HORIZON`fAL Dd7UM � ��+~ SOURCE: CPS(�ype): �
( �rn"-�+t�'-�t�z.tnt"o� �tr.trxtm�'9 �w�o y�z� ❑nu���a3
U USGS Ouad Map (]other.
SECTION B-FL000 INSURANCE RATE MAP(FIRM)INFORMATION '
' 87:h'FIP COMMUNITY NAME 8 COAAMUNIiY�NUpMR�EeR � B2.COUN7Y NAME�� B3.S7AT[
� Gty v�GeBrwFtte� 72Cd96'' �� 5 C/- t�.�C ��� P�wllas CwntY TFbrid'�
B4,MAP AND PANF_L e%.FFtM FANCL 6�.BASE fL00D ELEVl�TION(S)
NUMBFR /� 85.5UFFIX BG.FIRM QJ DC TE EFFEC7IVEIRE D TC B8,fL00D ZONE(S) (Zax�A0,us(:dcptll oi AOOding)
i � r �C10 �1 S� � � � � �-7� � AF. 13A
B .I i , . tce of the Baso Fbod E�vation(8F d�ta o� e dcpth cntered' 69.��
Q FI5 Profi� �F1RM ❑CommunilyDetermined ❑Other(Dasaibo):_
61 i.lndicaie ihe elevafon�,aium used far ihe aF[in D9:�NGVD 1929 �NAVD 1988 ❑Olher(Describo):____
812.is the buddinp bq4ed in a Ccnstal Barrier Resourt�s ern CBRS area Ot OthenMSe ProteClod Aro7 OP ? ❑Yes �No Des' n2lion[?�teIWA
I�I��.�C l�I(Y�+ SECTION C-BUtLDING ELEVATION 1NFOWVWTION(SURVEY REQUIREDj
C1.�uiW�nc�elevzupns aro tk�sCd on:0 Cpnstructwn p�unngs' ❑Bulding Under ConsUuction' �Firished COnslruClipn
A new pev�tipn Ceriifi�ate wdl bp rc�quirpd whpn cqr�iruc6p�o{!hp building is complete.
�C2.6uilding Di,.�ram Number 1{Seled the building diagram mostsimaar lo Ihe bultling for wtlich ih�s CertiUcale is be?ing oomploted-scc pages 6 and 7, �f ra diar�ram
accur�toly repr�onis ihe buitding,provido a skctch or photogrvpl,,)
C3.FJ9vaGOnS-ZoneS A1-q3p,AE,qM,A(w�h 9FE),VE,V1-V3p,V(with 9FE),AR,AR/A,AR/A�,/1WA1 A30,AR/AH,AR/AO
Complcbe licm^.p_�-i bclow xcording po yie bui�drig diagram speciGed in ttem C2 Statn Ihe dalum used.If the d.�lUm M ddfnront from the daium used fOf the BFE in
Seclion B,conved Ute daWm lo Utat used for the BFE Sltow field tneasutements and Calum oomolsion plt�ai�on. Vse tlie sp3ce provided or 1he Common�area of
Section O orSection G,as appropriate,to document the datum conr�ersion.
oal�,m�t� Convers;oryComments
E��tic�reference ma►1c uspd ' Does ing elavation r�torenco mark usod appcar on thc FIRM? ❑Yes �NO
r a)Top of bottom floor(includir�basemenl or endosu�e) 13, 7 fL(m) ;;
u b)Top ol next ni�her Qoor 23.2 fl,(m) °�
o c)Doriom or lowest I�orizontal sUuclurai member(V zones ony) N.A ft.(m) °;
c� d)AGaCh9d garago(top Ots4�b) N.A fl.(m) `�c'
u c)Lowest ciev�lion af m�c;hinery andior equipment W�
serviang the buildirg(Describe in a Commerris area) N.A ft.(m) �_
u f�Lowest adj3cenl(finished)gradQ(L/�G) 13.QR(m) =w
v 9)Mic�hest adJaoent(frvsl�ed)c�rade(HAG) 13,A R.(m) °�'
<� h)IVo.otportnanont oponings(flood vonts)wiUiin 1 rt..�bovp ad�aooM grado� J
o i)Yota1 area of atl pem�anent openings(ilood venfs)in p.h 4 sq.in.{sq.cm)
SEC110N D-SURYEYOR,ENGINEER,OR ARCHITECI'C�RTI�ICA71ON
7his certiticaGon is to hc siqncd and scalod by a land survoyor,onginegr,or arChitect authorizod by law to coaiFy cleva6on information.
I cortity thof tho L�form�lion in Soctions A,0,and C on this certlfi��te ropresents my bost otioKs to in(orprot tho dala avail�bla.
�undArsr�nd that anv ralse sratemen!may be punishable bv fine o�imprisonment under 18 U.S.Code.Section 1001.
CERTIFIER S NAME Wi16am D.Tusing UCENSE NUNBER P$M-6148
TiTLC Professional SuNeyor and Mapper COMPMlY NAMt �u�w&As�ociates Inc, `
AODR�SS --•—�.__...----•-•-•--•�-_.. .. .......
. ...._.. .........-•-•••----••-•--.�...---•--
G402westLincbauGnAvonuo cITY ... STArE ZIPCOOE
SIGNATURE Tan�� � ��'
- �E�-°� TELEPNONE
„� B•24�Ofi 7 813•882-4815
�EMa Farm g�-31,January 2003 Soo rovcrsu sido fo ntinua'
• Raplacos alt prevlous edltlons
������,M ��F��'�
� • ����4���`°A�`����:�'°��. C I T Y O F C L E A R W A T E R
� ��4p44`\�/f �f,�.�'".` * ,'.
q�` � ,� �_:� ��' DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
� ,�y ��� °
�"��"+�� 'r�`�",' �' POST OFFICE BOX 474H� CLEARWATER� FLO�DA 33758-4748
��',������ MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756
�f`��°"g"��� �c TELErxoNE(72� 562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS & COMPLETION
In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and 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 62.COUNTY NAME B3.STATE
B4.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B��FIRM PANEL gg.FLOOD ZONE(S) g9.BASE FLOOD ELEVATION(S)
NUMBER 5/17/05 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
12103C0106
810. 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 B9:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
B12. Is the building located in a Coastal Barrier Resources S stem(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes ❑No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings` ❑ Building Under Construction' ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no
diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
Compiete 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,conveR 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: ONE PROJECT WITH MULTIPLE UNITS ATTACHED-SURVEYOR SIGNED&SEALED THE BUILDING UNDER CONSTRUCTION
CERTIFICATE.
Date of Review: Community Official:
�levafion ceRificates shal!be maintained by the community and copies with the attached memo made availa6le by request
FRANK HIBBARD,MAYOR
GEORGE N.CRE1'EKOS,COUNCILMEMBER JOIIN DOR4N,COUNCILMHMBER
PAUL F.GIBSON,COUNCILMEMBER � CARI.EN A.PE"I'ERSEN,COUNCILMEMBER
��EQUAL EMYLOYMEN'1'AND E�FIFtMATIVE ACTION EMYLOYER��
� FEDERALEMERGENCYMANAGEMENTAGENCY p�,M.B. No. 67-0077
� � NATIONAL FLOOD INSURANCE PROGRAM r�rber 31, 2005
r
.�
ELEVATION CERTIFICATE
�_� �� �
"Yr���' .— c5 C Important: Read the instructions on pa es 1-7.
�� SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
LDING OWNER'S NAME Policy Number
Ed ewaterTownhouses LL.C.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
2095 Edgewater Drive(Main House)
CITY STATE ZIP CODE
Clearwater FL 33755
PROPERIY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2,EDGEWATER TOWNHOMES,PLAT BOOK 129,PAGES 85-86,PINELLAS COUNTY,FLORIDA
BUILDING USE(e.g.,Residential,Non-residentiai,Addition,Accessory,etc. Use a Comments area,if necessary.)
Residental
LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DA7UM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.�� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B•FLOOD INSURANCE RA�E MAP(FIRM)INFORMATION
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE
City of Clearwater 125096 Pinelhas County Fbrida
84.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 88.FLOOD ZONE(S) (Zone A0,use depth of flooding)
125096016 H 9l03/03 5/17/05 AE 13.0
B10.Indicate the source af the Base FloaJ 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 Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation DateN/A
SECTION C•BUILDING ION(SURVEY REQUIRED)
C1.Building elevations are based on:0 Construction Drawings" Building Under ConsUudion* ❑Finished Construction
�' new Elevation Certificate will be required when construction of the bui ing is comp� � ,
iilding Diagram Number 1(Select the building diagram most similar to the building for which this cer6ficate is being cornpleted-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,ARIA1-A30,ARIAH,AR/AO
Complete Items C3.-a-i below according to the buiiding diagram specified in Item C2.State the datum usetl.If the datum is d'rfferent from the datum used for the BFE in
Sec6on 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
Sec�on D or Section G,as appropriate,to document the datum conversion.
Datum 1988 Conversion/Comments
Elevation reference mark used ' Does the eleva�on reference mark used appear on the FIRM? ❑Yes �No
❑ a)Top of bottom floor(induding basement or endosure) 13. 2 ft(m) � �- .,`s �'-�`�.S �
r
❑ b)Top of next higherfloor N.A ft.(m) � �����s/p,���,�'% _
❑ c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m) o 0
❑ d)Attached garage(top of slab) N. A ft.(m) W� -�-/�'5��.�
❑ e)Lowes t e lev a tion o f m a c hinery an d lor equipmen t -�; f
serviang the building(Describe in a Comments a�ea) N.A ft.(m) ��
❑fl Lowest adjacent(finished)grade(LAG) 12.1 ft(m) z'�
❑ g)Highest adjacent(finished)grade(HAG) 13. 1 ft(m) �
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 �
❑ i)Total area of ail permanent openings(flood vents)in C3.h 0 sq,in.(sq.cm)
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 this cerfificafe represents my best efforfs to interpret fhe data available.
1 understand that any false sfatemenf may be punishable by frne or imprisonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME Mark J.McCarthy LICENSE NUMBER RLS-4651
LE Registered Licensed SuNeyor COMPANY NAME Bur�aw&Associates Inc.
RESS CITY STATE ZIP CODE
6402 West�nebaugh Avenue Tampa FL 33625
SIGNATURE �' � �,._„_ f C '' DATE TELEPHONE
�".`r ���~.� . ���''��;zf � 2-15-06 813-882-4815
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ail previous editions
IMPORTANT: In these spaces,copy the corresponding ir�formation from Section A. For Insurance Company Use:
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bklg.No.)OR P.O.ROUTE AND BOX N0. Policy Number Y�
2095 Ed ewater Drive Main House
CITY � STATE ZIP COOE Company NAIC Number �`�� , /
Cleanruater FL 33755 �
� SECTION�•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this FJevation Certificate for(1)community offiaal,(2)insurance agent/company,and(3)building owner. �
COMMENTS
' Benchmark used was of 1929(N.G.V.D)National Geodetic Vertical Datum called as"J-06"City of Clearwater Benchmark
having an elevation of(8.69)
Conversion factor af-0.88'from 1929 datum to achieve 1988 datum
LAG and HAG grades are rough due to building construction ❑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 ir�ended 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 forwhich 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)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 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 ofform.
E4.The top of the plafform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communit�s floodplain management ortlinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Sec6on G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The properry 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 sfafements in Sections A,B,C,and E are conerf to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME •
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is autiiorized by law or ordinance to administer the community's floodplain management orciinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Compfete tha applicable item(sj and sign below.
G1.�The informaticn in Section C was taken from other documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect who is authorized by state
or Ic�cal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A corrmunity offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0.
G3,�The followir�g 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(including basement)of the building is: _,_ft.(m) Datum:
G9.BFE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE �
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
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'�£ �w DF,VELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
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�� �,�-,�,�y POS1'OFFICE BOX 4/4H� CLFARWATF.R� FLORIDA 337SV-474g
��"�'�'��������'�"� MUNIGIPAL SERVICI'sS$tJILDING 1��SOU1'H MYR'I'I.L E�VENUF CI.BARWA'I'ER FLQRII9A 33756
���"�'�_�`=������� TFi.EPxoN�: (727) SC2-4567 F�(727) 562-4576
MEMO OF REVIEW FOR CORRECTNESS 8� 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 shali be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcei Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residentiai,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
, . FIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
B4.MAP AND PANEL g5.SUFFIX B6.FIRM INDEX DATE B�•FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S)
NUMBER 5/17/05 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
12103C0106
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profiie ❑ FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in 69:❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no
diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the
BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1 ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
Comments: ONE PROJECT ITH MUL IPLE UNITS ATfACHED-SURVEYOR SIGNED&S D THE BUIL UNDE CONSTRUCTION
CERTIFICATE. , �
Date of Review: Community Official:
^���n certi�cates shall be ntained by the community and copies with the attached memo made available by request
FRANK HIRBARD,MAYOR
GEC)RG8 N.CRE"1'F:KOS,COUNCII.MF.MBER .�OIIN DORAN,COUNCILMEMf3CR
PAL�L F.GBSON,COUNCILMEMBF.R � CARI.GN A. PE7'GRSEN,COUNC[LMGMBGR
��EQUAI.�SMYLOYMF.N'C AND AI'FINMA'I'IVE ACTION I:MPLOYF.K'�
. ��� -� � � ��: �Ya wniLne� bank N E 727 522 4688 p. lz
„ FEDERAL EMERGENCY MANAGEMENTAGENCY O,M.B. No. 3067-0077
, • ' NATIONALFLOODINSURANCEPROGRAM Expires Decembcr 31, 2005
�LEVATION CERTIFICATE �
C' � � '(��tQ(G{.7� �m ort3nt: Rcad the instructions on a es 1-7.
S�CTION A-PROPERTY OWNER INFORMATION For Insurr;in�Canp;,ny U�:
F3UIt_pING OWNF_R'$NAMF Policy f�lUmber
Edgewater Townhouses L.L,C.
BUILDING STREETADDRESS(Includin�l Apt.,Unit,Suite,and/or eldg.No.)OR P.O.ROUTG AND E30X NO, v Comp,.�ny NAIC Number
209G Edge+vater prive(Garege)
Cl7Y _.���..... STATF ZIP CODE
Clobrwotor FL 33756
-- —......._._.....__... -• ---.... .......
PROPERTY p�SCRIPTIpN{LOt:�nd Block Numbers,'fax Farr.61 Nuinbc�r,L�`g�l Dc::.^,ctiplion,r.iC.) .
lOT 2,EDGCW/�TER TOWNHOMES,RLAT$OOK 129,PACFS 85-F36,PWELLAS C�UNTY,�LORIDA
DUILDING USC(ag.,t�esidential,Non•residenG�l,Addition,Accessory,etc, Use a Gomments�rea,ifnecessary.) �
RuGidunt�l ,
LATITUDE/LONGITUDE(OPTIONAL) HORIZON7AL DATUM ������� SOURCE: GP9(�ypC): �
( �t+Y��-trH'-�ttt,tHf' or tft�,t7HHtfl") L7 NAD 1J27 ❑NP,D 1JS3 U iJSGS Ouad Map (]olher.
SECTION B•FLOOD WSURAhlCE RATE MAP(FIRM)INFORMATION
' B1,NfIP COMMUNITY NAME 8 COMMUNINNUMBER 82.COUNTY NAME � 63.STAT[
� GryoiC�eerwa�e� 12;09G P�wAasCwnlY Fbritla
Bd.MAf�ANp pANF_L �8%.FYtM PAN[L B�J.BAS�FLOOD CI.L-VATION(S)
NUMgF,R e�.SUFFix BG.FIRM WDEX DATE �FFECTIVE�FtEVISCD DATE CiA,FLOOD 20NE(S) (Zonu A0,usc deptll of iboding)
i 12�D9G01G N �3N�/p3 S/17/05 AF 13.0
a10.Indicate the source of the Baso Fbod Eleva6on(BFE)data o�b�sc nood depth onter�d in 69.�T�
❑F15 Profilc �FIRM ❑Communiiy Deteimi�ed ❑Othar(Dascribo):_
�'11.IntliCale Ihe elgvation d,atum used iprihe[3FG in D9:0 NGVD 1929 �NAVD 1988 ❑Olher(Describo);_
e�2.is u,e euiidinq iocated in a Cc�stal Bamer Resour�es System(CBRS)area or Othenvise Proteciod Aroa(OPA)� ❑Ycs �No Des�naiion pate�UA
SECTI�N C-BUILDING ELEVATION lNFOWVWTION(SURVEY REQUIRED)
C1.Duilding elev�tions aro�isc�d On:Q Con�lruction Dr�wings' ❑Bu�ding Undcr Carutruc6on' �Finished ConSUuCtion
'A new Glev�tipn CertifiC��ip will bc�r�quirt�d whc�n cpngGuction of thp buiiding is complete.
C2.BuildingDiac�r�m Number 1(Seled fhe building diagram mOSI sim�di to V1e building fo�wtliCh this CeNficatg is tx�ing compl�ted•see paqes 6 and 7, I(no di�+r�r�m
�accur�lo�y reprosonls ihQ buildin�,provido a skctch or phatogr�pti,}
FJ9v�ti0n5-ZOnes A1-A30,AE,AM,A(w�h 6F�),VE,V1-V30,V(with eFE),AR,ARlA,AR/AE,/1KIA1-A30,AWAH,ARJAO
Complete Items C3.•�•i below according 6o the building diagram speeified in Ilem C2 State the da(um used,If the d�tum i^,cGfroront lrom lhe dalum used fo�Ule 8FE in
Sec(ion 6,conved Ihe datum lo Il�at used for the BFE S1�ow field measur�mer�ts and dalum convpr�ion plculation. Use the space provideci or ihe CommonL area of
Section 0 or Section G,as appropriate,to document ihe datum COnverSiOn,
�atum 1�66 Corne�sioNComments
Elev�tion referenc�;m�rk usPd ' Does the eleva6on roforonco mark usod appcar on thc FIRM? ❑Yes �NO
i� a)Top o(bollam floor(including tu�semenl or enclosure) 13, 7(L(m) ��;
u b)Top ol next higher(Ioor �S
23,2 fl(m)
c� c)aotlom orlowest horizontai s(rvctur��member(V zones ony) N,A�.(m) °�
c, d)Att�Chgc)��ragc�(top o(Sk�b) N.A ft.(m) `�°
c� c)Lowast cl�vaGon of machincry andlor equipment W�
servicing the building(Describe in a Gomments area) N:!1 ft.(m) � `_.
o@ Low�est adjacenl(f nished)grade(U\G) 13.0 ft.(m) Z �
v g)Highest adjacent(fuv,al�ed)c�rade(FiAG} 13; d ft,(m) �"
c� h)No.oipormanont Cponing;(flopd vpnts)wiihin 9 ft..�bovp ad800hi gradp p �
o i)7ota1 area of ali permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm)
SECTION D•SURVEYOR;ENGINEER,�R ARCHITECT C�RTIF'ICATION
7his ceriiiicotion is to he signed and sealod by a land survoyor,onginear,pr architect authorizod bylaw to cortiFy clevation information.
I cortify thof tho informolion in Soctions A,[t,and C on t��is cordfi��to ropresents my bost o1�oRs fo inlvrprpf tho da7a availabla.
I undArs�and that any false sla�ernen�may be puNshable bv fine or impnsonrndnt under 18 U,S.Code,Section 1001.
CERTIFIER'S NAME WilGam D.Tusing LIGGn15E NUMBER PSM-6148
TITLC Professional Surveyor and Mapper COMPl�tY NAMt [3urc.�w&Associales inc. ` � '
ADOR�SS — —.�.----••-----•-•-•--.._..... .. ....... .
...._.: ........._._..•----.._..-•--,.__._.._
fi402 West LinebauqhAvonuo ��TM STATE zIP COOE
Tampa R 3362�
SIGNATURE DATE
TELEPNONE
_��. . 6-24�OFi 813•882-48T5
,-E A Form 81-31,January 2003 Soo rovcrsu sitlo for coniinuaGOn.
Ftoplacos ait prevlous edltlons
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�'�NNlNG& QEVEL(?PMENT SV�S�
CITY OF C��ARWATER
•
Hug i5 u�! 10: 55a Whitney Bank N E 7Z7 5z2 4688 p. 13
.
lMP�RTq[�i7: In these spaces;capy the corresponding info�rnation from Sevtion A For�,�,r��ia�con,pany u<�e:
�:'fl�.,VG S7RE[T/�DDRESS Qncludir�7/�pc,Un�,Suite;andlor�Idfl.No.)OR P,O.ROUTE ANq t30X N0. Pdicy Number
2095 EcJgewaler Drive(C�raqe)
STATE ZIP CODC Canpany NAIC Nurnber
,ter Fl, 33755
SECTION D-SURVEYOR,ENGINEER,OR ARCHIT�CT C�RTIF(CA71QN(CONTINUED)
Copy both sides of this Elevaiion Ce�iricate for(1)community o�iciai,(2)insuranCo agent/company,and(3}buildinc�owne�.
COMhtEN'I'S ' �
° �nchmark used was of 1929(N,G.V.D)National Geodetic Vertir,al�atum ca(lod as"J-0fi"City of Cleanvaler BenClvtl2rk
.�.. ..... _.. ..---
I�avinp an elavaGon of(9.69) ������� �� � �
Conversion fador af A.88'tran 1929 dalum io achieve 19E8 dalum �µ�� �
❑Check here if attachments
SECTION E-BUIlD1NG�L�VATiON INFORMAT1pN(StJRVEY NOT R�QUIREO)FOR ZONE AO AND ZONE A(WIrHOUT BFE�
For Zonc�0 and Zonc A(w�lhout 8FE),complete Items E1 1hrUUyh E4, If ihe Elev�tio�Cerlif�C2le IS inlendod fOr use as supporting infomiaGon for�LpMA or LOMH•F,
Section C musl be compleled,
E1,auildirx�Diagr�m Number_(SeIcG the building diagram most simr7ar In the building fot whiCh ihls CerU6cate is boing cample0ed-see p:�yes G and 7, If no diagcam a�urately
rpprA;ents Ihe building,provido a skatch ar photograph.j
E2.The top of the L�oltom Ooor{inclutlinc�baSEment of enGosur�)of the bu�ding is �ft(m)_in.(cm)�above or ❑below(Chedt OnC)thC highest adjacent grade. (USe
natuial grade,if available). •
E3:For Building Diagrams 6-8 with openir�s(see page 7),the next highernoor or elevated floor(elev�Gorr b}of tho building is !ft(m)_in.(cm)ebove the hit�host adjaccni'
c�rade. Complete iterns C3.h and C3,i on front of form.
�4,7hc top of tho platform oi m�Chincry andlor cquipmcnt scrvicing ihc bu�ding is _R(m)^in.(cm)[J above of ❑below(Giock ono)1ho higbest adjaCenl grade, (Use
nawra�grade,if availabfe).
E5.�or Zone Ap only. K no flood depth number is available,�;the iop o(the bottom floor elev3led in accordance with iho community's floodplain man�ement ordinance?
n Yes {]No n Unknown: The local official must ceRify lhis infarmation in Seciion G,
SECTION F-PROPERTY OWNER(OR OWNER'3 REPRESENTATIVE)CERTIFICA7]ON
The pro�riy ow�kr orowners authorized repr�senlaUv�who completes 5ections A,D,G(Itom;C3,h and C3.i oNy),and E forZme A(wilhout�FCMA-iSSUOd o�communiiy
issued BFE)orZone A�must sipn hera. The sfa�ements rn SeciionsA,Cs,C,�nd E aro Coiroctm fho bost o(myknowfedge.
PROPERTY OWNER'S OR OWNER'S AUfHORQED REPftESENTATIVE'S NAME
hE55 CIIY STATE ZIP CO�E
SIGNATUR[ Dl1TE TELCPHONE �
COMMCNTS ��� "-""'
❑Check here if attachmcnts
SECTION G-C4MMUNITY INFORMATION(OPTIOPlAL)
7he local official wtw is authorined byiaw orordinance to administerthe cqmrtwnily's Ooodplain m;�rtagement orclinance can Compiolo 5ection;A,e,C(or Ej,and G o(tltis ElevaUOn
Cortifcate, Compie�e tlw�pplicable;lem(s}and s�n bebw.
G1.Q Thn inform�tion in 5oCti0n C was takon from othprdoCUmon��tion that has boon signod and crM�sed bya Gcensed surveyor,engineer,or a�chiteCi who is auihor¢cd by statc
U�local law to certify elevaGon in(ortnation: (Indicate ihe sourne and date of ihe eleva�on daia in Ihe Comments azea below.)
G2.Q A communily ofilci.�l completed Section E!or a buil�inc�iocated in Zone A(wiUtout a FEMA-issued or community-issucd B�E)or Zonc A0.
G3.�Tho foilowing infomia�ion(items G4-G9)is provided for community Ooodpialn management purposes.
� G4.PERMR NUMftCft Gb. DATL PLkM171S5UEll Gti.DAT[CCf<TlflCATC OF COMPLIANCFJOCCUPANGY 155UED
I
G%.This permit ha;becn�:sucd�or.Q Ncw Construction �Suhstantia!Improvemerrt
Gs.E�cva�on of as-buai Iowes��oor{ir�clud�nc�basement)of U�e buiidinc�is; _ft,(m) Datum:
G9.BFE or(in 2one AO)depih of flooding at the building sifc is: __ft(m} Dalum:
IOCAI OFFICIAL'S f�IAME TITLE
COMMUNI7Y NnME T[�EPHONH
SIGNA'f Uf2E __.._.+. DATE ._..... ....�_
GOMMENT$v��— — --......_ ,�__.
❑CheCk here itattachments
MA�orrn 81 31,January 2003 Roplacos all previous editions
•
•
� . � � � � � �
�aUu � 7 �4a�7
�toANNING&DEVELOPMENT SUGS
ITY OF CLEARWATER
•
nu� i� ur 1u: 54a Whitney Hank n E 7z7 52z 4688 p. 12
FEDERALEMERGENCYMIWAGEMENTAGENCY O.M.B. No. 3067-0077
. NA710NALFLOOD INSURANCE PROGRAM Expires Decembcr 3'!, 2005
� ELEVATtON CERTIFICATE
� U�-���Q�,;� Im ortant; Rcad the instn,ctions on a es 1-Z.
� S�CTION A•PROPERiY OWNER INFORMATION For Insurence C«npany Ux:
FSUII_DING OWNF_R';NAMF POIiCy Numbpr
�dqewater Townhouses L.L,C.
BUILDING STREET ADDRESS(lnciudin�7 Apt.,Unit,Suile,and/or Bldg.No.}OR P.O.ftOUTG AND I30X NO. � Company NAIC Numb�r
209G Ed;7ew;�ler Drive(Gsr9ge)
CITY -..�....,.' STATK � �ZIPCODE
Cloarwator FL 3375�
PROPERTY DESCRIPTION(LOt Hnd Hlock Number-,'fax Fa�el Nuirikwr,LCg�I Di:.;criptio�,r.tC.) .
-• ---.... ......_
LOT 2,EDGEWATER TOWNHOMES,RLAT BOOK 12J,PAGFS 85-f3S,PtNEL.LAS COUNTY,�LORIDA
DUILDING USC(e.q.,Residentiaf,Non•re�idenU�l,Addition,Accessay,e1a Use a Gommer�ts area,if necessary.) ��
Rusidunlal
IATITUDEJL�NGITUDE(OPTIONAL) HQRIZON7AL DA7UM: ������� SOURCE: CP5(l ype): �
( tty��-trt�•-tm,tnt° o� �tr.�°> l�nvm y�z� ❑nu���as
LJ USGS O�ad Map f�ou,er:
SECTION B•FL000 INSURAhlCE RATE MAP(FIRM)INFORMA710N
' 61;NFIP COMMUNITY NAME$COMMUNINNUMRER 62.COUNTY NAME 83.STATE
� Gry or Cleer.vater 12609G Firwllas Canty � Fbricfa�
I B4.MM AND PANF� gY,F�M PANCL e�.6,4SE FLOOD EIEV�TION(5)
NUMf3F,R BG.SUFFIX B�.FIRM WDEX DATE �FFEC7IVGREVISCD DATC LjB,FLOOD ZONE{S) (Zaw A0,usC deptll0f 1looding)
i 12b09G01G N �310�lQ� S/17iUS AF 13A
410.Inclicate the source of the Baso Fbod Eleva6on(BFE)data or basc flood dcpth cntcrod in 99�T'�
[]FI5 Profile �F1RM ❑Community Determined ❑Other(Describa):_
R1 i.Intl�caie tf�e elevai�on daWm used�artlw aF[in o9:0 NGVD 1929 �NAVD 1988 ❑Olher(Describo);_
812.Is the buldinp localzd in a Coastal Bamer Resourr.es System(CSRS)area or O�henvise Prolectod Aroa(OPA)� ❑Ycs 6a Na Desiqnation DatewA
SECTlON C-BUILDING ELEVATIOM 1NFORMATION{SURVEY REQUIRED)
C1.EiuiWing elev�tipns aru�SC�d on:(]ConstrucGon Drawings' ❑8uiding Undcr Construdion" �Finished CAYUtruGtion
'A naw Clev�tiprrCerli6G�t0 will b�rciqUired whert cpnSlructi0n of thp building is completc.
C2.9uilding Diac�ram Number 1(Seled the building diac�ram mostsimadi to the builtling fol wfliCh 1hiS CertiGC,ale iS tx?ing Comploted-see pages 6 and 7. I(n0 dinr�ranl
accuratoly reprosonts ih�buildinc�,provido a sketch w photogr�pli.}
� C3.Elevgtions-Zones At-A30,AE,AM,A(with BFE),VE,V1-V30,V(wilh eFE),AR,ARlA,ARIA�,/1FilA1•A30,AR/AH,AR/AO
Completc Items C3.•�•i below according Do ihe buildirig diagram specified in Item C2.State lfle datUm uSed.If thg tlatum i�d�iForont fram the datum used(o�Ihe 6FE in
Seclion B,conve�t Ihe dalum lo U�al usetl for the BFE Sttow field measutements 3nd datum oonvor�ion plcxdaiion llse the space pravided or the Common�area of
Section D or Section G,as appropriate,t�document the datum Conversion.
Dalum 1�68 Corne�sioNCommenls
Elevation reference mark usPd ' ppgs 1he elav�6on roforenco mark usod appcar on thc FIRM? ❑Yes �No
a a)Top of boltom Ooor(in�ludir�g basement or enclosu�e) 13, 7 n,(m) ���
u b)Top of next�igher Roor 23,2 R.(m) �S
v c)Dotiom otlowest horizonta!siNClun�member(V zones ony) N,A ft,(m) �;
�� a�anxned�lragc�(iop orsk,b) N,A n.�m� �'°
u c)Lowrst c�vation of machincry andlor cquipment w�
servidng the building(Describe in a Cornments area) N_!1 ft.(m) F=
�� �LoK�est adjacent(finished)grade(l.nG) 19.0 ft(m) _�
v g)Highest adjaoent(fuushed)c�rade(HAG) 1�, A R.(m) ��'
c� h)No.of pormanont oponing,(eopd vonis)wiihin 1 R,.�ppvp�d1COnt gra�p p �9
o i)7otal area of au pemianent openings(flood vents�in C3.h 0 sq.in.�sq.cxn)
SECTION D-SURVEYOR;ENGINEER,OR ARCHITEC7 C�RT[F'ICA7fON
7his ceriiiicoiion is to hc signed and scalod by aland survoyoc,ongirx�pr,or architeCt authonzod by taw to cortiFy clevation information.
I cortrfy that tho informofion in Socpbns A,a,and C on d�1s cortlficato ropresents my bost oliods co inforpro(tho data av�ilablo.
_I undars�and ihaf any ralse sfacement may be punishable by f,ne-or impnsonmdnt under 18 U,S.Code,Sect+'on 100f,
CEF2T1F1ER'S NAME WiiGam D.Tusing IICEN56 NUMBER PSM�6148
TIT�� Professional Surveyor and Mapper COMPMiY f�ME �urc:�w 8 Associates lnc. "' '
AD�R�SS —�.��._-•-----._._.__.._..... ..
. ...._. ........_._..•--__.._.._..__..--•----
fi402 West UnebauphAvonuo ��N STATE zlt'COOE
SIGNATURE T����� � 33625
OATE TELEPHONE
. .� .--- -• 6-24-0fi 813•$82�4815
.-EMa,Farm g1-31,January 2003 Soo rovcrsu sidoiorcontinualion. �^^^
fivplacos aH prevlous edltlons
•
�
� � Q � U V �
AUG 1 ? 2007
PLANNING&DEVELOPMENT SVCS
CITY OF ClEARWATER
�
Hug i5 U7 1�: 55a Whitney Bank N E 727 5zZ 4688 p. 13
1M POR7ANT; In these spaces;copy the corresponding infarmation from Section A Fa��ranai Con�any U�e;
BUII�,VG S7RC[T�DDR[S5 Qncludin47 Apt,Unrt,Suite;andlor Eildg.No,)aR P,O,ROU7F_ANq BOx N0. Pdicy Number
2D95 Etlgewaler Drive(Garaqe)
�� STATE ZWCODE Canp:,nyNAICNumber
� ��aMnter Fl 33755
SECTION D•SURVEYOR,ENGINEER,OR ARCHIT�CT CERTIFICA7IQN(CONTINUED)
Copy both sides ot this Elevaiion Ce�ific��te for(t)community o�iaal,(2)insuran�o agent/wmpany,and(3)6uildinc�owtle�.
COMMEN't'S W. .�
° �nchmark used was ot 1g2g(N,G,V,OJ National Geodetic VArtieai�atum caflad as"J-0B"City of Cleanv3ler BenCltm�tk
.. _._ .�. ..... _.. :.---
�liavinp an elevaUon of(8.69) ��� ���'
Canversion factor of A.8�'fran 192J dalum io achieve 1988 dalum ������ �
�Check here if attachment�
SECTION E-BllIIDING�I�VATtON INFORMA710N(SURVEY NOT R�QUIREO)FOR ZONE AO AND ZONE A(WIrHOUT BFE�
For Zonc�0 and Zanc A(unthout BFE),wmplefe Items E1 Ihrough E4, If 1he Elev�ti0�CBftif�Cale is inlendod fOr use as supporting in(omiaGon(or�LOMA or LOMH-F,
Section C musl be comple�ed,
E1,Lui�dirx�7 pi�gr�m Number_(Sr,lect the building diagram most sim�ar to the building for whieh Ihis certitxale is boing complebed-see payes G anc3 7. If no di�gram accurately
ropr2sents the buildinc�,provido a skotch or photograph.)
E2.Tne top of the bottom Ooor(includinc�basement or enclau�)of�he bu�ding is �ft(m)_in.(cm)�above or ❑below(check one)ihe highesi adjacent g�ade. (Use
natuial c�racle,if avail�ble).
E3:For Building Diagrams 6-8 with openir�ps(see page 7),the nexl higher lloorotelevated lloor(elev�Gon b)of tho building is _,ft(m)_in.{cm)�bove the hir�hosEadjaCeni
c�raae, Complete ilems C3.h and C3.i on front of form.
G4.Tho top of tho platfoRn ot m�chincry and/or cquipmcnt scrvicing ihc butlding is _ft(m)^in.(cm)�above or ❑belOw(c��ock onp)iho highest adjacent t�rade, (Use
nawral c�r�de,if available). `
E5.�or Zonc Ap oniy: Ii no flood deplh numbcr is availabfc,�,the iop of the boltom floot elevaled i�aCGOftlance with iho Community's iloodpl�in management ordinancc?
n Ycs (�No (�Unknown: The local official must oerti(y lhis infaRnation in Seclion C
_ SECTION F-PROPERTY OWNER{OR OWNER'S REPRESENTATIVE�CERTIFICAT�ON
The pro�rty owr�er or owners�utliorizecl rep�esenta6ve who compleles 5ections P�D,C(itotns C3,h and C3.i only),and E forZme A(without a FGMA-issuod or commuruty
issued BFE)or Zone AO must siqn here, The sYafements in SecL'ons A,a,C,and E are conactm fha bost ofmy kriowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORlZE�ftEPRESENTATIVE'S NAME
•�DH�55 CIIY STATE ZIP COUE
�SIGNATURt "
DATE TELCPWONE�
COMMCNTS �-.,...
❑Check here if attachmcnts
SECTION G-COMM UNITY INFORMATION(OPTIONAL)
7he local official wtw isauthaiz�ed bylaw oror�nance to administer the cqmmunity's tloodplairt managem2ntordinanCe C2n COmploto 5ectioru A,B,C(or�),and G o(tlus Elevalion
Cortifc�te, Complete�lw appUCab�e iiem{s)and sign below,
G1.Q Thn infoim�6on in SoCtion C was takon(rom othor dp��rriwi4ztion 1h�t haS boon Signod and crnbossed by a Gcensed surveyor,engineer,or ar�hiteCt Who�S auihorizcd by statc
or locaf lawto ceriify elevation informatiort (Indicate ihe souroe and date vtihe elevationdaia in the Comments area below.)
G2.Q A communiry off��l comple�edSection G fa a buikJmc�locatbd in Zone A(without a FEMA-issued or communiry-issucd Bf E)or zonc n0.
G3.�Tho fallowing informat;on(liems G4-G9)is provided for communlry Ooodplaln manac�ement purposes,
A PERM1IIT NUM(t[ft
� Gb. DATL"F'GkM171SSU[ll G6. DAT[CCRTlfICATC 0�COMPLIANCE/OCCUPANCY 155UED
G/.Ttus permit has becn�;sucd far:Q New Construchon ❑Substantial Improvemerrt �
Ge.Eicva6on�tas-Outic Iowest Iloor(ir�ludlnc�basement)of U�e buildin�is: ,_ft,(m) Dat�m:
G9.BFE or(in Zone A0j depth of floodinq at the building site is: __fl,(m} DalUm:
�OCAI OFFICIAI.'S NAME TITLE
COMMUNITY N/W1E T[IGPHONE
SIGNA'I'VFiE - .._..r.. DATE — ._..... .....___
GOMMENT$� -----.._� ..--.
❑CheCk he�e if atta�hments
•h
�Mn Form 8131,January 2003 Raplaco�all prevlous editions
�
�
� -.. � t5 � k! �5
auG 17 zoo�
PLANNiNG&DEVELOPMENT SUCS
CITY OF CLEARWATER
�
��� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
� � .— � important: Read the instructions on pa es 1-7.
- SECTION A-PROPERTY OWNER INFORMATION For Insurance Comparry Use:
BUILDING OWNER'S NAME Policy Number
Ed ewaterTownhouses L.L.C.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
2095 Edgewater Drive(Main House)
CITY STATE ZIP CODE
Clearwater FL 33755
PROPERTY DESCRIPTION(Lot and Bloc:k Numbers,Tvc Paroel Number,Legal Descrip6on,etc.)
LOT 2,EDGEWATER TOWNHOMES,PLAT BOOK 129,PAGES 85-86,PINELLAS COUNTY,FLORIDA
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
Residental
LATITUDE/LONGITUDE(OPTIONAL) HORIZOIYTAL 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 83.STATE
City of Clearwater 125096 Pinellas County Fbrida
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 85.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of floodirg)
125096016 H 9ro3103 5I17N5 AE 13.0
810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Communiiy 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 Bartier ResourCes System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Desi nation DateN/A
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 consUucUon af the building is complete.
�2.Building Diagram Number 1(Select the twilding 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,ARIA1-A30,ARIAH,AR/AO
Complete Items C3.-a�below according to the building diagram specfied in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Sec�on 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 1988 Conversion/Comments
Elevation reference marlc used " Does the eleva6on reference mark used appear on the FIRM? ❑Yes �No � -
❑ a)Top of bottom floor(induding basement or endosure) 13. 2 ft.(m) � �..;,�'��;f,— F ;;:
❑ b)Top of next higher floor N.A ft.(m) � � ����'��" ��� ,
❑c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m) y� ,- �, ,r,* � ; � `
❑ d)Attached garage(top of slab) N. A ft.(m) W� y � �' /��;16,, E� :>
❑ e)Lovuest elevation of machinery and/or equipment � � F �; �. � � �^�
serviang the building(Describe in a Comments area) N.A ft.(m) � � , �`� � �,� •f.r t,�
a fl Lowest adjacent(finished)grade(LAG) 12.1 ft.(m) z� .:�� -.,�� .;- �;:.
❑ g)Highest adjacent(finished)grade(HAG) 13. 1 ft.(m)
� , ,F.���:g��'��
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 J
❑ i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in,(sq.cm)
SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
1 undersfand thaf any false statement may be punishable by fine or imprisonment under 18 U.S.Code, Section 1001.
CERTIFIER'S NAME Mark J.McCarthy LICENSE NUMBER RLS-4651
TITLE Registered Licensed Surveyor COMPANY NAME Burc�w&Assoaates Inc.
�ADDRESS CITY STATE ZIP CODE
6402 West Linebaugh Avenue Tampa FL 33625
SIGNATURE �_ � -' DATE TELEPHONE
�' ��� . ��� 2-15-06 813�82�815
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 Corc�.� ,
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number `
2095 Ed ewater Dnve Main House
CITY STATE ZIP CODE Company NAIC Number
Cleanruater FL 337�,5
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATtON(CONTINUED) •
Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agent/company,and(3)buiiding owner.
COMMENTS
' Benchmark used was of 1929(N.G.V.D)National Geodetic Ver�cal Datum called as"J-06"City of Clearwater Benchmark
having an elevation of(8.69)
Conversion factor of-0.88'from 1929 datum to achieve 1988 datum
LAG and HAG grades are rough due to buildin construction ❑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 LOMRf,
Seec;6tion 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)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Buiiding 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 af form.
E4.The top of the plafform of machinery andlor equipment serviang the buiiding is _ft.(m)_in.(cm)❑above or ❑below(chedc 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 communit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this irrformation 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 sfatemerrts in Sections A,B,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 local offiaal who is autiiorized by law or ordinance to administer the communit�s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevabon
Certificate. Com�lete tha applicable item(sj�d sign below.
G1.�The ir�ortnation in Section C was taken from other documentation that has been signed and embassed by a licensed surveyor,engineer,or architect who is authorized by state
or local law to certify elevation ir�ormation. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A wrrmunity offiaal completec 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 COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued 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 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
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+� ��a��$„C°��� POST�FFICE BOX 474g� CLEARWATER� F�o�Dn 33758-4748
��� �� �y "V� MUNICIPAL SERVICES BUILDING IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLORIDA 3375�
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TELEPHONE�72� S�Z-45�7 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS & COMPLETION
In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and 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 B3.STATE
�
64.MAP AND PANEL g5.SUFFIX 86.FIRM INDEX DATE B�•FIRM PANEL gg.FLOOD ZONE(S) B9�BASE FLOOD ELEVATION(S)
NUMBER 5/17/05 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding)
12103C0106
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)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othenvise 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 wiil 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: ONE PROJECT ITH MUL IPLE UNITS ATTACHED-SURVEYOR SIGNED&S D THE BUIL UNDE CONSTRUCTION
CERTIFICATE. , �
Date of Review: Community Official:
�evation cerfificates shall be fntained by the community and copies with the attached memo made availab/e by request
FR4NK HIRRARD,MAYOR
GEORGE N.CRE'CEKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMAER � CARI.EN A.PE7'ERSEN,COUNCILM[MRER
�BQUAL EMPLOYMENT AND AFFIRMAI'IVE ACTION EMPLOYER��