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1586 GULF BLVDU.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Pwgram A1. Building Owner's Name CABANA CLUB CONDO A A2. Building Street Address � �� ELEVATION CERTIFICATE IMPORTANT: Follow the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. t ;, _ � OMB No. 1660-0008 Expiration Date: July 31, 2015 City CLEARWATER State F� ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 19-29-15-12936-001-2801, CABANA CLIB CONDO PHASE t BLDG 2, PLAT BOOK 076, PAGE 091, PINELLAS COUNTY FLORIDA A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. z7•9401 Long. $2•8384 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number SIx A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 4530 Sq ft a) Square footage of attached garage � sq ft b) No. of permanent flood openings in the crawlspace or b) Number of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade 0 c) Total net area of flood o enin s in A8.b �3s24 s in 0 p g 4 c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Communi Number CLEARWATER CITY O� 125096 84. Map/Panel Number 85. Suffix B6. F 12103C0104 � G 82. County Name PINELLAS tM Index Date I 67. FIRM Panel E Revised Date 08/18/2009 09/03/2003 68. Flood Zone(s) VE B3. State FL Base Flood Elevation(s) (2one A0, use base flood depth) 13.0 FT 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FlS Profile � FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othenvise Protected Area (OPA)? ❑ Yes � No Designation Date: / / ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1-A30, AE, AH, A(with BFE), VE, V1-V30, V(with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: CITY BM SAN MANHOLE RIM Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the 6FF_ a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade ne� to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. ?•� � feet ❑ meters 16�7 � feet ❑ meters 15_5 � feet ❑ meters N/A � feet ❑ m@t2fS 8-� � feet ❑ meters �-� � feet ❑ meters $-4 � feet ❑ meters �-� � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFlCATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bv law to certifv elevatinn ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No. 1586 GULF BOULEVARD City State ZIP Code CLEARWATER FL 33767 SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments EQUIPMENT ON PRIOR PAGE IS BASE OF ELECTRIC TRANSFORMER THIS CERTIFICATE IS NOT TO BE USED FOR CONSTRUCTION OR DESIGN, IS FOR FLOOD INSURANCE USE ONLY Signature Date 1z��2014 SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use naturai grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the �owest adjacent grade (LAG). a) Top of bottom floor (including basement, crawispace, or enclosure) is . � feet ❑ meters � above or ❑ below the HAG. b) Top of bottom floor (inciuding basement, crawlspace, or enclosure) is . � feet ❑ meters � above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is N� .'4 � feet ❑ meters � above or ❑ below the HAG. E3. Attached garage (top of slab) is . � feet ❑ meters � above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . � feet ❑ meters � above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? � Yes ❑ No ❑ Unknown. The local 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, 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, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address Signature Comments City Date State ZIP Code Telephone ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's fioodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to 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. ❑ The following information (Items G4—G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: . ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10. Community's design flood elevation: . ❑ feet ❑ meters Datum Local Official's Name Community Name Signature Comments FEMA Form 086-433 (7/12) Title CLEARWATER CI7Y OF Telephone Date ❑ Check here if attachments. Replaces all previous editions. ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS CONTINUATION PAGE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ADDRESS: 1586 GULF BLVD CLEARWATER, FL 33767 PICS TAKEN 12/12/2014 FRONT VIEW AND CONTINUING AROUND BUILDING / .;>....6''.. . U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Fl�od Insurance Program Important: Read the instructions on pages 1-9. ` SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Buiiding Owner's Name CABANA CLUB CONDO ASSOCIATION Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1586 GULF BOULEVARD City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL 19-29-15-12936-001-2801, CABANA CLUB CONDO PHASE I BLDG 2, PLAT BOOK 076, PAGE 091 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. �atitude/Longitude:Lat. 27.9401 Long. 82.8384 Horizontal Datum: ❑ NAD 1927 x NAD 1983 A6. Attach at least 2 photographs of the building if the Cert�cate is being used to obtain flood insurance. A7. Building Diagram Number SIX A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 453� sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade � c) Total net area of flood openings in A8.b 13824 sq in c) Total net area of flood openings in A9.b � sq in d) Engineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State CLEARWATER CITY OF 125096 PINELLAS FL B4.Map/Pane►Number 65.Suffix B6.FIRM Index B7.FIRM Panel 68. Flood 69. Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0104 G 08/18/2009 09/03/2003 VE 13.0 FEET 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile x FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in ftem B9: _NGVD 1929 X NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes X No Designation Date ❑CBRS �OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED� 1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* x Finished Construction 'A new Etevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CITY BM SAN MH Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7.0 x feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.7 X feet ❑meters{Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 15.5 x feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NA x feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ELECT TRANSFORMER 8.0 x feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 7.0 x feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.4 x feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.0 x feet ❑meters(Puerto Rico only) Structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This cert�cation is to be signed and sealed by a land surveyor,engineer, w architect authorized by law to certify elevation information. 1 certify that the information on this Certif'�cate represents my best efl`orts to interpret the data avai/able. ��„�r.�4.�,° I understand thaf any false statement may be punishable by fine o�imprisonment under 18 U.S.Code,Section 1001. . L�} , �d��- ......��',q*� XCheck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a `j,�;��.T�T l,�y��`�� licensed land surveyor? X Yes ❑No � : �b� � Certifier's Name: BILL HYATT License Number: LS 4636 ` '� ' S�`` i�.,:B� Title: PRESIDENT Com an Name: KNOW IT NOW INC ��'�. �Q�� p Y �'� �. _,, � lj��,� 4 � ••�+« Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 ��EY��` �_ . �,:3�=��-��2� Signature �� Date: 3l29/12 Telephone: 727-415-8305 , /�r�� /�_ %"�'�' �r FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding infortnation from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number 1586 GULF BOULEVARD Ciky CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATiON(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments y� H,: �\�r� .a�6saye� NOT TO BE USEDaF��t CONSTR�JCtI�V OR.DESIGN,IS FOR FLOOD INSURANCE USE ONLY ��w �� s� g {,� �.� Y} ��?»"° ' Si nature a�-�� Date 3l29l12 X Check here if attachments SECTION��.B�DI�Ci EL A71qN INFORMATION(SURVEY NOT REQUIRED) FOR 20NE AO AND ZONE A(WITHOUT BFE� For Zones AO and�'�i�'thout BF��},'o�c�iblete Ite1nS E1-E5. If the Cert�cate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items�1-E�1,��:[;It;�tural grade,'rf a�r`�ailable. Check the measurement used. In Puerto Rico only,errter meters. E1. Provide elev�ti�t�infor�tion`for the following and check the appropriate boxes to show whether the elevation is above or below the highest ad}acent grade(HAG)�and the Iq�west adjacent:grade(LAG). a)Top of bottom floor(including basemeM,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages&9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters Oabove or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must cert'rfy this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer, or architect who is authorized by law to 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 buifding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ 7he following i�formation(Items G4G9)is provided for community floodplain management purposes. iG4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑ feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the buifding site: ❑ feet ❑meters(PR)Datum G10.Community's design flood elevation ❑ feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here'rf attachments FEMA Form 81-31, Mar 09 Replaces all previous editions , � • Building Photographs See Instructions for item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 1586 GULF BOULEVARD City CLEAWATER State FL ZIP Code 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least finro building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front Vievd' and "Rear Viev�'; and, if required, "Right Side Viev�' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. PICS TAKEN 3-29-12 FRONT VIEW �_ � �� '� r � �`�� _ � � � �� '� � �:" `� �` 1 , t � �� " a' `�� , ° ��i �.. / ,� �ii� , ., � � � � , � � � '� � � � �: a � „N:� a 1 s . r �!� � �';:: ,.` � " �� I N�' ' s. �� - _ _ � ;. � �' n �9, j� ` �f 3� �� «,: �' �s� �� q �� ` � Y� ' �� M[ � , � �: � � � .. �� `,� � �,` , k � ��: . ■ � �:' �,�. ,�. Y ,�° �, , . . _ , . :� ..., � :. � ,. . :. ,_ . ��. � ,. �_, � _ ., � , :a._ �;' , .... . _ � . � . -;�.--� - � °�,, :.ry _ _. _ _. �.�.�A��a: __._ __....�� ,.._�,,,�,,,y,,,�.;�'"„'"'w�,�''" .�J..�.i.�./ v' ... �...�r. ...r �J � ,, r: F � . � ti � �,.�� ' � �� , �`�. °��. � . ,,. � �` �# �` a.--- :r'"_ _ �� : � . :� � 1,�..-.�. ..., �� . r , • ° � :� "� a,. • . , .., . .. � #�, � • �1 . ��' \ ) �lia: i .. -'_ t I . `� ... !� � � � I � -:.��_ , . .< .::, �� ,� -- - � .� , , r,`,` „u: � i +��A''I,1,��' . .. .. �.: � LL . .. I , . . REAR VIEW r �� ti�.�x��;.�� "�`"� s � � ��..�` I ,� �s �� ,...9� � � 3�9± �;,xa �si�liif � ��{�4i�� I � �, „_ ��,." � �� , � u� -r� )��,i!f ii „ �� 1'i�IIJiEI�i!' II�I�?r�P ��iV�, ' __ � � � ��;�. � ��. k,.v� I � � up � � IP p �• J !I� � � �. �"� �l�Il�¢��I�� a��f��ll�: (�i>I��Ir� ��`� i �.::� � (� �' -�. �� '. � ,�'� � � � ,�� ' � a y( s �a� � �� B Y}�b�4t �111'•�� I�� . ` � I � � � � � ��II�111 � °� � t � � _ _" i � , � �. : . � �� i i�t �( �I �t'j�� ` ; _,. �� . � � � �t��ui�°�� f+�� ,,-,�`�°�� ., � z � .r. ,;; ��.��,,.� �°;: �[ , � � � �! . � � � �� - �� .. .r _ � � � �� ;1�a ,�, ��;� �� ,�� M_ � �� . � ,, , � � � "�_ � . � �� _ — � �� '�.,��i �,� �� ,�. � � x � ; rt � y�fy �." k� Y �« ... . ... :�� . .. •i �.s u � :- ,/�.� ,� :a, �� ` � � �� _, .. � � .,� ,� �� ,; " � �� _. � , � ��{�a�E� � , � �. �, , �� : e.�,,. "� .,. ' . �� ` '" #' �'� � � �";�� ' f" � , . ,. .; ; ... � - � .. .. .. � � .r: �Y .. rv�,• 4 xz� :� �jk.e_ ` �,': .. ,� + .y, � � . , , s'�# ��.A . �.. �� /�� yfl�� .. �� ... .. ... �Y� �4N � ' �� ..� , :� +.�. '. .,� , e ,x ' ,r .., . .>. .F' . I � ,. �,. .. . . A �� . ._ :n .. .�. .m.. .. ',:'6�rrt_#�'. ... � _ � rttY'x �F ` I I Instructions—Page 2 . � • Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Porcy Number 1586 GULF BOULEVARD City CLEAWATER State FL ZI P COd2 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photogcaphs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front VievW' and "Rear VievW'; and, if required, "Right Side Viev�' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. PICS TAKEN 3-29-12 FRONT VtEW '� ��,e-'� � „� .r_ ' � � � � ��,� "� �' ' � �� '�i � 1 , � �� s ,� ° � � ,� , � ;� 1 ' � � ��,� �` am ' � � � ° , �{� � �;'� � � �., ;� .; , � , 3� �� . � � ., �; , � '� y � � _ . � �� r�� : � ' _ �_ -, i i t � « .. ,�. 11 � . � � � . , . �.. ; � .., 'y',� � V,�C b . ' � - �.: �. s � +��e �� ° ` .,�, ^,�. t � `' � �f �1 ir ef + h �a � R �� 1 . , , � . u , _, . , ,�� . � � � � �s . � ,��"� t ��e „� �g, c:�-., .. - ° �, � � ; . � - <.� . , . . . „, u � � _ � �, ��. � ; � .� . ��. _� .,� _ �� ,� . � a � , _ a� = � � � � � :�� :: - ., _. ``�..� _ ,.,, __.._ ____,�.� �- _ �� .�.. r. � ^ ,�,.1� �`_ ��.,.� ...r .,.� ,, „ � �'''- k � �� .y. `� �� `5 �_.. '°"M.,.""" t 1 :q, _... _ r� ^T Y.�., .� .. /� � 9EOC's �{ '.•.a� .��...i° __.. .....�. �� ! 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Instructions—Page 2 _a•--�-�� i� �`� , c� � I� L� � � ELEVATION CERTIFICATE OMB No. 1660-0008 � �?�_.�--�- °°`" �� Expires March 31,2012 � � �x ~ � , �, � �� portant: Read the instructions on pages 1-9. ��a ° �b µ SECTION A-PROPERTY INFORMATION � aONDO ASSOCIATION � P�Ai�t�:.,�G��3�e1�L0!'is�tl"D�P"� � 'i� t_i:�_`'��:ib'F��'�� n � f ��._,_.:��--�°-�""�` ste,and/or Bldg.No.)or P.O.Route and Box No. e� 1586 GULF BLVD � FL ZIP Code 33767 � BCP2012-03105 �9x Parcel Number,Legal Description,etcJ RTC 4/3/12 NA CLUB CONDO PHASE I BLDG 2, PLAT BOOK 076, PAGE 091 CABANA CLUB BUILDING 2 � '' � ddition,Accessory,etc.)RESIDENTIAL Zoning: Atla: 9 g2,g384 Horizontal Datum: ❑ NAD 1927 X NAD 1983 Certificate is being used to obtain flood insurance. z; _. ___.._...,....,,...,,u...3µ�c��u��C�s}.� A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 4530 sq ft a) Square footage of attached garage � sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade �_ c) Total net area of flood openings in A8.b 1 83 24 sq in c) Total net area of flood openings in A9.b � sq in d) Engineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State CLEARWATER CITY OF 125096 PINELLAS FL B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0104 G 08/18/2009 09/03/2003 VE 13.0 FEET B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile x FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: _NGVD 1929 X NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes X No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) 1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction' X Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,Vt-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CITY BM SAN MH Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7.0 X feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.7 X feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 15.5 x feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NA x feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ELECT TRANSFORMER 8.0 x feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 7.0 X feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.4 X feet ❑meters(Puerto Rico only) , h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.0 x feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify eievation information. 1 certify that the information on this Certif'�cate represents my best efforts to interpret the data available. r,,,�trY..�,.;f� 1 understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S. Code,Section 1001. +`"`�-{• H w' ;�a��,.......Yq�-,. XCheck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a :;��G�kT IF�ck>'� licensed land surveyor? x Yes ❑No � y�.�� Certifier's Name: BILL HYATT License Number: LS 4636 e i" : S ��B�^ �7� :� ';�TqT Title: PRESIDENT Company Name: KNOW IT NOW INC :?,�;!0 F0� � L�._ :,: u,, •.,,lDA,,. Q` Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 �•:,,�/l��E,{��. Signature �� Date: 3/29/12 Telephone: 727-415-8305 • FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION v ` 'KK" �, ' A1. Building OwnePs Name CABANA CLUB CONDO ASSOCIATION " " -�=; �� A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. 1586 GULF BOULEVARD . .,�� City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcei Number,Legal Description,etc.) PARCEL 19-29-15-12936-001-2801, CABANA CLUB CONDO PHASE I BLDG 2, PLAT BOOK 076, PAGE 091 A4. Building Use(e.g.,Residential,Non-Residentiai,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat. 27.9401 Long. 82.8384 Horizontal Datum: ❑ NAD 1927 X NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number �� A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enciosure(s) 4530 sq ft a) Square footage of attached garage � sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 2 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AB.b 13824 sq in c) Total net area of flood openings in A9.b � sq in d) Engineered flood openings? ❑Yes X No d) Engineered flood openings? ❑ Yes X No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name 83.State CLEARWATER CITY OF 125096 PINELLAS FL 64.Map/Panel Number B5.Suffix 66.FIRM Index B7.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0104 G 08/18/2009 09/03/2003 VE 13.0 FEET 610. Indicate the source of the Base Flood ElevaGon(BFE)data or base flood depth entered in Item B9. ❑FIS Profile X FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: _NGVD 1929 X NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes X No Designation Date ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) 1. Building elevations are based on: ❑Construction Drawings" ❑Building Under Construction' X Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones At-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/At-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CITY BM SAN MH Vertical Datum NAVD 1988 Conversion/Comments NONE Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 7.0 x feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.7 x feet ❑meters(Puerto Rico only) c) Bottom of the lowest hor'¢ontal structural member(V Zones only) 15.5 x feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NA X feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ELECT TRANSFORMER 8.0 x feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 7.0 X feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.4 X feet ❑meters(Puerto Rico only) , h) Lowest adjacent grade at lowest elevation of deck or stairs,including 7.0 x feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. ,��„t�r„�.;��y I understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S.Code,Section 1001. ;,,•``�`H. H�;�� . !f. r.....�� .9�,rr XCheck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ::�v�'G�kT l��k� licensed land surveyor? x Yes ❑No � � 9�:�� Certifier's Name: BILL HYATT License Number: LS 4636 %r- : S ��B n+ �� :� �,��'ql Title: PRESIDENT Company Name: KNOW IT NOW INC �;�',:�pq�� .,: �,, •.,,1DA,. Address: 1497 MAIN STREET#321 City: DUNEDIN State: FL ZIP Code: 34698 ••.,,�!{��E•{'�� Signature �-'"'''cyY� Date: 3/29/12 Telephone: 727-415-8305 ' , FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 1586 GULF BOULEVARD City CLEARWATER State FL ZIP Code 33767 _ = q� � �._ �� `µ �` p �� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments NOT TO BE USED FOR CONSTRUCTION OR DESIGN,IS FOR FLOOD INSURANCE USE ONLY Signature ��'"''`�='7'�— Date 3/29/12 X Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items Et-E4,use natural grade,'rf available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the tdlowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawispace,or enciosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of siab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is availabie,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 SecGon G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(wkhout a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8, and E are correct to the best of my know/edge. 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 authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to 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 AO. G3.❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: �New Construction �Substantial Improvement G8. Elevation of as-buitt lowest floor(including basement)of the building: ❑ feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑meters(PR)Datum G10.Community's design flood elevation ❑ feet ❑meters(PR)Datum Local O�cial's Name Title Community Name Telephone Signature Date Comments ❑�heck here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy rv�mber 1586 GULF BOULEVARD Clty CLEAWATER State FL ZI P Code 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front Viev✓' and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. 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