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500 MANDALAY AVEU �. DEPARfMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Building Owner's ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. LLC SECTION A- PROPERTY INFORMATION A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 500 Mandalay Avenue City Clearwater State FL ZIP Code 33767 A3. Property Description (Lot and Biodc Numbers, Tax Parcei Number, Legal Description, etc.) Lot 1, Block 1, Sandpearl, Plat Book 129, Page 89. The Suites at Sandpearl Resort, a Condominium OMB No. 1660-0008 Expiration Date: July 31, 2015 �o�cy �vu�nAer; �mpa�y�C �bsei A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) non-residential A5. Latitude/Longitude: Lat. 27°58'56" Long. 82°49'40" Horizontai Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building ff the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A 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) sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade 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 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 FL 64. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) (Zone 12103C0102 G 5-18-2009 Effective/Revised Date Zone(s) AO, use base flood depth) 9-3-2003 VE 13 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered fn Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ OthedSource: B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 � NAVD 1988 ❑ OtheNSource: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS ❑ OPA ❑ Yes � No 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-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: F3 (NGS) PID-AG0504 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 BFE. 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) � Lowest adjacent (finished) grade next 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 6.69 16.46 15.42 2.80 6.67 6.82 6.04 Check the measurement used. � feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by Iaw to certify elevation �, l` , information. I certify that the inforrnafion on this Certificate represents my best efforts to interpret the data available. .�, L;,t'f�, +, 1 understand that any {alse statement may be punishab/e by fine or imprisonment under 18 U. S. Code, Section 1004. : i�� `�/'' ; � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ,-�� ^.,'.�,��F��,Tr.e��`� ' � Check here if attachments. licensed land surveyor? � Yes ❑ No ,�.�*✓ �� {� ;� Certifier's Name Robert C. Wright, Jr. Title Presdent Address 303D S�tarkey Blvd f Signa�- �� License Number LS 4965 Company Name Florid Design Consultants, Inc. City New Port Richey State FL ZIP Code 34655 Date 2-3-2015 Telephone 800-532-1047 . � �! 4 :�°: i ♦ !�IJ��.ii�`.7� � 4 � q s j iy\,1 �� e . �!-A��- ��,_ . �� Q�� <�g�., -'v�-�'•. • .+. y��+ °,+Y�J ��M1.°" �. +*� FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (inciuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 500 Mandalay Avenue City Clearwater State FL ZIP Code 33767 FOR �► rlumber. Conapany NAtC Number. SECTION O- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner. Comments C2, e) Elevation is the bottom of the elevator pit. Date of field work: 1-30-2015 Signature Robert C. Wright, Jr. Date 2-3-2015 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, 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/o.r 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 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 OwnePs or Owner's Authorized Representative's Name Address Signature Comments Clty Date State Telephone ZIP Code Check here ff 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-G10. In Puerto Rico only, enter meters. G1. ❑ G2. ❑ G3. ❑ 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 certiry elevation information. (Indicate the source and date of the elevation data in the Comments area below.) A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. The following information (Items G4-G10) is provided for community floodplain management purposes. � 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 G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet 0 meters G10. Community's design flood elevation: ❑ feet ❑ meters Local Official's Name Community Name Signature Comments Title Telephone Date Datum Datum Datum Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVe4TION CERTIFICATE, page 3 guilding Photographs See instructions for Item A6. 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. 500 hhandalay Avenue City Cleanvater State FL ZIP Code 33767 FOR INSUR,4NCE COMPANY USE Policy Number: Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Front view (North side) 1-30-205 3�i� � � � ��~�.� � --; .� :. - ,� w. _. _ r. . � ..� �� _ ...,_ r` .�, . .. _. _ - ., . • - 4...; . Rear view (South side) 1-30-2015 , �� ( � � � , � � 4 � ' � �� ,�—�,,..-�'� � _ � i � � � �--.�� ` �� g" � __ ... -� � � '� � �� . �. � jj j . 'y�..�.P, y� Y . � � ��+ � �.e.---.`• ��`r �4g;� tA'��i..: _ _ ' g."_ . t ,,. .,. -..-�...,. -+�w�.:,.- .. .c. +...e.._..,., ... ..n..., .. . . ro Ar � �._: .. ..... .. . � . ' . ..�� :�.,: is. ,� + :� � a�: � °^.�e{^1 61�"�.:1� ) �� FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Buiiding Photographs Continuation Page 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. 500 Mandalay Avenue City Clearvvater State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. �, _ �� . _ ..� i, ' M, i_ _� ts�[� - - — -�,�► � a �, �� _ �: E � _ `'+� � F$� � ��. �:� � � ' � �'� _ � ,_� ,� � ' �, i : :. }, . {� ,J .� , -. �w �: ` #. �� ., �3 '��'-{ _ �'� _, , � �'. {� . ��:, , �` � ��: �_�� , `�� . ;��r�� , � �.�._, �� }� , � ��i u�'g �_�� . w�....- e...� ..-= e Ri ht side view (West side} 1-30-2015 �. � � �� 0� �� k � � �� -� ; � � � � �. i�� , ' � � _�� -��- „� � ' � :,i0� � � � �. � _ ¢„'-a, __._ , .�. � � _ �. ._,, _ __ ,. _ .. r.. '�' N . , .� �: _ —P _ � � �� , � � ��' �_ � � ''� - —=---�'� � ! � ��: M �: r,. � _ � a 3 �' �,�� ,.e — �_ _ __ _ � �.,�.�.-- __ � .� � _ * � .tl�P �` � � Cy ; . 4 �• �• � 'aFa�ibes��-�,..y� 3. ,:. I+� lY9Wi l.i i r \ s :+i �s �wy.=. . � 1 . +. .. . f�� /' _ ..... ✓"� ." . .. FEMA Form 086-0-33 (7/12) Replaces all previous editions. , � �L/.1 �2 v1�.�'- ei ��/ 3 S' ��.��'.�l ��' 7�.v,� ��'% U.S.C�PARThrENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 F�'�eraf tmergency Management Agency Expires February 28,2009 Nation�l Flooci Insurance Program Important: Read the instructions on pages 1-8. ` SECTION A-PROPERTY INFORMATION For Insurance Company Use: �. Building Owner's Name JMC Design and Development,Inc. Policy Number . Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 500 Mandalay Avenue (Beach Ciub) City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1 Block 1 Sandpearl,Piat Book 129,Page 89.The Suites at Sandpearl Resort,a Condominium A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Non-Residential A5. Latitude/Longitude:Lat.27°58,55" Long.82°49'42" 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 buiiding 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) 0 sq ft a) Square footage of attached garage 0 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 0 walis within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 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 B3.State City of Clearwater 125096 Pinellas FL 64.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0102 G 5/17/2005 09/03/2003 VE 13 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe) B11. 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: ❑Construction Drawings' �Building Under Construction` ❑Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A7-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 F 3(NGS)PID-AG0504 Vertical Datum NAVD88 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 6.6 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.3 �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 2.8 �feet ❑meters(Puerto Rico only) (Describe rype of equipment in Comments) � Lowest adjacent(finished)grade(LAG) 6.0 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.5 �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. I certify that the information on this Certificate represents my best efforts to inferpret the data available. }�� . I understand that an false stetement ma be unishable b fine or im risonment under 18 U.S. Code,Section 1001. �",a��'`6 � ' Y Y P Y P � k"^.,, ,�, ... �'9'�E� . � Check here if comments are provided on back of form. � aJ��a '��'"��`�,'•,� � •. - ' �� .. Certifier's Name David 1Nilliam McDaniel , , License Number LS 5840 '�••:�- }��;'�U`� ` �'� r.sr . , � � Professional Surveyor and Mapper . ' � Company Name Florida Design Consultants,Inc. .. .T - �� : a �..� �E��,W ,'� s� ". Address 3030 Starkey Boylevard i•";� City New Port Richey State FL ZIP Code 34655 ve a��a,3��t`'.• '�a� �� Signature . Dates 30 o Telephone (727)849-7588 �x��;,�py�,�°. ��,��+� � l �� .A,.��..,� FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions _ _ . _ _ _ � f ' y . r � ., ' ' � • • O � � r� � ��a �v��. � P�� 4 � o`'�t G ____ i ._ . _ ___ . . .. _. , . J IMPOFtTANT� In these spaces,copy the corresponding information from Section A. For Insurance Company Use: E3uilding S4reet Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number 50�J Mandai�y Avenue (Beach Club) City Cle�rvvater State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) opy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)buiiding owner. Comments C2.c)Elevation is not obtainable;C2.e)Elevation is the bottom of the elevator pit;C2.fl and g)Adjacent landscaping(sod,mulch,etc...)not complete at this time;Date of field work was May 29,2007. Signature Date 'r� S�,,g O�0 7 � Check here if attachments SECTION E-BUILDING EI.EVATION 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 0 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. �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 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 communiry 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 infortnation(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 OffciaPs Name Title Community Name Telephone Signature Date � ments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions � , • • � � 1 � �O'�� O �.�U F'�Q��p• � ��Y�� J�� . �� G . , . � , , . . � 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 500 Mandalay Avenue (Beach Club) 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(North side : 05/29/2007 � � i9Ai � � �1 �� R�ra m �° I�� i d�' iii �� - ;� �'.' : ��;� �" i�u r' �;° �,�. ; � I�I �� s =� � ��r� � a � � � � ._. �.�; „� �i,� a � .� 7 ,� �F� lUR! - r' I af°�� ' ,.� , � � , �•_ ' �' � *. �.rp . �„ �� i� "��` � ��,�� 4A) R�� '� � -„�^a�' ir1�;� ��--� ""�l . , �� i!� ��.'�';il� " �� .� � r� ;� . . ��.��:��!��?��';.�a �� „°�"?�. - �----�� ,,�... �- ..� �--- � � � � ,� ��—�— -- _ .,.�.. i ��',�:�.�� '' j �f°` � � � , � -, __ � . ., ' �,� �� x ..�. �r �,� � !., p r ,� �� ` - !� �- _ " � 4y �- - .� � �„�,�"`n,�„ � a' �.'�s".�+� �:, . '�",�;. a6r�� 's�� +'.X+�`"" �q; ' ' �}�''1. , '`°-�. w b ��"'^�""`':�'��'=^K�4..�, . �._ ,��,+�� '�1. ` " � ,. �a �� _ - , �_ , - ,p - '� .�Y ,�� y p: ` �� >. , . r� �,,�. - . � '. , +� R ., a �'�';'.'_.�.� " . - . y.. _ _ . �':iv "' ... . . ... 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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 (Beach Club) Clty Clearwater State FL ZIP COde 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." Left Side View(East side): 05/29/2007 ..,�, �.._ . � � II ' � � �� -��. � � X � .:;.d-w ";wI1.� ! g�__ _ �: 14�i i t �t �t. hF#'^ .`�` y � F 4 ' ��1 I� I i +�x ..-.. : -� � f � � ,r�� . .. �_. �.any�„ C '�3 4 : ,� �1 k f l � . . taY q � a a� �,;a � � x ;' ��4. `?�" �,.��,: � �� .... , -... ., ., - = c .. �: :- '. . ':� ' ;.. - :_:..�.a '.;. 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I ,��., �n �-� �- ."��M«., zr , ri, x'� . � � ,°�, z � �' , ' . ,- ., m.:- ;. ..:.: ��C11�1�� ' � r e, .��„ _ __ _ ; ' OvwnerJRrop�rty HLINTER HOTEL CO PO BO�C �230 DE� AAOINE� IA �Q309 ��Ct.�ft"G�tl�!t�, _ Contractor MARIQN � QEAN �00 S �1�4RTIN LLITHER �{IN� JR Al� C ' T,'�}�� if�. Cor�tract�r JOHN1�VVti11LDE . `1260Q A�UTOMOBILE BL1�� CLEAF��=i ' Coritractor 'JOHN 1N tilk+ILDE �260a AUT�MOBILE BLVD CLEAf�� _ _ _ -- ,I � � ii�i ''�li Ii ;'�ie� p��.l�e ir�farrnaki�rr . �� a ooa - � r�r 3 sr �'�.��1 �� .�,� >o/ U.S.D�PAFiTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 , F�;ieral�mergenGy Management Agency Expires February 28,2009 Nation�l Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: �?. Building Owner's Name JMC Design and Development,inc. Policy Number �c. Buiiding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 500 Mandalay Avenue (Beach Club) City Clearvvater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1 Block 1 Sandpearl,Plat Book 129,Page 89.The Suites at Sandpearl Resort,a Condominium A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Non-Residential A5. Latitude/Longitude:Lat.27°58'5 " Long.82°49�42" 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 enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawi space or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent ftood openings in the attached garage enclosure(s)wails within 1.0 foot above adjacent grade 0 walis within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b Q sq in c) Totai 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 63.State City of Ciearvvater 125096 Pinellas FL ; 64.Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone ' Date EffectivelRevfsed Date Zone(s) AO,use base flood depth) 12103C0102 G 5/17l2005' 09/03l2003 VE 13 610. Indicate the source of the Base Flood Elevalion(BFE)data or base flood depth entered in Item B9. ❑FIS Profile � FfRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) 812. Is the building located in a Coastal Barcier 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 F 3(NGS)PID-AG0504 Vertical Datum NAVD88 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 6.6 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 16.3 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones oniy) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico oniy) e) Lowest elevation of machinery or equipment servicing the building 2.8 �feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) fl �owest adjacent(finished)grade(LAG) 6.0 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.5 �feet ❑meters(Puerto Rico oniy) 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 besf efforts to interpret the data availab/e. l understand that any fa/se stefement may be punishable by fine o�impnsonmertt unde�18 U.S. Code,Section 1001. � Check here if comments are provided on back of form. Certifier's Name David 1Killiam McDaniel ,-•. License Number LS 5840 - ... � Professional Survsyor and Mapper . , ,Company Name Florida Design Consultants,Inc. ,:;' :� � Address 3030 Starkey Bo�levard ,,°''� i'•' City New Port Richey State FL ZIP Code 34655 4 �'""" ^`°- �;, Signature Date Telephone (727)849-7588 " .._ r�' s�o�0,7' FEMA Form 81-31,February 2006 See reverse side for continuation. RPnia�P�a11��P��p��t��.,� IMPOFtTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: • buil'ding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 500 Mandalay Avenue (Beach Club) City Clearvvater State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) c;opy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments C2.c)Elevation is not obtainable;C2.e)Elevation is the bottom of the elevator pit;C2.fl and g)Adjacent landscaping(sod,mulch,etc...)not complete at this time;Date of field work was May 29,2007. Signature Date / •�—� S(3 0�0 7 � 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),compiete 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 foilowing 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 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 o�ciai 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 fo the best of my know/edge. ^-�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 compiete 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 infonnation(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Oate 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 A0).depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local Offcial's Name Title Community Name Telephone Signature Date �nments ❑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: rsuilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Poiicy Number 500 Mandalay Avenue (Beach Club) 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(North side : 05/2�9/2�007 �� , � �, ,� . a�s ��r r �t � � � ,- : � , .� �G�� :s��:� � � ,j __. � x�.,�',a: Rear View(South side): 05/29/2007 ��I { . e.. � � • � . Building Photographs Continuation Page For Insurance Company Use: �uilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poiicy Number 0 Mandalay Avenue (Beach Club) Clty Clearvvater Stat2 FL ZIP COde 33767 Company NfUC 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 View"; and, if required, "Right Side View" and "Left Side View." Left Side View(East side) 05/29/2007 �ilE�'"� da 1� y f q+C1`� i Ipf��.u� i n fd�� - � �� g�T � +r�,t��t�uay,YFk �tY�� Ph'�I�Y�'��i . I II q %r��' ti. — � y �:i�r di �k� y� �IIiI p�!� n Z tRY��l��^��'i�u °j iry � r� r�1�n��t��d� i�� 14 ��,GVsPV�"i=��FN��'�' � ��4. �;}�B wl I�I N:,. I�� 1�GC1'� �'`(�.9�� {' +x i' u��'�� 'y=��a� �- m Right Side View West side : 05/29/2007 ��. , �m�. � , �. . � �; Coastal Construction . . , , Quarterl_y Activity Report �, .5r Quarter O 2"d Quarter ❑ 3rd Quarter L�7 4th Quarter Q Year :��''�'� � L' 1. Name of Community �! � �� ` ��'�C�"" �� /i �_ / r 2. Owner's Name ��U �'r r �' `�� C "` / / � 3. Project Name �GZI�i G/ ��'�/�l ��SG/`� 4. Project Description /�� f�� ! � � �"vG. ��a.,rJ�I�Y .�9�'� 5 Address and Parcel I.D. �� `"� `� '" �� J �� '� � �� l�l G 6. Category of Construction 1�New ❑ Addition ❑Remodel 7. Permit# $ C �� r� d O.j G�Q:��7�� 8. Date of Issuance �� 3 �� 9. Zone ❑ One �Two l'' Required Elevation . ' � 1.3 ' 1.. Actual Elevation r� � Please provide survey(original sealed copy or reproduction of same with darkened seal with "True and Accurate Copy"testament) showing: at a minimum, setbacks to CCCL, elevations, FEMA Zone designation and Zone#per the Pinellas Gulf Beaches Coastal Construction Code. The ID and location of the nearest DEP baseline monument. For example, the property is located 300 feet to 350 feet south of DEP monument R-127. 12. Briefly describes any deviations from the permit and any portions of the permitted work that was not actually performed. /Y f'/�/ �. >, t � " t: r' ,. � ' ,"� ��4f'�ti-'(, ��'L�i�-�� a.-��cx-'~•'�� . J;�'��`"f��°'"�""_'r`� �. Building Official 4 � ayor or Chief Operating Officer �'<�� ,, � �' // ��✓�;°� �--��',/�� -� Fi�qrvK � tT�3/3A�2 t� Please Print Name Please Print Name ��r7o e°2-- C'oastal Construction . , ' Quarterly Activity Report � 15t Quarter 1�2"d Quarter ❑ 3rd Quarter 0 4th Quarter ❑ Year :=�° `""`�'�� ,�, � 1. Name of Community �y ��i, t�� %� ' � ��='��"�.1`�`i-�c�'- l'C'/' 2. Owner's Name lZ�/`1 ��` ��l%��'r ��'� 3. Proj ect Name ��2 ��c r�l ��5�� '� 4. Project Description !7 r.� �� G G �%t�vG e�. Q,v' d�. l 5 Address and Parcel I.D. L� �- �- `I- i-3 ' �G� •3 ��> '�JL�C� -d P3r"G: 6. Category of Construction ��New O Addition O Remodel 7. Permit# � C' � � �'G;,7—GT �-�� f � 8, Date of Issuance � � � 3 ��' 9. Zone O One �Two '�. Required Elevation (+2.5' in Zone Two) ��VlU- 1!k (.3 . Actual Elevation U,v��r �o,�/�S�f`r-uc'f'�a�V Please provide survey(original sealed copy or reproduction of same with darkened seal with "True and Accurate Copy"testament) showing: at a minimum, setbacks to CCCL, elevations, FEMA Zone designation and Zone #per the Pinellas Gulf Beaches Coastal Construction Code. The ID and location of the nearest DEP baseline monument. For example, the property is located 300 feet to 350 feet south of DEP monument R-127. 12. Briefly describes any deviations from the permit and any portions of the permitted work that was not actually performed. �� i . t�i�� \ ��/.�j � .��. L uilding Official Mayor or Chief Operating Officer =��. �J ��.,`e,'�� l� Please Print Name Flease Print Name . . 13�/� Q��-- �y �f�/G .��.�� i��s � ,��y U S,DEP,ARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Fedeiel�mergency Management Agency Expires February 28,2009 National klood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPER7Y INFORMATION For Insurance Company Use: A1. Buil ing Owner's Name JMC Design and Development,Inc. Policy Number . Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Number 500 Mandalay Avenue (Hospitality Suite) City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1 Block 1 Sandpearl,Plat Book 129,Page 89.The Suites at Sandpearl Resort,a Condominium A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Ho el A5. Latitude/Longitude:Lat.27°58'59" 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 enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) Q sq ft a) Square footage of attached garage 0 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 0 walts within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 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 B2.County Name B3.State City of Clea►water 125096 Pinellas FL 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 09/03/2003 VE 13 B10. Indicate the source of the Base Flood Eleva6on(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 B9: ❑NGVD 1929 �NAVD 1988 ❑Other(Describe) B12. 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 eleva6ons 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 bui�ding diagram specified in Item A7. Benchmark Utilized F 3(NGS)PID-AG0504 Vertical Datum NAVD88 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 6.$ �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 15.5 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/�. ❑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) 6.4 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 7.Q �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 . �`"F ,y .; , . information. I certi(y that the lr�form�tion on th�s Certificate represents my best efforts to interpret the data available. .- f z �.' ` I understand that any false statement`may be pynishable by�ne or imprisonment under 18 U.S. Code,Section 1001 �;� � ` � � ��,j ��r��;;�..,, :' r°' � Check here if comments are provid'ed,on tiadc,of form. ; 4f� ''��"'' � �•-`'� � *� � , < � '. E,,� , �a �.. . : �"' ��a�,�;= r,;, : Certifier's Name Dauid William McDaniel ,: License Number LS 5840 � , o.i � ` �.M . e, . Professional Surveyor and Mapper Company Name Florida Design Consultants, Inc. �l" 5�-��,y r;; '�� 4� �: �;; . _ �y; • � `-��'�� : �. Address 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655 -5' ��°„� �� .• � ; -� �eaoo .s�`c�. Signature ` r„� Date 5/29/2007 Telephone (727)849-7588 °.'�6p w � q� ti�� . r FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions ., - Y, ,, � • � � �1� D o9��p� G� P�� N� 5�� -�pM t��P � o� �� . ' ,• 14VIPORTANT: In these spaces,copy the corresponding information 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 500 Mandalay Avenue (Hospitaliry Suite) City Cle'�rwater State F� ZIP Code 33767 Company NAIC Number ` SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �py both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments C2.c)Elevation is not obtainable;C2.�and g)Adjacent landscaping(sod,muich,etc...)not complete at this time;Date of fieid work was May 29, 2007. Signature � Date 5/29/2007 � �— � 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 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. �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 communiry 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 ,nments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions , . ° . . � � � d�� , 0 G�9 ti� 5�� av �M�N�� o`� �� r , � Building Photographs See Instructions for Item A6. For Insurance Company Use: ilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poiicy Number 500 Mandalay Avenue (Hospitality Suite) Clty Clearwater StBte FL ZIP COd@ 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(South side): 05/29/2007 ; , , � r��"�, � �' ,. _ — ,."�""`�.. �,�_ �I �� #� � �" • i � ��.�,..w !, _ , ., ,� _ ._. ._ , °��' • ,� ,�� ,s. : . �o.e.a ' ��"� �� '�i�f �� g� � �� ' t� � �i'll�! -�� k .I;��..... � . } }� .'. ..._ � �,:. ��'. . �� _ �! i .. � r -_ � t� �� r �� , ' 1��k'�-�j I� !� � � . � � , . 4 �l I{ •� � � _ � °� � � - � - - "=:'-- _ . .�.._ . , ,..,�. __. y_ , _ ,.. _ ,♦ _ ._ . , . ,.,, �i� , � � i _�,�; � '.:i� �3 �� J�— _' - � ��_. �� !�r-.�� •' � ,. � �� ..�a�.. — . ��J.. �wt� �� ' . . i .� .•. r �, f r �, "�` . . � �� `�� . . . - _. � r-� �`" - � �'+' c. _,,, c>-�",M Rear View(North side): 05/29/2007 , - '` �/ ,-.� ,� ° � . � m. � =.w < : � �` ' � • .- � �'/ � ,�� ` �� „ � � -; ,. ��y� � � '�7�t� a.� � �- -,. F' ' I , � . � � ,. -. ' ",, � , � � ,� - : _ � � �� _�---� `� `, `,�ti .�x ,, - s. ° , �;� �r<, , ., _ "��r `� .: ..._, � �� .:." � � �. .�I�� !m�� . �"`.s �% � i r a, � ., '�"", 1� j� � � ;i I ��:� �y� �a �� .�� -. �f�� _ �7 W� _ �� ! � � � � �;�ea ty i �� i �. - ._ . r > '. �. .,, � � ' . —• � �� _.��. �:� �_ .w�..� �� iama fd �� ■ �? � - : �c_ � . . - � � �t� �� '�`"°„'� �;�� , : ' l� � � I��a.,� �� , �� . � ��,�. �: . .; . �. � • • � � Q �o,ti�'1 �G� a�� N� ��'� ��'� o�`� �� << � � . r ` Building Photographs , � . Continuation Page For Insurance Company Use: � �iildin Street Address includin Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Poiicy rvumber 9 � 9 Mandalay Avenue (Hospitality Suite) Clty Clearwater State FL ZIP COd2 33767 CompanyNAlCNumber �I 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." Left Side View(West side): 05/29/2007 / � � � , � �� ,, �` - � �� . � -r�.,� ��."_ ,� �� ;�� `�� '� ;,�f . y Right Side View East side): 05/29/2007 � i' � �� ? �� "�: ;� . s � � �' ,J .._ i�� . , ; � ; ; , } � y �; �, � =1� � � ' , �e ��'++��k . �;�;,,�� rµ � � � �-�,�,-.w�___,--... ��._�� , . `".�' < � d�:L:*�' . , , ,k , ! . , .Jf � .�: � � �� _ I�►` -`� ,. � ,, k �> � , � .. F �; � , � �� - �� _ � �.�� . # '„� � ,,��-��, . ��,:�,� . ",� � ,, . , '. � - i �! � � � �� C� D �9�aC'� c,� a��' �N� �� v'��-°pM��'� o�,� �F � �� . �3C�C,�v�� c zs�� U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal,Erwergency Management Agency Expires February 28,2009 N�tional Flood Insurance Program Important: Read the instructions on pages 1-8. ' SECTION A-PROPERTY INFORMATION For Insurance Company Use: �Building Owner's Name JMC Design and Development,Inc. Policy Number Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 500 Mandalay Avenue (Resort building) Ciry Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) lot 1 Block 1 Sandpearl,Plat Book 129,Page 89.The Suites at Sandpearl Resort,a Condominium A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential and Hotel A5. Latitude/Longitude:Lat.27°58'56 Long.82°49'40" 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 buiiding with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 13948 sq ft a) Square footage of attached garage 61937 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 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 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 B2.County Name 63.State City of Clearwater 125096 Pinellas FL 64.Map/Panel Number B5.Suffix B6.FIRM Index 67.FIRM Panel .�8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date �7o,Re(s) AO,use base flood depth) 12103C0102 G 5/17/2005 • 09/03/03 ' a�,\f�' :_ 12,13 810. 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 B9: ❑NGVD 1929 �NAVp 1988• ❑Other(Descnbe)`""f ' .�'/;:`• B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? �i;;�ks �No •Designation Date ❑CBRS ❑OPA ,�'�``r' � i SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIR�D) � C1. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction' � �'�'Finished Constructiot�d 'A new Elevation Certificate will be required when construction of the building is complete. �`^:. V 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 Iterr��. below according to the building diagram specified in Item A7. `q �� Benchmark Utilized F 3(NGS)PID-AG0504 Vertical Datum NAVD88 Conversion/Comments � � � ( Check the measurement used. v µ�d..j� W h a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 6.5' �feet ❑meters(Puerto Rico only) o LL � ' b) Top of the next higher floor 13.7 1 17.1 j21 �feet ❑meters(Puerto Rico only) �Q �, c) Bottom of the lowest horizontal structural member(V Zones only) 13.0�,1� 15.0 2 �feet ❑meters(Puerto Rico only) `!3 � 0 W d) Attached garage(top of slab) 5.9 �€eet ❑meters(Puerto Rico only) � U m�0 e) Lowest elevation of machinery or equipment servicing the building 2.5 �feet ❑meters(Puerto Rico only) ,» (Describe type of equipment in Comments) a � Lowest adjacent(finished)grade(LAG) 5.6 �feet ❑meters(Puerto Rico only) � g) Highest adjacent(finished)grade(HAG) 7.6 �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 eleva6on � I undeastand that a/nyrfalsehstatementrmay behpun'shabletby fi e or mprisonmen�unde�18 S�Code�Sectrbnll1001. .;a;'�w �J,�,� "��'<`�^ f �%y� , �� ,•' ,�� ;f:#f/°, . {'�,�-. ' � Check here if comments are provided on back of form. ,�� ' ,. t� �;,. ,ia �+ v �. �� ':a •s;: :1 ` �� Certifier's Name David William McDaniel License Number LS 5840 ` ' ? � ��a� �� : xry �� Professional Surveyor and Mapper Company Name Florida Design Consultants,Inc. < ��'> ` �y�:a±= ��' 4, ' #, �t:- Address 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655 �.�';;�� •., �;,�(;,;f�f� .• `'% � r��i ' ' ��} . Signature , Date 5/30/2007 Telephone (727)849-7588 ,:�,';�l �<<"'�� ;='• �'� �1 � �� FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions , - . ' . , • � �� tio�� G� 0 ��3� �� 5 P�c�� - �� • �� o�,� a f�! G� . _ . ; '. � . . �.� . �� y. . . r � �': � , :-� �� .v� � IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Add�ess(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 500 Mandalay Avenue (Resort building) 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 o�cial,(2)insurance agenUcompany,and(3)buiiding owner. Comments A8.a-c)and A9.a-c) Enclosures are used as storage and mechanical areas with access provided by doorvvays.Square footage of the enclosures and parking area(attached garage)were calculated from'The Suites at Sandpearl Resort,a Condominium"(proposed);C2.b(1)2nd floor at Jacuzzi;C2.b(2) main 2nd floor;C2.c(1)under Jacuui;C2.c(2)under main floor;C2.d)Elevation is the ground floor parking at the lowest drain;C2.e)Elevation is the bottom of the elevator pit C2.fl and g)Adjacent landscaping(sod,mulch,etc...)not complete at this time;Date of field work was May 29,2007. Signature •�-� Date S�3 0�o T ' �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 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 Sectians A,8,and E are correct to the best of my knowledge. erty 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 O�cial's Name Title Community Name Telephone �nature Date JUL 3 0 2007 c:omments DEVEL(��MENT SVC� CITY C�►� �I��RII�/�TEF� ❑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: uilding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poi�cy rvumber 500 Mandalay Avenue (Resort building) Clty Clearwater StBte 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. Fron+ ��iiew(East side)� 05/29/2007 ;1►�" , �,�: . .. __�� - �___,�"��_��,,, �.� -� �'�� r � � �" � �` Y� i � �� .: "�� .�. � � ;�; �: '� � � '�''�:; �f ��`�A�� 1� i� I�i ii �ii ie li � �� 1 i� �i i� � � � � i i i , , � r� r� � � !�(�.; ?�.III`:i'=.� �';�,�< �.� ��. .� , —�-- -;- � _ �,_�; .� .� - 1 ' _; , �s�,� �, :,� ;� �.�; � � � � -.� r..� ,,�'. -_ _ � _ . � � : _ �� ,. ,_,.. � �. _ ,. , �_;:.�,_, - - �r�, _ -- ti . �,�. � �,:� . ._. � _ w. _ - _ �. � ,� +W ,..._ . . .,.k�,Y.. Rear View(West side): 05/29/2007 � ;,1 3 t F � �'sy�'�� . . . . . . . . .. . . . ,�� r'E�1. • • � 1 ' ' � • 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. Poi�cy rvumber Mandalay Avenue (Resort building) Clty 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 View" and "Rear View"; and, if required, "Right Side View"and "Left Side View." Left Side View(South side): 05/29/2007 �,.. � .� , . � � �� , , . , �, � � �� nr- r� �� . ' �� ` �'"` ,� �,� ��4� �� 4P' � {� � { p �� 1 ��.4�. �� 1 �° q � , ,. ��` �� ;�'� �,�. � .�;� � s �� _ � i ..�. , #� �� :�`` �� # �� ,. � �.. ;� - � 1�� 1�� i��i � � �� T` ��, �.� , .____� _-� M; �� < < �R, �� :�'�. � �� _ _� c�'" �, � �B�j'° :�,-� �, ,. . . ,. � �� , _� . , . �, -;; ,. �.�� . _ , _ - �>_ �'.�°' +� '' — "— '�R►'�"'..�'.fil t+� ,� .�__ �.,,--�— � _ -_i R� ;� Right Side View(North side): 05/29/2007 � . �,� . � ��.. � � i 1 ,, ; ��< ' ; �� _ «�'�; -�_ � '� � � � t �:a`: �b:� N{� ��;� +� � 3 '1 � !t I I f� u; ,�. '� .. >.:��.. � _- ;;{ t k x � k . � � � r ?; � ' ` ,�= � fi f� yryi�� .,, �..�f� i � °� �n��'�'+i.. � ��;' N. _ f,` '�,'A� ' <""" �- <,. ; -� W�� -�EPARTMENT OF�OMELA D�secuR�TY a �EL�VATION CERTIFICATE onnB►vo. �sso-000s ��,!Eme�ency Managemer,t Agency Expires February 28,2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. ' SECTION A-PROPERTY INFORMATION For Insurance Company Use: ' Building Owners Name JMC Design and Development,Inc. Policy Number . Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 500 Mandalay Avenue (Resort building) City Clearwater State FL ZIP'Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Descriptio�,etc.) Lot 1 Block 1 Sandpearl,Plat Book 129,Page 89.The Suites at Sandpearl Resort,a Condominium A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential and Hotel A5. Latitude/Longitude:Lat.27°58'56 Long.82°49'40" 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 crawi space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 13948 sq ft a) Square footage of attached garage 61937 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 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 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 B2.County Name 63.State City of Clearwater 125096 Pinellas FL 64.Map/Panel Number B5.Suffix 66.FIRM Index B7.FIRM Panel ',�8.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date �o q(s) AO,use base flood depth) 12103C0102 G 5/17/2005 09/03/03 �Y A�t��€'r;� 12,13 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. n � � =:,;-;.,, ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe) �'ti.a��+i�.� �:, 1`��; - B11. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 �NAVp 1988• ; ❑Other(Describe)""' ` r '"`� 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected.Area(OPA)? �;��s �No •Designation Date ❑CBRS ❑OPA `ftt`,r• � .,r ��,J��, SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIR�D) � C1. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction" � =�"Finished Constructiota! '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 Iterr�q�. w below according to the building diagram specified in Item A7. `q �� 1�' Benchmark Utilized F 3(NGSI PID-AG0504 Vertical Datum NAVD88 (� Conversion/Comments '� � � � Check the measurement used. � W W � a) To p of bottom floor(includin g basement,crawl s pace,or enclosure floor)_ 6.5' �feet ❑meters(Puerto Rico only) � � , b) Top of the next higher floor 13.7 1 17.��feet ❑meters(Puerto Rico only) �Q � �, c) Bottom of the lowest horizontal structural member(V Zones only) 13.011� 15.0 2 �feet ❑meters(Puerto Rico only) `!S � 0 W d) Attached garage(top of slab) 5.9 �feet ❑meters(Puerto Rico only) � �j ��Q e) Lowest elevation of machinery or equipment servicing the building 2.5 �feet ❑meters(Puerto Rico only) ,a (Describe type of equipment in Comments) � � Lowest adjacent(finished)grade(LAG) 5.6 �feet ❑meters(Puerto Rico only) � g) Highest adjacent(finished)grade(HAG) 7.6 �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 informa6on. I cerfify that the information on this Certificate represents my besf efforts to interpref the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. � Check here if comments are provided on back of form. Certifier's Name David William McDaniel License Number LS 5840 �Professionai Surveyor and Mapper Company Name Florida Design Consultants,Inc. Address 3030$tarkey Boulevard City New Port Richey State FL ZIP Code 34655 Signature , Date 5/30/2007 Telephone (727)849-7588 -.,,,,.,. �-",� FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions �'�',�2T�NT: In�hese spaces,copy the corresponding fnformation from Section A. For Insurance Company Use: • ;ding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No: Policy Number r0 Marldalay Avenue (Resort building} ' Clearvvater 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)communiry offlcial,(2)insurance agent/company,and(3)building owner. Comments A8.a-c)and A9.a-c) Enclosures are used as storage and mechanical areas with access provided by doorways.Square footage of the enclosures and parking area(attached garage)were calculated from'The Suites at Sandpeari Resort,a Condominium"(proposed);C2.b(1)2nd floor at Jacuzzi;C2.b(2) main 2nd floor;C2.c(1)under Jacuzzi;C2.c(2)under maln floor;C2.d)Elevation is the ground floor parking at the lowest drain;C2.e)Elevation is the bottom of the elevator pit;C2.fl and g)Adjacent landscaping(sod,mulch,etc...)not complete at this time;Date of field work was May 29,2007. Signature • �� Date S�'�3 0�O 7 � �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 afficial must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION T�.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) �ne AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Ciry 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 Iaw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A communiry 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 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 ❑Substantia�Improvement G8.Elevation of as-built lowest floor(including basement)of the building: _0 feet ❑meters(PR)Datum G9,BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum Local O�cial's Name TiUe Community Name Telephone �ature Date ,1 U L 3 � 20Q7 Comments DEV�LC)�IVIE(VT �VC� CITY �►� ��I�V�_/�i°I�� ❑Check here if attachments � • �` , ' • 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. Poi�cy ivumber 0 Mandalay Avenue (Resort building) Clty Clearwater State FL ZIP COdG 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." Left Side View South side�: 05/29/2007 �I�� ,�i�,�� p�� r�s ��,,.:•; �; � Right Side View(North side): 05/29/2007 � ; G ,�� ; , F,�. _� �� ' sf n r,� �� ' �� - �� r� OMB No. 1660-0008 U.S.DEPARTMEN oF HoME�aNO sECUR�TY ELEVATION CERTIFICATE Expires Februarv 2a.2009 Federal Emergency Management Agency National Flood Insurance Program Important: Read the instructions on pages 1-8. ' SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name JMC Design and Development, Inc. Policy Number Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. �L�Mandalay Avenue City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1 Block 1 Sandpearl, Plat Book 129, Page 89 AUG 3 � 2005 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential pEVEL PMEN1" V A5. Latitude/Longitude:Lat.27°58'57" Long.82°49'39" Horiz u �83 i in used to obtain flood insurance. �� B '� A 6. A t t a c h a t l e a s t 2 p h o t o g r a p h s o f t h e b u i l d i n g i f t h e C e rt i f i c a t e s b e g A7. Building Diagram Number 1 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 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 B2.County Name B3.State City of Clearwater 125096 Pinellas FL 64.Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel B8. Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base fl depth) 0102 G 09/03/2003 09/03/2003 AE,VE 11,12, 3 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) B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No -Designation Date ❑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 C a-g below according to the building diagram specified in Item A7. �j � ��/ Benchmark Utilized AG0504 Vertical Datum NAVD88 (�/� �QI'� V�K'�` �e�'s�� / c 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 13.7 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) � �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) f) 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. I certify that fhe information on this Certificate represents my best efforts to interpret the data available. {sf , , ,h,o 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. �' °j�:,, , 3y�� °� -. ❑ Check here if comments are provided on back of form. a� ,• '� �'t ,,�,� �. .,� ��aaCJG -F�[�/ �i3�.. � '�rUv`' 1''+ a"` " Certifier's Name Samuel Mark Beach License Number LS 6261 ° _ �` • 'le Professional Surveyor and Mapper Company Name Florida Design Consultants, Inc. • � % �`�V�� n a � ress 3030 Starkey Boulevard City New Port Richey State FL ZIP Code 34655 ��'': uil�� E�,a ,' �� ' Signature t�__,- � n ate 08/28/2006 Telephone 727.849.7588 '�� '., f=L�3i;{�t'g ,.' ��`�` .� J�'�'� � .�. 4 � ` / ` vUic�l�'{G,i• �: FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces ali previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Buildirig Street Adclress(inctuding 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) y 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 slab(bottom floor)is not constructed. A9 a,b and c:Building under construction lower level slab(bottomfloor)is not constructed. Signature Date 08/28/2006 ❑ 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 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 Q 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. �perty Owner's or Owner's Authorized Representative's Name dress 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 ments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions . • , I ' . Building Photographs ' See Instructions for Item A6. For Insurance Company Use: ding Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poiicy tvumber 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: 08/24/2006 � \ ,��3t K "L .3 \ " '�- > -z �, z 4 �#� �t, \ pf�y�'� w.: � � ` ., . � r — '�. P - -- � � .C_4t�Q, _ , - � � .;�. �� '��._ �� „ - . '.. � � I � �, � � ��\ �V -� ` � _ . � � � A� .�.,,��.,'�� -�� 1� . � .., � � � --- . , _ � , _� �_ . .. .i� , - , � � , .�' -�''�-_ �,�n;..�.�-- .--- - � �� .�.�>,,. � =-�- _.� �.�.-----'-- _ � i�� r,'.: �. ��y,� P -- v:d .. , �,.- . .�.,.. _�� A *_ ,�_� lr.... . .�: ,� ��F„s(I��.�� E;..` ' � �� ' I � . �� ', �� J �� .�� rt.. �. � � �' � F ....,� . �;: . _ _ - ��. � M _ -- , y�� ___ Y .�f :. / !.�� .A (� '� � � � /I/! A �� 1 � � � „. ;,'- �� , . ��vE �� ._9 �� :-. 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