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505 MANDALAY BLDG 4 #41-45 ;(�C,�a�� _n� � ?� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.F3. No. ;3067-U077 ,'�Fa } « v NATIONAL FLOOp INSURANCE PROGRAM Expires December 31,2005 " �s ��5 M�1n�(��a.y ELEVATION CERTIFIGATE --- ,I f l, � (3�� ' �{' (1h�t5 7�' �',� Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION Fcx Insurance Company Use:' UILDING 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 Number 501-525 Mandalay Avenue(Belle Harbor) ��n' 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.,Residen6al,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.} . �lulti-story residential LATITUDFJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##°_##'_###J#" or ##.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION � B1.NFIP COMMUNIIY NAME&COMMUNITY NUMBER 82.COUNIY NAME 63.STATE � City of Clearwater,Fbrida 125096 Pinelias FL B4.MAP AND PANEL B7.FIRM PANEL B9.BASG FLOOD ELEVATION(S) NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVE�REVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 125�960007 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(Describe):_ B11.Indicate the elevaGon datum used fa the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Desc:ribe):__ B12.Is he building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Desigriation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drarwings* ❑Buildiny Under Construction` �Finished Construction � 'A new Elevation Certificate will be required when consUuction of the building is compiete. Building Diagram Number 7(Select the building diagram most similar to the building for which this certific;ate is being completed-see pages 6 and 7. If no diagram acc�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,AWA,ARIAE,AWA1-A30,AR/AH,AR/AO Complete Items C3.-a-i below according to the building diagram speafied in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,oonvert the datum to that used fa the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Corriments area of Seclion D or Section G,as appropriate,to document the datum conversion. Daium ConversionlComments Elevation reference mark used 5_1 Does the elevaGon reference mark used appear on lhe 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 lovuest horizontal sUudural member(V zones only) _._ft.(m) �` o d)Attached garage(top of slab) 7, 1 ft,(m) �n � �'� w m ��* (� o e)Lowest elevation of machinery ancUor equipment �� servicing the building(Describe in a Comments area) 2.0 fl.(m) -� � �,� \ o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z'.m �„1� �� o g)Highest adjacent(finished)grade(HAG) 7. 4 ft.(m) �N •""`�° �� o h)No.of permanent openings(flood venis)within 1 ft.above adjacent grade 12 � o i I Total area of ali 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.� I certify that the information in Sections A,8,and C on fhis certi�cate represents my best e(forts to interpret the data available. 1 undersfand that any false statement may be punishable by fine or imprisonment under 18 U S Code,Section 10U1, CERTIFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 62fi1 11TLE Professionai Surveyor and Mapper COMPANY NAME Florida Design Consultants,Inc:. -DDRESS CITY STATE ZIP CODE 3J30 Starkey Boulevard New Pat Richey FL 34655 �IGN/�TURE /1 DATE TELEPHONE ! ' � 03/10/2005 (727)849-7588 FEA1A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMp(�RTANT: In these spaces,copy the corresponding information from Section A. For i��s��a��e com��y use: .BUIL INI� GSTF�EET ADDRESS(Induding Apt,Unrt,Su'Ae,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Pol'iCy Number ' 501-525 Mandalay Avenue(Belle Harbor) _ C}TY STATE ZIP CODE Company NAIC Number� Clearwater FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) py both sides of this Elevation Certificate for(1)community oifiaal,(2)insurance agenUcompany,and(3)building owner. CC MMENTS C3 a-Elevation given is lowest garage floor eleva6on. _ _ 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(SURVEI(NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4, if the Elevation Cerfificate is intended fa use as supporting infamation for a LOMA or LOMR-F, Secti x�C must be completed. E1.6uilding Diagram Number_(Select the building diagram mosi similar to the building for which this oertificate is being completed—see payes 6 arid 7, If no diagram accurately represents ihe building,provide a sketch a photograph.) E2.The tcp of fhe bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)0 above or ❑below(chedc one)the highest adjacent grade. (Use natural grade,'rf available). E3.Fa Building Diagrams 6�with openings(see page 7),the ne�higher floor a elevated floa(eleva6on b)of the building is _ft.(m)_in.(an)at�ove the hiyhest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The tcp of the platfam of machinery andlor equipment servicing the building is _.ft.(m)_in.(cm)0 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 availabie,is the top of the bottom floor elevated in accordance with the cornmunity's flc�odplain management ordinance? ]Yes ❑No ❑Unknown. The local offiaal must certify this information in Section G. .__ SECTION F•PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Seclions A,8,C(Items C3.h and C3.i only),and E for Zone A(without a F=EMAassued or community- iss aed BFE)or Zone AO must sign here. The sfatements 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 NAML ��DRESS CITY STATE ZIP CODE SIGNATURE DATE ' � TELEPN(�NE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The Iocal��iaal who is authaized by law or ordinance to administer the community's floodplain management ordinance can complete Sections F�,E3,C(or E),and G of this Elevation Cert�icate. Complete the applicable item(s)and sign below. G1.�The informaGon in Seclion C was taken from other documentaUon that has been signed and embossed by a licensed suroeyor,engineer,or ar�hitect vuho is authorized by state or local law to certify elevaGon information. (Indicate the source and date of the elevation data in the Comments area below.) G2.�A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)a Zone A0. G3.]1he foliowing information(Items G4-G9)is provided fa community floodplain managerrient purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED �G6. DAiE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUE� G7.This permit has been issued for. ❑New ConsUuction ❑Substantial Improvement G8.=1ev�tion of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum;_ 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 ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions FEDERALEMERGENCYMANAGEMENTAGENCY O.M.B. No. 3067-0077 :��-'�`-��'� r�� NATIONAL FLOOD INSURANCE PR�GRAM Expires fJecember 31, 2005 �D� M�1��1��1�� ELEVATION CERTIFICATE --- � (j� p � G(�j �' �N� 5 �� J Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION Fcx Insurance Company Use: �3UILDING OWNER'S NAME � Policy Number J.M.C.Design&Development Corp. BUILDING STREET ADDRESS(Includ(>g Apt�nit,>Suit��o�Id .C^/l.�l.�.R P.O.ROULII�E,,AIrKJD BO�O.0. Company NAIC Number � � (ti �.(J� rJ�� ( CITY �ATE ZIP COC�E Clearwater FL 33767 PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.) Lot 1"Belle Harbor'as recorded in Plat Book 125,Page 15 of the Pubiic Records of Pinellas County,Fiorida BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) b�lulti-story residential LATITUDFJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type}: ( ##°-##'-##.#�#" or ##.##�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNI7Y NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3'STATE � Ci�of Clearwater,Fbrida 125096 Pinellas F� 84.MAP AND PANEL B7.FIRM PANEL B9.BASL=FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/F2EVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding) 1250960007 D 08119/1991 08/1911991 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(Describe):_ B11.Indicate the elevation datum used for the BFE in B9:�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 Desiqnation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevaGons are based on:�Construc�tion Drawings' ❑Buildiny Under Construction* �Finished Construction � 'A new Elevation Cerfificate will be required when construction of the building is comp�ete. Building Diagram Number 7(Select the building diagram most similar to the building for which this c�rtific;ate 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(wilh BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,AWA1-A30,AR/AH,AWAO Complete Items C3.-a-i below according to the building diagram spec�6ed in Item C2,State the datum used.If the datum is ditferent frorn the elati im.i�sed fnr t.h.P gFF in Section B,convert the datum to that used fa the BFE.Show field measurements and datum conversion calculaGon. Use the space provided or the Comments area of Section D or Secfion G,as appropriate,to document the datum conversion. Daium ConversionlComments Elevation reference mark used 5_1 Does the elevaGon reference mark used appear on the FIRM? ❑Yes �No t, o a)Top of boflom floor(induding basement or endosure) 7. 1 ft.(m) � `�� , o b)Top of ne�higher800r 11.1 ft.(m) �' �� o c)Bottom of lowest horizontal sUudural member(V zones only) _ft.(m) N°1 '�` � o d)Attached garage(top of slab) �, �ft,(m) W° � �� o e)L o w e s t e l e v a ti o n o f m a c h i n e ry a n d/o r e q u i p m e n t _ ''� � � � �� servidng the building(Desaibe in a Comments area) 2.0 ft.(m) �� -� � �� o fl Lowest adjacent(finished)grade(LAG) 6.7 ft.(m) z.m �, �'� o g)H ig h e s t a dj a c e n t(fi n i s h e d)g r a d e(H A G) 7. 4 ft.(m) �� '� c�a o h)No.of permanent openings(flood vents)wifhin 1 ft.above adjacent grade 12 � � u 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 architecl authorized by law to certify elevation information�� I certify that the information in Sections A,B,and C on fhis certificate represenfs my best efforts to rnterpret the dafa availahle. I understand that any false statement may be punishable by fine or imprisonmenf under 18 U S Code Section 10Q1 CERTiFIER'S NAME Samuel Mark Beach LICENSE NUMBER LS 6261 11TLE Professional Surveyor and Mapper COMPANY IJAME Florida Design Consulfants,inc. � 'DDRESS CITY STATE ZIPCODE 3�30 Starkey Boulevard New Port Richey FL 34655 �IGNNTURE DATE TELEPHONE �. 03(10/2005 (727)849-�588 FER4A Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IM�ORTANT: In these spaces,copy the corresponding information frpm Section A. �� For Insurance Company Use: BUIL�IN sSTRE'�T ADDRESS Qnduding Apt,Unit,Suite,andlor BkJg.No.)OR P.O.ROUTE AND BOX N0. PoliC+/Nurttber 501-525 Mandalay Avenue(Belle Harbor) GTK STATE ZIP CODE Company NAIC Number CIe;3rwater FL 33767 SECTION D-SURVEYOR,ENGINEER,QR ARCHITECT CERTIFICATION(CUNTINUED) �''opy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenVcompany,and(3)building owner. �� CCMMENTS C3 a-E4evation given is lowest garage floor elevation. C3 e-Elevation given is the botom of the elevata shaft. See atla�ed Architects plan fa calculations and flood vent IocaGons. �Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE�1(WITHOUT BFE) For�one�0 and Zone A(without BFE),complete Items E1 through E4, if the Eleva6on Certificate is intended for use as supporfing infamation for a LOMA or LOMR-F, Secli�n C must be completed. E1.6uilding Diagram Number_(Select the building diagram most similar to the building for which lhis certificale is being completed—see payes 6 and 7. If no diagram acx�irately represents the building,provide a sketch or photograph.) E2.The tcp of the bottom Boor(inciuding basernent 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.Fa Building Diagrams 6-8 with openings(see page 7),the next higher floor a elevated floor(elevation b)of the building is _ft.(m)�in.(cm)a�ve the hiyhest acfjacent grade. Complete items C3.h and C3.i on front of form. E4.The tcp of the platform of machinery andla equipment servicing the building is _fl.(m)_in.(cm)0 above or ❑below(check one)the highest adjacent grade. (U:>e naturai grade,if available). E5.For Zone AO oniy: If no flood depth number is available,is the top of the bottom Boor elevated in accordance with�he communit�s floodplain management ordinance? �Yes ❑No ❑Unknown. The local offiaal must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The properfy owner or owners authorized representative who completes Sedions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a f=EMA-issued or communily- iss�ed BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correct fo the best of my knowledye. PF.OPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME DRESS CITY STATE ZIPCODE SIGNATURE DATE 1 ELEPH()NE l,IIIVIIVICIV I J ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAt_) The local�ffiaal who is authorized by law or adinance to administer the community's floodplain management ordinance can complete See,�tions A,B,C(or E),and G of this Elevation Cert�cale. Complete the applicable item(s)and sign below. G1.]The informa6on in Sec,iion C was taken from oiher documentaGon that has been signed and embossed by a licensed surveyor,engine�r,or architect v�iho is authorized by state or local�aw to certify eleva6on information. (Indicate the source and date of the elevation data in the Comments area below.) G2.]A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE}a 7one A0. G3.�The following infama6on(Items G4-G9)is provided for communiry floodplain managerr�ent purposes. G4.PER MIT NUMBER �5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CONIPLIA.NCEIOCCUPANCY ISSUED G7.This permit has been issued for. ❑New Construction ❑Substantial Improvement G8.=levalion of as�uilt lowest floor(including basement)of the building is: _._ft.(m) i�atum:_ G9.3FE or(in Zone AO)depth of flooding at the building site is: _._ft.(m) Datum:_ LC�CAL OFFICIAL'S NAME TITLE COMM�JNITY NAME TELEPHONE SIi�NATURE DATE • �MMENTS ❑Chec;k here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions a , � . �� ..� • ��"�.� ��'r� � . ��g�� C I T Y O F C L E A R W A T E R '�„`�,�{�. 6 �,� .r . � �t�.;"3k 4 1'„1 z�r l",. �. ��°�' �`� � DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT ��~ , >, ��, �°w� ".:,° �„ x %�."; •�'� POST�FFICE BOX 474g� C.LEARWATER� F�oa�DA 33758-4748 ��`�'��y �k MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE CI.EARWATER,FLO�uDn 33756 ;, a s � �a" " `` TEi.FrxoNE(72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community 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 505 MANDALAY AVE (BLDG 4 UNITS 41 -45) 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 ##.##�l#°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map�Other SECTION B -FLOOD INSURANCE RATE MAP(FIRM)INFORMATION �.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE I 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 8/19/1992 610. tndicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in B9:❑ NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date 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,convert 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) C01'TllT70f11S: One sipned and sealed elevation certificate submitted for proiect bv the survevor Raised seal attached to main certificate for address 501-to 525 Manda/av Ave Date of Review: Community Official: All elevation certificates shall be maintained by the community and copies with the attached memo made available by request � FRANK HIBAARI),MAYOR GEORGE N.CRE'1'EKOS,COUNCtLMEMBER JOIIN DORAN,COUNCILMEMR@R PAUL F.GIBSON,COUNCILMEMAER � CARI.EN A.PE7'ERSEN,COUNCILMEMBER ��EQUAL EMYLOYMENI'AND AFFIftMATNE AC1'ION EMPLOYER��