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501 MANDALAY AVE (BELLE HARBOR); 501-525 MANDALAY AVE � . ��" � ', ;'t FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 , NATIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005 ELEVATION CERTIFICATE . � Important: Read the instructions on pages 1-7. ��. '�� ,,,,o..�—� ° �:,;��^�� SECTION A-PROPERTY OWNER INFORMATION For Iruurance Company Use: �i.�ILDING OWNER'S NAME Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Inciuding Apt,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501-525 Mandalay Avenue(Belie Harbor) CITY STATE ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbot'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Multi-story residentiai LATITUDFJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(fype): ( ##°-##'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNfTY NAME&COMMUNITY NUMBER 82.COUMY NAME B3.STATE City of Clearwater,Fbrida 125096 Pinellas FL B4.MAP AND PANEL 67.FIRM PANEL B9.BASE ROOD ELEVATION(S) NUMBER B5.SUFFIX B6,,�J�2MdNDE�:DATE EF 6•�FIVE/REVISED,DATE BS.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125096 0007 D OS/19/1991 0811911991 AE 108�11 610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth enter in `� ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_ B11.Intlicate the elevation datum used for the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe,.�,_, B12.Is the buildng located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Are.a(OPA)? ❑Yes��No ,Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIREDf �Building elevations are basetl on:�Construction Drdwings� ❑Building Under Construction' �Fnished Construction "A new Elevation Certificate will be required when construction of the building is complete. '2.Building Diagram Number 7(Select the building diagram most similar to the buildng for which this c�rtificate is being completed-see pages 6 and 7. If no diagram aa;urately represents the building,provide a sketch or photograph.) C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BF�,AR,AR/A,ARIAE,ARIA1-A30,AR/AH,AWAO Complete Items C3:a-i below according to the building diagram specifietl in Item C2.State the datum used.if ihe datum is d'rfferent from the datum used for the BFE in Section B,o�nvert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space providetl a the Comments area of Sectioca.Qor�Ction.�asapptop�iate�to document the datum conversion. atum�Conversion/Comments_ Elevation reference�mar u�se�'�"boes�"'�"�`e e evation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floor(induding basement or endosure) 7. 1 ft.(m) � J� o b)Top of next higher floor 11.1 ft.(m) `� " o c)Bottom of lav✓est honzontal structural member(V zones only) _._ft.(m) o o .(7 o d)Attached garage(top of slab) 7. 1 ft.(m) �� o e)Lowest elevation of machinery and/or equipment �m � �� serviang the building(Describe in a C omments area) 2.0 ft.m �°` �� '�\ o fl Lowest adjacent(finished)grade(IAG) 6.7 ft.(m) z� �\ o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) m J � o h)No.of permanent openings(flood vents)within 1 ft.above atljacent grade 12 � o i)Total area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cxn) 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 cerfify that the information in Sectrons A,8,and C on this certificate represents my best efforfs to interpret the data available. !understand that any false sfatement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. CERTIFIER'S NAME Samuei Mark Beach LICENSE NUMBER LS 6261 LE Professionai Surveyor and Mapper COMPANY NAME Florida Design Consultants,Inc. �DDRESS GTY STATE ZIP CODE 3030 Starkey Boulevard New Port Richey FL 34655 SIGNATURE DATE TELEPHONE � 03/10I2005 (72�849-7588 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions __ . IMPOR7,4NT: In these spaces,copy the corresponding information ftom Section A For Insu2nce Company Use: �UILDING STREEf ADDRESS(Inauding Apt,Unit,Suite,ancUor Bkig.No.)OR P.O.ROU7E AND BOX N0. Porwy Number 501-525 Mandalay Avenue(Belle Harbor) CITY STATE ZIP CODE Company NAIC Number ter FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �py both sides of this ElevaGon Certificate for(1)communiry offiaal,(2)insurance agenticompany,and(3)building owner. COMMENTS C3.a-Elevation given is lowest garage floor elevation. C3.e-Elevation given is the botom af the elevator shaft � See attached Architects plan fa calcuiations and flood vent locations. �Check here if attachments � SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WffHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA a LOMR-F, Section C must be cornpleted. E1.Building Diagram Number_(Seled the building diagram most similar to the building fa which this cerfificate is being completed—see pages 6 and 7. If no diagram accuralely represents the building,provide a sketch or photograph.) E2.The top of the bottom floa(induding basement or endasure)of the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(see page�,the next higher floor or elevated floor(elevation b)of the building is ,ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of forrn. E4.The top of the platform of machinery and/or equipment serviang the building is _ft.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent gr�de. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local offiaal must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E fa Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statemer�s in Sections A,8,C,and E ar�conect to the best of my knowledge. PERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �p�� CITY STATE ZIP CODE SIGNATURE DATE TEIFPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local offiaal who is authorized by law or ordinance to administer the communit�Js 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. G1.0 The infamation in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,a architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community�ssued BFE)or Zone A0. G3.�The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMff NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issuetl for. ❑New Construction ❑Substantial Improvement G8.Elevation of as�wilt lowest floor(including basement)of the building is: _._ft.(m) Datum:_ G9.BFE a(in Zone AO)tlepth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE TURE DATE MMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces ali previous editions ,' � �� ._ ��7` , FEDERAL EMERGENCY MANAGEMENTAGENCY O.M.B. No.3067-0077 ' ' ' + NATIONAL FLOOD INSURANCE PROGRAM ��yd,��2� Expires December 31,2005 ELEVATION CERTIFICATE Importarrt: Read the instructions on p es 1-7. SECTION A•PROPERTY OWNER INFORMATION F«Insuranoecompanyuse: �BUILDING OWNER'S NAME Policy Number J.M.C.Desi n 8�Develo ment Co . BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501-525 Marxialay Avenue(Belle Harbor) CITY STATE ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 1"Belle Harbor"as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Multi-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( #t�°-##'-#t�.#l#" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP CON�v1UNf1Y NAME&COMMUNffY NUMBER 62.COUNTY NAME 63.STATE Ci�of Clearvvater,Fbrida 125096 Pinellas FL 64.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (ZaieAO,use deplh of flooding) 1250960007 D 0811911991 OS/1911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_ 611.Indicate the elevation datum used fa the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe):_ 612.Is the building la�ted in a Coastal B�rier Resouroes System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drauvings' ❑Building Under Construction' �Finished Construction 'A new Elevation Certificate will be required when oonstrucUon o�the building is oomplete. Buikiing Diagram Number 7(Select the building diagram most similar to the building fa which this cerfificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch a photograph.) C3.Elevabons—Zones A1 A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,ARIA1 A30,AWAH,ARIAO Complete Items C3.-a-i below accading to the buikling diagram speafied in Item C2.State the datum used.If the datum is different from the datum used fa 1he BFE in Section B,oonveit the datum to that used fa the BFE.Show field measurements and datum oonversion c�culalion. Use the space provided or the Comments area o� Sec�on D or Section G,as�propriate,to document the datum c�nversion. Datum Conversion/Canments " �,A Elevation reference mark used 5_1 Does tlie elevation reference mark used appear on the FIRM? ❑Yes �No �ti�� '"�" �� t k o a)Top o�bottan floa(induding basernent or endosure) 7. 1 ft.(m) � d��,�a'�1� ;��a?�� ,�,?�'f�r,` o b)Top of ne�ct higher floa 11.1 ft.(m) � a�y ^,��; Q `�:°% -' o c)Bottan of lowest haizontal strudural member(V zones only) __ft.(m) y� �'� .��,� �' G h��r � �' � o d)Attached garage(top of slab) 7. 1 ft.(m) �� ,��: �� f�"b .�a �-�" o e)Lawest elevation of machinery andla equipment W m ' " c �`� �o e; s e rv i c i n g t h e b u i l d i n g(D e s a i b e i n a C o m m e n t s ar e a) 2,0 ft.(m) E ; " ;.q �� S�o ,;�� o�Lawest adjaoent(finished)grade(lAG) 6.7 ft.(m) z' � �;�'�, :�� :j; u� o,,�, �;�.�,,�,^ o g)Highest adjacent(finishe�grade(HAG) 7. 4 ft.(m) � � �`�f� 4J �� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � ' �' a'�r ' g o i)Total area of all permanent openings(flood vents)in C3.h 108.288 sq.in.(sq.an) , . 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 in Sections A,8,and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001. CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 6261 TITLE Profession�Surveya and Mapper COMPANY NAME Flaida Design Consuftants,Inc. ��DDRESS CITY STATE ZIP CODE 3030 Starkey Boulevard New Pat Richey FL 34655 SIGNATURE DATE TELEPHONE � 03I10I2005 (72�849-7588 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions ��- . IMPORTANT: In these spaces,copy the corresponding information from Section A Fa Insurarxe Comparry Use: BUILDING STREET ADDRESS(InaGding Apt,Unit,Sui�e,and�a BkJg.No.)OR P.O.ROUTE AND BOX N0. Poficy Number 501-525 Mandala Avenue Belle Hartior ��-�y STATE ZIP CODE Canpany NAIC Nurnber Cleaiwater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHff ECT CERTIFICATION(CONTINUED) .py both sides of this Elevation Certificate fa(1)community oificial,(2)insurance agenticompany,and(3)building armer. COMMENTS C3.a-Elevation given is lowest garage floa elevation. C3.e-Elevation given is the botan of the elevator shaft. See attached Architects plan fa cakxilations and flood vent bcations. �Chedc here if attaChments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) Fa Zone AO and Zone A(without BFE),oomplete Items E1 through E4. If the Elevation Certificate is intended for use as suppating infamation fa a LOMA or LOMR-F, Sedion C must be oompleted. E1.Building Diagram Number_(Seled the building diagram most similar to the building for which this oertificate is being completed—see pages 6 and 7. If no diagram aoauately represents the building,provide a sketch a photograph.) E2.The top of the bottom floa(induding basement a endosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(c�dc one)tl�e highest adjaoent grade. (Use natural grade,'rf available). E3.Fa Building Diagr�ns 6�8 with openings(see page�,the next higher floa or elevated floa(elevation b)of the building is _ft.(m)_in.(an)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the plaffam of machinery�dlor equiprr�ent serviang the building is _ft.(m)_in.(cm)❑above or ❑below(chedc one)the highest adjaoent grade. (Use natural grade,'rf available). E5.Fa Zone AO only: If no flood depth number is available,is the top of the boltan floa elevated in aocadance with ihe community's floodplan m�agerr�ent adinance? ❑Yes ❑No ❑UnknoHm. The local oifici�must certify this infamation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATION The property a�vner or ownei's authaized representative who oompletes Sections A,B,C(Items C3.h and C3.i only),and E fa Zone A(without a FEMA-issued a communily- issued BFE)a Zone AO must sign here. The statements in Sectioris A,8,C,and E ar�correc�to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �p�� CITY STATE ZIP CODE SI�NATURE DATE TELEPHONE COMMENTS ❑Chedc here if attadiments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local offiaal who is authorized by law a ordinance to administer the communit�s floodplain m�agement ordinance can complete Sections A,B,C(a E),and G of this Elevation Certificate. Complete the applic�ble itexn(s)and sign below. G1.❑The infamation in Sedion C was taken fran othe�documentation that has been signed and embossed by a licensed surveyor,engincer,a ard�ited who is authaized by state a local la�v to certiiy elevati�on infamation. (Indicate the saarce and date of the eleva�on data in the Comments�ea bela�v.) G2.❑A community offiaal completed Secction E for a building bcated in Zone A(without a FEMA�ssued a communityassued BFE)or Zone A0. G3.�The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMff ISSIJED G6.DATE CERTIFICATE OF COMPLIANCElOCCUPANCY ISSUED G7.This permit has been issued fa: ❑New Constr�Ktion ❑Subst�bal Improvement G8.Elevation of as-built louuest floa(induding basement)of the building is: _._ft.(m) Dah�m:_ G9.BFE a(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE �MENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions , � • �� ,�� `��A� ' ��`�� C I T Y O F C L E A R W A T E R �� ; *�� ;. � ��°�� : ,� �.�.�� ,� , "� �� ;�� k;' DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT �^*�"� ��:"'s ;�° POST�FFICE BOX 474g� CLEARWATER� F�o�oA 33758-4748 �, '�y"�, MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 TELEPHONE�72� 562-4567 Fn�c(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below mariced sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NA�C Number 501 -525 MANDALAY AVENUE(BELLE HARBOR PROJECT) CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (##°-##'-##.##" or ##.�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION I NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/19/1992 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 69:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the buildin located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C3.-a-i below according to the buiiding diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,conveR the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of ail permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: o�e s� ned and s /ed e/eva'on certificate submitted for r ect b the surve r. Raised sea/attacheci to m ' rtificate for addre 5 to 525 M ndala Ave. Date of Review: Community Official: � Al�ation certificates shall be aintaine by the community and copies with the attached memo made available by request FRANK HIBfiARD,MAYOR GEORGE N.CRE'1'EKOS,COUNCILMGMA[R JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMBER � CARI.EN A.PE'I'ERSEN,COUNCILMEMBER ��EQUAL EMPLOYMEN"I'AND AFFIRMA7'IVE ACTION EMNLOYER�� ._� �°•y' j�� FEDERAL EMERG�NCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 �� NATIGNAL FLOOD INSURANCE PROGRAM Expires December 31,2005 ,�,c,�d.� � r ELEVATION CERTIFICATE � Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION Fa�nsuurance company Use: BUILDING OWNER'S NAME Policy Number � J.M.C.Desi n&Develo ment Cor . BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501-525 Mandalay Avenue(Belle Harbor) C17Y STATE ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Multi-story residential LATITUDFJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-#t#'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME 8 COMMUNfTY NUMBER B2.COUNTY NAME 63.STATE Ci�of Clean,va�;r,Fbrida 125096 Pinellas FL 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depih of flooding) 1250960007 D 0811911991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data a base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_ 611.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe):_ B12.Is the building la�ted in a Coastal Bamer Resources System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUtRED) C1.Building elevations are based on:❑Construction Dra�ings' ❑Building Under Construdion' �Finished Construction 'A new Elevation Cerfificate will be required when construc6on of the building is complete. ?.Building Diagram Number 7(Select the building diagram most similar to the building fa which this certificate is being canpleted-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch a photograph.) (�� Flavatinnc_7ruiac A1_A�(1 AF AN 4(�uith RFFI \/F \/1_\/'�(1 \/luiith RFF1 GR ARIA ARIAG ARIA1_A'�ll aR/A6-1 �R/�(1 _..._....___.._ _...._....... , ._, . , .�......_._„ _, . . , �......_._„ . . ... . ..... . ...,,.,, , „.,. , ,..,.,. Canplete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.ff the datum is d'rfferent from the datum used fa the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and dahim conversion calculation. Use the space provided or the Comments area of Section D a Section G,as appropriate,to document the datum conversion. Datum ConversionlComments Elevation reference mark used 51 Does the elevation reference mark used appear on the FIRM? ❑Yes �No o a)Top of bottom floa(induding basement or endosure) 7. 1 ft.(m) m � , n o b)Top of next higher floor 11.1 ft.(m) �' ' � o c)Bottom of lowest horizontal structural member(V zones only) _._ft.(m) �o ,(� o d)Attached garage(top of slab) 7. 1 ft.(m) �� ! �� n�� o e)Lowes t e leva tion o f m a c hinery an d/or equipmen t W m � . . `,f serviang t he bui l ding(D e s c n b e in a C o mmen ts area) 2.0 ft.(m) �� '� o�Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z m `! �� O� o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) � o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � o i)Total area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cm) 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 in Sections A,B,and C on this certificate represents my best efforts to interpref the data available. I understand that any false statement may be punishable by fine or imprrsonment under 18 U.S.Code, Section 1001. CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 6261 • TITLE Professional Surveyor and Mapper COMPANY NAME Florida Design Consultants,Inc. �DDRESS CITY STATE ZIP CODE 3030 Starkey Boulevard New Port Richey FL 34655 SIGNATURE DATE TELEPHONE � 03/10/2005 (727)849-7588 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPO'2tA�fiiT: �t►these spaces,copy the corresponding information from Section A For Insurance Canpany Use: BUILDING STREET ADDRESS(Induding Apt,Uni�Suite,andla Bldg.No.)OR P.O.ROUTE AND BOX N0. Poficy Number 501-525 Mandala Avenue Belle Harbor ��y STATE ZIP CODE Company NAIC Number �a� FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) .;py both sides of this Elevation Certificate fa(1)community offiaal,(2)insurance agenUcompany,and(3)building owner. COMMENTS C3.a-Elevation given is lowest garage floa elevation. C3.e-Elevation given is the botom of the elevata shaft. See attached Architects plan fa ca�ulations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(W(fHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended fa use as suppating infamation for a LOMA a LOMR-F, Section C must be cbmpleted. E1.Building Diagram Number_(Select the buifding diagram rriost similar to the building for which this c�rtficate is being completed—see pages 6 and 7. ff no diagram aa;urately represents the building,provide a sketch or photograph.) E2.The top of the bottom floa(induding basement a endosure)of the building is _ft.(m)_in.(an)�above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page�,the ne�higher floa or elevated floa(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Canplete items C3.h and C3.i on front of fam. E4.The top of the platform of machinery�dla equipment serviang the building is _ft.(m)_in.(an)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floa elevated in accordance with the communit�s floodplain management ordinance? ❑Yes ❑No ❑Unknovm. The local offiaal must certify this infamation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner a o�nmers authorized representative who canpletes Sedions A,B,C(Items C3.h and C3.i only),and E fa Zone A(without a FEMA-issued a community- issued BFE)or Zone AO must sign here. The statemer�ts in Secfions A,B,C,and E are conect to the best of my knowledge. �OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Chedc here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local offiaal who is authaized by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(a E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1.�The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engincer,or archited who is authorized by state a local law to cer8fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community offiaal completed Sec6on E fa a building located in Zone A(without a FEMA-issued a community-issued BFE)or Zone A0. G3.�The following information(Items G4-G9)is provided fa 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 floa(induding basement)of the building is: _._ft.(m) Datum:_ G9.BFE a(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE �IGNATURE DATE �MMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions , ' 1,� / . • ��s�� '��° C I T Y O F C L E A R W A T E R �ti�� . � �� ` �t�^ t��a_ i@4 �� y & �- „�� DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT �� k � � � ",;,� ," POST OFFICE BOX 4748� CLEARWATER� F�oa�DA 33758-4748 ��.a,� � � ;�5*.,„r �� MUNICIPAL SERVICES BUILDING, ZOO SOUTH MYRTLE AVENUE,CLEARWATER, FLORIDA 33756 TELEPHONE�7Z� 5�2-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS & COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community O�cial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501 -525 MANDALAY AVENUE(BELLE HARBOR PROJECT) CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION iNFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE B4.MAP AND PANEL g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEL gg.FLOOD ZONE(S) B9.BASE FLOOD ELEVATION(S) NUMBER a��9��992 EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in 69:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction` ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. if no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,conveR the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) C01T1fT1efltS: One sioned and sea/ed e/evation certificate submitted for nroiect bv fhe survevor Raised seal attached to main ceRificate/or address 501-to 525 Mandalav Ave. Date of Review: Community Official: A�vation certificates shall be maintained by the community and copies with the attached memo made availab/e by request FRANK HIRBARD,MAYOR GEORGE N.CRE'1'EKOS,COUNCILMEMABR JOIIN DORAN,COUNCILMEMBER PAUL F.GIASON,COUNCILMEMBER � CARLCN A.PE7'fiRSEN,COUNCILMEMRER ��EQUAL EMPLOYMEN7'AND AFFIItMA"1'IVE AC1'ION EMPLOYER�� IM��RTANT: In these spaces,copy the corresponding information from Section A. � � For Insurance Company I;Ise: BUILDIN�Sa EF.T ADDRESS(Induding Apt,Uni�Su'Ae,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policq NUmber 501-525 Mandalay Avenue(Belle Harbor) _ _ GTY STATE ZIP CUDE Company IJAIC Number Clearwater FL 33767 SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �_�_ py bdh sides of this Elevation Certificate fa(1)community official,(2)insurance agenUoompany,and(3)building owner. CCMMENTS ^ C3 a-Eleva6on given is lowest garage floor elevation. _ _ C3 e-E4evation given is the botom of the elevator shaft. See atta�hed Architects plan for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZQNE A(WITHOUT BFE) Fa�one�0 and Zone A(without BFE),oomplete Items E1 through E4. If the Elevation Certificate is intended fa use as supporting infamation for<�LOMA or LOMR-F, Secti�n C must be oompleted. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this cer6ficale is being completed—see pages 6 and 7. If no diagram aa;uralely represents the building,provide a sketch or photograph.) E2,The tcp of the boflom floor(including basement or enclosure)of the building is _ft.(m)_in.(an)❑above a ❑below(chec{c one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floa(elevation b)of the building is _ft.(m)_in.(cm)ak�ove the highest acijacE�nt grade. Complete items C3.h and C3.i on front of form. E4.The tcp of the plalform of machinery andlor equipment serviang the building is __ft.(m)_in.(cm)0 above a ❑below(check one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain manageinent ordinance? ]Yes ❑No ❑Unknown. The local official must ce�tify this information in Sedion G. �� SECTION F•PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFIGATION �� The property owner a owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a f=EMA-issued or community- iss aed BFE)or Zone AO must sign here. The statements in Secfions A,B,C,and E are coirecf to the best of my knowledge. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME �DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Chec;k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI_) The local�ffiaal who is authorized by law a ordinance to administer the community's floodplain management ordinance c�n complete Sections�,E3,C(or E),and G of this Elevation Cert�icate. Complete the applicable item(s)and sign below. G1.]The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the eleva6on data in the Comments area below.) G2.]A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)a Zone A0. G3.]The following information(Items G4G9)is provided fa community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCIIPANCY ISSUED G7.This permit has been issued fa; ❑New Construclion ❑Substanlial Improvement G8.=1eva�on of as-built lowest floor(induding basement)of the building is: __._ft.(m) Uatum;_ G9.3FE or(in Zone AO)depth of flootling at the building site is: _._ft.(m) Datum:__ LC�CAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SI�3NATURE DATE MMENTS ❑Chec�C here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions IM� �TANT:�In these spaces,copy the corresponding information fram Section A. �� For Insurance Company Use: BUILf�iqIGSTFi'EETAD9RESS Qnduding Apt,Unit,Suite,andlor Bkig.No.)OR P.O.ROUTE AND BOX N0. Polu,y Number 50�-525 Mandala Avenue Belle Harbor CITY STATE ZIP CODE Company NAIC Number� Clearwater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED} �� •py both sides of this Eleva6on Certificate for(1)community officiai,(Z)insurancz agenUcompany,and(3)building owner. � CC MMENTS C3 a-Elevation given is lowest garage Boor elevaGon. C3 e-Elevation given is the botan of the elevator shaft. See atta�hed Architects plan for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZQNE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Ce�ificate is intended for use as supporting information for a LOMA or LOMR-F, Secti�n C must be canpleted. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this certrficate is being completed—see pages 6 and 7. if no�iagram accuralely represents the builtling,provide a sketch or photograph.) E2.The tcp of the boflom floor(inclutling basement or enclosure)of the building is _ft.(m)_in.(an)�above or ❑below(c;heck one)the highest adjacent grade. (Use natural grade,rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevaUon b)of the building is _ft.(m)_in.(cm)a��ove the highest acijacent grade. Canplete items C3.h and C3.i on front of fam. E4.The tcp of the platform of machinery and/a equipment servicing the building is _fl.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO oniy: if no flood depth number is available,is the top of the bottom Boor elevated in accordance with the community's floodpiain management ordinance? �Yes ❑No ❑Unknown. The local official must certify this information in Section G. �� SECTION F-PROPERTY OWNER(OR AWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a f=EMA-issupd or communi�y- iss aed BFE)or Zone AO must sign here. The statements in Sections A,8,C,and E are correct to the best of my knowledye. PF.OPERT`(OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMk •:DRESS CITY STATE ZIPCODE SIGNATURE DATE TELEPHONE 1:111VIIVItIV I 5 ❑Chec;k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL} The local�ffiaal who is authorized by law or ordinance to administer the community's floodplain management adinance c�n complete Sec,-lions�,E3,C(or E),and G of this Eleva6on Cert�icate. Complete ihe applicable item(s)and sign below. G1.�The informaGon in Sedion C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect vvho is authonzed by state or local law to certify elevation information. (Indicate the source and date of the elevafion 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 a�mmunity-issued BFE)a Zr�ne A0. G3.�The following infamation(Items G4-G9)is provided for communiry floodplain managernent purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF CONIPLIANCEfOCCUPANCY ISSUED G7.This permit has been issued for. ❑New ConsUuction ❑Substantial Improvement G8.=levation of as-built lowest floor(including basement)of the building is: _._ft.(m) patum:_ G9.3FE�x(in Zone AO)depth of flooding at lhe building site is: _._ft.(rn) Datum:__ LC�CAL OFFICIAL'S NAME TITLE COMM�JNIIY NAME TELEPHONE SH�NATURE DATE • �MMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 ` Replac2s all previous editions �� —��/�� FEDERAL EMERGENCY MANAGEMENT AGENCY p,M.F3. PJo. 3067-0077 NATIONAL FLOOD INSURANCE PROGFtAM Expires necernber 31, ?_005 Q %r,% '7' �� r- 7� ELEVATION C�RTIFIC:AT� -----�--- -- Important: Read the instructions on pages 1-7. SECTIONA-PROPERTYOWNERINFORMATION � Forinsurai�ceCompanyUse: BUILDING OWNER'S NAME � Policy Number : J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OFt P.O.ROUTE AND BOX NO. Company NAIC�lumber: 501-525 Mandalay Avenue(Belle Harbor) CITY STATE ZIP CODE � Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Multi-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##°-##'-##.##" or ##.###i##k°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �� B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE � City of Clearwaier,Fbrida 125096 Pinellas FL 64.MAP AND PANEL B7.FIRM PANEL B9.BASL=FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone�0,use depth of flood'mg) 125096 0007 D 08119l1991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ 811.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):__ 612.Is he building la;aled in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Uesignation Date_ SECTION C-BUILDING ELEVA'TION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construdion Drawings` ❑Building Under Construclion* �Finished Constructia� `A new ElevaGon Cerfificate will be required when construction of the building is complete. C2.Building Diagram Number 7(Select the building diagram most similar to the building fa which this cert�cate is being completed-see pages 6 and 7. If no diagram aaz�rately represents the building,provide a sketch or photograph.) C�.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,ARIA1 A30,ARIAH,AR/AO Compiete Items C3.-a-i below according to the building diagram specified in Item C2,State the datum used.If the datum is different frorn the dalum useci for the aFE in Section B,convert fhe datum to that used for the BFE.Show field measurements and datum conversion calcula6on. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document ihe datum conversion. DaWm Conversion/Comments Elevation reference marlc used 5_1 Does�he elevation reference marlc used appear on the FIRM? ❑Yes I�No �, o a)Top of boflom floor(induding basement or endosure) 7, 1 ft.(m) � ��*u o b)Top of ne�higher floor 11.1 ft.(m) `� � o c)BoKan of kr�vest horizontal structural member(V zones only) _._ft.(m) o o �� (� o d)Attached garage(top of slab) 7. 1 ft.(m) �� o e)Lowest eleva6on of machinery andlor equipment W� �� servicing the building(Describe in a Comments area) 2.0 ft.(m) �� ` , ,� o f�Lowest adjacent(finished)grade(LAG) 6.7 fl.(m) z.� �+,., �� o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� `'� �� o h)No.of permanent openings(flood vents)within 1 ft,above adjacent grade 12 � o i i Total area of all permanent openings(flood vents)in C3.h 108.288 sq.in.(sq.an) � 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 cerfify that the information in Sections A,8,and C on this certificate represents my best efforts fo rnterpret the dafa available. I understand that any false statemenf may be punishable by fine or imprisonmenf under 18 U.S. Code, Section 1001. CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMF3ER LS 6261 11TLE Professional Surveyor and Mapper COMPANY NAME Floritla Design Consultanls,Inc. F.DDRESS CITY STATE ZIP CODE 3i130 Starkey Boulevard New Port Richey FL 34655 �IGNf�TURE DATE TELEPHONE �. 03/10/2005 (727)849=%588 FEt�4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPd2TANT: in these spaces,copy the corresponding information fram Sec�ion A. �� For ir,su�r��e com�any use: BU{LDING STREET ADDRESS(Induding Apt,Unit,Suite,ancllor Bldg.No.)OR P.O.ROUTE AND BOX N0. ��i� f'ol'xy Number , 501-525 Mandalay Avenue!Belle Harbor) ' � � CITY STATE ZIP CUDE Company NAIC Number� ClearNater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CUNTINUED) �� Copy both sides of this Elevation CerUficaie for(1)community official,(2)insurance agent/company,and(3)building ownec �� CCMMENTS C3 a-Elevation given is lowest garage floor elevation. C3 e-Efevation given is the botom of the elevator shaft. See atta�ed Architecls plan for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND zONE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a�OMA or LOMR-F, Secti�n C must be canpleted. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this ce�ificate is being completed—see payes 6 and 7. If no diagram aocurately represents the building,provide a sketch or photograph.) E2.The tcp of ihe bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(an)�above or ❑below(chedc one)the highest adjacent grade. (Use naturai grade,'rf available). E3.Fa Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floa(eleva6on b)of the building is _ft.(m)_in.(cm)above the highest acijacent �3rade. Canplete items C3.h and C3.i on front of form. E4.The tcp of the piatform of machinery andlor equipment seNicing the building is __,ft.(m)_in.(cm)�above or ❑below(c�eck one)the highest adjacent grade. (Use natural grade,if available). E5.Fa Zone AO oniy: If no flood depth number is available,is the top of the bottom Boor elevated in accordance with the cornmunity s floociplain management ordinance? ]Yes ❑No ❑Unknown. The local official must certiiy this infamation in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERl'IFICATION �� The properly owner a owner's authaized representa6ve who completes Sections A,B,C(Items C3.h and C3.i only),and E for 7_one A(without a{=EMA-issued or community- iss�ed BFE)a Zone AO must sign here. The statements in Sections A,B,C,and E are conect fo the best of my knowledge. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMI= AGDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Chec;k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI.} The!ocal�fficial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Seclions A,E3,C(or E),and G of this Elevation Cert�icate. Complete the applicable item(s)and sign below. G1.]The informaGon in Secfion C was taken from oiher documentation that has been signed and emboss�,�d by a licenseci surveyor,engineer,or archikect vvho is authorized by state or local law to oertify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community o�a�canpleted Section E for a building located in Zone A(without a FEMA-issued or comrnunity-issued BFE}a�7_one A0. G3.]ll�e foliowing infama6on(Ilems G4-G9)is provided for community 800dplain management purposes. I G4.PER MIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIA.NCEIOCCl1PANCY ISSUEC� G7.This permit has been issued for. ❑New ConshucGon ❑Substantial Improvement G8.=1ev�tion of as-built lowest floor(including basement)of ihe building is: __._it,(m) i�atum:__ G9.3FE��r(in Zone AO)depth of flooding at the building site is; __._ft.(m) Datum;_ LUCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Cher,k here if attachments FEMA Form 81-31,January 2003 �� Replaces all previous editions __ _ . _ _ � �� FEDERALEMERGENCYMANAGEMENTAGENCY o.M.�. rJo. :>o��-00�7 �. d-7 , � NATIONAL FLOOD INSURANCE PR�GF�AM Expires Decernber 31, 2005 �t�,�p' � c'JN�� Q� ELEVATION CE�RTIFICAT� ------ Important: Read the instructions on payes 1-7. SECTION A-PROPERTY OWNER INFORMATION �. ForinsuranceCompanyUse: BUILDING OWNER'S NAME Policy Numbe� J.M.C. Design&Development Corp. _ BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OEZ P.O.ROUTE AND QOX NO. Company NAIC Number<- 501-525 Mandalay Avenue(Belle Harbor) CITY STATE ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belie Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas Counry,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) kdlul6-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-#1#'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE City of Clearwater,Flaida 125096 PineNas FL B4.MAP AND PANEL B7.FIRM PANEL B9.BASL=FLOOD ELEVATION(S) NUMBER B5.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone Fl0,use depih of flood�g) 125096 0007 D 08119/1991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BF�data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):^ 611.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):__ B12.Is�e building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Uesignation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construciion Drawings' ❑Building Under Construction* �Finished Construction 'A new Eleva6on Cerfificate will be required when consUuction of the building is camplete. C�.Building Diagram Number 7(Selecl ihe building diagram most similar to fhe building for which this certificate is being completed-see pages 6 and 7. If no diagram aa�rately represents the buiiding,provide a sketch or photograph.) Cc.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AWAH,AWAO Complete Items C3.-a-i below acoording to the building diagram speci6ed in item C2.State 1he datum used.If the daturn is different frorn the dalum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calcula6on. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document ihe daium conversion. Datum ConversionlComments ElevaGon reference mark used 51 Does the elevation reference mark used appear on the FIRM? ❑Yes �No � o a)Top of bottom floor(induding basement or endosure) 7. 1 ft.(m) � ��., o b)Top of next higher floor 11.1 ft.(m) �' � o c)Bottom of lowest horizontal stn�dural member(V zones only) _,_fl.(m) N o �� o d)Attached ga r a ge(to p of slab) 7. 1 ft,(m) �� _��/� o e)Lowest elevaGon of machinery andlor equipment W � ��` �� serviang the building(Describe in a Comments area) 2.0 ft.(m) -�� >a o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z.m �� ''�� o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) N� ,�"� U �� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � o i I Total area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cm) 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 cerfify fhaf the information in Secfions A,B,and C on this certi�cate represents my best efforts to internret the dafa available. 1 understand that any false statemenf may be punishable by fine or imprisonment under 18 U,S. Code,Section 1001, CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMQER LS 6261 11TLE Professional Surveyor and Mapper COMPANY NAME Flonda Design Consultanfs,Inc. P DDRESS CITY STATE ZIP CODE 3D30 Starkey Boulevard New Port Richey FI_ 34655 �IGNlaTURE DATE TELFPHONE � 03/10/2005 (727}849=?588 FE119A Form 81-31,January 2003 See reverse side for continuatio�. �Replaces all previous editions _ IMPO�TANT: In these spaces,copy the corresponding information from Section A. For i��s��a��ce com�ny u�: �.�..��.�.�r.aa.�ee�.s.. .��a�1 BUILDING STREET ADDRESS pnduding Apt,Uni�Suite,ancllor Bkig.No.)OR P.O.ROUTE AND BOX N0. Policy Number • 501-525 Mandalay Avenue(Belle Harbor) �- CITY STATE ZIP CODE Company I�AIC Number� Clearwater FL 33767 SECTION D•SURVEYOR,ENGINEER,OR ARGHITECT CERTIFICATION(CUNTINUED) �� Copy bolh sides of this Elevation Certificaie for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. �� CCMMENTS C3 a-Elevation given is lowest garage floor elevation. C3 e-Elevation given is the botom of the elevator shaft. See afla�ed Architecls plan for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR zONE AO AND ZONE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Cer6ficate is intended fa use as supporting information for a IOMA or LOMR-F, Secfi�n C musi be completed. E1.6uiiding Diagram Number_(Select the building diagram most similar to the building for which this oerlificale is being completed—see payes 6 ar�d 7. If no diagram accurately represents the building,provide a sketch a photograph.) E2.The tcp of 1he bottom floor(induding basement or endosure)of the building is _ft.(m)_in,(cm)[]above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6�8 with openings(see page 7),the next higher 800r or elevated floor(eleva6on b)of the building is _ft.(m)_in.(cm)ak�ove the highest acijacent �3rade. Canplete items C3.h and C3.i on front of form. E4.The tcp of the platform of machinery ancUa equipment servicing the buiiding is __ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (U;;e natural grade,'rf available). E5.For Zone AO only; If no flood depth number is available,is the top of the bottom flax elevated in accordance with the cornmunity s floociplain management ordinance? �Yes ❑No ❑Unknown. The local official must certify lhis infamaiion in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION �� The property owner a ownei's authaized representaGve who completes Seclions A,B,C(Items C3.h and C3.i only),and E for Zone A(witl�out a FEMA-issued or communily- iss�ed BFE)a Zone AO must sign here. The statements in Sections A,B,C,and E are correct fo the best of my knowlecige. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMf_ AC�DRESS CIIY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Chec:k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI_) The local�ffiaal who is authaized by law or ordinance to administer the community's floodplain management ordinance c�n complete Secfions�,E),C(or E),and G of this ElevaGon Cert�icate. Complete the applicable item(s)and sign below. G1.]The informafion in Section C was taken from oth�documentation that has been signed and embossed by a licensed suroeyor,engineer,or architect�rvho is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevaUon data in the Comments area below.) G2.�A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or commuriity-issued BFE)a�lone A0. G3.�The following information(Items G4-G9)is provided fw community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIA.NCEJOCCUPANCY ISSUED� G7.This permit has been issued for. ❑New Construction ❑Substantial Improvement G8.=levation of as�uilt lowest floor(inciuding basement)of the building is: __._it.(m) ��atum:__ G9.3FE or(in Zone AO)depth of flooding at the building site is: __._ft.(m) Datum;__ LUCAL OFFICIAL'S NAME TITL.E COMM�JNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Cher,k here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions _ _ __ . 3, _ ��1�� FEDERALEMERGENCYMANAGEMENTAGENCY p,M.�. rJo. 3o67-00�7 � �� NATIONAL FLOOD INSURANCE PRI�GW�M Expires�ecember 31, 2005 B�� .��' � rJN�1s` .��`�'� ELEVATION C�RTIFIC:A�'� ----- -- Important: Read the instructions on pages 1-7. SECTION A•PROPERTY OWNER WFORMAT'ION �� ForinsuranceCompanyUse; BUILDING OWNER'S NAME � Policy Number J.M.C. Design&Development Corp. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC�lumber: 501-525 Mandalay Avenue(Belle Harbor) CITY STATE ZIP CODE Clearvvater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pineilas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Multi-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##�-##'-##.##" or �l#.#�##°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNIIY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE City of Clearvaater,Fbrida 125096 Pine�as FL 64.MAP AND PANEL B7.FIRM PANEL B9.BAS�FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE FFFECTIVFJREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flood'mg) 125(1960007 D OB11911991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_ B11.Indicate the elevaGon datum used for the BFE in 89:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):__ B12.Is he building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevaGons are based on:0 ConsUuciion Drawings' ❑Building Under ConsUuction* �Finished Constructicxi �� *A new Eleva6on Cerfificate will be reyuired when consUuction of the building is complete, C2.Building Diagram Number 7(Select the building diagram most similar to the building fa which this certificate is being oompleted-see pages 6 and 7. If no diagram aa�rately represents the building,provide a sketch or photograph.) C:.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AWAE,AWA1 A30,AR/AH,AR/AO Complete items C3.-a-i below according to ihe building diagram specified in Item C2.State fhe datum used.If tl�e datum is different frorn the datum useci for the BFE in Section B,convert the datum to that used for the BFE,Show field measurements and datum conversion cafculaUon, Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Daium ConversionlComrnents Elevalion reference marlc used 5_1 Does lhe elevation reference mark used appear on the FIRM? ❑Yes Igl No �, o a)Top of bottan floor(induding basement a endosure) 7. 1 ft.(m) � ��, o b)Top of next higher floor 11.1 ft.(m) `� � o c)Bottan of lowest horizontal stn�ctural member(V zones only} __ft.(m) °' °' �` � � o d Attached ar e t of slab 7. 1 ft,m -0� � �`� ) 9a9 �oP ) � ) wo �/ o e)Lowest eleva6on of machinery and/or equipment �� ` 1`,� �� servicing the building(Desaibe in a Canments area) 2.0 ft.(m) -�= '� � E � ,. � o f�Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z.m �.. �,a o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� `�� q o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � o i i Total area of ali permanent openings(floal vents)in C3.h 108288 sq.in.(sq.an) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION T This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I cerfify fhat fhe information in Sections A,8,and C on this cerfi�cate represents my best efforts to inferpret the dafa avaifable. f understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 10U1. C-ERIIFIER'S NAME Samuel Mark Beach LICENSE NUMQER LS 6261 11TLE Professional Surveyor and Mapper COMPANY NAME Florida Design Consultants,Inc. P DDRESS CITY STATE ZIP CODE 3�30 Starkey Boulevard New Port Richey FL 34655 �IGNl�TURE DATE TELEPHONE �,!,. 03/10/2005 (727)849:�588 FEA4A Form 81-31,January 2003 See reverse side for continuatio�. � Replaces all previous editions IMP0+2TANT: In these spaces,copy the corresponding information from Section A. �� For Insurance Company Use: BUiLDING STREET ADDRESS(Induding Apt,UnA,Suile,ancllor Bklg.No.)OR P.O.ROUTE AND BOX N0. Policy Number• 501-525 Mandalay Avenue(Belle Harbor) • � CITY STATE ZIP CUDE Company IJAIC Number� Clearwater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CUNTINUED) �� Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUoompany,and(3)building owner. � CCMMENTS C3 a-Elevation given is lowest garage floor elevation. C3 e-Elevation given is the botom of the elevator shaft. See atta�ed Architects plan for calculaGons and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For�one�0 and Zone A(without BFE),complete Items E1 through E4, If the Elevation Certificate is intended fa use as supporting information for<�LOA4A or LOMR-F, Secti�n C musi be canpleted. E1.6uilding Diagram Number_(Select the building diagram most similar to the building fa which this certificate is being completed—see payes 6 and 7, If no diagram accurately represents the building,provide a sketch or photograph.) E2.The tcp of the bottom floa(induding basement or endosure)of the building is _ft.(m)_in.(an)❑al�ove or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor w elevated floa(elevaUon b)of the building is _ft.(m)_in.(cm)ak�ove the highest acfjacent grade. Compiete items C3.h and C3.i on front of form. E4.The tcp of the pla�orm of machinery andlor equipment serviang the building is __,ft.(m)_in.(an)❑above or ❑below(chedc one)the highest adjacent grade. (U:;e natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the cornmunity's Floaiplain 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 anmer a owners authorized representative who compietes Secfions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a f=EMA�ssued a community- iss�ed BFE)a Zone AO must sign here. The statements in Sections A,B,C,and E are correct to the best of my knowledge. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMI= AC�DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Chec:k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local�ffiaal who is authorized by law or ordinance to administer the communiiy's floodplain management ordinance c�n oomplete Sections A,El,C(or E),and G of this Eleva6on Cert�icate. Compiete ihe applicable item(s)and sign below. G1.�The information in Section C was taken from olher documenta6on that has been signed and ernbossed by a licensc�surveyor,engineer,or archikect vuho is authorized by state or local l avu to certify elevation information. (Indicate the source and date of the eleva6on data in the Comments area below.) G2.�A community official canpleted Section E fa a building located in Zone A(without a FEMAassued or cbmmunity-issued BFE)or lone A0. G3.]The following informa6on(Items G4-G9)is provided for canmunity floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIA,NCFJOCCIIPANCY ISSUED G7.This permit has been issued for. ❑New Construction ❑Substan6al improvement G8.=levation of as-built lowest floor(including basement)of the buiiding is: __._it.(m) �aatum:_ G9.3FE�x(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LUCAL OFFICIAL'S NAME TITLE COMMUNIIY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Check here if altachments FEMA Form 81-31,January 2003 � Replaces ali previous editions � � �,�� i�� FEDERALEMERGENCYMANAGEMENTAGENCY o.M.�. rdo. :,o67-00�7 � G� NATIONAL FLOOD INSUi2ANCE PR�GFtAM Expires necember 31, 2005 d�� -1 i,�ti�f ��-��J ELEVATION CE:RTIFIC:ATE ---------- Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INI=ORMATION � � For Insurance Company Use: BUILDING OWNER'S NAME � Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS Qncluding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIG�lumber,' 501-525 Mandalay Avenue(Belle Harbor) ��ITY STATE ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal DescripGon,etc.) Lot 1"Belle Narbor"as recorded in Plat Book 125,Page 15 of the Public Records of Pineilas County,Flo�ida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.} Multi-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.##" or ##.#t�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION � 81.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE � Cily of Cleanaater,Fbrida 125096 Pinellas FL 64.MAP AND PANEL W.FIRM PANEL 69,BASL'-FLOOD ELEVATION(S) NUMBER 65.SUFFIX 66.FIRM INDEX DATE EFFECTIVEIftEVISED DATE 88.FLOOD ZC�JE(S) (Zone Fl0,use depth of flooding) 1250960007 D OS/1911991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_ B11.Indicate the elevaUon datum used fa the BFE in 89:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):__ B12.Is he building la;ated in a Coastal Barrier Resources System(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes ❑No Gesignation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Dr�rrvings' ❑Building Under ConsUuction* �Finished Construction � `A new Elevation Certificate will be required when construction of the building is camplete. C2.Building Diagram Number 7(Select the building diagram most similar to the building fa which this cert�cate is being canpleted-see pages 6 and 7. If no diagram aaurately represents the building,provide a sketch or photograph.) C:.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,AR/A1-A30,AR/AH,AR/AO Complete items C3.-a-i below according to the building diagram specified in Item C2,State the datum used.If the daturn is different frorn the dalum useci for the BFE in Section B,convert the datum to that used fa the BFE.Show field measurements and datum conversion calcula6on. Use the space provided or the Comments area of Section D or Seciion G,as appropriate,to document the dalum conversion. Dalum Conversion/Comments Elevation reference mark used 5_1 Does the elevaUon reference mark used appear on the FIRM? ❑Yes I�No � o a)Top of boflan floor(induding basement or endosure) 7. 1 ft.(m) � �� o b)Top of next higher floor 11.1 ft.(m) �' � o c)Boflan of lowest horizontal structural member(V zones only) _._ft.(m) o o � � o d)Attached garage(top of slab) 7. 1 ft.(m) �� ' w m � o e)Lowest elevaGon of machinery andlor equipment _ �; �ti�� ,� serviang the building(Describe in a Comments area) 2.0 ft.�m) °y �� j\, � i° , �,,a o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z'.� �, �''� o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� '�"� a o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � o i I Total area of all permanent openings(flood vents)in C3.h 108,288 sq,in.(sq.an) 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 cerfify that the information in Sections A,B,and C on this certificate represents my best efforfs fo inferpret the dafa available. I understand that any false sfatement may be punishable by fine or imprisonment under 18 U.S. Code, 5ection 1001. CERTIFIER'S NAME Samuel Mark Beach LiCENSE NUMQER LS 6261 11TLE Professionai Surveyor and Mapper COMPANY NAME Florida Design Consultants,Inc. P.DDRESS CITY Sl'ATE ZIP CODE 3D30 Starkey Boulevard New Port Richey FL 34655 �IGN/�TURE DATE TELEPHONE � 03/10/2005 (727)849=?588 FEA9A Form 81-31,January 2003 See reverse side for continuation. Re��laces all previous editions IMPO�TANT: In these spaces,copy the corresponding information from Section A. �� For i��5��a�ce com�ny u��: BU�DING STREET ADDRESS(Induding Apt,UnA,Suite,ancUor BkJg.No.)OR P.O.ROUTE AND BOX N0. Pol'�cy Number 501-525 Mandalay Avenue(Belle Harbor) �� CITY STATE ZIP CODE Company I�AIC Number Cleanvater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARGHITECT CERTIFICATION(GUNTINUED) �� Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. CCMMENTS C3 a-Elevation given is lowest garage floor elevation. C3 e-Elevation given is the botom of the elevator shaft. See atta�ed Architects pian for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended fa use as supporGng information for a LOMA or LOMR-F, Secti�n C musi be completed. E1.6uilding Diagram Number_(Select the building diagram most similar to the building fa which this certificate is being completed—see payes 6 and 7. if no diagram accuralely represents the building,provide a sketch a photograph.) E2.The tcp of lhe bottan floor(including basement or endosure)of ihe building is _ft.(m)_in.(cm)�above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floa(eleva6on b)of the building is _ft.(m)_in.(cm)akbve the highest acijacent grade. Canplete items C3.h and C3.i on iront of form. E4.The tcp of the platform of machinery andlor equipment serviang the building is _,ft.(m)_in.(an)❑above or ❑below(e;�eck one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is availabie,is the top of the bottom flax elevated in accordance with the cornmunity's floaiplain management ordinance? �Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERI'IFICATION �� The property owne�a owner's authorized representative who completes Secfions A,8,C(liems C3.h and C3.i only),and E for Zone A(wiU�out a f=EMA�ssued or communily- iss aed BFE)or Zone AO must sign here. The statemenfs in Sections A,B,C,and E are correct to fhe best of my knowledge. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMI= AC�DRESS CIIY STATE ZIP CODE SIGNATURE DATE TELEPH(�NE COMMENTS ❑Chec;k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAt_} The local�ffiaal who is aufhorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections�,E3,C(or E),and G of this Eleva6on Ceri�icate. Complete ihe applicable item(s)and sign below. G1.]The informaiion in Section C was taken from other da;umentaUon that has been signed and ernbossed by a license��surveyor,engineer,or architect vvho is authorized by state or local law to certify elevation informaGon. (Indicate ihe source and date of ihe eleva6on data in the l;omments area below.) G2.]A community offiaal cornpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)a 7_one A0. G3.]The following infamation(Items G4-G9)is provided for comm�nity Boodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF COMPLIA.NCEIOCCUPANCY ISSUEC� G7.This permit has been issued for. ❑New Consiruction ❑Substantial Improvement G8.-levation of as-twilt lowest floor(including basement)of the building is: __._it.(m) Datum:__ G9.3FE or(in Zone AO)depth of flooding at the building site is: _._._ft.(m) Datum: LC�CAL OFFICIAL'S NAME TITLE COMMUNIIY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Cherk here if attachments FEMA Form 81-31,January 2003 � � Repiaces all previous editions � �jC��f� � /,/� j��FE NA ONALEFLOOD NSURA C PROGRAMCY O.M.f3. No. 3067-0077 i . , • �� 7 Expires[�ecember 31, 2005 ' �� -��y ELEVATION CERTIFICATE ---- � �C� ��?i ��- (7 Important: Read the instructions on pages 1-7. � SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use: UILDING OWNER'S NAME Policy Numbe�` J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501-525 Mandalay Avenue(Belle Harbor) ��' STATE ZIP CODE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal DescripBon,etc.) Lot 1"Belle Hart�or'as recorded in Plat Book 125,Page 15 of the Public Records of Pinellas County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Wlulti-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):__ ( ##°-#1#'-##.#1#" or ##.�k°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNIIY NUMBER B2.COUNTY NAME B3.STATE �� Cihr of Cleanaaler,Fbrida 125096 Pinellas FL 64.MAP AND PANEL B7.FIRM PANEL 69.BAS�FLOOD ELEVATION(S) NUMBER 85.SUFFIX 86.FIRM INDEX DATE EFFECTIVEIf2EVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depih of flooding) 125�96 0007 D 08/1911991 0811911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data a base flood depth eniered in B9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_ 611.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):___ 612.Is he buiiding located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:�Construction Drawings* ❑Builtliny Under Construction* �Finished Construction �� 'A new Elevation Certificate will be required when consUuction of the building is complete. Building Diagram Number 7(Seled the building diagram most similar to the building for which this certific;ate is being campleted-see pages 6 and 7. If no diagram aa�rately represents the buiiding,provide a sketch or photograph.) C:.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1 A30,AR/AH,AWAO Complete Items C3.-a-i bela�u acoording to the building diagram specified in Item C2.State the datum used.If the dafum is different frorn the datum used for the BFE in Section B,convert ihe datum to that used for the BFE.Show field measurements and datum conversion calcula6on. Use the space provided or the Corriments area of Section D or Section G,as appropriate,to document the datum conversion. Datum ConversionlCanments Elevation reference mark used 5,1 Does the elevaUon reference mark used appear on lhe FIRM? ❑Yes �No o a)Top of borian floor(induding basement a enclosure) 7, 1 ft.(m) � � =,� o b)Top of next higher floor 11.1 ft.(m) � o c)Bottan of lowest horizontal strudural member(V zones only) _._ft.(m) �;�` E o d)Attached garage(top of slab) 7, 1 ft.(m) F� � , � o e)Lowest elevatia�of machinery andlor equipment W� �4� \ � seroicing the building(Describe in a Comments area) 2.0 ft.(m) °= ��- � �j`�,� � � . .A �` o f1 Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z� � o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �� o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 ; • o i I Total area of all permanent openings(flood vents)in C3.h 108288 sq.in.(sq.cm) 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 informafion in Sections A,8,and C on this certificate represents my best efforfs to interpret fhe dafa avaifable. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S Code Section 1001 CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 62Ei1 1 ITLE Professional Surveya and Mapper COMPANY NAME Flarida Design Consultants,Inc;. PDDRESS CITY STATE ZIP CODE 3D30 Starkey Boulevard New Port Richey FL 34655 �IGNl�TURE� DATE TELEPHONE K,. 03I1012005 (727)849-7588 FEA4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPpRTANT: In these spaces,copy the corresponding information from Section A. �� For Insurarice Company Us��: 'PUILCl�N(3 STREET AflDRESS(Induding Apt,Unit,Suite,ancior BkJg.No.)OR P.O.ROUTE AND BOX N0. PoliCy Nurnber �501-525 Mandalay Avenue(Belle Harbor) _ CITY STATE ZIP CODE Company I�AIC Number Clearwater FL 33767 SECTION D•SURVEYOR,ENGINEER,OR ARGHITECT CERTIFICATION(CONTINUED) � py both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)builtling owner. CCMMENTS C3 a-Elevation given is lowest garage floa elevation. C3 e-Elevation given is the botom of the elevator shaft. See atta�ed Architects plan for calculations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For�one�0 and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended fa use as supporting information for<�LOMA or LOMR-F, Secti�n C must be oompleted. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch a photograph.) E2.The tcp of the bottom floor(induding basement a enclosure)of the building is __,ft.(m)__in.(cm)❑above or ❑below(check one)the highest adjacent grade. (U>e natural grade,'rf availabie). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(eleva6on b)of the building is _ft.(m)_in.(cm)ak�ve the highest acijacent yrade. Complete items C3.h and C3.i on front of form. E4.The tcp of the piatform of machinery andla equipment serviang ihe building is __ft.(m)_in.(an)❑above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the boflom 800r elevated in accordance with the community's floodplain management ordinance? ]Yes ❑No ❑Unknrnm. The local official must certify this information in Section G. �� SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner a owners authaized repres�taUve who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- iss aed 8FE)or Zone AO must sign here. The statements in Sections A,8,C,and E are correct to the best of my knowledge. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAML= �DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHQNE COMMENTS ❑Chec;k here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI_) The local�ffiaal who is authorized by law a ordinance to administer the canmunity's floodpiain management ordinance can cnmplete Sections�,E3,C(or E),and G of this Eleva6on Cer�'icate. Canplete the applicable item(s)and sign below. G1.�The infamation in Section C was taken from other documentation that has been signed and embossed by a licensec.i suroeyor,engirieer,or architect who is authorized by state or local law to oertify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.]A community offiaal completed Seciion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.�The following information(items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CUMPLIANCFJOCCUPANCY ISSUED G7.This permit has been issued for. ❑New ConsUuction ❑Substan6al Improvement G8.=1eva6on of as-built lowest floor(induding basement)of the building is: _._ft.(m) Dat�m:_ G9.3FE�x(in Zone AO)depth of flooding at the building site is; _._ft.(m) Datum:__ LC�CAL OFFICIAL'S NAME TITLE � COMMUNITY NAME TELEPHONE SIGNATURE DATE MMENTS ❑Chec;k here if attachments FEMA Form 81-31,January 2003 Repiaces ali previous editions '�C � `�'� /� FEDERAL EMERGENCY MANAGEMENT AGENCY � ��' � — V�� NA710NAL FLOOD INSURANCE PRI�GRAM O.M.B. No. 3067-0077 , Expires Uecember 31,?_005 �US_ N��Jr'��%1� ELEVATION CERTIFIC:ATE - �G� f ��r �S�- '(7 Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATIO�! For Insurance Company Use: 3UILDING OWNER'S NAME Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS Incl ding ApC,Unit,Suite,and/or Bidg.No)OR P.O.ROUTE AND BOX N . Company NAIC�lumber -581-37_'ri an a ay venue elle Harbor) ��, � ,� � ��ITY STATE ZIP CODE r�learwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal DescripBon,etc.) Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Public Records of Pinelias County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Nlulb-story residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##°-##'-##.##" or ##.####i#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNIIY NUMBER B2.COUNIY NAME B3.STATE Ci�of Clearwater,Fbrida 125096 Pinellas FL 84.MAP AND PANEL B7.FIRM PANEL 69.BASG FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX D EFFECTIVE/REVISED DATE B8.FLOOD ZOPJE(S) (Zone A0,use depth of flooding) 1250960007 D 08119/ 1 08/1911991 AE 10&11 B10.Indicate the source of the Base Flood Elevation(BFE)data ase ood depth entered in B9. ❑FIS Profile �FIRM ❑Canmunity Determined ❑Other(Describe):_ B11.Indicate the eleva6on datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):__ B12.Is he building located in a Coastal Bamer Resources Syslem(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date _ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:0 Construdion Drawings' ❑Building Under Construction` �Finished Construclic,n `A new Elevation CerGficate will be required when construction of the building is complete. M:_Building Diagram Number 7(Seled the building diagram most similar to the building fa which this certif c;ale is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch a photograph.) C:.Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AR/AE,AWA1-A30,ARlAH,AR/AO Complete Items C3:a-i below accordinq to ihe buildinq diaqram soecified in Item C2.State the datum used.if the dah,m is ciifferent frnm thP eiar��m��a�l fnr(hP RFF in Section B,convert the datum to that used fa the BFE.Show field measurements and datum conver�ion c;alculation. Use the space provided or the Cornments area of Section D or Section G,as appropriate,to document the datum conversion. Daium Conversion/Comments Elevation reference maric used 5_1 Does the eleva6on reference mark used appear on the FIRM? ❑Yes �No �� o a)Top of boflom floor(induding basement or endosure) 7. 1 ft.(m) � �,�(`��., o b)Top of next higher floor 11.1 ft.(m) � �� o c)Bottom of lowest honzontal sUudural member(V zones only) __ft.(m) °' °' �� o d)Attached garage(top of slab) 7. 1 ft.(m) E� ��;,�/'�'� a o e)Lowest elevation of machinery andla equipment Q j �� ' servicing the building(Describe in a Comments area) 2.0 ft.(m) � �` �� Em A .� ,,+,� ' o f1 Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z.m �,.. �� o g)Highest adjaoent(finished)grade(HAG) 7. 4 ft.(m) N� `��' o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � o i I Total area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cm) ^ SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION �� This certification is to be signed and sealed by a land suroeyor,engineer,or architect authorized by law to certify elevation intormation�� I certify that the information in Secfions A,8,and C on this cerfificate represents my best efforts to interpret the dafa availahfe. I understand that any fatse statement may be punishable by fine or imprisonmenf under 18 U.S. Code,Secfion 1001 CERTIFIER'S NAME Samuel Mark Beach LICENSE IJUMBER LS 62f,1 11TLE Professional Surveyor and Mapper COMPANY IJAME Flanda Uesign Consuitants,Inc. • PDDRESS CITY SiATE ZIPCODE 3J30 Starkey Boulevard New Port Richey FL 34655 �IGNNTURE /] DATE TELEPHONE l � 03/1012005 (727)849=�588 FE�4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPOP.TANT:,In these spaces,copy the corresponding information from Section A. �� For insurance Company Use: RUILGiNG STRECT ADD�2ESS Qnduding Apt,Unrt,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Poli�/Nurnber 501-525 Mandalay,�venue(Belle Harbor) CITY ' STATE ZIP CODE Company IJAIC Number Clearwater FL 33767 SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(GONTINUED) �! .,opy both sides of this Elevation Certificate for(1)community official,(2)insurance agenVcompany,and(3)building owner. CCMMENTS C3 a-ElevaUon given is lowest garage floor elevation. C3 e-Eleva6on given is the botom of the elevator shaft. See atta;hed Architects plan for calcu�ations and flood vent locations. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE F�(WITHOUT BFE) Fa�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Cerfificate is intended for use as supporting information for a LOMA or LOMR-F, Secti�n C must be completed. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this cert�cale is being completed—see pages 6 arid 7. If no diagram accurately represents fhe building,provide a sketch a photograph.) E2.The tcp of the bottom floor(induding basement or enclosure)of the building is _ft.(m)_in.(cm)❑above a ❑below(check one)the highest adjacent grade. (Use natural grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page�,the next higher floor or elevated floor(eleva6on b)of the building is _ft.(m}_in.(cm)ak�ove the hiyhest adjacent �3rade. Complete items C3.h and C3.i on front of form. E4.The tcp of the platform of machinery andlor equipment serviang the building is __fl.(m)_in.(cm)❑above or ❑below(ched�one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO oniy: If no flood depth number is available,is the top of the bottan floor elevated in accordance with the community's fioodplain management ordinance? �Yes ❑No ❑Unknown. The local o�cial must cerfify this informalion in Section G. �� SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner a owne�s authorized representa6ve who completes Sections A,B,C(Items C3.h and C3.i only),and E fa Zone A(without a f=EMAassued or community- iss�ed BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct fo the besf of my knowledye. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAML= �:�DRESS CITY STATE ZIPCODE SIGNATURE DATE TELEPHONE CUMMtNlS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI_) The iocal�ffiaal who is authonzed by law or adinance to administer the community's floodplain management ordinance can complete Sections A,E3,C(or E),and G of this Elevation Cer�'icats. Complete the applicable item(s)and sign below. G1.�The infamation in Seciion C was taken fran other documentation that has been signed and embossc;d by a licensed suroeyor,engineer,a architect vvho is authonzed by state or local law to ce�ify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2.]A community official cornpleted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)a Zone A0. G3.]The following information(Items G4-G9)is provided fa community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6.DATE CERTIFICATE OF CONIPLIA,NCEA�CCUPANCY ISSUED G7.This permit has been issued for. ❑New Construclion ❑Substantial Improvement G8.=levation of as�uilt lowest floor(including basement)of the building is: _._ft.(m) �atum: G9.3FE�x(in Zone AO)depth of Booding at the building site is: _._ft.(m) Datum:_ LUCAL OFFICIAL'S NAME TITLE COMMUNIIY NAME TELEPHONE SIGNATURE DATE • �MMENTS ❑Chec:k here if attachments FEMA Form 81-31,January 2003 Replac°s all previous editions ' .�;��r�..r •�s�� .,° � �.� ��`�� A�`�� C I T Y O F C L E A R W A T E R � �� ' �� . DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT ��'� + POST OFFICE BOX 474H� CLEARWATER� FLOa�Dn 33758-4748 a� . F, '+, MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�unn 33756 TELEPHONE�72� S�Z-4S67 Fax(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 ali elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 505 MANDALAY AVE (BLDG 5 UNITS 51-56) CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:� GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑ Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63.STATE B4.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8�FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/19/1992 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) 811. Indicate elevation datum used for BFE in 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 SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction" ❑ Finished Construction 'A new Elevation CeRificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this ceRificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show fie�d measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) COtl1f712 f11S: One sioned and sealed elevation certificate submitted for Aroiect bv the survevor Raised sea/attached to main cerfificate for address 501-to 525 Mandalav Ave. Date of Review: Community Official: �e/evafion certificates shall be maintained by the community and copies with the attached memo made available by request FRANK HIBBARD,MAYOR GEORGE N.CRE'I'EKOS,COUNCILMEMRLR JOIIN DORAN,COUNCILMEMBER PAUL F.GIRSON,COUNCILMEMAER � CARI.GN A.PE7'ERSEN,COUNCILMEMBHR ��EQUAL EMYLOYMEN"I'AND AFFIRMATIVE AC1'ION EMYLOYER�� ; ��,�� CC� ��EDERAL EMERGENCY MANAGEMENT AGENCY O.M.E3. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005 , �� f`�`'��"�� ELEVATION CERTIFICATE �-- -- � `D�� r� Important: Read the instructions on pages 1•7. SECTION A-PROPERTY OWNER INFORMATION F�r Insurance Company Use:' •BUILDING OWNER'S NAME Policy Numbe�' J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 501-525 Mandalay Avenue(Belle Harbor) ------ ----�— ��n' STATE ZIP CUQE Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbor"as recorded in Plat Book 125,Page 15 of the Public Records of Pinelias County,Florida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) wlulti-story residen6al LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}:___ ( ##°-##'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Oiher: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �� 61.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNIY NAME B3.STATE � City of Cle.arwater,Fbrida 125096 Pinellas ! FL B4.MAP AND PANEL 67.FIRM PANEL 69,BAS�FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVF�REVISED bATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 1250960007 D 0811911991 08/1911991 AE 10&11 610.Indicate the source of the Base Flood Elevation(BFE)data a base flood depth entered in B9. ❑FIS Profile �FIRM ❑Communiiy Determined ❑Other(Describe):_ 611.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):�_ 612.Is he building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Desigr�ation Date SECTION C•BUILDING ELEVATION INFORMATIUN(SURVEY REQUIRED) � C1.Building elevations are based on:�Construction Drawings' ❑Buildiny Under Construcfion` �Finished Construction �� `A new Elevation Cerfificate will be required when construction of the building is complete. Buiiding Diagram Number 7(Select the buiiding diagram most similar to the building fa which this certifu;ate is being a�mpleted-see pages 6 and 7. If rn�diagram aaurately represents the building,provide a sketch or photograph.) C�.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1 A30,AWAH,AWAO Compiete Items C3.-a-i below acoording to the building diagram specfied in Item C2,State the datum used.If the datum is different frorn the datum useci for the BFE in Seclion B,convert the datum to that used fa the BFE.Show fieid measurements and datum conversion calcula6on. Use the spac�e provided or the Cornments area of Section D or Section G,as appropriate,to document the datum oonversion. Datum ConversionlComments Elevation reference mark used 5,1 Does the elevation reference mark used appear on the FIRM? ❑Yes �No — �' o a)Top of bottom floor(induding basement or endosure) 7. 1 fl.(m) � �� ».� o b)Top of next higher floor 11.1 ft.(m) � , �� o c)Bottan of lowest horizontal sUuctural member(V zones only) ._ft.(m) °' °' �4� o d)Aflached garage(top of slab) 7, 1 ft.(m) �o , "'� � W � �� C� o e)Lowest elevation of machinery andlor equipment � serviang the building(Desaibe in a Comments area) 2.0 fl.(m) � �� .a � ��\ q: � E � ~ � � o f1 Lowest adjacent(finished)grade(LAG) �;,7$.(m) �,m �,�, o g)Highest adjaoent(finished)grade(HAG) 7. 4 ft.(m) �� `� ��+ � o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 12 � . o i I Totai area of all permanent openings(flood vents)in C3.h 108,288 sq.in.(sq.cm) �—i�- 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 inform,�tion. � 1 certify that the information in Sections A,B,and C on fhis certi�cafe represents my best efforts to interpret fhe dafa available. I understand that any false statement may be punishable by fine or imprrsonment under 18 U S Code,Section 10U1. C:ERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 62Ei1 T ITLE Professional Surveyor and Mapper COMPANY NAME F�orida Design Consultants,Inc. DDRESS CITY STATE ZIP CODE 3�30 Starkey Boulevard New Port Richey FL 34655 :IGN/�TURE DATE TELEPHONE K. 0311012005 (727)849=T588 FE��A Form 81-31,Jan�ary 2003 See reverse side for continuation, ReplacE;s ali previous editions . IMP��TAN7: In tl�ese spaces,copy the corresponding information fram Section A. �� For Insurance Company Us��: BUtlLDING SSRE rT FtDDRESS Qnduding Apt,Uni�SuAe,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. �Policy Numbef 501-�'%:;Mandalay Avenue(Be�le Harbor) " CITY ' STATE ZIP CODE Company NAIC Number Cleanruater Fl. 33767 � SECTION D-SURVEYOR,ENGINEER,OR ARGHITECT CERTIFICATION(CONTINUED) �� py both sides of this Elevation Certficate fa(1)community official,(2)insurance agenUcompany,and(3)building owner. CC MMENTS ' C3 a-Elevation given is lowest garage floor elevation. C3 e-Elevation given is the botom of the elevata shaft. See afla�ed Architects pian for calculations and flood vent locations. �Check here if aitachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For�one AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended fa use as supporting information for t�LOMA or LOMR-F, Sec�ii�n C must be completed. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The tcp of the bottom floor(induding basement or enclosure)of the building is __ft.(m)_in.(an)�above or ❑below(check one)the highest adjacent grade. (Use naturai grade,'rf available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floor(elevabon b)of the building is _ft,(m)__in.(cm)akpve the highest acijacent �3rade. Complete items C3.h and C3.i on front of fam. E4.The tcp of the platform of machinery andlor equipment serviang the building is __.ft.(m)_in.(an)❑above a ❑below(c,-hedc one)the highest adjacent grade. (U:;e natural grade,'rf available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom Bax elevated in accordance with the cornmunity's floociplain m<�nagement ordinance? ]Yes ❑No ❑Unknown. The local oificial must cerfify this information in Section G. �� SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERI'IFICATION The property owner or owners authorized representaUve who completes Sections A,B,C(Items C3.h and C3.i only},and E for 7_one A(without a f=EMA-issued or oommunity- iss aed BFE)or Zone AO must sign here. The sfatemenfs in Sections A,B,C,and E are correct to the best of my knowledge. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAMI= ��DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAI.) The!ocal�ffiaal who is authonzed by law a ordinance to administer the oommunity's floodplain management ordinance can complete Sections A,E3,C(or E),and G of this Elevation Cert�icate. Compiete the applicable item(s)and sign below. G1.]The information in Section C was taken from other da;umentation that has been signed and embossed by a licensed suroeyor,engineer,or architect vvho is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevaGon data in the Comments area below.) G2.]A community offiaal completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)a Zone A0. G3.�The following infamation(Items G4-G9)is provided fa community floodplain managerrient purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED TG6.DATE CERTIFICATE OF COMPLIP,NCEIOCCI IPANCY ISSUEC� � G7.This permit has been issued for. ❑New Construction ❑Substantial Improvement G8.=levation of as�uilt lowest floor(including basement)of the buiiding is: __,_._ft.(m) Datum:_ G9.3FE�x(in Zone AO)depth of flootling at the builtling site is: __._ft.(m) �atum:__ LUCAL OFFICIAL'S NAME TITL.E COMM�JNITY NAME TELEPHONE ` SI��NATURE DATE � � � �OMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions � --- --�- - _--- i _____� S __ __._ _ _ _ � --- ---- __ __ -b (v �.- � _ _ _ ____. _ z �. � �� __ _ _ _ . _ _ ____. c�cn��✓► � __ ___ } _�_m____ ____ ____�___�i__ � _ _ __ __ _ _ _ � �`�� _ _ __. .. ,. __ ___ _. _ _._ , i�� __. _ _ _ _ _ ____ ___ _ _ G� __� 7 _ _ ____ .� _ __. _ .. ..... ....._.._.._._._ �� ,,,,,��-� _ _ _ _ __ _ _ _ _ _ _ __ _ _ __ __ _ _ ___ _ _ � _ � �' __ � � __ _ . _ _ _ __ __ _ . -,� _�.,�z _ __ ______.___ __ _._ __ ��`�_ � __ �/� � � _ _ _ _ � ._ ,} .. __ ._..�_ _. ____. ____..__ __. _ _ ______ ___ __ _ . �' ��I'�,t� -S _ _. . ._ _ __. _ --_______� ._ _- -__ . --- ___- --___ _ _ __ __ _ C �� _I��D� . __.__ _ ___._____ _ ___., __ __--�_____�_� --__. _ ___ ___ _ _ _ ;;;'�- -4� �;::r-,�� _. _ __ , _ _ _ ____ __ ____ _. _ _ _ _ __ _ _ __._.______ _ .-- - ��,�,�,,�� P',� '�� _ _. _ �� _ _ _ ___ _ _ _ ____ ___ _ _ _____ ___ __ _ �� -- r°'�.°��r� _ __ _ _ _ ___-- _ _ _ _ _ - _ _ G�.�� _.__ � � ' G� � �� . .