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1350 GULF BLVD (2) .�p �acs 3—'Q Q � �rO FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ,,,� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 �� /�t�� '`'�``�`' � , ELEVATION CERTIFICATE • SECTION A-PROPERTY OWNER INFORMATION For Insurance Company use: BUILDING OWNERS NAME Policy Number R.J.BLTNBURY COMPANY,INC.(SITE)Utopia Condominiums BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 1350 GLTLF BLVD. CITY STATE ZIP CODE CLEARWATER FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TAX PARCEL ID.NO. 19 29 15 00000 140 0300 e.g., esi en ia, on-resi en ia, i ion, ccessory,e c. se a ommen s area,i necessary. RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): (##-##-##.##or##.#tJ##.) �NAD 1927 �NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION Bt.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 83.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4.MAP AN�PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EfFECTIVEIREVISED DATE BB.FLOOD ZONE(S) (Zone AD,use depth of flooding) 12103C0104G 0104 G 9/3/03 9/3/03 VE EL 13 810,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑CoNGVD�92g ermined ❑ONt�h�rD(D988 ibe�Other(Describe): 61 1.Indicate the elevation datum used for the BFE in B9:❑ � B12.Is the buiiding located in a Coastal Barrier Resources System(CBRS)area or Othenrrise Protected Area(OPA)? ❑Yes �No Designation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:Q Construction Drawings' �Building Under Construction' �Finished Construction • 'A new Elevation Cert�cate will be required when construction of the building is complete. C2.Building Diagram Number 6 (Select the building diagram most similar to the building for which this cert�cate is being completed-seepages 6 and 7.ff no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,ARIAI-A30,ARIAH,ARAO Complete flems C3.-a-i below according to the building diagram specfied in Item C2.State the datum used.If the datum is d"rfferent from the datum used for the BFE in Secton B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation,Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. � Datum NA�gg ConversioNComments o`� � � W Elevation reference mark used o� Does the elevation reference mark used appear on the FIRM? EJ-'.�-�+-so � � a)Top of bottom floor(including basement or enclosure) 63 ft.(m) (�[„s� (n � 1�--.J b)Top of next higher floor 15.8 ft.(m) � � F.. � c)Bottom of lowest horizontal strudural member(V zones only) 15.1 ft.(m) c�� Z �i° • d)Attached garage(top Of slab) NA ft.(m) � � U"� �� , e)Lowest elevation of machinery andlor equipment � � ��•�" servicing the building(Describe in a Comments area) 15.8 ft.(m)(� � � O = � i � v � V fl Lowest adjacent(finished)grade(LAG) 5.9 ft.(m)�"'� � J �, g)H ig h e s t a dj a c e n t(f i n i s h e d)g r a d e(H A G) 6.6 ft.(m)� � � � _� gg_05/0i/OS h)No.of permanent openings(flood vents)within I ft.above adjacent grade NA ft.(m)�--=� W ~ i)Total area Of all pertnanent openings(flood vents)in C3.h over�.�n,(sq.an) � — SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or archi4ect authorized by law to certify elevation information. !certify that the information in Sections A,B,and C on this certifipte 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, CERTIFIERS NAME LICENSE NUMBER JOSEPH R.GORE,P.L.S. LS 5188 • TITLE COMPANY NAME PROJECT MANAGER HAMILTON ENGINEERING&SURVEYING A ��Ty STATE ZIP CODE 311 N.Newpo e, 0 Tampa FL 33606 SIGNATURE DATE TELEPHONE 06/O 1/OS 813-250-3535 FEMA Fo 81-31,January 2003 See reverse side for continuation. Replaces all previous editions `"� `' 'Fdr�lns�ra'P�ce�.;m e IMPORTANT:In these spaces,copy the corresponding information from Section A �N `j;� BUILDING STREET ADDRESS(Including Apt,Unit,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number f 1350 GULF BOULEVARD ' GTY STATE ZIP CODE Company NAIC`�Number , CLEARWATER FL 33767 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 1)Elevations are based on City of Clearwater Benchmark J-02 with a reported elevation of 4.296 feet.(NAVD 88). 2)Not valid with out the signature and original seal of a Florida Licensed Surveyor and Mapper. 3)Building wnstructed with Breakaway walls,Section C3-h &i are not applicable,per R.J.Bunbury Company,Inc. 4)Lowest machinery is generator and fire pump located on fust floor. ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Rems EI through E4.If the Elevation Cert�cate is intended for use as supporting infortnation for a LOMA or LOMR-F, Sedion C must be completed. EI.Building Diagram Number-(Select the building diagram most similar to the 6uilding for which this certificate is being completed-see pages 6 and 7.if no diagram accurately represents the building,provide a sketch or photograph.) E9.The top of the bottom floor(including basement or enclosure)of the building is_ft.(m) in.(cm)�above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,If available). E3.For Building Diagrams 6-8 with openings(seepage 7),the ne�higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is ft.(m) in.(cm)� above or�below(check one)the highest adjacent grade.(Use natural grade,if available). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodptain management ordinance? ❑Yes ❑No ❑Unknown,The local official must certify lhis information in Sedion G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),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,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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 wlio is authorized by law o�wdinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certficate.Complete the applicable item(s)and sign below. . G1.❑The information ir.Section C was'ak2n from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is author¢ed by state or local law to certifv elevation irrfortnation,(Indicate the source°and date of the elevation data in the Comments area below.) G2.Q A community official compl°ted Section E for a buiiding located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.Q The following inforr,iation(items G4G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED G6.DA E TI 1 AT C MP IANCE UPAN IS UED G7.This pertnit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-buiR lowest floor(including basement)of the building is: ft.(m) Datum:_ G9.BFE or(in Zone AO)depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE • COMMENTS �Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions �p �aD S�'Q 4 � �G FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ,„.,. NATIONAL FLOOD INSURANCE PRO�RAM Expires December 31, 2005 �� "��, �~�� ELEVATION CERTIFICATE SECTION A-PROPERTY OWNER INFORMATION Forinsurance Company Use: BUILDING OWNERS NAME Policy Number R.J.BUNBURY COMPANY,INC.(SITE)Uto ia Condominiums BUILDING STREET ADDRESS(InGuding Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 1350 GULF BLVD. CITY STATE ZIP CODE CLEARWATER FL 33767 PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Oescription,etc.) TAX PARCEL ID.NO. 19 29 15 00000 140 0300 e.g., esi en a, on-resi en ia, i ion, ccessory,e . se a ommen area,i necessary. RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(fype): (##-##-##.##or##.#�##.) �NAD 1927 �NAD 1983 �USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX .FI IN ATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) Rone AD,use depth of tlooding) 12103C0104 G �3 9/3/03 VE EL 13 810,Indicate the source of the Base fbod Elevation(BFE)data or base flood depth entered in 89. ❑FIS Profile �FIRM ❑Community Detertnined ❑Other(Desaibe): 61 1.Indicate the elevaGon dalum used for the BFE in B9:Q NGVD 1929 �NqVlp tggg �Other(Desaibe): B72.Is the building located'm a Coastal Barrier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) �1.Building elevations are based on:❑ConsWction Drawings' �Building Under Construction' �Finished Construdion 'A new Elevation CertiFicate will be required when constnu:tion of the building is oanplete. ; C2.Building Diagram Number 6 (Select the building diagram most similar to the bu8ding for which this ceRficate is being oomple4ed-seepages 6 and 7.If no d'iagram accuratey represents the building,provide a sketch ar photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(VYth BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,ARIAI-A30,ARIAH,ARAO Camplete Items C3.-�i below according to the building diagr�n speaFied in Item C2.State the datum used.iF the datum is d'rfFerent from ihe datum used for the BFE in Secton B,convert the datum to tfiat used for ihe BFE.Show field measurements and datum conversion calculation,Use fhe space provided a the Comments area of Section D or Sedion G,as appropriate,to documeM the datum conversap. � Datum NA�gg ConversionlComments o� � � W Elevation reference mark used ovm Does the elevation reference on the FiRM? � F- — a)Top of bottom floor(nduding basement or enclosure) � 6. ft.(m) � � b)Top of nexl higher floor (� 1 ft.(m) � �. c)Bottom of lowest hor¢ontal sUuctural member(V zones onQi)� 15.1 ft.(rty}' c�.� Z � d)Attached garage(top Of slab) v NA ft,(m) � m W �,,a e)Lowest elevation of machinery and/or equipment �' � �,�' serviang the build'mg(Desaibe in a CortrneMs area) 15.8 ft.(m)� T �" 3� I �` � � O � �Lowest adjacerrt(finishe�grdde(LAG) 5.9 ft.(m),� —w �j 6.6 ft.(m)�L,� W � � v � g)Highest adjacer�(finishe�grade(HAG) � �.; $$-p6J01/OS h)No.of permaneM openings(fbod vents)within I ft.above adjacent grade NA fl.(m)� W )Total area Of all permaner�t openings(flood vents)in C3.h over Sy.in,(Sy p�) t•-====� SEC110N D-SURVEYOR,ENGINEER,OR ARCHITE-E�GER�CATION This oertification is bo be signed and sealed by a land surveyor,engineer,or archited auttwrized by law to oertify elevation infomiation. /certify that the iMormation in Sections A,B,and C on this certificxte represerds my best efForts to ir�terpret the data available. /understand that any false staUement may be punishable by fine or imprisonment under 18 U S.Code Section 1001 CERTIFIERS NAME LICENSE NUMBER JOSEPH R GORE,P.L.S. LS 5188 TITLE COMPANY NAME ROJECT MANAGER HAMILTON ENGINEERING 8c SURVEYING � STATE ZIP C DE 311 N.Ne e, Ta�ga— FL 33606 SIGNATURE ,� DATE TELEPHONE 06/Ol/OS � 813-250-3535 FEMA Fo 81-31,January 2003 See reverse side fo�contlnuation. Replaces all previous editions , d�r��o�`�+ � � rME �.► m�°��i;,`�''�ci�~� C I T Y O F C L E A R W A T E R � i �� 4 � '��r� �y DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT ��`�;s.y,v�,:��'��`� PosT OFFicE Box 4748, Cr.�wn�R, F�o�u�n 33758-4748 "+�.A�ER�o q1O MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER, FLO�uDA 33756 TELFPxotvE (72� 562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community O�cial SECTION A-PROPERTY INFORMATION For insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUiLDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (��-��-�•#�� o� �•�°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map 0 Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 1. NFIP COMMUNiTY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE 64.M NUMBDR ANEL g5.SUFFIX 66.FIRM INDEX DATE B�•FIRM PANEL gg.FLOOD ZONE(S) B9•BASE FLOOD ELEVATION(S) EFFECTIVE/REVISED DATE (Zone AO,use depth of flooding) 12103C0104 810. Indicate the source of the Base Ftood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile ❑ FIRM ❑Community Determined ❑Other(Describe) E311. Indicate elevation datum used for BFE in 69:❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources S stem(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* ❑Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community O�cial: �levation certificates sha//be maintained by the community and copies with the attached memo made availab/e by request FRANK HIBHARI),MAYOR GGORGE N.CRG7'EKOS,COUNCILMEMBHR JOI W DORAN,COUNCILMEMRER PAUL F.GIRSON,COUNCILMEMBrR � CARLBN A. P@7'ERSEN,COUNCILMEMBGR ��EQUAL EMYLOYMENT AND APFIRMA'I7VE AC7'ION EMPLOYER�� ,,�,�_ � ��C�� FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ��/ v2 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ��G �G�� _�3 -��" ELEVATION CERTIFICATE SECTION A-PROPERTY OWNER INFORMATION For Insurance Company use: �BUILDING OWNERS NAME Policy Number .J.BUNBURY COMPANY,INC.(SITE)Utopia Condominiums BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 1350 GiJLF BLVD. CITY STATE ZIP CODE CLEARWATER FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TAX PARCEL ID.NO. 19 29 15 00000 140 0300 e.g., esi en ia, on-resi en ia, i ion, ccessory,e c. se a ommen s area,i necessary. RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAI DATUM: SOURCE: GPS(Type): (##-##-##.##or##.###tt.) �NAD 1927 ❑NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bt.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4.MAP AND PANEL 87.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER B5.SUFfIX 86.FIRM INDE DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AD,use depth oi flooding) 12103C0104G 0104 G 9/3/03 9/3/03 VE EL 13 810,Indicate the source of the Base Flood Eievation(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe): 81 1.Indicate the elevation datum used fw the BFE in B9:Q NGVD 1929 �NAVID 1988 ❑Other(Describe): B12.Is the building located in a Coastal Bartier Resources System(CBRS)area or Othervvise Protected Area(OPA)7 ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Build'mg elevations are based on:�Construction Drawings• �Building Under Construction' �Finished Construction 'A new Elevation CertiFicate will be required when construction of the building is complete. •C2.Building Diagram Number 6 (Select the building diagram most similar to the building for which this ceR�cate is being completed-seepages 6 and 7.If no diagram accuratety represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,AR/AI-A30,AR/AH,ARAO Complete ftems C3:a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is d'rfferent from the datum used for the BFE in Secton B,conveR the datum to that used for the BFE.Show field measurements and datum conversion calculation,Use the space provided or the Comments area of Section D or Section G,as appropriate,to docume�the datum conversion. Datum NA�gg ConversionlComments o� Elevation reference mark used o� Does the elevation reference mark used appear on the FIRM? ❑Yes �No _ a)Top of bottom floor(including basemer�or enclosure) 6.3 ft.(m) � b)Top of next higher floor 15.8 ft.(m) N� c)Bottom of lowest horizontal strudural member(V zones only) 15.1 ft.(m) a° d)Attached garage(top Of slab) NA ft.(m) W =° e)Lowest elevation of machinery and/or equipment �� :J � servicing the building(Describe in a CommeMs area) 15.8 ft.(m) Z o, I �Lowest adjacent(finished)grade(LAG) 5.9 ft.(m) �`� � � g)Highest adjaceM(finished)grade(HAG) 6.6 ft.(m) � h)No.of permaneM openings(flood vents)within I ft.above adjacent grade NA ft.(m) 88-05/O1/OS i)Total area Of all pertnanent openings(flood vents)in C3.h over Sy.in,�Sy,an� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information in Sections A,B,and C 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, CERTIFIERS NAME LICENSE NUMBER JOSEPH R GORE,P.L.S. LS 5188 , TITLE COMPANY NAME PROJECT MANAGER HAMII,TON ENGINEERING&SURVEYING R ��N STATE ZIP CODE � 311 N.Newpo e, 0 Tampa FL 33606 SIGNATURE f DATE TELEPHONE ` - 06/O1/OS 813-250-3535 FEMA Fo 81-31,January 2003 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,andlor Bldg.No.j OR P.O.ROUTE AND BOX N0. Policy Number 1350 GULF BOULEVARD CITY STATE ZIP CODE Company NAIC Number CLEARWATER FL 33767 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 1)Elevations aze based on City of Clearwater Benchmark J-02 with a reported elevation of 4.296 feet.(NAVD 88). 2)Not valid with out the signature and original seal of a Fiorida Licensed Surveyor and Mapper. 3)Building constructed with Breakaway walis,Section C3-h &i are not applicable,per R.7.Bunbury Company,Inc. 4)Lowest machinery is generator and fire pump located on fust floor. ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Rems EI through E4.If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. EI.Building Diagram Number-(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) E9.The top of the bottom fluor(including basement or enGosure)of the building is_ft.(m) in.(cm)�above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,ff available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Complete items C3.h and C3.i on front of form. E4.The iop of the platform of machinery andlor equipment servicing the building is ft.(m) in.(cm)❑ above or 0 below(check one)the highest adjacent grade.(Use natural grade,if available). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown,The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The properly owner or owners authorized representative who completes Sedions A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here.The statements in Sections A,B,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CIN STATE ZIP CODE SI�NATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law os o�dinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Cert�cate.Complete the applicable item(s)and sign below. G1.Q The information in Section C was laken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certifv elevation irrfortnation,(Indicate the source and date of the elevation data in the Comments area below.) G2.Q A community official complPfed Section E for a building located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.Q The following infomation(Items G4G9)is provided for wmmunity floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED ' P G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-buitt lowest floor(including basement)of the building is: ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • �Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions .� I p ��d�—�D 4 l �(' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 ��-� NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 �f"talf' �° �Fxl+c.- �9°,.�..1��' ELEVATION CERTIFICATE SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: � BUILDING OWNERS NAME Policy Number R.J.BiJNBURY COMPANY,INC.(SITE)Utopia Condominiums BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 1350 GLJLF BLVD. CITY STATE ZIP CODE CLEARWATER FL 33767 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) TAX PARCEL ID.NO. 19 29 15 00000 140 0300 e.g., esi en ia, on-resi en ia, i ion, ccessory,e c. se a ommen s area,i necessary. RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): ��_�_��o��#.� �NAD 1927 �NAD 1983 �USGS Quad Map �Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME 63.STATE CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4.MAP AND PANEL B7.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE BS.FLOOD ZONE(S) (Zone AD,use depth of flooding) 12103C0104G 0104 G 9/3/03 9/3/03 VE EL 13 810,Indicate the source of ihe Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile �FIRM ❑Communiry Determined ❑Oiher(Describe): 61 1.Indicate the elevation datum used for the BFE in 69:Q NGVD 1929 �NAVID 1988 ❑Other(Describe): 612.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations afe besed on:Q Construction Drawings' �Building Under Construction' �Finished Construction 'A new Elevation Certificate wiil be required when construction of the building is complete. .�2.Building Diagram Number 6 (Select the building diagram most similar to the building for which this certficate is being completed-seepages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations-Zones AI-A30,AE,AH,A(With BFE),VE,V1430,V(With BFE),AR,ARA,ARAE,ARIAI-A30,AR/AH,ARAO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the dffium used for the BFE in Secton B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation,Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. � NAVD 88 ConversionlComments o� � LL1 �s �,J x A�� Datum il ovm Dces the elevation reference mark used appear on the FIRM? o � � �'� `" � 4' ` Elevation reference mark used � � � t a ,�, F a a)Top of bottom floor(including basement or enclosure) 63 ft•�m� (� ;��3 ;�, � � b)Top o f ne x t h i gher floor 15.8 ft.(m) d �.. �'`�', , ; �� :� 9�. �" - c)Bottom of lowest horizontal structural member zones onl 15.1 ft.m � c�•� z $�° '�"� � � �. N Y) ( ) �,� � ..,. a.F. ..- d)Attached garage(top Of slab) NA ft.(m) � �"� � ��°° °'°^ �' = � �° e)Lowest elevation of machinery andlor equipment � � �s�''.< °° -,�„ � t` servicing the building(Describe in a Comments area) 15.8 ft.(m) � O =�"'; � . ° k� "`` 5.9 ft.(m) "� —� � �,. fl Lowest adjacent(finished)grade(LAG) ,- g)Highest adjacent(finished)grade(HAG) 6.6 ft.(m)� W '�'�� ' . . 'r�• i��' '' h)No.of permaneM openings(flood veMs)within I ft.above adjacent grade NA ft.(m)(L�_^' (,(,) � ` •8 y�""�� over ��:_�� „�.�.,��n i)Total area Of all pertnanent openings(flood vents)in C3.h sq.in,(sq.an) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certifica6on is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. /certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available. /understand that any false statement ma be punishable b fine or imprisonment under 18 U,S.Code,Section 1001, CERTIFIERS NAME LICENSE NUMBER JOSEPH R GORE,P.L.S. LS 5188 TITLE COMPANY NAME � PROJECT MANAGER HAMILTON ENGINEERING&SURVEYING CITY STATE ZIP C DE 311 N.Newpo e, 0 Tampa FL 33606 SIGNATURE DATE TELEPHONE - 06/O1/OS 813-250-3535 FEMA Fo 81-31,January 2003 See reverse side for continuation. Replaces all previous editions . IMPORTANT:In these spaces,copy the corresponding information from Section A `�' `" 'FGr�lns�ra'I�ei�ortl�y e � � ...; BUILDING STREET ADDRESS(Including Apt,Unit,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Policy Number � . 1350 GULF BOLTI,EVARD ' CITY STATE ZIP CODE Company NAIC Number CLEARWATER FL 33767 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 1)Elevations are based on City of Clearwater Benchmark J-02 with a reported elevation of 4.296 feet.(NAVD 88). 2)Not valid with out the signature and original seal of a Florida Licensed Surveyor and Mapper. 3)Building constructed with Breakaway walls,Section C3-h &i are not applicable,per R7.Bunbury Company,Inc. 4)Lowest machinery is generator and fire pump located on first floor. ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete ftems EI through E4.ff the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. EI.Building Diagram Number-(Select the building diagram most similar to the building for which this certficate is being completed-see pages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) E9.The top of the bottom floor(including basement or enclosure)of the building is_ft.(m) in.(cm)❑above or ❑Wow(check one)the highest adjacent grade,(Use natural grade,If available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is ft.(m) in.(cm)above the highest adjacent grade.Complete items C3.h and C3.i on front of form. E4.The top of the plafform of machinery andlor equipment servicing the building is ft.(m) in.(cm)❑ above or❑below(check one)the highest adjaceM grade.(Use natural grade,'rf available). E5.For Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain 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,C(Items C3.h and C3.i only),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,C,and E are correct to the best of my knowledge PROPERTY OWNERS OR OWNERS 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 o:ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certficate.Complete the applicable item(s)and sign below. Gt.❑The information ir�Section C was!akan from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information,(Indicate the source and date of the elevation data in the Comments area below.) G2.Q A community official compl�ted Section E for a building located in Zone A(without a FEMA-issued or community issued BFE)or Zone A0. G3.❑The following information(Items G4-G9)is provided for wmmunity floodplain management purposes. G4.PERMIT NUMBER G5.DATE PERMIT ISSUED 6. A RTI I A MP N PA E G7.This permit has bee�issued for: ❑New Construction ❑Substantial Improvement G8.Elevation of as-buiR lowest floor(including basement)of the building is: ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE � COMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions y��xr��rr ````y�'��'°=�!�� CITY OF CLEARWATER � ,��'°`�I� e� �b �� -� �. a�� ^.�� _ a� DEVELOPMENT & NEIGHBORHOGD SERVICES DEPARTMENT '�'�/�jt' -�—��d�� POST OFFICE BOX 474g� CLEARWATER� FLORIDA 3375g'4748 r rFri.xx +��D 0 � MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CLEARWATER,FLO�uDn 33756 ! �� 'iastt � TELEPHONE �7Z� 562-4567 Fnx(727) 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION In accordance with participation in the NFIP/CRS program, all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Offcial SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): (##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map�Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION I �.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER g5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 12103C0104 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 B9: ❑ NGVD 1929 ❑ NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the buiiding,provide a sketch or photograph.) C3. Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m) h) No.of permanent openings(flood vents)1ft.above adjencent grade i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: • Date of Review: Community Official: �vation certi�cates shall be maintaine by the community and copies with the attached memo made available by iequest FRANK HtRRARI>,MAYOR GLORGE N.CRG'1'EKOS,COUNCILMGMRGR JOIIN DORAN,COUNCILMEMB[R PAUL F.GIBSON,COUNCILMEMBER � CARI.EN A.PE'1'ERSBN,COUNCILMLMAGR ��EQUAL EMPLOYMENT AND E�FIRMA'fIVE ACTION EMPLOYEK��