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431 MANDALAY AVE « _ . �I_ L� _ • sECURinr �ATI �ERTIFICATE OMB No. 1660-0008 U.S.�E�ARTMENT�F H�MELAN� Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ABDEL GAWA Policy Number A2. Building SVeet Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Comparry NAIC Number 431 MANDALAY AVENUE City CLEARWATER BEACH State FL ZIP Code 33767 � A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TAX PARCEL#08/29/15/02592/001/0030 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) COMMERCIAL A5. Latitude/Longitude:Lat.28°09'08 Long.82°46'29 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B 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) N/A sq ft a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AB.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? � Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Communily Name 8�Community Number B2.Courrty Name B3.State CITY OF CLEARWATER 125096 PINELLAS COUNTY FLORIDA 64.Map/Panel Number B5.Suffix 66.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 08/18/2009 09/03/2003 AE 11.00 B10. 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) 611. Indicate elevation datum used for BFE in Item B9: ❑ 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 N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' � Building Under Construction" ❑ Finished Construction •A new Elevafion 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(witli 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 AWL USCE 1941Vertical Datum NAVD 88 DATUM Conversion/Comments PINELLAS COUNTY BENCHMARK-ELEVATION=7.20 NAVD 88 Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)5.45 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor NlA. ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.81 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.70 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade neut to building(HAG) 5.50 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevadon of deck or stairs,including N/A. ❑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 fo interpret the data availabte. 1 understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S. Code, Section 1001. ��_ � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �'e 4 i.!��• . licensed land surveyor? � Yes ❑ No ` �« . � Certifier's Name JOHN STRACHAN License Number LB 6312 �/�°`�'�� - � r"�� :aw+a'��r :'� '^� Tftle PRESIDENT Company Name CROSSTOWN SURVEYORS,ING � ��f� ,. Address 12441 ADVENTURE DRIVE City RIVERVIEW State FL ZIP Code 33579 � �" "' ,. :" Signature Date 05l17/2010 Telephone 813.741.1555 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. For insurance Compar�y Use: B�ilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 431 MANDALAY AVENUE City CLEARWATER BEACHState 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 agent/company,and(3)building owner. Comments LOWEST MACHINERY=AC UNIT Signature Date 05/17/2010 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjaceM grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure}is ❑feet ❑meters ❑above or❑ below the LAG. E2. For 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 tfie 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 ❑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 certiiy 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 communiiy-issued BFE) or Zone AO must sign here. The statements in Sections A, B,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 communit�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 measuremerrt 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-buiR lowest floor(including basemerrt)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building ske: ❑feet ❑meters(PR)Datum G10.Communitys design flood elevation ❑feet ❑meters(PR)Datum Local Oificial's Name Title Community Name Tetephone Signature Date Comments �Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency ManagemeM Agency Expires March 31, 2012 National F�ood Irisurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name ABDEL GAWA Policy Number A2. Building Street Address(inciuding Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Number 431 MANDALAY AVENUE City CLEARWATER BEACH State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) �"� ��' "�� - TAX PARCEL#08/29/15/02592/001/0030 ��,��"�-'� '� �� A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) COMMERCIAL A5. Latitude/Longitude:Lat.28°09'08 Long.82°46'29 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building wiUi a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? � Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name 8�Communiry Number 62.County Name 63.State CITY OF CLEARWATER 125096 PINELLAS COUNTY FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 08l18/2009 09/03/2003 AE 11.00 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: ❑ 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 N/A ❑ CBRS ❑ OPA ` . SECTION C-BUILDING ELEVATION INFORMATION( URVEY l2E�tyfi�t�b� ` ` �� ' i.r.�i1.y�r..i �i�i�..t.�.+�+r '-f . . . C1. Building elevations are based on: ❑ Construction Drawings' � Building Under Constrl�ctioq`., � ❑ Fini$hsd-Canstruction 'A new Elevation Cefificate 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, AH,A O. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. .., Benchmark Utilized AWL USCE 1941Vertical Datum NAVD 88 DATUM ' _._ � w� ._. . . ,..� ., '�_ ConversioNComments PINELLAS COUNTY BENCHMARK-ELEVATION=7.20 NAVD 88 ; ! ��,. :m '_ � �`� 1� . Ghec �tt►�a�urement,us � _ , : �; � � a) Top of bottom floor(including basement,crawlspace,or enclosure floor)5.45 �feet �rrt�ter'�(Pu��ic� 1�010 b) Top of the neut higher floor N/A. ❑feet h�ke�`(PuerEo Rico only) � i._., ,. c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet meter�(Puerto Ricomgply�,,,,.., d) Attached garage(top of slab) N/A. ❑feet r�A��OF;i�cb ciFilyj e) Lowest elevation of machinery or equipment servicing the building 6.81 �feet ❑�m�t�CS�i��rta�ii�co ohlyj �- (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.70 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 5.50 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. ❑feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATtON This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certity elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data availab/e. I understand that any fafse statement may be punishab/e by fine or impnsonment under 18 U.S. Code, Section 1001. •: � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ` � Pf�%; r�E: , F licensed land surveyor? � Yes ❑ No ;+.�"5 k FI�,�•. -��-��'°',•. Certifier's Name JOHN STRACHAN License Number LB 6312 x��, ��,*,� Title PRESIDENT Company Name CROSSTOWN SURVEYORS,ING :`� �,��,�� w-� Address 12441 ADVENTURE DRIVE City RIVERVIEW State FL ZIP Code 33579 �"��"F�;�J:•:t'> % • .> Signature Date 05/17/2010 Telephone 813.741.1555 *�1` 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. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Route and Box No. Policy Number 431 MANDALiAY AVENUE City CLEARWATER BEACHState 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 LOWEST MACHINERY=AC UNIT Signature Date 05/17/2010 .�-- ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND 20NE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is iMended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For 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 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 bo8om floor elevated in accordance with the community's 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 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. Properly 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 communily's floodplain management ordinance can complete Secdons 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 s�led��y a lice�sed surveyor,engineer,or architect who is authorized by law to certify elevation informafion. (Indicate the source and date of the eleva , �i�data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-is �e�d�r community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G9)is provided for community floodplain management p poses �U N 1 t1 2O it� G4.Permit Number G5. Date Permit Issued G6. Date ettif�te Of Compliance/Occupancy Issued c._...,....__ .�... .. ._..,.. x , � , . . . , . G7. This permit has been issued for: ❑New Construction ❑Substarrtial Improvement ,._..,.,. G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Oificial's Name Title Community Name Telephone Signature Date Comments �Check 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 rvumber 431 MANDALAY AVENUE Clty CLEARWATER BEACH StBte FL ZIP Code 33767 Comparry 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 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. - � � � 1� , , - , • '�� i��, ` , �� / � � � � / . • ,, �. - , . , �� :� �,��.. � ili�� ' � . , ,� y :e,:; : „ % �, • _ � ., , � , � i j�; �a y. ' / ��.m� , � . w w, � ' ,, "'� :� � � .� x � � `'nr '�� wa � � °" � ', �� ' � / ... , , w � `�� , �� y� � s� �:, � „ _., i ii i ;�i "��*! ii i•r `��,.,_ '"" j! ? �.,. � �I i�_ � ", r� ��i '�'�` � ,�� ie ,� � � •M'' �� n� , � ��a �� j i 1i� ,�� 1� �.o� . . .._. ��' � A�1 � I'� f 1i� ,�� "� � 1,; a.�� , 0 ' � �,� z�� '�[ .. 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Identify all photographs with: date taken; "Front View" and"Rear View"; and, if required, "Right Side View" and"Left Side View." n:�... ��r �, �';�� r. . r j- �i / ' / . // '� '� _.� . .+ ' � _, , _ � � J�. . : .. .. ��I+l�r /; ,. . . -��,a'�'q�^"_�"e"r"+""'. ,� �.: . . ..... r. '" . , _—_.—�._ �,,,.+�r. _ � --tN w I,. , .. . . n., , ; ; - ' � �� AMf�"�"" �� ".`� '`. �II ' �• 't � ,,.,� ��It x"y .. � _ � „�3i' ,�-' �� ..,.a`: ` ' ,� � "}f _ _ � � �I � � _.�. - � i �+� r • -�� „�� ,f4 � ` , ' t � , ^° � � � � { i I . � � '�d, � ! �. � �,.., -... ;k �; :� _._� , . � � _. � � � ..,. � r� � - .. � � �1, �*� - ....� ,;� � � �' - , �.:w ., �,,,- .. -- � � : � - _ . �, ' -__' ,,,,.,� :.:, ,... � --=-.""'�`.��°" �� "��' � -�E�, '„„, ' � n �, • ,�,� v ��, F s : :. : _ � � , :. - _.�.. . �..::. _ _,,,, . �>.�'". .�laJ �A8if105P�'wt` �.u�+. ` � .�..,� ��.._ i .R �_ i � i a ., . . ,,:� .„, � �.:.; � >. s_ . .,�..... . .� ,.. ... .. , _...,.�ef.... . - ... .: _ .. . .,_•w,...�,�. . . ' . 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No.)or P.O. Route and Box No. Poiicy Number 431 MANDALAY AVENUE Clty CLEARWATERBEACH State FL ZIP Code 33767 ComparryNAlCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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'-P ' -- .�,1 I� t _:� �� .,..��"""� oµ �,.... _ ; . �. . _ • �,.., _ ��_��e— ,.� �. �u,,,�. _« FRONT VIEW 05/17/10 � �� :, ., .... .... . ...:.t.. � e� � '�,` ` JUN 1 � 2010 �I 6 ��` � � .. .. �w�.MINMwMe��; . Fti �„ !.3 { 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 For instuance Company Use: A1. Building Owner's Name ABDEL GAWA Policy Number A2. Building Street Address(including Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Route and Box No. Company NAIC Number 431 MANDALAY AVENUE City CLEARWATER BEACH State FL ZIP Code 33767 �� s ,� 1�. A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) r p p TAX PARCEL#08/29/15/02592/001/0030 ��r��L?`� � ��C7 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) COMMERCIAL A5. Latitude/Longitude:Lat.28°09'08 Long.82°46'29 Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B 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) N/A sq ft a) Square footage of attached garage N/A 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 adjacerrt grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? � Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name 8 Community Number 62.County Name B3.State CITY OF CLEARWATER 125096 PINELLAS COUNTY FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 08l18/2009 09/03/2003 AE 11.00 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood deptfi entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwi cted Ar�a(OPA)? ��;Yes � No Designation Date N/A ❑ CBRS ❑ � �.: . � � "ti, SECTION C-BUILDING ELEVATION INFORM (SURVEY REQUIRED) C1. Building elevaUons are based on: ❑ Construction Drawings" � Buil Unpe� ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complet ;��,-�� C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/ ,��'Y-Y�3A';°�R,7�"K;�AR/AO: Complete Items C2.a-h r,�� below according to the building diagram specified in Item A7. Use the same datum as ,,E-,-�, , Benchmark Utilized AWL USCE 1941Vertical Datum NAVD 88 DATUM ' � Conversion/Comments PINELLAS COUNTY BENCHMARK-ELEVATION=7.20 NAVD 88 Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)5.45 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A. ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.81 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.70 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 5.50 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. ❑feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certificatlon is to be signed and sealed by a land surveyor,engineer,or arohitect authorized by law to certify elevation information. l certify that the informa6on on this Certificate represents my best efforts fo interpret the data availa6le. � ` r' r��F°`�:, l understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S. Code, Section 1001. , . r � � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ,,�" '��,' `- licensed land surveyor? � Yes ❑ No �'� ° �� / ,� Certifier's Name JOHN STRACHAN License Number LB 6312 ��"�t� ' �T�:1� ��'' � Tide PRESIDENT Company Name CROSSTOWN SURVEYORS,INC. � � ,��`�,�' ��:��f� Address 12441 ADVENTURE DRIVE City RIVERVIEW State FL ZIP Code 33579 "t�^'�''"�• ' Signature - Date OS/17/2010 Telephone 813.741.1555 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. For Insurance Comparry Use: Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number 431 MANDALAY AVENUE City CLEARWATER BEACHState 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 agent/company,and(3)building owner. Comments LOWEST MACHINERY=AC UNIT Signature Date 05/17/2010 • ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,errter meters. E1. Provide elevation informa6on for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andlor 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 slab)is ❑feet ❑meters ❑above or ❑below the IiAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO onty: 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachmerrts SECTION G-COMMUNITY INFORMATION(OPTIONALj 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 tfiis Eleva6on 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-built lowest floor(including basement)of tfie building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Communiiy Name Telephone Signature Date Comments �Check 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 Bidg. No.)or P.O. 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