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532 MANDALAY AVE
C EPARTMI margei EPARTMENT OF HOMELAND SECURITY l Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Al., Building Owner's Name CITY OF CLEARWATER For Insurance Company Use: Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P,O. Route and Box No #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 Company NAIC Number 7 z alit/ A3.A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) REVISED MAP OF CLEARWATER BEACH, PLAT BOOK #11 , PAGE 05, PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27 - 59 - 03.19840 N. Long. 82 - 49 - 37.76778 A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? 0 Yes 0 No NON-RESIDENTIAL / BATHROOM W. Horizontal Datum: 0 NAD 1927 ® NAD 1983 to obtain flood insurance. sq ft sq in A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 82. County Name B3. State CITY OF CLEARWATER #125096 PINELLAS FLORIDA 64. Map/Panel Number B5, Suffix 86. FIRM Index 67. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 6/19/71 5/17/05 AE 12.00 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) 811. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS 0 OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction` ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A,TIDAL 8.M. 8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments a) b) c) d) e) f) 9) h) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.56 Top of the next higher floor Bottom of the lowest horizontal structural member (V Zones only) Attached garage (top of slab) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 5.44 Highest adjacent (finished) grade next to building (HAG) 6.50 Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. ® feet 0 meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information 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 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No Certifier's Name Thomas Mahony License Number LS 6289 Title Geographic Technology Manager Company Name City of Clearwater Address 100 S. Myrtle Ave. Signature r City Clearwater State FL ZIP Code 33756 t Telephone 727-433-1799 Date 111 V2 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions T IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. For Insurance Company Use: Policy Number City • State ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet 0 meters 0 above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official 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 Sections A, 8, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum G10. Community's design flood elevation 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY •Nntimal Flood Insurance Prognan FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES 0.M.B. NO. 1660-0008 Expires March 31, 2012 The floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This fOrm is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNERS NAME F GG eA ,A7 STREET ADDRESS (Including Apt.. Unit, Suite. and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 32 t4ANDA a -Ay MvGNuG OTHER DESCRIPTION (Lot and Block Nunbers, etc.) Rev 15E,7 ,yAp op GL .Ai .Vy.4T6 Q 8oe1 r 8co 5 / 906 , RugwG FFEGo,t CrTY i STATE P1- SECTION I -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ZIP CODE 3575 6" Provide the following from the proper FIRM: COMMUNITY NUMBER °°/2 cog L PANEL NUMBER oz / G SUFFIX DATE OF FIRM INDEX 5/17 1// ID5 FIRM ZONE A6 BASE FLOOD ELEVATION (In AO Zones. Use Depth) /2. o SECTION II-FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of / Z feet NGVD. (Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is /5 feet. (NOTE: For insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's Insurance rating will result in a higher premium.) SECTION III -CERTIFICATION (By a Registered Professional Engineer or Architect) Non -Residential Floodproofed Construction Certification: I certify that, based upon development and/or review of structural design, specifications, and plans for construction, the design and methods of construction are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. I certify that the information 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 ALO PAt6iiv JRiSIA TITLE Pry ADDRESS ," e V ; ' J 6)" p SIGNATURE; Sr. LICENSE NUMBER (or Affix Seal) COMPANY NAME ,4R 616969 FesT Tl'6 PA CITY STATE Gc a(q4 ie2 DATE PHONE /lig /0 """Copies shouJlc>,ib )}Tfidegrthis Certifi ate for: 1) community official, 2) Insurance agent/company, and 3) building owner. ZIP CODE �37ss 727-441-720D FEMA Form 81-65, Mar 091•„, REPLACES ALL PREVIOUS EDITIONS F-056 (3/09) • Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number City State ZIP Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No)orPD. Route and Box No. 532 MANDALAY AVENUE Policy Number City Clearwater State FL ZIP Code 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View~ and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, East Building Face North Building Face South Buliding Face West Building Face U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Al. Building Owner's Name CITY OF CLEARWATER For Insurance Company Use: Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) REVISED MAP OF CLEARWATER BEACH, PLAT BOOK #11 , PAGE 05, PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA Company NAIC Number .13CPZoio-o8/38 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27 - 59 - 03.19840 N, Long. 82 - 49 - 37.76778 A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? ❑ Yes 0 No NON-RESIDENTIAL / BATHROOM W. Horizontal Datum: 0 NAD 1927 ® NAD 1983 to obtain flood insurance. sq ft sq in A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b d) Engineered flood openings? 0 Yes ❑ No sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State CITY OF CLEARWATER #125096 PINELLAS FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel 88. Flood 89. Base Flood Elevation(s) (Zone 102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 6/19/71 5/17/05 AE 12.00 ndicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date 0 CBRS 0 OPA ❑ Yes IN No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A.TIDAL B.M. 8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.56 b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) _ e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.44 g) Highest adjacent (finished) grade next to building (HAG) 6.50 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural su000rt Check the measurement used. 0 feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) feet 0 meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No Certifiers Name Thomas Mahony License Number LS 6289 Title Geographic Technology Manager Company Name City of Clearwater Address 100 S. Myrtle Ave. City Clearwater State FL ZIP Code 33756 Signature Date Telephone 727-433-1799 FEMA Form 81-31, Mar 09 66 VC)f • 1,1;i41+l._ ',i ir+1� See reverse side for continuation. Replaces all previous editions IMPORT.mT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. For Insurance Company Use: Policy Number City. State ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑ meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. 01. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement 08. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet 0 meters (PR) Datum 010. Community's design flood elevation 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions • Building Photographs See Instructions for Item A6. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 532 MANDALAY AVENUE For Insurance Company Use: Policy Number City Clearwater State FL ZIP Code 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. East Building Face North Building Face South Building Face West Building Face U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. uilding Owner's Name CITY OF CLEARWATER Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) REVISED MAP OF CLEARWATER BEACH, PLAT BOOK #11 , PAGE 05, PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA Company NAJC Number ZlD9 • /2z(N A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) NON-RESIDENTIAL / BATHROOM A5, Latitude/Longitude: Lat. 27 - 59 - 03.19840 N. Long. 82 - 49 - 37.76778 W. Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? ❑ Yes 0 No sq ft sq in A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b d) Engineered flood openings? 0 Yes sq in ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number 82. County Name 63. State CITY OF CLEARWATER #125096 PINELLAS FLORIDA 64. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone 102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 6/19/71 5/17/05 AE 12.00 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 0 Other (Describe) 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS 0 OPA ❑ Yes ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' ® Building Under Construction' 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations - Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A.TIDAL B.M, 8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.2 b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. IS] feet ❑ meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) 0 feet 0 feet 0 feet 0 meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in S ction A provided by a licensed land surveyor? Yes 0 No Certifier's Name Title &kb Address 1�0 Signature / �V,vv"S h �A u��U License Number Lc t2 �q` Company Name 7 ltat 5, Mui2Tuv City C, t men L 1Q State Ft,ZIP Code33�sie Date 13A Telephone 72? -51 -- 4 R,2 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions NOTE: THIS DRAWING 15 BASED UPON AS -BUILT DIMENSIONS OBTAINED IN THE FIELD ON 9-19-05 FOR APPROVAL OF THE AUTHORITY HAVING JURISDICTION OVER T -4I5 PROJECT. CLEARANCES AND FLOOR SPACE REQUIREMENTS PER FIXTURE ACCORDING TO FLORIDA ACCESSIBILITY CODE ARE INDICATED ON THIS DRAWING FOR REFERENCE. 0 DUE TO THE EXISTING CONFIGURATION OF STRUCTURAL AND PLUMBING SYSTEMS, THIS DRAWING PORTRAYS `r CONDITIONS THAT ACHIEVE A -0 READILY ACHIEvEABLE SOLUTION WITHOUT THE DISPROPORTIONATE COST OF RELOCATING EXISTING FIXED SYSTEMS. IECD1ll��; { OCT 27 2005 'i -=LOPMENT ‘./ 60"x56" CLEAR FLOOR SPACE (BEDROOM DOOR) I r— "x48" CLEA FLOOR SPACE (CLOSET) 30"x48" CLEAR FLOOR SPACE (SINK) \ / 66 "x48" \ I CLEAR FLOOR \ / SPACE (TOILET) ,I' r 30"x60 CLEA FLO R S- AGE UB) Oj EXISTING PLUMBING CHASE WALL 2'-5Y4, 024" GRAB BAR GRAB BAR 36 "x60" CLEAR FLOOR SPACE (SHOWER) 3'-0" .l, GRAS; 54R DWG TITLE: UNIT 110 BATHROOM DETAIL .4''/,''. p 727-733-9000 F 727-733-7444 steve@LaffertyARCH.com 963 Highland AvenueDunedin, FL, 34698-4957 AR 12265, Ill 3614 FL Lic AA 261100901 ©2005 all rights reserved lion v ,t. LawrikmagOtfli Stephen B. Lafferty Architecture Lafferty, AIA Group PROJECT: ROYAL CAMELOT CONDOMINIUM ry ,� h s x 6 ,,, ,� II -011 I_ I I is I iJa i i i.. i.1I� PLAN AMENDMENT ,i7-0 RCIYAI GAME! i ,T Zoning: T atlas# 258A L.I OCTO? 7 2(1J5 �I NOTE: E. E.IIU�FLvlr kla THAT THIS DRAWING �` �� "Lrl�► ARE TECHNICA 'Ir'"reA$ltsLE 4T -T4 -11v SPECIFIC PROJECT LOCATION WITHOUT THE DISPROPORTIONATE COST OF RELOCATION ITEMS INHERRENTLY FIXED DUE TO EXISTING CONSTRUCTION SYSTEMS. LAV \ E INSULATE HOT WATER LINES UNDER SINK .r 1 E'. EI E (41 angle clearance PROVIDE DEADWOOD . FOR ANCHORING GRAB BARS IN ALL 511JD WALLS I-1/2" m GRAB BARS 12" MAX. 42" MIN. toe C1 trsrarKe mm oeplh SINK MOUNTING HEIGHTS SCALE: N.T.S. 9 TPJI. \ 24" (MAX.) NOTE: X=52" MINIMUM WHEN HATER CLOSETS ARE IN STALLS X-54" MINIMUM WHEN WATER CLOSETS ARE NOT IN STALLS_ ::.„ (I,E. SINGLE ACCOMMODATION R00M5 OR,QP4 N TQILE .:2-5 UATI0;N5) Y=45" MINIMUM WHEN DOOR OPENING 15 AT FR41Na'Of STALL .;� '' Y=50" MINIMUM WHEN DOOR OPENING 15 AT SIDE4F STALL TYPICAL MOUNTING HEIGHTS NOTE: fj U GRAB BAR lS) AT SHOWER STALES MOUNTED 33"-36" AFF. TO CENTER - • -- SCALE: N.T.S. DWG TITLE: UNIT 110 BATHROOM DETAILS 727-733-9000 F 727-733-7444 sccvc@LaffertyARCH.com 963 Highland Avenue Dunedin, FL 34698-4957 AR 12265, ID 3614 FL. Lic AA 26000901 O 2005 all rights reserved f.,rS '.. f '1A,, 11:►` II I� ",(Y L PROJECT: ROYAL CAMELOT CONDOMINIUM REFERENCE: L04-13 REV: m SCALE: N.T.S. Stephen B. Lafferty, AIA Lafferty Architecture Group DWG NO: SIS�/ - J S.F. DATE: 09-21-05 LarrertyArchltectura Oct 26, 2005 - Ih52pm L -04 -I3 -6K -94w9 P R NOTE: THIS DRAWING IS BASED UPON AS -BUILT DIMENSIONS OBTAINED IN THE FIELD ON 9-19-05 FOR APPROVAL OF THE AUTHORITY HAVING JURISDICTION OVER THIS PROJECT. CLEARANCES AND FLOOR SPACE REQUIREMENTS PER FIXTURE ACCORDING TO FLORIDA ACCESSIBILITY CODE ARE INDICATED ON THIS DRAWING FOR REFERENCE. DUE TO THE EXISTING CONFIGURATION OF STRUCTURAL AND PLUMBING SYSTEMS, THIS DRAWING PORTRAYS CONDITIONS THAT ACHIEVE A READILY ACHIEVEABLE SOLUTION WITHOUT THE DISPROPORTIONATE COST OF RELOCATING EXISTING FIXED LE 0 dLF. p 4 4.Ecv tE 2UEPZ �Rw a T N 60"x56" CLEAR FLOOR SPACE (BEDROOM DOOR) "x48" CLEA FLOOR SPACE (CLOSET) 3'-0" -Oh" 30"x48" CLEAR FLOOR SPACE (SINK) \ O / 66"x48" \ / CLEAR FLOOR \ / SPACE 2'..4" (TOILET) i 30"x60' — CLE A.— FLO�R 5—ACE UB) Oj EXISTING PLUMBING CF -LASE WALL 2'-SY4" r O 24" GRAB BAR ' 36" GRAB BAR 36"x60" CLEAR FLOOR SPACE (54 -(OWER) I4, 24" RAIL 0 4'-e3V2" z GRAB t3 '1 ' zft ,15ttz",, • 2,1 �S I'. DWG TITLE: UNIT 110 BATHROOM DETAIL F 727:733=744° steve®LaffertyARCH.com 963 Highland Avenue Dunedin, FL 34698-4957 AR 12265, ID 3614 FL Lic AA 26000901 O 2005 all rights reserved r i _'7`u t' ,,yr (.11_11 ,, PROJECT: ROYAL CAMELOT CONDOMINIUM /2 i i _ I i _ i C P 2 �J' 'J 6 v~ Stephen B Lafferty, AIA Laffcrty Architccturc Group 4 7 AN AMENDMENT 10-26-05 1\An1 ,Ak Arr l ,1' Zoning: T atlas# 258A ug f NOTE: THIS DRAWING 15 BASED UPON CONDITIONS THAT ARE TECHNICALLY FEASIBLE AT THIS SPECIFIC PROJECT LOCATION WITHOUT THE DISPROPORTIONATE COST OF RELOCATION ITEMS INHERRENTLY FIXED DUE TO EXISTING CONSTRUCTION DEVELOPMENT SERVICES u€P1 rein QE., " ATfP LAV '4 E X E E Ern x toe 6I liTlhcs Mnra clearance PROVIDE DEADWOOD FOR ANCHORING GRAB BARS IN ALL STUD WALLS I -I/2" 0 GRAB BARS 12" MAX. 42" MIN. depth SINK MOUNTING HEIGHTS SCALE: N.T.S. INSULATE HOT WATER LINES UNDER SINK TYPICAL MOUNTING HEIGHTS SCALE: N.T.S. 24" (MAX.) W.G. 60" MIN. 36" MIN. 32" MIN. 42" NOTE: X=52" MINIMUM WHEN WATER CLOSETS ARE IN STALLS X-54" MINIMUM WHEN WATER CLOSETS ARE NOT IN STALLS (I.E. SINGLE ACCOMMODATION ROOMS OR OPEN TOILET SITUATIONS)' Y=48" MINIMUM WHEN DOOR OPENING 15 AT FRONT:OF STALL G Y=6O" MINIMUM WHEN DOOR OPENING 15 AT 51DEOF,STALL : ta' .• a: NOTE: GRAB BAR (5) AT 51-1OWER 5Tt4LL-L5 5W MOUNTED 33"-3 " AFF. TO C 144 DWG TITLE: UNIT 110 BATHROOM DETAILS P 727-733-9000 F 727-733-7444 steve@LaffertyARCH.com 963 Highland Avenue Dunedin, FL 34698-4957 AR. 72265, ID 3614 FL Lic AA 26000907 © 2005 all rights reserved A— - imegooti , ° ' )16144.iim II PROJECT; ROYAL CAMELOT CONDOMINIUM REFERENCE: L04-13 -13 REV: SCALE: N.T.S. Stephen B. Lafferty, AIA Lafferty Architecture Group DWG NO: SK- g S.E.DATE: e)3 _ 2 I - �� LaffertyArchltecture Oct 2b, 2005 - 1.52pm L-04-13-5K-9dwg ELEVATION CER' IFICA FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGi1AM A1TEN 11011: Use of this Quililicalu duos not prgvldo a walvor of tiro Hood Insurance purchaso roqutrurlrunL This lona is usod only to provide olovaliun Information nocossary to onsuro compliance with applicable community Iloodplain management ordinancos, to dotarnrinO tlro propor Insuranco proinlurn rale, and/or Io support a request for a Lollor of Map Arnondmonl or Revision (LOMA or LOMfi). Instruction,, for comploling this form can bo found un the following pages. SECTION A PIIOPEf1TY INFORMATION U r•r U. !IQ 3067 (;dyed M. y 31, IY FOn P4SUr1ANCE COMJ'NIY USE BUILDING OWNEfI•S NAME DAVIDI & CEID,A S. HOUSEMAN POLICYUUMBEn STREET ADDRESS (lridud g A)L, UM, Sulu and/or OIdg. Number) On P.0. nOUI r Arlt) aoX NUMUEn 909 MANDALAY 'AVE. coLiPANY NNC NvuaEn OTHER DESCRIPTION (Lot and Bbd Nurnb,,i, rlc.) LOT 3 , BLOCK "20" , MANDALAY SUBDIVISION CITY CLEARWATER BEACH STATE FLORIDA ZIP CODE SECTION 13 FLOOD INSUI1ANC1I.RATE MAP prim) INFORMATION Provide iho following Now Ilia propor FIRM (Soo Instructions): 1. COMMUNITY NUMOEf 125096 2, rAflCI 1IUIS0En 0007 7. SUFFIX D 1. OME OF I IRU INCEX 8-19-91 S. FInr.1 ZOITE "AE" i. SASE FLOOD ELEVA1IOr1 (in AO Zones. us• depth) 11.0Q 7. In(licalu (ho uluvalion datum systole usud wr (Ito FIRM for Dasu Floud Elovalions (DFL): r NGVD'29 ❑Otitor (doscribu on back) 0. For Zones A or V, whore no BFE Is provided on the FIRM, and 1110 curnnrunily has ostiblishod a DFE for this building silo, Indicate tilt) community's LIFE: ( I 1 1 U.0 loot NGVU (or olhor FIilh1'dahun-sco Soction U, nom 7), SECTION C [WILDING ELEVATION INFOI1MATIOII 1. Using iho EluVaIJ0r1 Cortilicato Instructions, Indicalq iho diagram nurrlbor horn (Ito diagrams sound on Pagos 5 and G that best describes thu subjocl building's roloronce lovol ___l— . (a). FIiUM Zoites Al •A30, AE, Al I, and A (with DFE). Tho lop of Ileo Iu(oronco lovol floor (font iho soloctod di.tgrain Is at an otuvation of LI 1 loot NUVU (or othor frif'IM dalum-coo Soctlon (3, itom 7). (b). FI11141 Zurios V VE, and V (wills DFE). Tho bottom of the Iewnst horizontal structural montbor of iho ro(uronco 1uvu; on; Iho ,elected die jrain, Is at an otovatlorr of L j l._j_U.LJ tout NOVI.) (or other FII1M datum-soo Soctlon 0, Rom 7), (c). Fi10.1 Zonu A (without LIFE), 11to floor usod as Ute retoronco Invol front Ilro solociod diagram Is 1 I ) LJ loot abovo ❑ or bolow U (eh00t 0110) Ilru hlghoslgrade adjacent to Um building. (d). F111M Zuno AO. l Ito (lour used as iho rolgrot3co loyol Irons 1110 sulul:Iod diagiant is 1 1 1 LJ tool above Li or bofow ❑ (chock, ono) 1110 hiUltos( ()rad° adjacont to Iho bui(dlny. II no (loud du(1(1? nunibnr Is ;ivailablo, is iho building's lowost floor (10(01000u lovol) olovatud In accordance with iho community's Iloodplain managun(onI ordinance? [) Yos ❑ No ❑ Unknown 3. indicate 1110 uluvalion datum sysloln usod Iii determining 1(0 abovo reforoncu love' oluvalions: ®I NGVU '29 0 (Alio! (dusciibo u;rdor Comments on Pago 2). (NOTE: 11 rho o1uvation dalun, usrd in measuring (fru elevations is dilferont than 11131 used on Diu Fil1M fsoo SoClion (1, limon 71, than convert 1r,o nlovations to 1ha datum sysrern usud equation under Ccninionfs on Nip ,20 2.) •i. Elevation rolotunco mark usud apP oars on FIRM: U Yos Li 1(t) (sou (nslrvcaivns un Pao 5. Thn toforonc0 luvol utovatlon is baso) on: actual construction LJ construction drawings CCT 2 1 w99 (NOTE: Uso of construction (Drawings is only valid it rho building loos not yof have Uro r0roro tot floor in place, in which -- case (his certificate will only bo valid for rho building during rho cows() of construction. n pus, ons( rLr- Ii • Gariilica.3 will bo required. once construction Is conrplo10.) PLANNING &DEVELOPMENT SVCS Otho( FII1M datur . building loot N Section 13, Item 7). 0e SECT ION U CUMMUtNll"Y INFOf1MATIU11 40 If Om community '11117131 rospo'-.slb10 for vorllylnp bullding olovatlons spocilios that tiro ro(oronco lovol Indicatod In Soctlon C, Isom i is not the 'Iuwust floor' a:: Jnlinod In iho community's Iloodplain maluignmonl or(inanco, Iho elevation of limo building's "lowost Moor as dolinod by Mu urdinanc0 Is: 1 1 1 1 i.0 lout fl(:/VU (or c(hor FIRM datum -sore Suction 8, Isom 7). 2, Dale of Ihu slo1(rt' cunclruclton or substantial Irnpiovornonl . __ r F EW.(A rotnt U 0311 MAY 90 nr:, t.ACCS ALL Pit[viOUS (0111ONS SE flEVURSE SIDE FOn CONTUtUATtOrt SECTION E •CERTIFICATIOII Tliis cortllication Is to bo signed by a land survoyor, ongirloor, or architocl who Is autlorizod by state or local law to cattily (IV Information whon tho olovaUon Information for Zones A1—A30, AE, AH, A (with [1FE),V1—V30;VE, and V (with BFE) Is roquir Community olliclals who aro authorized by local law or ordlnancu to•provido floodp:;:i.; managornont Inionnation, may also sig 1r certification, In Um caso of Zones AO and A (without a FEMA or community issued liFt a building ollicial, a property ownor, or ovrnor's ruprosonlative may also sign tho cortllication. 1 -tolerance lovul diagrams G, 7 and 0 - Di;tinguishing Foaluros—II liw curlilior is unahl'r to cortily to breakaway/non•broakaway wa'. o,Iclosuro slzo, location of•sorvlclng oquipmoul, aroa uso, wall oporlinys, or wdinislod aroa Foaluro(s), thon lisllho Foaluro(s) ne nncludod In tho corIIlIcalIon undor Con+monls boluw. Tho diagram nunlbor, Suction C, Itonl 1, must still bo onlorod. 1 cortily that !ho information in Suctions 13 and C on this co,ilicalo reprosents my bos1 olforts to interpret tho data available. I undorstant that any !also stalurnonl may bo punishable by lino or imprisonment under 111 U.S. Code, Soction 1001 cEnntricns rNAr.IE , WILLIAM C. lc. EATING LI(:Etl!:F NI IAI(IErI (Or AlliA 8oaI) 111520 117 E RE(;, SURVEYOR 111,L YL) 1.11iVEYIl7G ADDRESS _ 2124 i 1UNtlY1r?/•BLVD, 'CLEARWATER ` FLORIDA 34625 SIL;IiAlunE 72/ CITY STATE 17 Copies should bo Inado of tilts Certllicato for: 1) community official, 2) I$ISUnInco ngcnUcompany, and 3) building owner COMMEH1 S: or+ A ZONES vs[ 11000 (rt++(xt AOIAtt+n 1011 ORM MM DASEUEnr 0,1 PILES. ►IEnS, on COLU4ns A V Tho diagrams above iiluslrato tho points at which ilio olovalions should bo measured In A Zonos and V Zonus. Elovaticns for all A Zones should bo moasurod at tho top of tho roteronco level Iloor, Elevations for all V Zoilos should bo moasurod al the bottom of tho lowest horizontal stmt.: u al nhomber. U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY NAtional Flood insurance Pmgrarn FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES 0.M.B. NO. 1660.0008 Expires March 31, 2012 The floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification Is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNERS NAM E G/T iy OF GGEARG41.47I . STREET ADDRESS (Including ApL, Unit. Suite, and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 3Z NIAN2ALAY "0451-4Lig OTRER DESCRIPTION (Lot and Block Numbers, etc.) Rg V 15E1,7 MAP O GL$AARLAJ.Ar s4Z ri7�IllA /H 1v�Bt cA7 s,i N// 9 05 � /'ia✓wC E?Eco2p. CRY STATE ZIP CODE 33755" SECTION I -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITY NUMBER /2 07 T PANEL NUMBER / 0 Z SUFFIX DATE OF FIRM INDEX 51/71o5 �FIIRRhONNE / • V BASE FLOOD ELEVATION (ln/ 2 es. U0DePth) SECTION II-FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of feet NGVD. (Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is (' feet. (NOTE: For Insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III -CERTIFICATION (By a Registered Professional Engineer or Architect) Non-Residentlal Floodproofed Construction Certification: I certify that, based upon development and/or review of structural design, specifications, and plans for construction, the design and methods of construction are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. I certify that the information 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 LICENSE NUMBER (or Affix Seal) At -ex Pb.1'516(3 j . JfiiA ALAR696,6 TITLE / COMPANY NAME ADDRESS /2/65 I DEN -r PL Yti.40 ARZA-4 / T&"uT-/ PA SIGNATURE CITY STATE ZIP CODE OC) 17 w G aria ret rt. -5575- DATE � PHONE il// e / 0 72.7- ¢1 Z- 7Z d Copies should be made of this Certifi ate for: 1) community official, 2) Insurance agent/company, and 3) building owner. FEMA Form 81-65, Mar 09 REPLACES ALL PREVIOUS EDITIONS F-056 (3/09) U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY Nadas) Flood insurance Progam FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES 0.M.B. NO. 1660-0008 Expires March 31, 2012 The floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNERS NAME F GGeARG4/447 /Z STREET ADDRESS (Including Apt. Unit. Suite, and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER 532 MAN DA LAY Ao6Nf-rlir' OTHER DESCRIPTION (Lot and Block Numbers, etc.) ireviseep, map op GL8ARlociA g c f )11-61.1..AA800#.5 co t N/1 /34417, 06 pogwe f?e'GOR-Ps cm i 1--e04.R.JivikiE & STATE flit ZIP CODE 3575 SECTION I -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITY NUMBER oa coeylP PANEL NUMBER Iv 2 SUFFIX 4 DATE OF FIRM INDEX '51 a7%os FIRM ZONE /6t BASE FLOOD ELEVATION (In AO Zones. Use Depth) /2.0 SECTION H-FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of , feet NGVD. (Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is /3 feet. (NOTE: For insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III -CERTIFICATION (By a Registered Professional Engineer or Architect) Non -Residential Floodproofed Construction Certification: I certify that, based upon development and/or review of structural design, specifications, and plans for construction, the design and methods of construction are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation Indicated above, with walls that are substantially impermeable to the passage of water. Al structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. 1 certify that the information 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 TITLE PbIS110 ‘g./A1,64 LICENSE NUMBER (or Affix Seal) AA 51c, 40 COMPANY NAME 40 Alec / TV 'see" PA ADDRESS Stec) P(u) Sc SIGNAT11RE CITY STATE ZIP CODE GAAIr�wa ii2 re, 36795- DATE PHONE /1 b/ /0 7x7.442-72.00 Copies should be made of this Certififtate for: 1) community official, 2) Insurance agent/company, and 3) building owner. FEMA Form 81-65, Mar 09 REPLACES ALL PREVIOUS EDITIONS F-056 (3/09) Building Photographs Continuation Page For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number City State ZIP Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency NationahFlood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name CITY OF CLEARWATER Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. #532 MANDALAY AVENUE Company NAIC Number City CLEARWATER State FL ZIP Code 33755 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) REVISED MAP OF CLEARWATER BEACH, PLAT BOOK #11 , PAGE 05, PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27 - 59 - 03.19840 N. Long. 82 - 49 - 37.76778 A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 16 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) No. of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b d) Engineered flood openings? 0 Yes 0 No NON-RESIDENTIAL / BATHROOM W. Horizontal Datum: 0 NAD 1927 ® NAD 1983 to obtain flood insurance. sq in A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? 0 Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIP Community Name & Community Number 82. County Name 83. State CITY OF CLEARWATER #125096 PINELLAS FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index 87. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 6/19/71 5/17/05 AE 12.00 B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item 89. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Designation Date 0 CBRS 0 OPA ® No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones A1 -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A.TIDAL B.M. 8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments a) Top of bottom floor (including basement, crawlspace, or enclosure floor) ¢.56 b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.44 g) Highest adjacent (finished) grade next to building (HAG) 5.50 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. ® feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) 0 feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only) ® feet 0 meters (Puerto Rico only) ❑ feet 0 meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available./ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No Certifier's Name Thomas Mahony License Number LS 6289 Title Geographic Technology Manager Company Name City of Clearwater Address 100 S. Myrtle Ave. City Clearwater State FL ZIP Code 33756 Signature Date 111111117 Telephone 727-433-1799 Vvv Or • �fJ `'. FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number City . State ZIP Code Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date 0 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El -E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters ❑ above or 0 below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided In Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet ❑ meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑ meters 0 above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. G1. 0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO. G3. 0 The following information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation ❑ feet 0 meters (PR) Datum 0 feet 0 meters (PR) Datum 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 532 MANDALAY AVENUE Policy Number City Clearwater State FL ZIP Code 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View' and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. East Building Face North Building Face South Building Face West Building Face Building Photographs Continuation Page Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. For Insurance Company Use: Policy Number City State ZIP Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." � _ __ U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires MarCh 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1.,Building Owner's Name CITY OF CLEARWATER Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 � A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) REVISED MAP OF CLEARWATER BEACH,PLAT BOOK #11 ,PAGE 05,PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL/BATHROOM A5. Latitude/Longitude: Lat.27-59-03.19840 N. Long.82-49-37.76778 W. Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61. NFIP Community Name&Community Number B2.County Name 63.State CITY OF CLEARWATER#125096 PINELLAS FLORIDA 64.Map/Panel Number 65.Suffix 66. FIRM Index 67.FIRM Panel B8.Flood 69. Base Flood Elevation(s)(Zone 102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 6/19/71 5/17/05 AE 12.00 610. 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 e�evation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' � Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A.TIDAL B.M.8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.56 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 5.44 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.50 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including ❑feet ❑meters(Puerto Rico only) structurai support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation �'° information. I certify that the information on this Certificate represents my best efforts to interpret the data available.l ,�,E�� �t �`'�f� ' understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.❑ ��`� �r; t:%i '�; � , Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ,` �,ti'� • ' N' ;. ��r� .�. licensed land surveyor? ❑ Yes ❑ No � ,`?',:4,�G�" � �- Certifier's Name Thomas Mahony License Number LS 6289 - �' �1�' ,�~� ' �'s� �`�`' Title Geographic Technology Manager Company Name City of Clearwater r,; = ''` . � �� a Y���'�'}':A� w` Address 100 S.Myrtle Ave. City Clearwater State FL ZIP Code 33756 � '•� ?�-`'� � ��a . .... '� ,�• . J •��`t��� �.� Signature Date Telephone 727-433-1799 �� ��G;�q� u�>''�,= / 4; FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions T . . . . IMPJRTANT: In these spaces,copy the corresponding information from Section A. For insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number City- •State ZIP Code Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the foilowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(inciuding basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is . ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The foflowing information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compiiance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood,elevation ❑feet ❑meters(PR)Datum Local O�cial's Name Titie Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions U.S.DEPARTMENT OF HOMELAND SECURITY FLOODPROOFI NG CERTI FI CATE O.M.B.N0.1660-00�8 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Imumncc Program FOR NON-RESIDENTIAL STRUCTURES Expires March 31,zo�2 The floodproofing of non-residential buildings may be permitted as an alternative to eleva�ting to or above the Base Flood Elevation; . however,a floodprooflng design certification is requfred.This form is to be used for that certiflcation. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNER'S NAME FbR INS�IIlAN�CONi.P/1NX USE: , GlT7' oF GGE��?�,v,4�2 �, . STREEi ADDRESS(Induding Apt.,Unit,Suite,and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER ����uMQ�� � `. 4 l k ^ ; �3 Z M A�t�!DA La �v�tJ U,� � ` � - .� .: . . .: . ,. : � . ,: . ;. OTHER DESCRIPTION(Lot and Block Numbers,etc.) R�V/!��v M/��G,L��W��Q COMPM1YNAi�NUMBER �Seo.�h► P�.a�r 800���r �e or , �crgw� ,�e��o2vs �� STATE ZIP CODE ��+���iZ �'G 3�?SS SECTION I-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNfTY NUMBER PANEL NUMBER SUFFIX DATE Of FIRM INDEX FIRM 20NE BASE FLOOD ELEVATION ����Og� ! O� � �f��1�� / •`�. (io�L�s.U�se DePth) SECTION il-FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of............'�.............feet NGVD.(Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is.............�..(...................feet. (NOTE:For insurance rating purposes,the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit.If the building is floodproofed only to[he Base Flood Elevation,then the building's insurance rating wili result in a higher premium.) SECTION I11-CERTIFICATION (By a Reg'istered Professional Engineer or Architect) Non-Residential Floodprooted Construction Certification: 1 certify that,based upon devetopment and/or review of structural design,specifica[ions,and ptans for construction,the design and methods of consVuction are in accordance with accepted standards of practice for meetrng the following provisions: The structure,together with attendant utilities and sanitary facilities,is watertight to the(loodproofed design elevation indicated above,with walis that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces,including the effects of buoyancy,and anticipated debris impact forces. f certify that the information on this certificate represenis my best efforts to interpret the data available.1 understand that any/aise statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1002. CERTIFIER'S NAME IICENSE NUMBER(or Affix Seal) �L�X �!�i�ic� �.1(�._ �/A� �4K �'r `j'Co lo TfTLE ' ,.,,_. '+a�, COMPANYNAME e�r��:i+ .���,,� d+ P�''�/��(JG'�Ft;/ ;�°,� ��•��f�v �I`.G/� � / �u�i�/ �� .a �: • °^�� � ! ADDRESS e �� .����,_� •,�� ,./ CITY STATE ZIPCODE 8���'M t?� ' �;�c G�ar�a i�rZ 3 7�s SIGNATURP,'. ' ! `� i DATE PHONE � � ' � p lI <gj l 0 7Z�7'�'� Z-7Z.l�l� �'� �'t;':�"•Copies shoulc�b�m�degFthis Certifi ate for: 1)community official,2)Insurance agent/company,and 3)building owner. e J . — { at ;1;{�� �:`,j, _ �i J e:.n� FEMA Form 81-65;W1arUJ�.,���1��l��,.�" REPLACES ALL PREVIOUS EDITIONS F-056(3/09) , . � Building Photographs . , Continuation Page For Insurance Company Use: Bu�ding Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number City State ZIP Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and "Left Side View." � � • Building Photographs See Instructions for Item A6. � For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 532 MANDALAY AVENUE City Clearwater State FL ZIP COd@ 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. � �� ' ��� ,� � ; - �I � r t�� :_ ��; � � � _.., . ,.,_ , - , In �� `�'�/ r. . � YY �y _,� : . . :� �' t. '-. i � . " -_ , ��.. � �' _ ` _ � � i� _ -- — r--,� I _._�-- _ � .•r � �, ,,. , + r.:�� ". , �� � ��,� � � }:_�. �t�r" �.... d'�""�ra.�."r'�7� i i� ro�� �.�. "r,> a � -� �a -�, �. :� � , . i � .W r � �,,� �.... , � � .� � � t � � �� . � �:�r.'� East Building Face North Building Face "����11� �� s. � � � �r�l \= . 1 .'.-��' ���! _ - ����` � _----- �` ' � �- - ; F , `�' , ,i , � , � � .,. e � , � � , ;3 9� kv' � '""g�*�*�'��R��,�! ` �+ �,. e� t�: ,�a_._� .����,..,,� �� �� r p _ a. �,r I. . -� �. � � - . _ , , . South Building Face West Building Face U.S.UtRARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency ManagementAgency Expires MarCh 31, 2012 Na±ional Floodlnsurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name CITY OF CLEARWATER Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 � A3. Property Description(Lot and Biock Numbers,Tax Parcel Number, Legal Description,etc.) REVISED MAP OF CLEARWATER BEACH,PLAT BOOK #11 ,PAGE 05,PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL/BATHROOM A5. Latitude/Longitude:Lat.27-59-03.19840 N. Long.82-49-37.76778 W. Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number 62.County Name B3.State CITY OF CLEARWATER#125096 PINELLAS FLORIDA B4. Map/Panel Number B5.Suffix B6.FIRM Index 67.FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone 102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 6/19/71 5/17/05 AE 12.00 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* � Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A.TIDAL B.M.8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.56 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico oniy) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 5.44 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.50 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including ❑feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation �Ty information. 1 certify that the infom►ation on this Certificate represents my best efforts to interpret the data available.l � -•-'��j t,',c'„'-f;xl� t`, . understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001.❑ , ; Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �����'..� e•�;.�;,+1 P,:, . . ' licensed land surveyor? ❑ Yes ❑ No �`�� `?` � '.' "% ` :;'-�;; -- Certifier's Name Thomas Mahony License Number LS 6289 �_ ;�,` _��� �, =. Title Geographic Technology Manager Company Name City of Clearwater `j �v`?`., ;" !gs �- �c :�Cr, .-,�, R .. .s�,u'' ° �xi',� Address 100 S.Myrtle Ave. City Clearwater State FL ZIP Code 33756 -��.� , ,., - �.:y- ,� Signature Date Telephone 727-433-1799 ' ,�`���j�'��-`�'���'`�` FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORT.1'�IT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number City. State ZIP Code Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments � Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor 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 OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The infortnation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation infoRnation. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions . r � , � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 532 MANDALAY AVENUE City Clearwater State FL ZI P COdB 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. � � l,� ,}, ��, � � °�F, % �. � ,�,F � � �4� :ii jl � ._ �; _ _ � �, - _ _ m. �,,��, - —� _ � 14 � .; � �- � �� a �I � � _�r ;� �.;,t ��� e. �Rd� � ��, > _ � � ..�.- .r �,��`� . �; .� �-ai� %� M d$°€ ,.;,,�,a*" n a ,� �3 ,� � �� �� �° ;�m,F,.�s���� i���i I + 5�'� �I East Building Face North Building Face � y�� I — . � r � � — ���, __ � �„ - �► , _ . , _ — _� � _ �� �� _ � n�� � .� � � � a � � �. _=�. � ..., h � �{.`C!d ��..K�9 �� ' ��.��. � +. �;�r,. ,.„,,e. ., V n ��j � �,��=�'' � r�' ..�.t� a�.� � ��....,,, a° ��7�'•` s�3` ' `�'°`-� +� , � � .� i � � �_. � ,, , . : , , _: __ __ , y _ ,�. _ , ,� �_ - _ South Building Face West Building Face U.S.DEP*RTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires MarCh 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. uilding Owner's Name CITY OF CLEARWATER Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box Na Company NAIC Number #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 ♦ A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) REVISED MAP OF CLEARWATER BEACH,PLAT BOOK #11 , PAGE 05,PUBLIC RECORDS OF PINELLAS COUNTY, FLORIDA A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL/BATHROOM A5. Latitude/Longitude: Lat.27-59-03.19840 N. Long.82-49-37.76778 W. Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP (FIRM)INFORMATION B1.NFIP Community Name&Community Number B2. County Name B3.State CITY OF CLEARWATER#125096 PINELLAS FLORIDA 64.Map/Panel Number B5.Suffix 66.FIRM Index 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone 102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 6/19/71 5/17/05 AE 12.00 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` � Building Under Construction' ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized N.O.A.TIDAL B.M.8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.57 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) fl Lowest adjacent(finished)grade next to building(LAG) ❑feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) ❑feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including ❑feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation y �r� information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.l ���' ' `$ e, understand that any false statement may be punishable 6y fine or imprisonment under 18 U.S. Code, Section 1001.❑ ��` �h.I� - ''�� �>, Check here if comments are provided on back of form. Were latitude and longitude in S�ction A provided by a ��� •' <i, ° �r :��'J�! �'F � -:•� �,�s• licensed land surveyor? �Yes ❑ No ^�`,� , �, � Certifier's Name '�i -.�S �• � U License Number L�/ 2��j . •�" I I-1f7Y1 �(�Il/-� l.t� � �� �. Title Company Name � � � � ' 3 '� �' �-. _ C�}��tfi�c.`C�. MnX..� M C.t,���.w t� �• �P7� :'=- Address S N ��ty State � ZIP Code33� '`. �� � -•4y � 'j ;,,, . ; , , , ., M1 , . S�gnature Date Telephone j ,�``,'9,�`�� �U��� h,�° � n y 2� 1� �� FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions . .ti .y �'_�/�� NOT�: � � � ��� �2 ,,�, TNIS DRAWINC� IS BASED UPON AS-BUILT ' DIMENSIONS OBTAINED IN 7NE FI�LD ON 9-19-m5 �OR APPROVAL O� TNE – � ' AU7NORITI' NAVINCz JURISDICTION OY�R 3r�"x6�" TNIS PROJECT. CLEARANCES AND CLEA ' FLO R % � FLOOR SPACE REQUIREMENTS PER S acE FIXTURE AGGORDINC; TO FLORIDA � uB)Oj , AGGESSIBILITY CODE ARE INDIGATED ON TNIS DRAIUINCz �OR R�FERENGE. � � \ �I DUE TO TNE EXISTINC� GONFICxURATION = �� OF STRUCTURAL AND PLUMBINCa �i � Sl'STEMS, Tl�is DRALUINCx PORTRAYS `r � ExISTINCz � GONDItIONS TNAT AGNIEVE A �p PLUM81NCx / READILI' ACNIE�/EABLE SOLUtION CNASE UJAL� IUITNOUT TNE DISPROPORTIONAT� � / GOST O� RELOGATINCx EXISTING� FIXED 3m"x48° SYSTEMS. CLEAR ��._.... . FLOOR / � (� (� +, t1 SPAGE / � ls � � U 1�t 1 f ry;r�� � (SINK) � / �; ,� :,! - � �9 � � ' `� _ � I � � ' �CT 2 � ����1 - � # � ' � � _ 66"x48��O \ / � ; ,� � _.V_: � / � �-' _ GLEAR FLOOR � % /� �... ✓ �` _, SPacE 2 � 2 -5y4 � � } .:� ; � ITOILET) a_1�OPMENT Sk u+t:} �.'�»�. C�EA ��,_.� �/_ _.�� � � _ _ — _ - - - _ / � - - - , .�, � � - - - - - - - - ,, � I O 24" CsRAB BAR _ • _ , � � � - - - -� Q - - - - 3`''� I I I 36" CsRABBAR 11 mi � �� �� I� / I _ I I CLEARSHO�RSPACE I \\ / _I � i � 01 �'-�" 60"x86" I \� � I �� GLEAR �LOOR I � � — � — 24 RAIL SPAGE � � � � _ - - - - - - - — CBEDROOM '� _ DOOR) I � I Z � "x48" � I GLEA �LOOR SPAGE � Ir � � OO ' � I CGLOSETJ � I�,, cp � �' \t= �`r I I I I _i I �> i(y � � � I � I `" �R�B��B�R _ �.�� �,', '- - _____ - .�: � � ���� cr, � �. r, � .� �� / �,, 3'-(I" % � � � � -�/ i :�. , r� :: 0, '� DWG TITLE: � f ' " f-��J UNIT 110 BATHROOM DETAIL P 7z�-�33-9000 F 727-733-7444 �° �I " � steve@LaffertyARCH.com PROJECL ROYAL CAMELOT CONDOMINIUM 963HighlandAvenue _ _ _ Dunedin,FL 34698-4957 � ` AR 12265,ID 3614 -- — I i_��� FL Lic AA 26000901 r�.c x a.�3 w i�a �ss i �'i.�.U i i.�. � i._J 1.._I 1 L f/l)1•"" � i.. �.�D_l I_.-l_$ I = - - - �2005 all rights reserved Stephen B.Lafferty,AIA IPL��i� AMEN�J�P;�NT o_�5 Lafeenyn«�;Le��reGrouP RGYAL CAME!��T Zoning: T atias#258A 1f'�+ �p �� � ,� f� �i4�a���'J� r'_ y� rr�r�m.:+�.q,, - . i�� � .-. . ti � ' i ��', �, OC��� ;� 7 L()�`► �� �. „` . .'I I..I �.._,�� - h � N–� � p� Fr�v�r�.�.��.� ��1I� ' TNIS DR4WINCx �`���W���t�t1����ON� tNAT � AR� tECNNIGA �t"'��,vI�T�T�TS�p�CI�IC ' � —_�.—.—....�...- PROJEGT LOCATION LUITI-IOUt tNE DISPROPOR710NATE GOST OF R�LOCAtION ItEMS — _ —r- INHERRENTLY �IX�D DUE 70 EX1571NC� � � ' .� K K) GONSTRUGTION SYST�MS. � �, `�� .tl � �I � �I c 4 €�m—I w '�' _ 1 �� � � � ���7'� �� �. �jN F� I �! ` + k � - Vflt CCdf l�nw v 8m + �4tara�,c� claara�cc s • min ys�plh SINK MOUNTING HEIGHTS SCALE: N.T.S. PROVIDE DEADWOOD FOR ANGHORING GRAB � BARS IN ALL STUD WALLS � I-I/2" � �o(d" MIN. � GRAB BARS �� /� 42" MIN. MAX. 3%" MIN. W.G. LA V — TPH. pi � X Q U U � � � � l� — z z � e m z - � � m � o� ; 32" MIN. I N N � r I 1 n I u � � 24° CMAX.) L 42 L IS m INSULATE HOT IUATER NOTE: LINES UNDER SINK X=52" MINIMUM WHEN WATER GLOSETS ARE IN STALLS X-54" MINIMUM WHEN WATER GL05ET5 ARE NOT IN STALL�.;�; .„ (LE.SINGLE AGGOMMODATION ROOMS ORQP�!""�QILETSk��l1AT10�15) Y=48" MINIMUM WHEN DOOR OPENING 15 AT FR�'OP`��ALL �'°',� ` Y=60" MINIMUM WHEN DOOR OPENIN6 IS AT SfDE��F STALL 1' '' �; TYPICAL MOUNTING HEIGHTS Not�: �, /�;�~ � � , � .J- ' SCAr,E: N.T.s. CxRAB BAR CS) At SNOWER��',�L�S �1�1.� E � ,,� MOUNT�D 33"-3�0" AFF. TO GE�1T��? � � � �� :� t DWG TITLE: i..ti� ' ,•� -,- UNIT 110 BATHROOM DETAILS P 72�-�33-�� � : F 727-733-7444 ' steve@LafferryARCH.com PROJECT: ROYAL CAMELOT CONDOMINIUM ��3 Hig��d A°e°°e Dunedin,FL 34698-4957 � AR 122G5,ID 3614 REFERENCE: REV: SCALE: FL Lic AA 26000901 Lm�-13 � N.T.S. DWG N0: S.F. DATE: �2005 all rights reserved Stephen B.Iafferty,AIA SK_g �g_2�_�5 Lafferry Architecture Group LaffertyArchiiscture Oct 26,2005 - 1:52pm L-04-13-3iC-9.clwg � �, .. d � �� ��—mY�� NOTE- TNIS DRAWINCs IS BASED UPON AS-BUILT DIMENSIONS OBTAINED IN TNE FI�LD ON 9-19-m5 FOR APPROVAL O� TNE – AUTNORITI' NAVINC-s JURISDICTION OvER 30"x6(D° TNIS PROJ�CT. GLEARANCES AND CLEA FLO R FLOOR SPAGE REQUIREM�NTS PER S ,4CE FIXTURE ACCORDINCz 70 FLORIDA / uB� OO AGCESSIBILITY GOD� ARE INDICATED ON TNIS DRAI,UINCz FOR RE�ERENGE. � � \ , �I DUE TO TNE EXISTINCx GONFICsURATION _ �� O� STRUCTURAL AND PLUMBINC� �; � Sl'STEMS, TI�IS DRAWINCx PORTRAI'S `t � ExISTINC; � CONDITIONS TNAT ACNIEVE A � PLUMBINCs / READILI' AGNIEVEABLE SOLUTION CNASE U1AL� UJITNOUT TN� DISPROPORTIONATE � / COST OF RELOCATINCx EXISTINCs FIXED 30"x48° GLEAR �� ' .,.��-„�,��I�, �LOOR / �, � , � � I '��' � � � ,f--�� SPACE / � � L� �,r� � ( CSINK) � / & � � _ \ �9 � O � / { OCT � 7 2005 � , ' _ - \ e - ����x48�� �� � / � �_� ^ CLEAR FLOOR / 2,_�y�� �� � � SPAGE 2 � 4 �E'' " N� F��Y AxF������ �' CTOILETJ ' .�-- � �-�'m__..m_�__�...._ � �- - - - - - - - _� - - - / I ;�, r - - - - - - - - � � � �1 24" CsRAB BAi2 � _ � � � - - - -� � - - - - �`� I I � 36" CsRABBAR �� � � n1 �/ � � � �� �� 36 x60 I\ � I CLEARSNO ERSPAGE I \\ /� � � i � 01 4'-`.1�2�� 6f�"x56" I \� _ � I 24" RAIL GLEAR FLOOR � / � � � SPACE I / I � � _ - - - - - - - — CBEDROOM �/ I I I Z � DOOR) "x48" � � � � � � I CLEA FLOOR SPAG� � I� _ � I I IGLOSeT) I I� a� � ' ����,�,� � � I - �;r, ;� � � � � - .;� , , � ;a-�� � � � � `� CsRAB 0;49� �'�,t.. L � . _ _ _ _ . , . . . i .� P� . :�f9/ �. �vF,� �f � . r _ . �rj�.�"` i,• f/ ' � � 3'-m�� � � � '�;�°'/ � '"fi� � � � .f. �'� � h`,�` ,�, DWG TITLE: t `% � ' ' - P 727-733-9000 k r UNIT 110 BATHROOM DETAIL F �z�_,33_,� .>� I ,��,, steve@LaffertyARCH.com �``�`";; °� PROJECT: ` ROYAL CAMELOT CONDOMINIUM 963HighlandAvenue _ Dunedin,FL 34698-4957 � _� � a : - -- AR 122G5,ID 3614 � � ���� _ �i-�i i FL Lic AA 26000901 S i A T R � - _ �i � /�� ��i/� � � � SJI �%li.. +�! ������� " =_•`�' °�.•- �2005 all rights ceserved Stephen B.Iafferty,AIA P LA N A M E N D!1tl��J T I m_2�o_m 5 �£fercy 1u�hice�mre c�roup ROYA� CADAEL_OT �g Zoning: T atlas#258.q ._ • -, � s ' � . j NOTE: THIS DRAIUINCx IS BASED UPON GONDITIONS tNAT � ARE TEGNNIGALLY �EASIBLE At tNIS SPEGIFIG � _ _ __� PROJECt LOGAtION UJItNOU7 TNE DISPROPORtIONAtE GOST OF RELOGATION IT�MS — _ —� I INNERRENtLY �IXED DUE t0 EXIStINCx � � " GONSTRUCTION 5,������f"j "�`� T ! �� � g� £) EI � � �L, �I i.;.� �� � � 'F � •� ��� ��)� �P � �, — � 1,� ,,s, � � � C � i� '� �j,�� I OGT 2 7 Z00 ;R,E �„� x tme DEVELOPMENT SEfiV��CES �•aE��� �n�� Sm a �4tsrane� ��TY��e.,�,,�._a,.��'�,.�;,::::...aav::... clesrance s ' P �+n de 1 h SINK MOUNTING HEIGHTS SCALE: N.T.S. PROVIDE DEADWOOD FOR ANGHORING 6RAB � BARS IN ALL 51UD WALLS � I-I/2" � 6m" MIN. � GRAB BARS �� /� 42" MIN. M,AX. 3�0" MIN. W.G. LAV! — � X TPN. � � X a � v U Q � - I� — z z � � �, z - � � m � °—' 32" MIN. I � N °' � I � � a�z° , i8�� � 24" CMAX.) m INSULATE NOT IUATER NOTE: LINES UNDER SINK X=52" MINIMUM WHEN WATER GL05ET5 ARE IN STALLS X-54" MINIMUM WHEN WATER GL05ET5 ARE NOT IN STALLS (I.E.SINGLE AGCAMMODATION ROOMS OR OPEN T01l:ET 51TUATIONS)' Y=48" MINIMUM WHEN DOOR OPENING IS AT FRONT,0�SZAI..L :,,r:��, ° Y=60" MINIMUM WHEN DOOR OPENIN6 IS AT SID�OF 5TA`LL � , 'r � , '�?:� ��;,' � ; TYPICAL MOUNTING HEIGHTS Not�: . � � �, � ��J SCALE: N.T.s. C�RAB BAR lS) At SI-40WER STs4l:1'..� S�i � ' fr�- MOUNT�D 33"-3�0" AF.�. TO C�l`i(7E� � tl -` ' � y --t ' � . , ,� l �/ � �� � r. Y�/ DWG TITLE: ,!%� UNIT 110 BATHROOM DETAILS P 72�'�33-9000 I -� F 727-733-7444 ` ` �.,� 1I �� steve@IaffertyARCH.com X"' " i J / PROJECT: ROYAL CAMELOT CONDOMINIUM 963HighlandAvenue Dunedin,FL 34698-4957 � AR 12265,ID 3614 � REFERENCE: REV: SCALE: FL Lic AA 26000901 �m4�-I3 � N.T.S. DWG N0: S.F. DA7E: �2005 all rights reserved Stephen B.I.afferry,AIA !J'K—G, �g_2 I_�5 Lafferty Archicecture Group LeffariyArchitecture Oet Z6,2m05 - 1:52pm L-04-13-5K-9.dwy U.S.DEPARTMENTOFHOMELANDSECURITY FLOODPROOFING CERTIFICATE O.M.B.N0.1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY FOR NON-RESIDENTIAL STRUCTURES Fxpires March 31,2012 Nhaonal Flood fasumnce Pro�am The floodproofing of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however,a floodprooflng design certification is required.This form is to be used for that certification. Floodproofing of a residential building does not alter a communitys floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements.The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNER'S NAA4E ^Fblt 1#15URitlICE C6h1P�1N1'USE G�T�' OF GLE�tr�G�/,4�2 STREETADDRESS pnduding Apt.,Unit.Suite,and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER ��t{������ 532 MA�c���+► La �►J�Nu� OTHER DESCRIPTION(Lot and Biock Nwnbers,etc.) /Z�V 15E� MAP t�F GLE.'AJZW�T3�Q• car���wrr�m�Nuras�a $ea.�N �.�.r �o�;��� ,�►e o5 � ,�gwc ,�e��oa,vs �Ry STATE ZIPCODE G�����. �� 33 75s SECTION i-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION Provide the following from the proper fIRM: COMMUNfTYNUMBER PANELNUMBER SUFFIX DATEOFFIRMINDEX FlRMZONE BASEFLOODELEVATION ����Og� I O� � �1�/�D� / `V (In���.U�DePt�) SECTION il-FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of............/�.............feet NGVD.(Elevation datum used must be the same as that on the FIRM.) Neight of floodproofing on the building above the lowest adjacent grade is.............�.�.................feet. (NOTE:For insurance rating purposes,the building's floodproofed design elevation must be at least one foot above the Base Ftood Elevation to receive rating crediL If the buiiding is floodproofed only to the Base Flood Elevation,then the buiiding's insurance rating will result in a higher premium.) SECTION III-CERTIFICATION (By a Registered Professional Engineer or Architect) Non-Residential Floodproofed Construction Certification: 1 certify that,based upon development and/or review of structural design,specifications,and plans for construction,the design and methods of construction are in accordance with accepted standards of practice for meefing the following provisions: The structure,together with attendant utilities and sanitary facilities,is watertight to the floodproofed design elevation indicated above,with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces,including the effects of buoyancy,and anticipated debris impact forces. 1 certify ihat the informa6on on this certificate represents my best efforts to rnterpret the data avaifable.1 understand that any fafse statement may be punrshable by fine or imprisonment under 18 U.S.Code,Section 1001. CERTIfIER'S NAME LICENSE NUMBER(a Affix Seal) i4�� P�!�i�tv �J(�._ �lA� ,acl4� 5'`�'Co !o TITLE COA4PANY NAME P/��� a���" �L�y,Kc� �►�e,G� � �"�-zrr�, �f'/� ADDRESS CITY STATE ZIP CODE �oo T��w S� Gt,.�a�,a ��t. �'L �37�s SIGNATURE DATE PHONE � lt l� l 0 7Z�7�'4' Z-?Z�d Copies should be made of this Certifi ate for: 1)community official,2)Insurance agent/company,and 3)building owner. FEA1A form 81-65,A9ar 09 REPLACES ALL PREVIOUS EDITIONS F-Q56(3/09) U.S.DEPARTMENT OF HOMELAND SECURITY FLOODPROOFING CERTI FI CATE O.M.B.N0.1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY FOR NON-RESIDENTIAL STRUCTURES Fxpires March 31,2012 ' Na6ona!Flaod Insumnce Ymgram The floodprooflng of non-residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however,a floodprooflng design certification is required.This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements.The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNER'S NAME �OR 111511k1kNCE C6NFP�kNY U5E: GJT� D� GLE�(r2GvA��/Z STREET ADDRESS(Induding Apt..Unit.Suite,and/or Bidg.Number)OR P.O.ROUTE AND BOX NUMBER �����M��� ' 532 MA���A LP► �v�NU� 'y� , OTHER DESCRIPTION(Lot and Block Num6ers,etc.) ��r 5E� MAP vF�G��2t�v��2 ��¢��m������� $ea��+ Ac.a�r �o���� pa`►e o5 , �wg�rc ,���oa,vs - - �Ry STATE ZIP CODE G��.�r���.. �'� 33?5s SECTION 1-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION Provide the following from the proper FIRM: COMMUNITYNUMBER PANELNUMBER SUFFIX DATEOFFIRMINDEX FIRMZONE BASEFLOODELEVATION ����D�� �O�j � �����Q� �� (In�Zon:s.Us'^e DePth) Z V SECTION II-FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of............/�.............feet NGVD.(Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is..............�...1..................feet. (NOTE:For insurance rating purposes,the building's floodproofed design elevation must be at least one foot above the Base Ffood Elevation to receive rating credit If the building is floodproofed only to the Base Flood Elevation,then the building's insurance rating will result in a higher premium.) SECTION 111-CERTIFICATION (By a Registered Professional Engineer or Architect) Non-Residential Floodproofed Construction Certification: 1 certify that,based upon devetopment and/or review ot structural design,specifications,and plans for construction,the design and methods of construction are in accordance with accepted standards of practice for meetirtg the following provisions: The structure,together wiih attendant utilities and sanitary facilities,is watertight to the floodproofed design elevation indicated above,with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces,including the effects of buoyancy,and anticipated debris impact forces. I certify that the information on this certificate represents my best efforts to interpret Ihe data available.1 understand that any false staiement may be punishable by fine or rmprisonmenf under I8 U.S.Code,Section 1001. CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) t��.,�x P��S�iv ��2._ ��� ,4R S9c� � TffLE COAIPANY NAA4E �/�S/ *���� �L��iK� ��2G� ! T�U�r�"� �,4� ADDRESS CITY STATE ZIP CODE � �c� ��u� S� G�ar�a ��. �L �3 7�s SIGNATURE DATE PHONE �_ ' ll <& /o ZZ�7-¢`� �-72 r 4 Copies should be made of this Certifi ate for: 1)community officiai,2)Insurance agent/company,and 3)building owner. FEA1A Form 81-65,klar 09 REPLACES ALL PREVIOUS EDITIONS F-056(3/09) . ,. , � � . Building Photographs ' ' Continuation Page • • For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy tvumber City State ZIP Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View"and "Rear View"; and, if required, "Right Side View" and "Left Side View." U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency ManagementAgency Expires MarCh 31,2012 NationahFlood Insurance Program Important: Read the instructions on pages 1-9. ' ' SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name CITY OF CLEARWATER Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Company NAIC Number #532 MANDALAY AVENUE City CLEARWATER State FL ZIP Code 33755 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) REVISED MAP OF CLEARWATER BEACH,PLAT BOOK #11 , PAGE 05,PUBLIC RECORDS OF PINELLAS COUNTY,FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL/BATHROOM A5. Latitude/Longitude: Lat.27-59-03.19840 N. Long.82-49-37.76778 W. Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a buiiding with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATtON 61. NFIP Community Name&Community Number B2.County Name 63.State CITY OF CLEARWATER#125096 PINELLAS FLORIDA 64. Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 6/19/71 5/17/05 AE 12.00 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction` � Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Eievations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utiiized N.O.A.TIDAL B.M.8726724AVertical Datum N.A.V.D. 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.56 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor ❑feet ❑meters(Puerto Rico oniy) c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico oniy) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building ❑feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 5.44 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 6.50 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including ❑feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by taw to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.l `��` '�G���p f J`'',. ": , understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.❑ ,, �,<:� .,,._ Y .�>"• Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �' ti,�.•���i�t3 `` -��� licensed land surve or? ❑ Yes ❑ No j u' '`� f-J� Y `<:;�;� ;;- � � ,�: , t, Certifier's Name Thomas Mahony License Number LS 6289 r,-� � -= - _.� �� ��� �-� � .-s�.., � Title Geographic Technology Manager Company Name City of Clearwater � � r G^`:• �`� , •.i`f.ai�' . � �:+.: .� % ' Address 100 S.Myrtle Ave. City Clearwater State FL ZIP Code 33756 ,,,,` • �,�1'd`;N Signature Date Telephone 727-433-1799 Y'f�'�+,�"f�'a�4`'�''�� '�� ��at, FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IAA,pOI�TANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number City . . State ZIP Code Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments Signature Date ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(inciuding basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ betow the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions . . ' � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 532 MANDALAY AVENUE Clty Clearwater State FL ZIP COd@ 33755 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least finro building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. � � ��� ����� ��� � � � / ,� -, /, � - - � - "^`�" _ , „ , , _ _ _ , ,l �_ q. ; _ ,,, _ , - _ � -- _ _ _ ;. ,� , � - ;_ _�_ __ ___ _ � � 4 . ...,, _ � �, � �� �_:. , � � � ���� � � . �, . : ��. , �a � ���:-� �� � �' ��. �� � �� �, ��fr� � ��� �,t � v ,�„ � , 1 . :: .� ; East Building Face North Building Face - ! � - . ,'� _�: ?�___ � _ �`� � � ;.��+�-' _ -� __ . - _ _. — .� _� � . _� , �.,�, �_, ,v . �. � , .. - i , `� i ' � �.� � ° a . _,,, v, � , , �, . � by ' ; � 9 9 �4.0= .. , ... :�� ? . %...���& .a xf . y ,::.� . � , . ,. ,: . � rv-„ti ° .�„,�.,..,_ r, _ •, .. . � _ �.. g�� o,..».•...an. s........,.oe»w-.�.�'°�". .'�+w�. . _ . �.--� — �.� � . �� -a� ..a .�� .1� �;$w�. , r , „ � r , r l r ` ' � .o,...,�: � . �r .., , ... a � * .. �` ��p � � �., �__:�. ._._..__._ ..;.. - . .. . ..... . . . .. �,�.;n.„ ' - ; _ �_. _ .. ..-.. . . South Building Face West Building Face . � ��� � ' . Building Photographs ' ' Continuation Page � For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number City State ZI P Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."