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724 ELDORADO AVE . _ __ .., a ..,, . ..� :. _ _ . _ , , � k FEDERALEMERGENCY MANAGEMENTAGENCY � �. i i� �`�"�-� ��',.f NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 �� Expires December 31, 2005 ELEVATION CERTIFICATE � Im ortant: Read the instructions on a es 1 -7. SECTION A-PROPERTY 0'a'VNER INFORMATION For Insurance Company use: BUILDING OWNERS NAME Policy Number JOHN AND SANDY MCCLURE BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 72�ELDORADO AVE. CITY STATE ZIP CODE CLEARWATER FL 33767-1420 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7,BLOCK 2,MANDALAY"TT�ISLE OF A THOUSAND PALMS",PB 14,PG 32-35,PINELLAS COUNTY,FLORIDA BUILDING USE(e.g.,Residential,Non-residentiai,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (##-##-##.##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 FLORIDA B4.MAP AND PANEL 67.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AD,use depth of flooding) 12103C0102G G 9/3/03 9/3/03 VE(2) EL14,EL13 810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 89. ❑FIS Profile �FIRM �Community Determined ❑Other(Describe): B1 1.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVID 1988 ❑Other(Describe): 612.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 Cert'rficate will be required when construction of the building is complete. • C2.Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed-seepages 6 and 7.If no diagram accurately represents the buiiding,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,AR/AI-A30,AR/AH,ARAO 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 Secton B,convert the datum to that used for the BFE.Show field measurements and datum conversion caiculation,Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NGVD29 Conversion/Comments over (fj � � Elevation reference mark used o� Does the elevation reference mark used appear on the F @ �N �— M , a)Top of bottom floor(including basement or enclosure) 6.6 FT (�� U� Q N , �,�,;m��, . r;, ,� b)Top of next higher floor 16.4 FT � � �, � � „ � y,�' �,�r ' c)Bottom of lowest horizontal structural member(V zones only) � � � o o a� `�%a ` �' ' r'r i• ""` 14.6 FT ��--° rv � Q �9 ,N� ,,�.� + f ,� d)Attached garage(top Of slab) I�1.� ` �- � �'- W w R i f;� �x�z. � ��.kd ��,}• +' : e)Lowest elevation of machinery and/or equipment � r- � -� ,;� `� �- d'� �s", �'�` � U � ' ' ' �'� •r. � , servicing the buiiding(Descnbe in a Comments area) oveT �g+ � a- �� F�� ; � � fl Lowest adjacent(finished)grade(LAG) 63 FT ��-'�� Cn � u" �N }� `� �; � g)Highest adjacent(finished)grade(HAG) 6.4 FT �� W � � x�#r,, a '._,-� `'I h)No.of permanent openings(flood vents)within I ft.above adjacent grade N/A ��'°� � � J PSM#��861�9/14/OS ��.,�s� i)Total area Of ail permanent openings(flood vents)in C3.h N�A sq. i n, ��------� � �. SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available. /understand that any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001 CERTIFIERS NAME LICENSE NUMBER ALLEN G. SETTLE 5861 . TITLE COMPANY NAME PROJECT MANAGER Hamilton Engineering and Surveying ADDRE CITY STATE ZIP CODE 311 NORTH NEWPORT AVENUE SLTITE 100 TAMPA FL 33606 S��j�� +�� DATE TELEPHONE l� 9/14/OS (813)250 3535 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 pncluding Apt,Unit,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 725 ELDORADO AVE. " CITY STATE ZIP CODE Company NAIC Number CLEARVJATER FL 33767-1420 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. COMMENTS ITEM C3-e:AIItCONDII'IONING IN AT1TC.II.EVATIONS ARE BASED ON CITY OF CLEARWATER BINCHMARK J-02 WITH A REPORTID II.EVATION OF 5.17(NGVD29). CONVERSION FROM NGVD 29 TO NAVD 88 TO IS-0.88 FEET.NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.BASE FLOOD ELEVATIONS ARE AS SHOWN ON THE FEMA MAP.FLOOD INSURANCE STUDIES HAVE NOT BEEN RESEARCHED. ❑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 EI through E4.If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. EI.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.) E9.The top of the bottom floor(including basement or enclosure)of the building is_ft.(m) in.(cm)❑above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,If available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery andlor equipment servicing the building is ft.(m) in.(cm)❑ above or❑below(check one)the highest adjacent grade.(Use naturai grade,if available). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown,The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here.The statements in Sections A,B,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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 v�hc 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 Cert�fcate.Complete the applicable iSem(s)and sign below. G1.0 ThP information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or Iccal law t�certify elevation information,(Indicate the source and date of the elevation data in the Comments area below.) G2.Q A community official completed 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 s� 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 ��p � � � �" COMMENTS NEIGHBO OOD S R I ES Check here if attachments FEMA Form 81-31,January 2003 Replaces ail previous editions tt��ip��+°a- ��`��/�� CITY OF CLEARWATER � �� a �� "°��", =" y�4 DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT �;,,�$_µ `-_�-- �' . "a✓��I '��1�� POST OFPICE BOX 474H� CLEARWATER� FLO�DA 33758-4748 � �/r iz4p�( �a!M��tl� '� MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.FARWATER, FLORIDA 3375� �""`'r TELEPHONE �72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 724 ELDORADO CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE 64.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 12103C0102 5/17/2005 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) 611. 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)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: ��/(�� Community Official: �evation certificates sha//be maintained by fhe community and copies with fhe attached memo made availab/e by request FRANK HIBAARI),MAYOR GEORGE N.CRE'fEKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMLMBER PAUL F.G[RSON,COUNCILMGMBGR � CARLEN A.PE7'ERSEN,COUNCILMEMBER ��EQUAL EMYLOYMEN'f AND AFFIItMA7'IVE AC1'ION EMYLOYER�� °� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No_�D67-DD77 '�Z D�•(� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 � �L-��FATIQAt CEI�T�FIGA�E � SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use: BUILDING OWNERS NAME Policy Number JOHN AND SANDY MCCLURE BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number 724 ELDORADO AVE. CITY STATE ZIP CODE CLEARWA'�'ER FL 33767-1420 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7,BLOCK 2,MANDALAY"T'HE ISLE OF A THOUSAND PALMS",PB 14,PG 32-35,PINELLAS COIJNTY,FLORIDA e.g., si en ia, on-resi en ia, i ion, ccessory,e c. se a ommen s area,i necessary. RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): j##-##-##.##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 B3.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA 84.MAP AND PANEL 87.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65_SUFFIX B6.FIRM INDEX DA E EFFECTIVE/REVISED DATE 68.FLOODZONE(S) (ZoneAD,use depth offlnoding) 0008 D 8/1910/92 8/19/81 VE,AE&X VE 12,AE i 1 810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM �Community Determined ❑Other(Describe): B1 1.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVID 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:Q Construction Drawings* �Building Under Construction' �Finished Construction *A new Elevation Cerfrficate will be required when construction of the building is complete. •C2.Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed-seepages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,RE;AH;A(With BFE),VE;V1430,V(With BFE);AR,ARA,ARAE;AR/AI-A30,AR/AH,ARAO Complete Items C3.-a-i below according to the building diagram specifiied in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Secton B,convert the datum to that used forthe�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 documeM ihe datum conversion. �a Q;„;;,,, Datum NGVD t92'9 COnversion/CommEllts�� ``�� y �� Elevation reference mark used o� Does the elevation reference mark used appear en the FIRM? ❑Yes �No e,� r, � fi' a)Top of bottom floor(including basement or enclosurej 6.6 ft.(+� � � ,'+.� b)Top of next higherfloor 16.4 ft.(� a w,, r�;`„ "_' ',� < ` ��, u Y�r,. vsti..: r � * � c. '' � c)Bottom of lowest�iorizontal structurat member(V zones ortty) 14.6 ft.(a� d)Attached garage(top Of slab) 6.6 ft.(.� w� e J" , " - e)Lowest elevaiion of machiner�and/or equipment a�� -' " �=. � �;1 ,, �,r, servicing the building(Descnbe in a Comments area) N/A ft.(m) � � `''ti � ' � � � �'' fl Lowest adjacenf(finished)grade(LAG) 6A ft�} z� �s �; "? u�� %. .^` � g)Highest adjacent(finished)grade(HAG) 6.1 ft,(�rr) � � ''� , � `,�_,,�.;`' �,``' h)No.of permanent openings(flood vents)within I ft.above adjacent grade N/A ft.(m) J LS4�1 - / �5/04' i)Total area Of all permanent openings(flood vents)in C3.h NiA sq.in,(sq.cm) SECTION D-SURVE1fOR;ENGINEER;OR ARCHfTECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certiiy elevation information. /certify that the information in Sections A,$andL on this cer#ificafe represents_my best Effonsfo iater�rEt the data available. /understand that any false statement may be punishable by fine or imprisonment under 18 U,S.Code,Section 1001, CERTIFaERS NAME LICENSE NUMBER CHARLES H.FOGELSONGER LS4148-2/25/04 TITLE COMPANY NAME • VICE-PRESIDENT HAMII,TON ENGINEERING&SURVEYING CITY STATE ZIP CODE 311 N.Newport Ave; Suite lOQ Tampa FL 33606 SIGN �� DATE TELEPHONE OS/25/04 813-250-3535 IMPORTANT: In these spaces,copy the corresponding information from Section A For Insurance Comp��y Use BUILDING STREET ADDRESS(Including Api,Unit,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number -�•�� 724 ELDORADO AVE � CITY STATE ZIP CODE Company NAIC Number � CLEARWATER FL 33767-1420 SE�TJDN-D-SURVEYOR,EAICaINEER,OR-AR�HI��7�E#t�lFI�ATJDN(CDN�aP{1!E{3j Copy both sides of this Efevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS Elevations are based on a City of Clearwater benchmark J-02 with a reported elevation of 5.167 feet.(NGVD 1929) Not valid with out the signature and original seal of a Florida Licensed Surveyor and Mapper. ❑Check here if attachments SECiION E-BUiLDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)POR ZONE AO AND ZONE A(WITHOUT BFE) For Zone A0 and Zone A(without BFE),complete Items EI through E4.If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Sedion C must be completed. EI.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.) E9.The top of the pottom floor(including basement or enclosure)of the building is_ft.(m) in.(cm)❑above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,Ifavaifable). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Compiete items C3.h and C3.i on front of form. E4.The top of the,platform of machinery andlor equipment servicing the building is ft.(mj in.(cm)❑ above or�below(check one)the highest adjacent grade.(Use natural grade,fiavailable). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknnwn,The local o�cialmust�ertify thisanformation in Sectior�G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owrieror owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here.The statements in Sections A,B,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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 wd�o 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 applicabfe item(s)and sign below. G1.Q The information in Section C was�aken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information,(Indicate the source and date of the elevation data in the Comments area below.) G2.[]A community official completed Section E for a building located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.�'fhe following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED s G7.This permit h�s been issued for: ❑New Construction ❑Substantial Improvement GS.Elevation of as-buiR lowest flaor(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 yAME TELEPHONE SIGNATURE DATE • COMMENTS �I!`6nrL hnen if�44erhmnn4e � �, FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No.�D67-DD�7 �G��'� O°? � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 7�' Y I�cc.eaa•t�= ��ATIOIV CEI�T�FICA-TE SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUtLDING OWNERS NAME Policy Number JOHN AND SANDY MCCLURE BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 724 ELDORADO AVE. CITY STATE ZIP CODE CLEARWA'['ER FL 33767-1420 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7,BLOCK 2,MANDALAY"Tf�ISLE OF A THOUSAND PALMS",PB 14,PG 32-35,PINELLAS COUNTY,FLORIDA e.g., si en ia, on-resi en ia, i ion, ccessory,e c. se a ommen s area,i necessary. RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): t�_�_�.�pr�.�.) �NAD 1927 �NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 81.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA 64.MAP AND PANEL B7.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER 65_SUFFIX 6.FIR DA EFFECTIVE/REVISED DATE B6.fLOQDZONE(S) (ZonaAD,use depth of flnoding) 0008 D 8/1910/92 8/19/81 VE,AE&X VE 12,AE 11 810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): B1 1.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 �NAVID 1988 ❑Other(Describe): 612.is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)T ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevffiions are based On:Q Construction Drawings' �Building Under Construction' �Finished Construction 'A new Elevation Cert�cate will be required when construction of the building is complete. C2.Building Diagram Number 1 (Select the building diagram most similar to the building tor which this certificate is being completed-seepages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE;AH;A(Wdh BFE);VE;V1430,V(WitB BFE);AR;ARA,ARA�;ARIAI-A30,AR/AH,ARAO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.lf the datum is different from the datum used for the BFE in Secton B,convert the datum to that used forthe BFE.Show field measurements and datum conversion calculation,Use the space provided or the Comments area of Section D or Section�,as appropriate,to document the datum conversion. ' � ,, �a DBtUm NGVD 192'9 ConversioNCommerrts o� �."��. Elevation reference mark used o� Does the eleva6on reference ma�k used appear on the FIRM? ❑Yes �No � a)Top of bottom floor(including basement or enclosurE� 6:6 ft.(w►� � b)Top of next higher floor 16.4 ft.(w�} y d:.. ��; , � '� . c)Bottom of bwest horizontal structuraf inember(V zones only) 14.fi ft.(�y a� �1 • � � d)Attached garage(top Of slab) 6.6 ft.(� W� I� • : {', e)Lowest elevation of machiner�andlor equipment a�;, � � servicing the b�ilding(Descnbe in a Comments area) N/A ft.(m) � � `��° a�� y\'� ��. fl Lowest adjacent(finished)grade(IJhG) 6•0 ft.� �, g)Highest adjacent(finished)grade(HAG) 6.1 ft.� � �<<:. � j .� , ,� h)No.of permanent openings(flood vents)within I ft.above adjacent grade N/A ft.(m) J *�54,1,4 5/2$/04" i)Total area Of all permanent openings(flood vents)in C3.h N�A sq.in,(sq.cm) SECTION D-SURVEYOR;ENGINEER;OR ARCHfTECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information in Sections A,B,andL on this ceQificate represents.my best effortsto iater{�ret ihe data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U, S.Code,Section 1001, CERTIFIERS NAME LICENSE NUMBER CHARLES H.FOGELSONGER LS4148-2/25/04 TITLE COMPANY NAME VICE-PRESIDENT HAMILTON ENGINEERING&SURVEYING CITY STATE ZIP CODE 311 N.Newport Ave; Suite 100 Tampa FL 33606 ` SIGNA �j. DATE TELEPHONE OS/25/04 813-250-3535 IMPORTANT: in these spaces,copy the corresponding information from Section A For Insurance Company Use BUILDING STREET ADDRESS(Including Apt,Unit,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number 724 ELDORADO AVE CITY STATE ZIP CODE Company NAIC Number CI.,EARWATER FL 33767-1420 SECTIDN-D-S1IRYEYOR,-EAICUJEER,OR-AR�HlTEC7 CER�IFI�A�ION{CON��N13E{3j Copy both sides,of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. COMMENTS Elevations are based on a City of Clearwater benchmark J-02 with a reported elevation of 5.167 feet.(NGVD 1929) Not valid with out the signature and original seal of a Florida Licensed Surveyor and Mapper. ❑Check here if attachments SECiION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZpNE AO AND ZONE A(WITHOUT BFE) For Zone A0 and Zone A(without BFE),complete Items EI through E4.If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. EI.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 ihe building,provide a sketch or photograph.) E9.The top of the pottom floor(inctuding basement or enclosure)of the building is_ft.(m) in.(cm)Q above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,Ifavaifabfe). E3.For Building Diagrams 68 with openings(seepage 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#ront of form. E4.The top of the,platform of machinery and/or equipment servicing the building is fi.(m) in.(cm)�above or�below(check one)the highest adjacent grade.(Use natural grade,iFavailable). E5.For Zone AO only:If no flood depth number is available,is the top of ihe bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknnwn,The local o�cialmust certify thisanformation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owrieror�owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here.The statements in Sections A,B,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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 v�o 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. G1.❑The information in Section C was laken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information,(Indicate the source and date of the elevation data in the Comments area below.) G2.[�A community official completed Section E for a building located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.�fhe following informati�n(items G4G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED 6� G7.This permit h�s been issued for: ❑New Construdion ❑Substantial Improvement G8.Elevation of as-buift lowest floor(including basement)of the building is: ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the buil�ing site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS nrhe�v tia.a;��,.ti..,e.,r� , — � FEDERALEMERGENCY MANAGEMENTAGENCY r t O.M.B. No. 3067-0077 � � � i;�.��€"k��..> NATIONAL FLOOD INSURANCE PROGRAM � �� Expires December 31, 2005 ELEVATION CERTIFICATE Im ortant: Read the instructions on pa es 1 -7. � SECTION A-PROPERTY 0�"�NER INFORMATION For Insurance Company Use: BUIL�ING OWNERS NAME Policy Number JOHN AND SANDY MCCLURE BUILDING STREET ADDRESS(Including Apt., Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 72�ELDORADO AVE. CITY STATE ZIP CODE CLEARWATER FL 33767-1420 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7,BLOCK 2,MANDALAY"TI�ISLE OF A THOUSAND PALMS",PB 14,PG 32-35,PINELLAS COLTNTY,FLORIDA BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc.Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): (##-##-##.##or##.#�t#. ) �NAD 1927 �NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE CITY OF CLEARWATER 125096 PINELLAS COUNTY FLORIDA 64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AD,use depth of flooding) 12103C0102G G 9/3/03 9/3/03 VE(2) EL14,EL13 810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM �Community Determined ❑Other(Describe): B1 1.Indicate the elevation datum used for the BFE in B9:Q NGVD 1929 �NAVID 1988 ❑Other(Describe): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings* �Building Under Construction" �Finished Construction *A new Elevation Certificate wili be required when construction of the building is complete. � C2.Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed-seepages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,AR/AI-A30,AR/AH,ARAO 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 Secton B,convert the datum to that used for the BFE.Show fieid 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 NGVD29 Conversion/Comments over t!} � Elevation reference mark used o� Does the elevation reference mark used appear on the F @, �N {— _ a)Top of bottom floor(including basement or enclosure) 6.6 FT (�,� � Q � b)Top of next higher floor 16.4 FT �� a u, � � � � c)Bottom of lowest horizontal structural member(V zones only) 14.6 FT �-�° � � B �° �� d)Attached garage(top Of slab) "�'F"j� � Y- W u.j W m ,;+V _ e)Lowest elevation of machinery and/or equipment � �"" � "°� �� seruicing the building(Describe in a Comments area) over � �- � U � � �Lowest adjacent(finished)grade(LAG) 6.3 FT C./3 J � N� g)Highest adjacent(finished)grade(HAG) 6.4 FT �� -�1 ; h)No.of permanent openings(flood vents)within i ft.above adjacent grade N/A �� ' PSM#5861-9/14/OS i)Total area Of all permanent openings(fiood vents)in C3.h N�A s q_ i n, � SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICA�T�ION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available. /understand that any false statement may be punishable by fine or imprisonment under 18 U S. Code Section 1001 CERTIFIERS NAME LICENSE NUMBER ALLEN G. SETTLE 5861 TITLE COMPANY NAME �,PROJECT MANAGER Hamilton Engineering and Surveying ADDRESS CITY STATE ZIP CODE 311 NORTH NEWPORT AVENUE SLTIT`E 100 TAMPA FL 33606 SIG�TJJ E , DATE TELEPHONE i i� 7� ,� 9/14/OS (813)250-3535 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(Including Apt,Unit,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � 725 ELDORADO AVE. �*. CITY STATE ZIP CODE Company NAIC Number CLEARWATER FL 33767-1420 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenticompany,and(3)building owner. , COMMENTS ITEbf C3-e: AIItCONDTTIONING IN ATTIC. EI.EVATIONS ARE BASID ON CITY OF CLEARWATER BENCHMARK J-02 WITH A REPORTID II.EVATION OF 5.17(NGVD29). CONVERSION FROM NGVD 29 TO NAVD 88 TO IS-0.88 FEET.NOT VALID WITHOUT THE SIGNATURE AND ORIGA'AL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER BASE FLOOD ELEVATiONS ARE AS SHOWN ON THE FIMA MAP.FLOOD INSLiRANCE STUDIES HAVE NOT BEIN RESEARCHED. ❑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 EI through E4.If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. EI.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.) E9.The top of the bottom floor(including basement or enclosure)of the building is_ft.(m) in.(cm)0 above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,If available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is ft.(m) in.(cm)❑ above or❑below(check one)the highest adjacent grade.(Use natural grade,if available). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown,The Iocal official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here.The statements in Sections A,B,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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�;;ho 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 CertuicatF.Complete the applicable item(s)and sign below. G1.�The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or Iccal law to certify clevation information,(Indicate the source and date of the elevation data in the Comments area below.) G2.Q A community official completed Section E for a building located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.Q The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED 6. P I N I PAN I D 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 NEIGHBO HOOD SER I ES Check here if attachments FEMA Form 81-31,January 2003 Repiaces ail previous editions }ii e°rjx'a-+r ��%��°�'�ryEc��="� C I T Y O F C L E A R W A T E R • a`'`''!�! � �. ��` _- ` �,� _ \` DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT ,�e � '"`,ao��'+.y,��. ��`��4� POST OFFICE BOX 474H� CI.EAFtWATER� FLO�DA 33758-4748 �;r�qT��`�4 MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUF.,CI.FARWATER,FLO�uDn 33756 �A��'DaA'f TEI.F.PHONE �72� 562-4567 Fnx(727) 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 Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 724 ELDORADO 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:0 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 84.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B��FIRM PANEL gg,FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S) NUMBER 5/17/2005 EFFECTIVElREVISED DATE (Zone AO,use depth of flooding) 12103C0102 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in B9:0 NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. 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 ceRificate is being completed-see pages 6 and 7. if no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,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 ali permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community Official: �levation certi(cates shall be maintained by the community and copies with fhe attached memo made availab/e by request FRANK HIRAARI),MAYOR GEORGE N.CRE"I'BKOS,COIINCILMEMRGR JOI W DORAN,COUNCILMGMBER PAUL F.GIASON,COUNCILMEMA@R � CARI.fN A.PE'I'ER58N,COUNCIL�IBMB@R ��EQUAL EMPLOYMENI'AND Af'FIRMA7'IVE ACI'ION EMYLOYER� _ ,� __ , . _. _ , FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 -°� � . NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Im ortant: Read the instructions on a es 1 -7. SECTION A-PROPERTY ODUNER INFORMATION For insurance Company use: BUILDING OWNERS NAME Policy Number JOHN AND SANDY MCCLURE BUILDING STREET ADDRESS(Including Apt., Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 72�ELDORADO AVE. CITY STATE ZIP CODE CLEARWATER FL 33767-1420 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 7,BLOCK 2,MANDALAY"TT3E ISLE OF A THOUSAND PALMS",PB 14,PG 32-35,PINELLAS COUNTY,FLORIDA BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): (##-##-##.##or##.####.) �NAD 1927 �NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP (FIRM)INFORMATION 81.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE CITY OF CLEARWATER 125096 PINELLAS COUNTY FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX 86.F M INDEX DATE EFFECTIVE/REVISED DATE B8.fL00D ZONE(S) (Zone AD,use depth o(flooding) 12103C0102G G 9/3/03 9/3/03 VE(2) EL14,EL13 810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): 61 1.Indicate the elevation datum used for the BFE in B9:Q NGVD 1929 �NAVID 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:Q 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 6 (Seled the building diagram most similar to the building for which this certificate is being completed-seepages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,ARIAI-A30,AR/AH,ARAO 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 Secton 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 Sedion G,as appropriate,to document the datum conversion. Datum NGVD29 Conversion/Comments over U� � El,evation reference mark used o� Does the elevation reference mark used appear on the F � �N �— a)Top of bottom floor(including basement or enclosure) 6.6 FT � � Q � b)Top of next higher floor 16.4 FT � �, � a a� c)Bottom of lowest horizontal structural member(V zones only) 1 4.6 F T �-�`'" � `'�— Q �° d)Attached garage(top Of slab) �'Z� � -s- � LLI w o , - - e)Lowest elevation of machinery andlor equipment � �"' � "'� � � servicing the building(Describe in a Comments area) over � w � U Z � fl Lowest adjacent(finished)grade(LAG) 63 FT � _.! Q N`� g)Highest adjacent(finished)grade(HAG) 6.4 FT �� W � • h)No.of permanent openings(flood vents)within I ft.above adjacent grade N/A �;`�°�� J PSM#5861-9/14/OS «.��..�,�� i)Total area Of all permanent openings(flood vents)in C3.h N�A sq. i n, �-----°-•-� � f 1 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information in Sections A, B,and C on this certificate represents my best efforts to interpret the data available. /understand that any false statement may be punishable by fine or imprisonment under 18 U, S. Code,Section 1001, CERTIFIERS NAME LICENSE NUMBER ALLEN G. SETTLE 5861 TITLE COMPANY NAME PROJECT MANAGER Hamilton Engineering and Surveying ADDRE CITY STATE ZIP CODE 311 NORTH NEWPORT AVENUE SLTITE 100 TANIPA FL 33606 SI� T E � �/I DATE TELEPHONE --��°L�IT�� 9/14/OS (813)250-3535 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(Including Apt,Unit,andlor Bidg. No.)OR P.O.ROUTE AND BOX N0. Policy Number • 725 ELDORADO AVE. � CITY STATE ZIP CODE CompanyNAIC Number CLEARWATER FL 33767-1420 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenf/company,and(3)building owner. COMMENTS ITEM C3-e: AIItCOND1TIONIlVG IN ATITC. II,EVATIONS ARfi BASED ON CI1'Y OF CLEARWATER BINCHMARK J-02 WITH A REPORTID ELEVATION OF 5.17(NGVD29). CONVERSION FROM NGVD 29 TO NAVD 68 TO IS-0.88 FEET.NOT VALID WITHOUT THE SIGNATCJRE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.BASE FLOOD ELEVATIONS ARE AS SHOWN ON THE FEMA MAP. FLOOD INSURANCE STUDIES HAVE NOT BEEN RESEARCHED. ❑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 EI through E4.If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. EI.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.) E9.The top of the bottom floor(including basement or enclosure)of the building is_ft.(m) in.(cm)�above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,If available). E3.For Building Diagrams 6-8 with openings(seepage 7),the ne�higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is ft.(m) in.(cm)� above or❑below(check one)the highest adjacent grade.(Use natural grade,if available). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance7 ❑Yes ❑No ❑Unknown,The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued 8FE)or Zone AO must sign here.The statements in Sections A,B,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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�;rha 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. G1.Q The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information,(Indicate the source and date of the elevation data in the Comments area below.) G2.Q A community official completed Section E for a building located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.Q The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED 6• G7.This pertnit 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 �_�, ,� _$ ,��r,. � � � �,�!� COMMENTS ` N�lGli�OFiHO�D S RVICES II� Check here if attachments FEMA Form 81-31,January 2003 Replaces ail previous editions _ .__ _ __ . ______ _ ____ _ _____ _ ____ _ __ _ __ _ _ �� ' ° �. - . � �b.. FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 'Q�,��, � < i NATIONAL FLOOD INSURANCE PROGRAM �r Expires December 31, 2005 �, ELEVATION CERTIFICATE • tm ortant: Read the instructions on a es 1 -7. SECTION A-PROPERTY ODUNER INFORMATION For Insurance Company use: BUILDING OWNERS NAME Policy Number JOHN AND SANDY MCCLURE BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number ��-�}$LDOR.ADO AVE. CITY STATE ZIP CODE CLEARWATER FL 33767-1420 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 7,BLOCK 2,MANDALAY"TT-�ISLE OF A THOUSAND PALMS",PB 14,PG 32-35,PINELLAS COITNTY,FLORIDA BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc.Use a Comments area,if necessary.) RESIDENTTAI., LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): (##-##-##.##or##.####.) �NAD 1927 �NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 82.COUNTY NAME B3.STATE CITY OF CLEARWATER 125096 PINELLAS COUNTY FLORIDA 64.MAP AND PANEL 87.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX 6. EFfECTIVE/REVISED DATE 68.FLOOD ZONE(S) (Zone AD,use depth of flooding) 12103C0102 G 9/ 3 ( 9/3/03 VE(2) EL14,EL13 810,Ind(cate the source of tt�e Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM �Community Determined ❑Other(Desaibe): 81 1.indlcate the elevation datum used fw the BFE in 89:Q NGVD 1929 �NqVID 1988 ❑Other(Describe): 812.Is the building located(n a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)7 ❑Yes �No�esignatian Date SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) �1.Building elevations are b8sed on:Q ConsWction Drawings' �Building Under Construction• �Finished Construction 'A new Elevatan Certfiicate wili be required when construdion of the building is complete. C2.Building Diagram Number 6 (��e buiiding diagram most similar to the building for which this cert�cate is being completed-seepages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V�th BFE),AR,ARA,ARAE,AR/AI-A30,AR/AH,ARAO Complete ftems C3:a-i below according to the building diagram speafied in ftem C2.State the datum used.H the dffium is different from the datum used for the BFE in Sedon B,convert the datum to that used for the BFE.Show fieid measuremeMs and datum conversion calculation,Use the space provided or the Comments area of Sectiw�D or Sedion G,as appropriate,to documer�the datum conversion. Datum NGVD29 Conversion/Comments over tJ} � Elevatron reference mark used o� Dces the elevation reference mark used appear on the F e �N �--- a)Top of bottom floor(including basement or enctosure) 6.6 FT �'�,,, � � � b)Top of next higher floor ' � �n � � c)Bottom of bwest horizo�tal sVudural member(V zones only) 14.6 FT �� G� � W �t 00 �Attached garage(top Of slab) .�- � �.. tl.J W W o ��j e)Lowest elevation of machinery and/or equipment -- � !-- � J �� servicing the building(Describe in a Comments area) over �° ��,, a- �' �"'� � � �Lowest adjacent(finished)grade(LAG) ��°`� c� J � �� g)Highest adjaceM(finished)grade(HAG) 6.4 FT ��; LL1 � a`� �.._� h)No.of permanent openings(flood vents)within I ft.above adjaceM grade N/A �� '' PSM#5861-9/14/OS i)Total area Of all permanent openings(flaod vents)in q.h N�A s q. i n, � -.- SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certifiption is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to ce�ify elevation information. /certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available. /understand__that any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001 CERTIFIERS NAME LICENSE NUMBER i�LEN G.SETTLE 5861 �nE COMPANY NAME ,�PROJECT MANAGER Hamilton Engineering and Surveying CITY STATE ZIP CODE 311 NORTH NEWPORT AVENUE SUITE 100 TAMPA FL 33606 S�__.��'��G�"''b`=-��1/�j6°�— TELEPHONE Fy 9/14/OS (813)250-3535 � FFSAA Cnnn A1_1� i.....�...,,onno ..__ .. .. . . . _ - _