470 MANDALAY AVE , _ � __ _ __ _
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� U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Feder,31 Emergency Management Agency Expires Februarv 28.2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
� SECTION A-PROPERTY INFORMATION For Insurance Company Use:
�1. Building•Owner's Name JMC Design and Development,Inc. Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number
470 Mandalay Avenue
Ciry Clearwater State FL ZIP Code 33767
A3. Properry Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1 Block 2 Sandpearl,Plat Book 129,Page 89
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude:Lat.27°58'S3" Long.82°49'41" 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
A8. For a building with a crawl space or enGosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number 62.County Name 63.State
City of Clearvvater 125096 Pinellas FL
B4.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)
0102 G 09/03/2003 09/03/2003 AE,VE 11,12,13
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)
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? �Yes �No
• Designation Date ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings* �Building Under Construction' ❑Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark UGlized AG0504 Vertical Datum NAVD88
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enGosure floor)_ N/A. ❑feet ❑meters(Puerto Rico only)
b) Top of the next higher floor 16.5 �feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) 15.7 �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 N/A. ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
� Lowest adjacent(finished)grade(LAG) 5.7 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 5.9 �feet ❑meters(Puerto Rico only)
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 R^;.' ° '°
information. I certify that the information on this Certi�cate represents my best efforts to interpret the data availab/e. '�,, '"'' f� ��
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l understand that any false statement may be punishable by�ne or imprisonment under 18 U.S. Code, Section 1001. � ,�. ��. , ���� �� 'a
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❑ Check here if comments are provided on back of form. A 7� ��.� ����;, Ys
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Certifier's Name Samuel Mark Beach License Number LS 6261 ������""� "`W
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� Professional Surveyor and Mapper Company Name Florida Design Consultants,Ina 4 ;"y"�:�� �� ""� �
-� a�,er,✓ ° ° .
Address 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655 `;�,�, ' ' '' �''
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Signature �1, ��� Date 05/09/2006 Telephone 727.849.7588 Y�� ��P �`""' � �
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FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
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� IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:
Buikling Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
470 Mandalay Avenue
• City Clearwater State FL ZfP 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 C2a,c and d:Building under construction lower level siab is not constructed.
A9 a,b and c:Building under construction lower level siab is not constructed.
Revised Address 05/15/2006.
Signature Date 05/09/2006
❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enGosure)is ❑feet ❑meters ❑above or�below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of siab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTtFiCATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge.
perty 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 of8cial 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 informaGon 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 communiry-issued BFE)or Zone AO.
G3.❑ The foilowing 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 buiiding: _❑feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(P t
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Local Official's Name Title
Community Name Telephone �g
' nature Ma� � � 6���
Date
�,mments
n�v�L.��--IU���-�V�-----
CITY OF �I��ARUVAT��
❑Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
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� Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
uilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Poiicy Number
470 Mandalay Avenue
Clty Clearwater State FL ZIP 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 View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front View: 05/05/2006
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• Continuation Page
For Insurance Company Use:
ailding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poiicy Number
/0 Mandalay Avenue
Clty Clearwater State FL ZIP COd2 33767 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and "Left Side View."
Rear View: 05/05/2006
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. 'U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATlON CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires Februarv 28,2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
� SECTION A-PROPERTY INFORMATION For Insurance Company Use:
'1. Building Owner's Name JMC Design and Development, Inc. Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number
470 Mandalay Avenue
City Ciearwater State Fl ZIP Code 33767
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1 Block 2 Sandpeari,Piat Book 129,Page 89
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) Residential `
A5. Latitude/Longitude:Lat.27°58'S3" Long.82°49'41" 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
A8. For a building with a crawl space or enciosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage s ft
b) No.of permanent flood openings in the crawl s ace or 4
P b) No.of permanent flood openings in the attached garage
enGosure(s)walis within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP Community Name&Community Number 62.County Name 83.State
City of Clearvvater 125096 Pinellas FL
64.Map/Panei Number 65.Suffix B6. FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
0102 G 09/03/2003 09/03/2003 AE,VE ��,�p,13
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No
Designation Date ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construc6on 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,AWA1-A30,AR/AH,AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized AG0504 Vertical Datum NAVD88
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A. ❑feet ❑meters(Puerto Rico only)
b) Top of the next higher floor 16.5 �feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) 15.7 �feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico onty)
e) Lowest elevation of machinery or equipment servicing the building N/A. ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
� Lowest adjacent(finished)grade(LAG) 5.7 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 5.9 �feet ❑meters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information. 1 certify that the information on this Certi�cate represents my best effo�ts to interpret the data available. -
l understand that any false stafement may be punishable by fine or imprisonmenf under 18 U.S. Code, Section 1001.
❑ Check here if comments are provided on back of form.
��.�t:>F'
Certifier's Name Samuel Mark Beach License Number LS 6261 `g``�°��
- �-t z:���'
� Professional Surveyor and Mapper Company Name Florida Design Consultants, Inc.
Address 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655
Signature �1, n�� Date 05l09/2006 Telephone 727.849.7588
J�.0
FEMA Form 81-31,February 2006 See reverse side for continuation. o�������-��---� �-
� ' IMPORTANT: In these spaces, copy the corresponding information from Section A. For�nsurance Company Use:
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
470 Mandalay Avenue
• City 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 agenticompany,and(3)building owner.
Comments C2a,c and d:Building under construction lower levei slab is not constructed.
A9 a,b and c:Building under construction lower level slab is not constructed.
Revised Address 05/15/2006.
Signature Date 05/09/2006
❑ 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.
E 1. 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,crawl space,or enclosure)is ❑feet ❑meters ❑above or�below the HAG.
b)Top of bottom floor(including basement,cravN space,or enclosure}is . ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 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 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.
�perry 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 elevaGon infonnation. (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(inGuding basement)of the building: _�feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(P t
Local Official's Name Title k
.�;r,.e:..
Community Name Telephone /y�p = -� t:
�fi 3 � � ���� a��x�.:�
Signature Date
� �
t:-
..,;mments
�17X (�F �I�F,A�11�1//�,�'���
❑Check here if attachments
FEMA Form 81-31, February 2006 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
470 Mandalay Avenue
Clty Clearvvater State FL ZIP COd@ 33767 CompanyNAlCNumber
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front View: 05/05/2006
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� Building Photographs
- Continuation Page
For Insurance Company Use:
��ilding Street Address(including Apt., Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Poiicy Number
_,/0 Mandalay Avenue
Clfy Clearwater State FL ZIP COd2 33767 CompanyNAlCNumber
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View°and "Rear View"; and, if required, "Right Side View"and "Left Side View."
Rear View: 05/05/2006
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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008
F�der�!Emerger,cy�ManagAment Agency Expires February 28,2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION Fo
' '' Building Owner's Name JMC Design and Development,Inc. ; P '
.j
. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route aFl Box No. r C y N u r
470 Mandalay Avenue �
�'€� �� 20��
City Clearvvater State FL ZIP Code 33767
� � t`"► �E\/�������� ����
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) e6�9
Lot 1 Block 2 Sandpearl,Plat Book 129,Page 89.The Residences at Sandpearl,a Condominium,Phase 11 �I� �� ��r���!������
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude:Lat.27°28'52" Long.82°49'39" Horizontal Datum: � NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the buiiding if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 6
A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No.of permanent flood openings in the crawl space or b) No.of peRnanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name 63.State
City of Clearwater 125096 Pinellas Fiorida
B4.Map/Panel Number 85.Suffix B6.FtRM Index 67.FIRM Panei 68.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12103C0102 G 5-17-2005 9-3-2003 AE 11 and 12
see comments
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)
B11. indicate elevation datum used for BFE in Item 89: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
P"� Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No
�Designation Date ❑CBRS ❑OPA
o;
SECTION C-BUILDING EIEVATION INFORMATION(SURVEY REQUIRED) �
C1. Building elevations are based on: ❑Construction Drawings` Ll Building Under Construction* 6a Finished ConstFaction
�A new Elevation Certificate will be required when construction of the building is complete. ''�uoC.1 >
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�t�as�2.
below according to the buiiding diagram specified in Item A7. C.j Q Z �
Benchmark Utilized F 3(NGS)PID-AG0504 Vertical Datum NAVD88 � � � ,D
Conversion/Comments o Q U
Check the measurement used. V U a�. �
�..
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 4.6 �feet ❑meters(Puerto Rico only) �� z �
b) Top of the next higher floor 16.5 �feet ❑meters(Puerto Rico oniy) �, C7 w �
c) Bottom of the lowest horizontal structural member(V Zones only) __ ❑feet ❑meters(Puerto Rico oniy) °' � � F-
�. U >-
d) Attached garage(top of slab) __ ❑feet ❑meters(Puerto Rico only) �, m m p
e) Lowest elevation of machinery or equipment servicing the building 1.0 �feet ❑meters(Puerto Rico only) r;
(Describe type of equipment in Comments) �
� Lowest adjacent(finished)grade(LAG) 3.4 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 6.4 �feet ❑meters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION , '_��f�� ;,,:..
This certification is to be signed and sealed by a�and surveyor,engineer,or architect authorized by law to certify elevation � „+i+��;a�t• '`' '
information. I certify that the information on this Certificate represents my best efforts to interpret fhe data available. " �a� � � � ' `
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. .•�,,��ti4 k�S �� •y
fL ee�oao�»�R��,�,� � s
7
� Check here if comments are provided on back of form. � °� `'�;' �. ," `'�'� �'•, i .-
_ y� Z j�..P"'�� t,, d �� .
� � �' �'$:,, '°
,�.,J �'" C 4 .
Certifier's Name David William McDaniel License Number LS 5840 ° `'� "''�" �' � '
�, .�� �,1.
-, � ; e,�
Professional Surveyor and Mapper Company Name Florida Design Consultants,Inc. " ° � "�
, . c' �". ,g�..�. �te' y �
r `, , � ' @ . :r
Address 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655 ? �rY °!, ' „`d,��i s��� -
.;' �,
�`�� ';� 09cOG0 ry�a' •;y.
Signature '^ . ^Date o� /�� /8 Telephone (727)849-7588 ''�� } „p, a �
� , � l
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces`all previous editions
IMPORTANT: In�hese spaces,copy the corresponding information from Section A. For Insurance Company Use:
Bui ding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
470 Mandalay Avenue
Ci#y 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 o�cial,(2)insurance agenUcompany,and(3)building owner.
Comments B8.The portion of this building containing the condominium units lies within Flood Zones AE(EL 11)and AE(EL 12)and a portion of the pool and
pool deck area only lies within Flood Zone VE(EL 13).[see Exhibit C]; C2.e)Elevation is the bottom of the elevator pit;C2.fl and g)Adjacent grades were
obtained on concrete floors within a buiiding and sidewalk due to the 1st floor(ground level)of this condominium is only a portion of the overall bui�ding[see
Exhibit A];Date of field work and picture acquisition was February 21,2008.
— � t9-? .26 C�
Signature� Da
� 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,compiete Sections A,B,
and C. For Items E1-E4,use natural grade,if available. Check the measu�ement 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(inciuding basement,crawf space,or enclosure)is ❑feet ❑meters ❑above or�below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Sec6on A Items 8 and/or 9(see page 8 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 0 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,8,and E are correct to the best of my knowledge.
erty Owners 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 applicabie 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 o�cial 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 communiry 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(inGuding 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
Locai Official's Name TiUe
Community Name Telephone
Signature Date
�
ments
❑Check here if attachments
FEMA Form 81-31,February 2006 Replaces all previous editions
CONDOMINIUM PLAT BOOK PAGE
THE RESIDENCES AT SANDPEARL RESORT, A CONDOMINIUM, PHASE II
BEING A PORTION OF LOT 1 BLOCK 2,SANDPEARL,AS RECORDED IN PLAT BQOK 129,PAGES 89 THROUGH 92,OF THE PUBLIC RECORDS OF PINELLAS
COUNTY,FLORIDA AND LYING WITHIN SECTION 8,TOWNSHIP 29 SOUTH,RANGE 15 EAST,CITY OF CLEARWATER,PINELLAS COUNTY,FLORIDA
1�II 1 BA`fMON7 S1RE_ —_�--_�� — ��� N
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SC2 ZZ O ❑ °� N. LIMITEO COM.bN E NTS INCLUUE ASSIGNEO STORA6E
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SC3 21
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� 20 p 5 2. Cq�fAUN ELFTENTS CLUDE ELEVATORS, ELEVATOR SHAFTS,
I 6 CORRIDOR3, DECKS. LO IES. HRLLWAT4,WRLKMRY3, BTAIR9.
1 19 TRR9H HOOMS, E%TER p2 WALL9. COLlMl6. TXE LAND,
I _ SIOENALK3, RPAY9, STORAGE, LIOMIN� FIXTURE9
ILLUAINATINO TME ELEAENT9, AELHANICAL ROOMS.
PODL.POOL CABANAS, OOL LAWN. SPA. OENERATOfI ROOM,
� g PLANTERS AND ROOF. CM�qH ELEIENT9 p�30 INCLUOE NIGIRS
� UNDER DECIAilATION EA9ET£NTS A8 RECOR�EU IN OFFICIAL
�g RECORD8 BOOK_.PAOE_OF THE PUBLIC RECOROS OF
� PINELLAS CWNTT,F IDR.
17 9 „�
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� � � FLORDA DESICa�V CONSIJl.TANTS, NC. SAN MARCO S7REET � � �
. ¢ �I ENGINEERS, ENVIRONMENTALISTS,SURVEYOR9 8 PLANNER9 N N
� �� 3030 Sfarkey Boulevard, New Por1 Richey FL 34655
� Talephone� I727) 849-7588 - Fax� (727� 848-3648
' F� Certifteate of Authorizatton: LB 6707 "'� / ' \ f— \I SHEET 6 0 5
• . � 3 FEBRUARY, 2006 State of FloriCO �� 997-250 SITE PLAN — 1st F100R �—
_
. Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
eiuilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Poiicy tvumber
470 Mandalay Avenue
Clty Clearvvater State FL ZIP COd2 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 VievW' and "Rear Viev�T'; and, if required, "Right
Side Viev�' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front View—East side 1 st floor(ground level 2-21-2008
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1
CONDOMINIUM PLAT BOOK PAGE
THE RESIDENCES AT SANDPEARL RESORT, A CONDOMINIUM, PHASE II
BEING A PORTION OF LOT 1 BLOCK 2,SANDPEARL,AS RECORDED IN PLAT BOOK 129,PAGES 89 THROUGH 92,OF THE PUBLIC RECORDS OF PINELLAS
COUNTY,FLORIDA AND LYING WITHIN SECTION 8,TOWNSHIP 29 SOUTH,RANGE 15 EAST,CITY OF CLEARWATER,PINELLAS COUNTY,FLORIDA
N
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282 UNITS, ABBIONEO PARNINO SPACES, IMIL. TENRACEB. RNO
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Z83 CORRIDOR9, UECK9,LOBBIE9, MALLWAY3,WAIKWAY4. STAIRS,
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284 410ENALRB, RMP9, ST OE. LIGNTINO FIXTVRE9
212 205 - 273 ILLIMINRtINC THE COMA0�/ Ei�£NTB. MECHANICAL ROOM3.
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� 213 204 285 272 PLAMERB NID ROOF. COM1�ION FAENTS AL90 INCLIAE RI6HT5
� ' UNOER DECLARATION OF EAS Nf3 AS RECOROED IN OFFICIAL
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Z�y 203 2�� PINELLAS COUNTV, FLORIOA.
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. - � FLORDA DESIGN CONSULTAfVI"Sy W�
@� �I ENfi1NEER5,ENVIRONMENTALISTS,SURVEYORB B PLANNERS
g �� 3030 Siarkey Boulevard, New Pori Richey FL 34655
� � Telephone� (727) 849-7588 - Fax� (727} 848-3648 .
. . . � � CerUfleote of Authorization: LB 6707
3 State of Flortdc SITE PLAN — 2nd FLOOR SHEET 8 0�15
FEBRUARY, 2008 JOB 997-250
' � � Building Photographs '
, Continuation Page
For Insurance Company Use:
ing Street Address(inciuding Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Po�icy tvumber
Mandalay Avenue
City Clearvvater State FL ZIP COde 33767 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front Viev�'and "Rear Viev�'; and, if required, "Right Side Viev�'and "Left Side View."
Front View—East side 2-21-2008
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CONDOMINIUM PLAT BOOK PAGE
THE RESIDENCES AT SANDPEARL RESORT, A CONDOMINIUM, PHASE II
BEING A PORTION OF LOT 1 BLOCK 2,SANDPEARL,AS RECORDED IN PLAT BUOK 129,PAGES 89 THROUGH 92,OF THE PUBLIC RECORDS OF PINELLAS
COUNTY,FLORIDA AND LYING WITHIN SECTION 8,TOWNSHIP 29 SOUTH,RANGE 15 EAST,CITY OF CLEARWATER,PINELLAS COUNTY,FLORIDA
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Q� OPEN TE CE9.
I P. C N ELEA£N74 INttUDE ELEVIITOR3, ELEVpTOR SHAFTS,
CORRIDO 3.DECK3,LOBBIE3, XALLMAY9,WALNWAI'S, STAIR3,
� � TRASN OdA3. E%TERIOR WAl.LB, COLUMS, TME LAND,
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UN�ER OECIARATION OF EA3ET£NTS AS NECqt0E0 IN OFFICIAL
V I RECOR 4 BOOK_. PAGE_OF iHE PUBL�t RECORD3 OF
VINE AS CWNTY. FIORIDA.
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- 3 Z3,25� 3.00' SAN MARCO STREET 3.00' 23.25' N w � � 77.67'
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. •_ � FLORDA DESK�VV CONSUL.TANTS, IYC� Np�N� � �
¢ EN6INEERS.ENV�RONMENTALISTS,SURVEYOR9 6 PLANNERS i�� P°r N N
g 3030 Starkey Boulevard, New Porl Richey FL 34655 � z
• '� Telephane� (727) 849-75BB - Foz� (727} 848-3648
" . $ Certifieate of Authorfzotion: LB 6707
. � � 3 FEBRUARY, 2006 State of Flor�do �OB es7-250 SITE PLAN - 3rd FLOOR SHEET 10 OF 15
, . • t
.� , . � � Building Photographs
' Continuation Page
For Insurance Company Use:
�ilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poiicy rvumber
Mandalay Avenue
City Clearwater State FL ZIP COde 33767 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front Viev�'and "Rear Viev�'; and, if required, "Right Side Viev�'and "Left Side View."
Rear View—West side 3rd floor 2-21-2008
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� O.M.B.NO.3067-0077
Expires July 31,2002
FEDERALEMERGENCY MANAGEMENTAGENCY
NATIONAL FLOOD INSURANCE PROGRAM
FLOODPROOFING CERTIFICATE
FOR NON-RESIDENTIAL STRUCTURES
The floodproofing ol non-residential buildinqs may be permitted as an attemative to elevating to a above the Base Flood Elevation;however,a
floodproofing des�gn cert�cation is required.This form�s to be used for that certificafion.Floodproo(ng of a residential building does not alter a
commun�ty's floodplain management elevation requirements or affect the insurance rating unless the communit�has been issued an excepGon by
FEMA to allow floodproofed res�dential basemenfs.The permitting of a floodp�oofed residential basement reqwres a separate certification specifying
that the design complies with fhe loca/floodplain management ordinance.
qT� ,�,�,v<1��,� Av�
,�G/�,Zd 06��"7�y'Y FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME � P UC NUMBER
�e (�e5��ences af sa•�o�pevl ��so�t 1-� G
STREET A�DRESS(Ind�u[diqp Apt.,ynil/,�S/yita,endlry Bldg.Number)OR P.C7 RnUTE AND 80X NUMBER COMPANY NAIG NUMBER
ZZO� T�'' S1"/` s✓Itt ZOp -
OTHER DESCRIPTION(Lot end Block Numbers,etc.)
STATE ZIP CODE
��sf,P�cf��b���c. 3��o�f
SECTION I FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Provide the following from the proper FIRM:
COMMUNITY NUMBER PANEL NUM6ER SUFFIX OATE OF FIRM INDEX FIRM ZONE BASE FLOOD ELEVATION
I�SD�V �4{0�.��OZ.. /... �/I! ZOO� �� (InAO{��� DePth)
V ` i
SECTION II FLOODPROOFING INFORMATION(By a Registered Professional Engineer or Architect)
Floodproofing Design Elevation Information:
• Building is floodproo(ed to an elevation of ...................13.........feet NGVD.(Elevation datum used must be the same as that on lhe FIRM.)
Height of floodproofing on the building above the lowest adjacent grade is.....8.'.$.3.......................feet.
(NOTE:for insurance rating purposes,the building's floodpraofed design elevadon must be at least one foot above the Base Flood E/evation to
receive rating credit.If the building is floodproofed only to the Base Flood Elevafion,then the building's insurance rafing wil!resutt in a higher
premium.J
SECTION III CERTIFICATION(By Registered Professional Engineer or Architect)
Non-Residential Floodproofed Construction Certification:
I ceRi(y that,based upon development andlor review of structural design,specificafions,and plans(or construction, fhe design and methods o/
construction are in accortlance�nth accepted standards of pracfice(ormeeting fhe following provisions:
The stnicture,together with attendant utilities and sanitary facilities,is watertight to the floodproofed design elevation indicated above,with
walls that are substantially impermeable to the passage of water.
All structural components are capable of resisting hydrostafic and hydrodynamic flood forces,including the effects of buoyancy,and
anticipated debris impact forces.
f ce�tify that the infamation on thrs certificate represents my besf eflorts to interpret the data available.1 understand that any false statement
may be punishable by(ne or,impnsonment under 18 U.S.Code,Section 1001.
CERTIFIER'S NAME LICENSE NUMBER(or AKx Seal)
Eric P. Olsen 54067
TITLE COMPANY NAM
Precident O.E. Olsen & Associates, Inc.
ADDRESS �� i CITY STATE ZIP CODE
51 S. idain Aveziu�, Suite 320 Clearwater Florida 33765
SIGNATURE � DAT PHONE
� . �,�c�/ 3/¢�O$� (727) 467-9397
Copies shoul�be made of thic_Cerlificate for:1)community official,2)Insurance agenbcompany,and 3)building owner.
FEMA Form 81•65, AUG 99 Replaces all previous editions 8 � � � � (y] F-�
• v
MAR 0 4 2008 �
PLANNING&DEVELOPMFNT SVC8
CI7Y OF CIEARWATER
}
� �C"���� � ��� �� OMB No. 1660-0008
U.S. �Ef'ARTME�!T�OF HOMELAND SECURITY ELEVATION CERTIFICATE Expires FebruarV 28,2009
Fed�;al�merg„ncy Management Agency
National Flood lnsurance Program Important: Read the instructions on pages 1-8.
' SECTION A-PROPERTY INFORMATION Fo
_�
Buildil:ig Owner's Name JMC Design and Development, Inc. P ' .
� �:
�C2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. C y N u r
470 Mandalay Avenue ��� �� ZQ��
City C�earwater State FL ZIP Code 33767
i��9�i��� �������d"�� ���°�
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) �ra �d
Lot 1 Block 2 Sandpearl,Plat Book 129,Page 89.The Residences at Sandpearl,a Condominium,Phase II G��.e��� ���' 'i,,r�r:�:"���"u q���,����i'
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude:Lat.27°28'52" Long.82°49'39" 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 6
A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
City of Clearwater 125096 Pinelias Florida
64.Map/Panel Number B5.Suffix B6.FIRM Index 67.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12103C0102 G 5-17-2005 9-3-2003 AE 11 and 12
see comments
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile �FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe)
� Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑Yes �No
Designation Date ❑CBRS ❑OPA
�
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) ,�
C1. Building elevations are based on: ❑Construction Drawings* ❑ Building Under Construction` � Finished ConstF�Ction p
'A new Elevation Certificate will be required when construction of the building is complete. "`�oC �
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. Complet�t�s�2. g �
below according to the building diagram specified in Item A7. CJ S O M
Benchmark Utilized F 3(NGS)PID-AG0504 Vertical Datum NAVD88 �� r
`�.� <; (- �
Conversion/Comments r� �:� i�� �
Check the measurement used. `� � � ri.. �
l
, a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 4.6 �feet ❑meters(Puerto Rico only) !`' `L '� K
, _. �
b) Top of the next higher floor 16.5 �feet ❑meters(Puerto Rico only) 4,� >� c.J �
c) Bottom of the lowest horizontal structural member(V Zones only) __ ❑feet ❑meters(Puerto Rico only) " �u�
d) Attached garage(top of slab) __ ❑feet ❑meters(Puerto Rico only) `�� � � 'i���i r
e) Lowest elevation of machinery or equipment servicing the building 1.0 �feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) 3.4 �feet ❑meters(Puerto Rico only) ��
g) Highest adjacent(finished)grade(HAG) 6.4 �feet ❑meters(Puerto Rico only)
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 ,��„����+;W,Ad;;�
information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. �`
I understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ,. � o ��►���o`� '' �'�;t)
0
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� Check here if comments are provided on back of form. `���' ' g� ��' �' `�'y�` "
,��L�ti�B��ay��lw;..�i.�.f'A �•°� b
*�� 41.�y
Certifier's Name David William McDaniel License Number LS 5840 �`�� "'�'��� ��V�" ��'9 � =
.tl' � . Z:.4 :
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Professional Surveyor and Mapper Company Name Florida Design Consultants, Inc. � � ° �
, t o , �ic1c�.J� ��', �, e,.�'
Address 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655 'i. °�,' �Q������`+ �° ` �
y� , o �;,
��'-''�' ' •oeco�'•°�� r '� .
Signature '� , Date Telephone (727)849-7588 �,�,;a,�� t� ,�1�,� �
�1 0.�1.���8
.,�r
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
,r �. ,
¢��. � C ITY OF C LEARWATER
� ; �.
.F�� ' DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT
POST�FFICE BOX 4740� CLEARWATER� FLO�DA 33758-4748
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.Er1FtWATER,FLO�uDn 33756
TECEPxorrE(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
X The attached elevation certificate is complete and correct
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
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: Lat. Long. 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
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
� b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number 62.County Name 63.State
B4. Map/Panel Number 65.Suffix 66. FIRM Index B7. FIRM Panel 68.Flood 69. Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
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)
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 ❑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/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Vertical Datum
Conversion/Comments Check the measurement used.
e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
Comments:
�e of Review: Community Official:
evation cerfificates shall be maintained by the community and copies with the attached memo made availab/e by request
FRANK HIBAARD,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMGMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIRSON,COUNCILMEMBER � CARI.@N A.PG7'ERSEN,COUNCIIMEMBER
��EQUAL EMYLOYMENI'AND AFFIItMA1'IVE AC1'ION EMPLOYER�
IMPORTANT: 1�these spaces,copy the corresponding information from Section A. For Insurance Company Use:
�u�ding Stre2t Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number
470 Mandalay Avenue
•City 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 agent/company,and(3)building owner.
Comments 68.The portion of this building containing the condominium units lies within Flood Zones AE(EL 11)and AE(EL 12)and a portion of the pool and
pool deck area only lies within Flood Zone VE(EL 13).[see Exhibit C]; C2.e)Elevation is the bottom of the elevator pit;C2.fl and g)Adjacent grades were
obtained on concrete floors within a building and sidewalk due to the 1st floor(ground level)of this condominium is only a portion of the overall building[see
Exhibit A);Date of field work and picture acquisition was February 21,2008.
' v.? .2� c °
Signature Da
� Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is . ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 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 bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge.
perty 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-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
Local Official's Name Title
Community Name Telephone
Signature Date
mments
❑Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
CONDOMMIUM PLAT BOdC PAGE
THE RESIDENCES AT SANDPEARL RESORT, A CONDOMINIUM, PHASE II
BEING A PORTION OF LOT 1 BLOCK 2,SANDPEARL,AS RECORDED IN PLAT BOOK 129,PAGES 89 THROUGH 92,OF THE PUBLIC RECORDS OF PINELLAS
COUNTY,FLORIDA AND LYING WITHIN SECTION 8,TOWNSHIP 29 SOUTH,RANGE 15 EAST,CITY OF CLEARWATER,PINELLAS COUNTY,FLORIDA
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POOL.POOL CABRNAS. OOL I,AWN. 9PA. GENERATOR ROdA.
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FLOF��A DESIC�V f�NSULTANTS, IV�--� �,
.• ¢ ENGINEERS,ENVIRONMENTALISTS,SURVEYORS 8 PLANNERS �' I (I � i SAN MARCO STREET � N '�,
_ 3 3030 Starkey Boulevard, New Port Richey FL 34655—ti �`,.. )I _�\ '
- 'g, Telephone� (727) 849-7508 - Fax� (727} 848-3648 ✓� ���;� '�, I � �
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Certificate of Authorization: LB 6707 �'- ' ' '�-� �`— � `�'�� �
• W 3 FEBRUARV, 2006 State of Flor�da �� g97-250 SI7E FLAW - 1st FLOOR SHEET 6 OF 15
- � •
. Building Photographs �
See Instructions for Item A6.
For Insurance Company Use:
uilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poiicy rvumber
470 Mandalay Avenue
Clfy Clearwater State FL ZIP COd2 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 View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front View—East side 1 st floor(ground level 2-21-2008
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CONDOMINIUM PUT BOOK _PAGE_
THE RESIDENCES AT SANDPEARL RESORT, A CONDOMINIUM, PHASE II
BEING A PORTION OF LOT 1 BLOCK 2,SANDPEARL,AS RECORDED IN PLAT BOOK 129,PAGES 89 THROUGH 92,OF THE PUBLIC RECORDS OF PINELLAS
COUNTY,FLORIDA AND LYING WITHIN SECTION 8,TOWNSHIP 29 SOUTH,RANGE 15 EAST,CITY OF CLEARWATER,PINELLAS COUNTY,FLORIDA
-----_..__,
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I 282 ' UNITS, ASSIGNEU PARKING SPACES, MAIL, TEflRACES,ANO
� � � OPEN TERRACES.
II 210 207 _ _ .
� p I 283 275 2. CQAAON ELE]�ENTS INCLIA ELEVATORS, ELEVATOk SHAFTS,
1 211 206 27a �II �� CORRIDORS.UECKS,LOBBIES, HALLWAYS,WqLKWqYS, STpIRS,
TRASH ROOMS. E%TERIOR W L5, COLUMlS, THE LAND.
� 212 205 284 27S LLUMpNATING THE COMA011T FJ�£NTS.LII�ECNANIGILIROOMSS
285 POOI. POOL CABANAS. POOL WN. SPA. GENERRTOR ROOM.
' 213 204 I li � 27Z PLANTERS ANp ROOF. CdA9N EAENTS A�50 INC�UDE RIGHTS
� �,,,,. . ', UNDER DECLARATION OF EAS NTS AS RECOROED IN OFFICIAL
Zg6 RECq205 BOOK_. PAGE OF TNE PUBLIC RECORDS OF
274 203 271 PINELLAS CouNTY. FLORIDA.
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, - � FLORDA DESIGN CONSULTANT� NG.
� � ENGINEERS,ENVIRONMENTALISTS.SURVEYORS B PLANNERS
g � 3030 Starkey Boulevard, New Port Richey, FL 34655
. � Telephone� (727) 849-758B - Far, (727) 848-3648
Certi}icate of Authorizatian: LB 6707
.' , � � State of Florida SHEET 8 OF 15
FEBRUARY, 2006 JOB �997-250 SITE PLAN — 2nd FLOOR
� � � � Building Photographs
Continuation Page
' For Insurance Company Use:
� ilding Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Poiicy rvumber
0 Mandalay Avenue
Clty Clearvvater State FL ZIP COde 33767 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View"and "Left Side View."
Front View—East side 2-21-2008
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CONDOMINIUM PLAT BOOK PAGE
THE RESIDENCES AT SANDPEARL RESORT, A CONDOMINIUM, PHASE II
BEING A PORTION OF LOT 1 BLOCK 2,SANDPEARL,AS RECORDED IN PLAT BOOK 129,PAGES 89 THROUGH 92,OF THE PUBLIC RECORDS OF PINELLAS
COUNTY,FLORIDA AND LYING WITHIN SECTION 8,TOWNSHIP 29 SOUTH,RANGE 15 EAST,CITY OF CLEARWATER,PINELLAS COUNTY,FLORIDA
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li p � I. LIMI EO COMON ELElENT4 INCLUpE A331GKD STORAGE
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'' - �—a7. -.�r � OPENTE CE3.
� — - L � 2. C ELp�ENi4 INCLUpE ELEVRTqE3. ELEV�Tqt 91YFTS.
' � 6 CORRI S. OEq(5, LOBBIES, NALLWpY3,N'ALKN'qYS. STAIR3.
TRASH OOMS. EXTERIOR WALLS. COLVMS. TIE LRNO.
. u �� ,c. � �� SIUEWA 5. RMPS. STORAGE. LIGMTING FIXTUtE3
ILLUA1 TING TME COI�MON ELETEN?S. AECHANICAL ROOM3,
' C ( POOL. OOL CABRNAS, POOL lAN'N. SVA. GENERATDII ROOM.
�. IS ( �� PLA 5 AIA ROOF. COMAON ELEI�ENTS AL50 INCLIAE R16HT5
UNDER OECLARATION OF EASFAENTS AS RECOROED IN OFFICIN.
, RECIX2 3 BOOK_, PAGE_OF T!E PUBLIC RECORDS OF
U '. ` ' PI 5 CWNT'(.FLOftIOA.
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209' $
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OPEN IERRACE
_ § _ 14.46' N82'S7'S8'W—. --163.42' � d d
N8237'S8'W S07'02�02�W Sp� N07"02'0 'E N82'S7'S8'W `�� N82'S7'S8'W
23.25' 3.00' SAN MARCO STREET 3.00' 23.25' N W � � n.s�'
- � FLORDA DESIGN CONSULTANTS, IY� Q�P� W �WZ
� �1 ENGINEERS, ENVIRONMENTALiSTS,SURVEVORS B PIANNERS o' o^ � '-
�� 3030 Sfarkey Boulevard, New Port Richey, FL 34655 m Z .
' � Talephone� `727) 849-7588 - Fax� (727) 848-3648
Certifieate of Authorization: LB 6707
. . ,� 3 FEBRUARY, 2006 Stote of Flor�eo �� �997_�� SITE PLAN — 3rd FLOOR SHEET 10 OF 15
� � � �� � Building Photographs
, . �
Continuation Page
For Insurance Company Use:
� .Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number
Mandalay Avenue
Clty Clearvvater State FL ZIP COde 33767 Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all
photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View"and "Left Side View."
Rear View—West side 3rd floor 2-21-2008
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