15 SOMERSET ST!
�.
U.S. DEPARTMEWT OF HON[ELAND SECURITY
FEDERAL EMEROENCY MANAGEMEN7 AGENCY
National Floal insurana Program
A1. Building Owner's Name
CHATEAU ON WHITE SANDS CONDO ASSN INC
A2. Builcling Street Address �including Apt., Unit, :
ELEVATION CERTIFICATE
IMPORTANT: Foilow the instructions on pages 1-9,
SECTION A - PRDPEFtTY INFORNFATION
or P0. Route and Box No.
OMB No. 1660-0008
Expiration Date: 7uly 31, 2015
_____-,....----• ---- - _ _ _ .. _._ ....
Clty CLEARWATER State F� ZIP Code 33767
A3. Froperty Description (Lot and Bloek Numbers, Tax Parcel Number, Logal Description, etc.)
PAF2CEL 05-29-15-74877-000-0001, CHATEAI� ON WHITE SANDS CONDO,(COMMON ELEMENTS), PLA7 600K 151, PAGE 084, PINEI.LAS COUNTY, FLORIDA
A4. Buflding Use (e.g., Residential, NorrResidential,.Addltlon, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude; Laf, 2�•9888 Long. 8Z•8275 Ftorizontaf Datu�r�: � NAD 1927 ❑x NAD 1983
A8. Attach at least 2 photographs of the building if ihe Certificate is being used to obtain flood insurance.
A7. Buifding Di�gram Number 6
A8. For a 6ullding with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Sc�uare footage of crawlspace or enclosure(s) 1200 _ sq it a} Square footage of attached �arage NA sq ft
b) No. of permanent flood oponfngs iri the crawlspace or b) Number of perinanent flood openfngs in the attached garage
enclosure(s) within 1.0 fooT above adjacent grade N�p` within 1.0 foot above adjacent grade �_.,._._
c) Total net area of flood openings 'tn A8.b N�A sq in c) Totaf nef area of fEood openings in A9.b N�A sq in
d) Engineered flood open3ngs? ❑ Yes ��o d) Engineered flood openings7 p Yes �J No
SECTION B- FI.OUD ItiSURANCE RAiE MAP (FIR11A) 1NF01iMAT10P
B1. NFIP Coh'II71ut1CL ARWAT�R�CITY OF N25096r �2• County Namc; PfNELLAS
B4. Map/Panel Number 65. SufFix 66, FIRM Index Date 67. FIRM Pvnel Effective/ D8. Flood Zorie(s}
btevised Date
12703C0102 G 08/10/2D09 09/03l2003 VE
B10. Indicate the source of the Base Flood Elevation (CiFE) data or base flood depfh entered in Item B9:
❑ FIS Pro'tile � FIRM ❑ Community Determined ❑ Other/Source: __
Bii. Indicate elo�ation datum used for BFE in ltem B9: [,] NGVD ].929 � NAVD 1988 ❑ Other/Source: .
�12.Is the buiiding located in a Coastal Barrier Resources System (CBRS) aroa or Otherwise Protected Area (OPA)?
Designation Date: / /-_ (] CBRS � OPA
B3. State FL
fi9. Base Flood Elevation(s) iz
A0, use base flood depth)
13.0 FT
❑ Yes � No
SECTION C- BEJILF3ING ELEVATION INFORM14TION (SURYEY REQUIRED}
C1. Building ele�ations are hased on: ❑ Constructlon Drawings* ❑ 8ullding Uncler Construction* � Fnlshed Constructlon
*A new Elevation Certificate will be requlred when construction ofShe buliding is compiete.
C2. Elevations - Zones A1-A30, AE, AH, A(with BFE), VE, V1-V30, V(with BFC), AR. AR/A, AFt/AE, AR/A1-A30, AR/AH, AR/A0, Complete Items
C2.a--h below aCCOrding to the building di2gram specified in Item R7. in Puerto Rico onry, enter meters.
f3enchmark Utilized: �PS Vertical Datum: NAVD 188a
Inclicate elevation datum used ior the elevations In items a) through h) below. C1 NGVD 1929 � NAVD 1988 ❑ O[her/Source: _.
Datum used for buildine elevations must he th� samr �c tnar iicr �i fnr fhn aFF
Check the measurement used,
�•� � feet � meters
13.3 � tPet ❑ meters
��A_ � feet ❑ meters
��A QZ� feet j] meteYs
s-6 � feet ❑ meters
a) Top of bottom floor (induding basement, crawlspace, or enciosure floor)
bj Top of the ne� higher floor
c) Bottom of the lowest ho�izantal structural member (V Lones onPy)
d} Attached garage (top of slab)
e) Lowest ele�ation of machlnery or equipment servicing the buildin�
(Describe type of equipment and location in Cammerits)
f) Lowest r�djacent (finished} grade next to txiilding (LAG)
gj Highest adjacent (finished) grade next to bullding (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural suppprt
_- 5•� � feet ❑ meters
6•� � feet ❑ rneters
Na �CI feet ❑ meters
SEGTION D-- SURVEYOR, ENtaINEER, Oit ARCHITECT CERTIFICATIdN
7his certification i, to be signed and sealed bv a land surv8vor. en2ineer. or architect authori�ed bv law rn r.ertiiv pia,�ar�r,r,
EI.EVA710N CERilFiCATE, page 2
IMPORTAN7: In these spaces, copy the corresponding informatlon from 5ection A.
Building Street Address Qnduding Apt., Unit, Suito, and/or Bfdg. No.) or PQ. Route and Bo.
15 SOMERSET STREET
City Sfate ZIP Code
CLEARWATER p�
No.
33767
SECTIaN D- SURV�'YOR, ENGINEIER, OR ARCHITECi CE1471FICATION (CONi'INUED)
Copy both sides of Yhis Elevation Certificate for (1) community official, (2} insurance agent/company, and (3) 6uilding owner.
COttltlleYttS �QUIPMENT LlSTED Old PRIOR PAGE IS FLOOR O� ELEVATOR
THIS CERTIFICATE IS NOTTO BE USED FOR CONSTRUCTIOfd OR DESIGN, IS FOR FIOOD INSURANCE USE ONLY
GARAGE IS UNDEit RESIDENTIAL FLOORS OF SAMfi BUILDING, GARAGE IS FLOOR OME AND TWO aF THIS BUILDiNG
signature
uate ��13l2014
SECTION E- BUILDIHG ELEVATIOiV INFORMATION (SURVEY NOT REQUIRE�) FOR ZONE AO AND ZONE A(WITHOUT BFEj
For Zones AO and A(without BFE), complete Items Ei-[5, If the Certificate is intended ko support a LOMA or LOMR-F requesC, complete Sections A, B,and C.
Far Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico onty, enter meters.
E1. Provide elevatlon informatia� for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (IiAG) and the iowest ad�acent grade (LAG).
a) Top of botEom floor (including basement, crawlspace, or enclosura) is . {� feet ❑ meters � above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is . L�9 feet ❑ meters � above or ❑ trelow 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 __— �� . A __. � feet ❑ meters � above or [7 below the HAG.
E3. Attached garage {top of slab) is . � feet ❑ meters � abova or ❑ below the HAG.
Eq, Top of platform of machinery and/or equipment serv'tcing the building is .�_ � feet ❑ meters � above or ❑ below the HAG.
E5. Zorie AO only: if no flaod depth number is available, is the top of the bottom floor elevated in accordance with the community's floodptain management
orclinance? [] Yes ❑ No � Unknown. The {ocal official must �ertlfy fhis fnforrnation in Section G.
SECTfON F- PRaPERTY OWNER (OR OWNER'S REPRESENTATIVE} CERTIFICATION
The property owner or owner's authoriaed representa#ive who co3npletes Sxtions A, B, end C for Zone A(without ra FEMA-issued or community-issued BF'E) or
Zone AO must sign here. The statemehts in 5eotions A, B, and E are currect to the 6est of my knowledge,
Property Dwner or Owner's Authorized Representative's Name
Address
5igneture
City
Date
State ZIP Code
Telephone
❑ Check here if attachmehts.
SBCTION G - CUMMUNITY INFDRMATION (OPTIONAL)
The local official who Is authorized by !aw or ordinance to administer the community's floodpiain management ordinance can complete Sections A, B, C(or E}, and
G of this Elevatlon Certificate. Complete the applicable Item�s) and sign below. Check the measurement used in Items G8-G10. In Puerto kico only, enter ineters.
G1. ❑ The irrForination in Section C w�s taken from other docuirentation that has heen signod and sealed by a licensed surveyor, engineer, or archltect
who is authorized by law io cerfify elevation informatiori. (indicate the source and date of the elevation data in the Comments area below.}
G2. ❑ A community official compteted Section E for a bullding located in Zone A(without a FEMA-issued or eornmunify-issued BFE) or 2one AO,
G3. ❑ The foilowin� information (Items G4-G9) is provided for community flooclplain management purposes.
G4. Permit Nurrtber G5. Date PermiY Issuec) GS. Data Certificate Oi Cornpliance/Occupancy Issued
G7. Thls permit has been issued for: [] New Construction [] Substantiaf Imprvvement
G8. Elevation of as-bullt lowest floor (including basement) of the building; . ❑ feet ❑ meters Datum
G9. BFE or (ln Zone AO) dapth of flooding at the bullding site: ._.___ ❑ feet ❑ meters Detum
G10.Community's design ilood elev�tion: . U feet ❑ meters Datum
Local Official's Name
Community Name
Signature
Comments
FEMA Forrn 086-0-33 (7/12)
Title
CLEARWATER CITY OF Tt��hohe
^ Dafe
[] Check here if att�chments.
Replaces all previous editlons.
ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS
CONTINUATION PAG�
Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.
ADDRESS:
15 SOMERSET ST
CLEARWATER, FL 3376% ��`���,`,, t��`� �G�;<<.
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PICS TAKEN 9/12/2014 --
FRONT VIEW AND CONTINUING AROUND BUILDING
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������� � �� FEDERAL EMERGENCY MANAGEMENT AGENCY
�` NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
CHATEAUS ON WHITE SANDS
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or 6idg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
15 SOMMERSET STREET
C�n STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Ni;mber,Legal Description,etc.)
Lots 3,4,5 AND 14,BLOCK 2 REVISED MAP OF CLEARWATER BEACH,PLAT BOOK 11,PAGE 5
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL(CANDOMINIUM)
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.#1#" or #{#.�°) ❑NAD 1927 �NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COIv1MUNl�'NUMBER B2.COUNTY NAME B3.STATE
� i,iry oi Ciearwater 'i 15uyti U102 G I PiNEL'�tiS I FLORiDA
B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of flooding)
12103C0102G G Septembe(3,2003 September3,2003 VE FL.13.0
610.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
611.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describej:_
612.Is the building located in a Coastal Bamer Resoum,es System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING EL�VATION 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.
•Building Diagram Number 6 (Select the building diagram most sim�'ar to the buildi�g 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,ARIAE,AWA1-A30,AWAH,ARIAO
Complete Items C3.-a�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 calcula!�nn. Use the space provided or the Comments area of
Section D or Section G,as appropnate,to document the datum conversion.
Datum NAVD 1988 Conversion/Comments N/A _ _ LL`�
Elevation re`^rence mark used N/A _Does the elevation reference mark used appear on the FIRM? ❑Yes �No ��!�,'�i-'-
o a)Top of bottom floor(induding basement or enclosure) 6.00 . FT ft.(m) � . ':N' ,�'"°
o b)Top of next higher floor 147 . FT ft.(m) �' -
� � �/+ �
o c)Bottom of lowest norizontal�tructural member(V zones on�y) 14.0 FT ft.(m; N � .� „ Y_
00 � � � � _
�� rt, ti^a ��t�..,c ui,.,,i,� a nn r-r t��..,� n �
.. ..�,_� .�:.,.,y .:.�.�( j.�v ..�.�.. _...`�.�/ ..����i
o e)Lowest elevation of machinery and�or equipment }�'�, � ~ �
servicing the building(Descnbe in a Comments area) 13.0 Ff ft.(m) ,� ,� s� , � ,,;
o fl Lowest adjacent(finished)grade(LAG) 5.1 . FT ft.(m) "' �� : ' PLS 505�����°
o g)Highest adjacent(finished)grade(HAG) 5.8 . FT ft.(m) � 1,j,:t ,��� ?�rC'9 ft76� �
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade NIA � ` " �� , ,�'�'
o i)Total area of all permanent openings(Flood vents)in C3.h N/A sq.in. �
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
1 cerfify fhat fhe informafion in Sections A,8,and C on this certificate represents my best efforfs fo interpret fhe data availa6le.
1 understand that any false statement may be punishable by fine or imprisonmenf und�r 18 U.S. Code,Section 1001.
CERTIFIER'S NAME `� `LICENS�NUM R ' '* � � .�`
BRUCE A.KLEIN PLS 5Q52
TITLE COMPANY NAME '
�RESIDENT KLEIN&STAUB SURVEYING,INC.
DDRESS CITY ' . STATE ZIP CODE
8016 Old County Road 54 New Port Richey � " FL 34653
SIGNATURE DATE � TELEPHONE
, 11/01/06 (727)834�140
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurarce com�any use: .
BUILDING STREET ADDRESS(Induding Apt.,UnA,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
15SOMERSET STREET ,
CITY STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CF_�TIFICATION(CONTINUED) •
Copy both sides of this Elevation Cefificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
A/C UNITS ARE ON THE ROOF
❑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 Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.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.)
E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if avaifable).
E3.For Builtling Diagrams 6�with openings(see page 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 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 gratle,if available).
E5.For Zone AO only: If no flood depth number�s available,is the top of the bottom floor elevated in accordance with the community's floodplain management ortlinance?
❑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 owne�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 communiiy-
issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are correcf to the besf 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 ofr"iaal wt��o is aut�v�nze�'r�y la�ti�;r ord�n�.nce to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
vc ca...ai:i. i�.{�i irCi.iO u��....���w4r��:..i, f::i_.�...�i.�l-:�;.'.�iv.
G1.❑Th^infornation in�ectien C was ta�cen fmm other documentation that has been signed and embossed by a licensetl surveyor,engineer,or architect who is authonzed by state
or�ocal law to certify elc;.ation e:;ormation, (Indicate the source and tlate of the elevation data in the Comments area below.)
G2.❑A community offiaal compl�i��Se;.tio��F='or a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The follow?ng ir!�ormation(item��,4-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(induding basement)of the building is: _._ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding at t�e building site is: _._ft.(m) Datum:_
LOCALOFFICIAL'SNAME X �� O� �„rx t0� TITLE
COMMUNITYNAME �eviewe ,�OT CO C �'pt/���IanCg TELEPHONE
/��t�i�r�
SIGNATURE g�DG.iNSPE T DATE •
COMMENTS 8Y
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions
. FEDERAL E�19EFiGEPlCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
� iVbTtONAL FLQOD INSURANCE PR�RAM Expires December 31, 2005
� ELE�iAT!(�N �ERTfFIC�TE
Im t Read ff�e instru�s on 1-7.
SECT10tJ A-PRQPERTY OWNER INFORMATION F«insurar,ce c�mpa�y use:
�UILDING OWNER'S NAME Pdicy Number
CHRISTIANO CONSTRUCTION, INC
BUILDING STREET ADDRESS(induding Apt.,Unit,Suite,and�or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
SOMERSET STREET
C�.1.�, STATE ZIP CODE
CLEARWATER FL
PRQPERTY DESCRIPTION(Lot and Bfock Numbers,Tax Pam,el Number,Legal Description,etc.)
LOTS 1-5,BLOCK 1,REVISED MAP OF CLEARWATER BEACH
BUILDItJG USE{e.g.,Reside�tiai,Non-residerttial,Add�ion,Accessory,etc- Use a Commerrts area,if r�ece�ary.)
RESIDENTIAL -
tAT(Tl1DEJLONGffUDE(OPTIONAL) HORIZONTAL�ATUM: SOURCE: GPS(i'ype):
( �°-#r�-r�.� or �.�°� ❑ru�o�sr� ❑NAD 19�3 ❑uscs c�uad n� �oa,�r.
SFCT60N B-FLOOD ft�tSURANCE RATE MAP(FIRF+�INFORMATK?N
61.I�FIP C�JitJf�3h9TY htAM�8 CC�vYvll�dTY t�R 82 C�INTY NAMtE 83.STATE
12103C PtNELLAS F�
84.MAP A�PPNEL -- B7.FIRM PANEL B9.Q0.SE FLOOD EL�VATION{S)
h11Rv1gER 65.SI�FIX B6.FIRM lt�DC DATE EFFECTNEIREViSED QATE B8.FLOOD ZOtJE(S) (Zone AO,u�depth oftba#n9�
0102 G 9�3aQ3 9I3r03 VE 14
B10.Irx�e it��r,e�tha 13ase Flood Ekevatbn(BF�d�a ot tr�se flood depth er�tered in B9.
❑F!S f'�v� �FlRlul ❑Carrnur�ilY De�rr�r�ed ❑Otl�r(Desabe):
B11.In�the e�vatiai�fim used fo€�e BFE in B9:O NGVD 1929 �r�a,vo�saa ❑om�r��:
B12 Is�e bui�g ioca�d in a Coas�f Barrier R�S�etn(CBRS)area ar O�wse Protec@ed Area(OPA)? ❑Yes �No Des�ation D�
�' SECTiON C-BUILWNG ELFYA710N INFQRMATION(SURVEY REQUIRE�)
c�.�����«,:p c«,�to�o�� �I e��un�r c«,S�;a,• ❑Fm'shed Construc�on
'A r�v Etarafron cei5bc�w�be req�ared val,e�,cas�,�ction af the�is corr�de�e.
•.Bu�t�g D�n t�hrrd�er 6(Select the bui�g c�ag�rn mast�rr�ar�the bul�g fa�trch tt�s�is being carpf�ed-see pages 6 and 7. ff no c��rrt
aoc�rately repr�ents the buddmg.prvride a ske�h or pt�otoc��h-}
C3.EI�ta6orts—Za�es A1-A�,AE,AH,A(u,�BF�.VE.V1�3(t.V(v,ekh BF�,AR.AW�AR/AE,AfilA1-Ai�,AWAI-R RWAO
Cort�te ftems C3.-a-i b�ow aa:a�rxj to fhe bu�ng�g�un�eafi�in ftem C2.Sbte ttie�Aun used if�e da�m is c�ent iran the c�m used fOr 1t�e BFE in
Sec6a�B,corrrert the c��m�tfiat�ed tor the BFE Sharr fietd rn����d dahm conv�c�CUlation. t Jse the s{�ce ptarided or Eze��a�
Sec�t D or Sedion�,as�ropi�,�doatnent�►e rJa4m�n+�a�.
Dahm 1988 t�
E{rvation refer�nce m�k used Does t�e elevation reference ma�1c used appear on the Ffl�fvl? ❑Yes �No
o a)Top of bot�tn floor(nclucing ba�r�ent or erx�ure) 8. 2 ft.(m} � <:., ' `
o b)Top of r�ct higher fba 17.2 it(m) � " �'�
15.5 ft(m) � f j
o c�Bott�„ot�,kest norQa»rai sa�,cturai m�er N zones ony} o g � � , . .� "
� .�
o c�A t t a c h e d 9 a r a 9 e��P o f s�l a b) 8. 2 R(m) W� .
o e)Lowest elevation of machinery arxV�r equiar�ent -m t�: "
se�vicing tlie budd�g(D�nbe in a Comn�er�is area) WA._ft(m) �� `�. ,,,, 4�,o�
o f�La�st a�acent(fin'shed)gade(!AG) 5.6 ft.(m) , z.�' • �5' �
. �� � ��E
o g)Highest acf acer�(finished�ga�e(HAG) 8. 1 ft(m) � ��Z��`( ' -�
o h)No.of perrr�anent openir�gs(800d vet�ts)with�1 R abare�gade t�lA �
o }Tokal a�of a1 pennar�nt openings(flood ve�►Es�in C3.h WA s4�-(�:an} � : �-
SEC110N D-SUl2VEYOR,Et+IGtNEER,OR AR(�it7ECT CERTIFlCATION •
This certification�to be si�ed and sealed by a land surveyor,engineer,a'architect avthor¢ed by law to certity elevation information.
1 certify th��r information in Se�iass A,B,and C on thrs cer�f�ate reptesents my best efforts to interpret the da2a av�l�{e.
1�ndersfarrd�at arry f�tse stafement may be punishab/e by fine or imprisarment under 18 U.S.Code,Sedion 100?.
CERT�IER'S tJAME VINCEhff E CORBffT LlCENSE NtAv16ER4fi08
TCTLE PREStDEN7' COMPANI'NAME LAtdD PRECISION CORP
•p,pQ�� � C(TY STATE ZIP CODE
2683 St�T POlNT ROAD CLEIaRV��AlER Ft 33759
SlGt�W1t1#�E �� / QATE 'I�t.�'HOf�
, qI24A4 727-796-2737
FFMA Fnrm R1-31 .lartnarv/l � Saa revPrca ciria fnr r.nntirniatinn Rrrr�lart�all nrovinuc PAitinnc
j,
/,
IS4�t'OF�TANT: In these spaoES,copy tf�e carr��ronding infom�ation from 5ecfion A For Insurance Comparry Use:
BUILDING STREET ADDRESS Qndudng Apt,Uni�Sute,ar�a Bldj.tJo.)OR P.O.ROUTE AhD BOX N0. Polic,y Number •
SOMERSET STREET
CITY STATE ZIP CQ�E Compary NAIC N�nber � �
CLEARWATEF. FL
SEC110N Q-SUFtVEYOR,E�CI�ER,ORARCHI7ECT CERTIFlCATlON(CaSVTINUED)
Ca�bott,ss�af n,�E�,vasor,cectir�ate f�(1)cam,unily oi�l,(2}irmr�ce agen�arr,.rary,and(3)bwk6ng ov�. �
COA�A'�-LN"i S
�_Pt�249 ❑c�Clc t�if at�r�s
SECTtON E-BUlLLNtdG EL.F►IATiOTd fA�ORNlATfOPJ(SlfRiIEY NUT RE�IltRm)FOR ZOt�AQ AAfD ZONE A(1MTtfOUT�FE�
For Zone AO arxi Za�A(witl�out BF(_�,ccrr�'e�ifert�s E1 ffxax�E4. !f the E}�vatiai Certifu�te is in�nded for us�as suGportir�g inEamation far a LOMA or LOMR-F,
S�C m�ust be�
E i.8tb4dng Drag°am M1lttr�er_(Seied Uoe bul�ng�agarrt mast sanik��the�fa u.4�ch tl�s�te is b�ng c�rrple�d—see pages 6 atid 7. If no c6�gan�t�
r�res�nls U�e bu�ng,pravide a ske�h or Pi�ogaPh-)
E2.The t�p c�G`�e k�xn 1{o�r(nducitx�ba�r�tt or endos�e)c�the b�is _ft(m)_in-(cm)0 abare a� ❑�(d�edc or�e)the��t g�e_ (ll�
rtaE�g-ade,if availat�le).
E3.Fa-Buik�ng D�6-8 with openisx�s(�e Pac��,t�e r�ct t�er floor-or�eva�d Aoa(elc�ration b)of fhe bu�ng is _R(m)_in.(an}above h'�e high�t ac�aCent
gade. Car�#e ifi�sns C3_h�d C3.i a�§ont of�rrn.
Ed.The k�p of f�e pla�fam�tr�achittay'ancYor�s�tiarx,�fhe bu�9 is _it(m)_in(an)L��re or ❑r�w��c one)n►e t�st ac�,t srade. (us�
rtat�ai gade,fi av��bie}.
E5.Fa Zare AO or�y: If rb tiood de�fh nts�r is ava�te,is tt��p of the bot�rn fioor�esrated in acc��nce�ith the carr�rxu�tys�rr�agerr�t or�?
❑Yes ❑r� ❑urdcnawn. me bcal otf�ia�rnust cer�this ir�arr��on�s�tia,c.
SECTION F-PROPERTY 0{M�dER EOR�R'S RF_PRESENTAT11rE)CERTIFICATI0�1
The prc�riy�,�a ar a�'s autharced�x�6ve who�Sec6o�A,B.C(fie�t�s G3.h an:i C3:i ordy�,and E for Zone A(�nithout a FEAtA-is�eed or comrr�ur�y-
�BFE�cr Zone AO mt�sic�h�e. fie sfafam�s��A,B,C,and E aie carect to the besf ofmY kr�ge•
PR�'ERTY OVVt�R'S OR OWNER'S AUTH�D REPRESB�ITATR/E'S tJAME
AQt}I�SS CITY STATE ZtP CODE �
�lGNATIfRE DATE TELEPI-VOt�
C4PAMENTS
❑check t�ere if att�ner�s
SEGTION G-COAt�MiUNITl(INFOWVlA�4�t(�TI06dAL)
rr�bca!oi�r�l v��auU,a�d try law a o�,ce�aa�is�r if�e arrIIrxu�v's floo�rr�nent or�can arr�s�A e,c{cr E},�a G of i�s Elev�a,
Cer6ficate. Corr�e ihe app6cable itgn(s)and�t�w.
G 1.�il��far�ion in Sec�C v�s t�cen fr�xn oti�t�that tt�b�e�s�d arxf��sed by a li�ed sutveyor,�,a��who is au�aized b�sta�
or la�ka�.v tn c�tify�va�n��kirtr►a�on. (frx�cab��e sar�e and�of�e devation clata n�he Carrr�nts�l�Ow.}
G2.�]A caixn�ty o�Ficia{�i Se�on E for a bu�►g fccat�d�7_one A(v.�wt�t a FQNA-i�d or comnur�t�r�ued BFE'or ZAr�e�:0.
G3.[J The fa�ar�g infamaton{ttgns G4-G9)is p�aricied for carmwtilY��P�P�-
G4.PERNIfT N'��iScR C�. DA7E PERMIT ISSUED C�. DATE CERTIFICATE OF COWfPLIANCEIOCCUPANCY ISSUED
_ _ -
G7.TY�s perrr�t t�as boen issued fa:(�New Ca��,�ian ❑Substait�atprwe�r�nt
G8.Efe�rariOn of as�lt bwesf Aoc�r(md�ng base�r�eni�c#the btislc�g is: _.�f�(m} Dahm:
�.BFE or(n Zo�e AO)de�sih o��r�g at ttt�bu�x�s�is: �`tt(m) Dahm:
LOCAL OFFiClP,L'S NAME TITLE
COMtvlUNflY t�A�hE TEl�PHOI�E
SfG��lATURE DATE
COf�MEt�lTS
— �
❑Ck�c here if afSadBtter�s
FFMA Fnrm R1-R1 .lartuarv�(1(13 Rantar,ac all nravinuc a�litinrta
. FED�RAL EI199ERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
,� • ' NHTfOP�AL FLOdD INSURANCE PROGRAM Expires December 31, 2005
' EL�lATi�N CERTiFfCATE
Im k �tead trie instru�s on 1-7.
SECTION A-PRQPERTY OWfdER INFORMATION Fa���'�����
BUILDING OWNER'S NAME Pd'rcy Number
CHRISTIANO CONSTRUCTION, INC
BUILDING STREET ADDRESS(Induding Apt.,Unit,Sude,ancUa Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
SOMERSET STREET
C�-�r STATE ZIP CODE
CLEARWATER FL
PROPERTY DESCR►PTION(Lot and Bfock Number�s,Tax Parcel tJumber,Legal Description,etc.)
LOTS 1-5,BLOCK 1,REVISED MAP OF CLEARWATER BEACH
BUILDING USE(e.g.,Ftesides�tiai,Non-residential,Add�tion.Ac�ay.E#c. Use a CommeMs area,if nec�;sary.)
RE5IDENTIAL
IATfTtJDE/LONGffUDE(OPTfONAL) HORIZOM'AL UATUM: SOURCE: GPS(Type):
( ##°-##'-##.##" or ##.###q#°} ❑NAD 1977 ❑NAD 19�3 ❑USGS Qtsad Map ❑Qther:
S�CTSON B-FLOOD INS41RAIdCE RATE MAP(FIRI�lNFORNIAT�N
B1.N=IP�TY t�IAME&CCtv9ulJ�TY t�R�ER 82 COIA�TI'NAME 6:3.STATE
('.�,T)` O�' (�Lf/E�`+Jt�Z'E�'- i�S d� (p PINELLAS FL
B4.MAP AND PPdVE�-- - 87.FIRM PANEL B9.flASE FLOOD ELEVATION{S)
NUrvfBER B5.S�FIX �FIRM It�IX DATE EFFECTNFJREVISED Q�TE BS.FLOOD ZOt�(S) {Zone AO,use depth ofAoocirg)
�t 2 i�3�-0102 G 9.�3,�Si 9/3ro3 VE 14
B1Q.Ir�iCa#e tl�e�e of tt��Fbod Elevation(BF�d�a a base flood depth et�ered in 69.
❑FtS!'r� �FlRMI ❑CamwnitY D� ❑�@��)�
611_{r�e the e�a6on dahm used fa the BFE in B9:0 NGVD 1929 �nw��ssa ❑o�r��a:
B12 !s�e�foca�d in a Coasf�B�ier R�Sys�n(CBRS)area ar Ott�ise Prote�Area(OPA)? ❑Yes �No DESi�ation D�e
_�... .—..�_ SECTiO�f C-BIpLDI1+iG EI.EVATfON INFORMATfON(SURVEY RE(�.IlRED)
c�.�g e�atia�s�e�ed«,:p c«�,ction�av�* �&�uru�c,a�ar�' �Fin�hed c«,struction
; *A new Elar�ai C�56ca�u�i be re�ed when cors6�tion af tl�e buic�g s aat�te.
..2.Bud�ng D�gam hhrr�'6(Sek�:t the bu�c�r►g ciagam mast san2ar�the bulc�ng for�trch U�s ce�caUe is being carple�i-see peges 6�d 7. If no�n
accu�tely re�xesen�the bu�.praride a ske�h a Ptm�ph-)
C3.�-Zot►ES A1-�i30.AE,AFi,A(wi�BFE�,VE,W V�,V(with BFE},AR,AWq AR/AE,AWA1-A'iQ,AWAFI,ARlAO
Corr�te lt�r�s C3.-a-i b�ow aoca�ng to U�e buir�ng d�g�n�d'm Itern C2.State ihe daArn used.If#�e da�m is�t frCxn the ct�m t tsed for ihe BFE in
Sec6a�B,cornrert ttie r�9m to E�at used for the BFE Shav fieid�er��ts and dahm conv�c�cu�ation. l.)se the s�Ce praiided a E�e C.o�rr�ar�a�
Sec.�tion D a Section G,as�xi�,to daamer#�e da�en�.
Dahm 1988 ts
E{evaiion refer�r�ce m�1c used Does the e(edation r�erer�ce marlc used appear on the FIRM? ❑Yes �No
o a)Top of botb�m floa(nclucfng ba�rient a enclosure) 8. 2 ft(m) �
� 4#r.
o b)Top of nact higher floa 17.2 it(m}
o c�eottan ot�st na�or�i s�,caxai m�r,�er N zon�ony) 15.5 ft.(m) g o ��• `°. L�� "''
o �Attached ga�age(k�p of slaab) s. 2��rr,} �_ .
o e)Lowest elevation of mach6iery arxYor equ�xr�ent W m ,:a. :
servicing the bud�►g(Descrt�e in a C�rruner��) WA.—ii(m) E� � : r 5.,,� �v o�
o tj La�t a�acent(finished)gade(LAG) 5.6 it(m} ; z�
o g)HighEStac�acer�(finished�9a�e(F{AG) 8. 1 ft.(m) � ; `f�2��`Y
o h)No.of pe�n�anent openings(flood venls)with�1 ft aba�e acf}acertt gade N!A �
o )Total area of aN�t openirx�s(flood ver►fs)in C3.h N!A s4�-(s�}an) �`
SECTiON D-SURVEYOR,ENCtNEER,OR ARCt�7ECT CERTtFlCATION •
This certification�to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation infamation.
1 certity th�ft�infnrmafion in Sectiorzs A,B,and C on thrs cer�fic�e represents rrry besf eflorts to interp�e�d�e data av�lable.
1 undersfand that any fa�se st�emenf may be punshable by fine ar imprisonment under 18 U.S. Code,Section 1001.
CERT�IER'S NAME VIt�ENT E.COR817T LlCENSE NUMBER dfi06
TITLE PRESIDErlT COMPANY NAME IAND PRECISION CORP
,4DDRESS � CITY STATE ZIP C0�
2683 St�T PQINT ROAD CLEARWATEft R 337�9
SIGNAlURE QAlE TELB'H01�
��� '�=�: 4/24164 727-796-2737
FFMA Fnrm R1-R1 .fannanc/S � Sr a ravarca ciria fnr r.nntinuatinn Ranlar.a�alI nrPVinuc Prliti�ns
�;
(,'
ti�PQ�tT:M�T: In#f�ese spaces,copy ihe corres�anding in4om�ation from Sectian A Fw Irx;urance Comparry Use:
BUILDING STREET ADC�ESS(Incluc5ng Apt.,Uni�Siate,and�a Bki�.I�b.)OR P.O.ROIJfE AIJD BOX N0. Polic.y Number ,
SOMERSET S7REET
��y STATE ZIP CCOE Compary NAIC N�anber �
CLEARWATE�? FL
� SEC710N Q-SUKVEYOR,ENCt�t�R,OR ARCHI7ECT CERTfFfCATlON(CQNT1PdUED)
Cof�y bofh sid�r�tt�ElEVation Certificate for(1)carmunity aff�Cial,�2)i�u�,ce ag�,t'�r,y,ar,d��,i�o,�w�r.
C�u1LM"S
�PC�o32as ❑ct�dc t�if attad�ner�s
SEC�ION E-BUILLNNG ELEVATiOt�i Il�ORMAT{ON(SUftVEY PIOT REQUIRID)FOR ZOt�AO AND ZONE A(1MTHOUT BF�
For Zone AO arxi Za�A(w'rtl�aut BFE�,car�e�ften�s E1 throix�h E4. IF the EfEVation Certifi��te is�tended for use as�Qating ir�octt�ation fa a LOMA or LOMR-F,
Se�On C rru�be can�.#ed
E t.Btaldng Diayram P�krr�rer_(Seiect the bulcing c�agarn mast sat�7��the b�in�u,fiach tlis certifi�te is being arrpl�e,d-sae Rages 6 and 7. If no ciagatn aa�ratei�
repres��tt�e buiCing,prwide a�ceCh or ptatoc,�ph.)
E2.The�p af tl�e t�m tbor(ridu�g ba�r►errt a�re)o�t�e bu�ng"s _it(m}_in(cm)p above or ❑t�w(chedc one)Uie hi��t 9�� N�
nahaa!grade,�avaik�ife).
E3.Fa-Buil�rx�D�6-8 with openirx�s(see Page�,t�e r�ct t�floa or eleva�d tbor(efevation b)of tl�e bu�Cing is _R(m)_in.(an}�O,re tl�e highe�t ad�ent
gade. Cmipl�e it�ns C3.h and C3.i m fro�rt of�m.
E4.The bp of the platfom��rrrachine�y andb�r ec�xr�nt saviang the tw�9 is _ft(m)_in(an}��ore or ❑�ow(cr,�c a,e)me t�,�t a�,t�de. (u�
naha�l gade,�av��}.
E5.For Z�AO ont�: ff rm fiood dept�nur�is ava�e."s ttie�cp af 1he batfirn floor darated in aocor�ance with tt�carerx�l�/s 4boc�lain�gerr�rt a�artce?
❑Yes ❑r� ❑unkno+tir,. me bcal afbaal rnust c�igr u;�ir�amagon�sec�a,G.
��� SECTION F-PRCWERTY 01AMER(OR�IIMER'S REPRESENTATIVE)CERTIFICATION
The pr�ty��ner cr awna's ats�►ori�ced r�e who arr�pfe�es SeC6ons A.B.C(Il�r�s C3.h and C3�i or�ty},ar�d E for Zone A(uitbut a FER4A�d or crnmur�ty-
�ued�E�a 2aie AO must s's�h�e. The sfataner�s a�Sectio,-�s A,Q C,a7d E�e con�ct to li►e b�f ofmY knas'fedge.
PR�'ERTY O1M�R'S OR OVUNER'S AUfHOW7�D REPf�SH�(TATNE'S NANIE
qpa��S C1N STATE ZIP CODE
�lG�TURE DATE TELEPfiOt�
CON9MENTS
❑Check t�ere if atL�chments
SECTION G-COi�UN(TY INFOt�,IlA,�14N(4PTIOtdAL}
The bCa!dix�al�s�by!aw a a�xe b��r i�e carvn�.j/s flooc�i►nar�r�ent o�e can canple�Sec4ons A B,C(or�,and G o�ttus Elevatiai
Cer�ficate. Corr�tt���p�c�bfe it�n(s)arxf�be�ow.
G1.[]Ti�c�fan�ion in�C was t�cen from ot�r do�rr�'�on ttrat t�as be��and gr�bo�ed b�r a licer�sed sim�eyor,en��,or archit�ct who's autl�a¢ed b�/�
a'local ka�Ntn c�rtify�e�ta�a►�rnta6ot�. (lrx#�2'd�e soea�e�d c�Ee of the el�v'ddion data n the Carrnenis area belwr.)
G2.�A cmvn�fij o�fiaal car�Ci�cbon E for a bui�ng b�d�Zaie A(vittiout a FEMA�►ed a�rrumity-�sued BFE�or Z�ne A:O.
G3.(]The foRov,�sig n�fanration(IEerru G4-G9)is pruriciE.'ci fnr carm�tY��P�P�-
G4.PER�v4(T N;PJ3ER C�. DA7E PERAMT ISSUED G6. DATE CE�CTIFfCATE OF COMPLIAM1�EIOCCUPAAICY ISSUED
_---- --
-
G7.Tf�s perrr�t has boen issued fa:[]New Ca�+i ❑Substar�al trrprarerr�ent
G8.Ele�ra�ori of as-b��bwest ftoor(a�bng besanent�c#the builc�g is: _._ft.(m) Datun:
tx9.BFE ar(n Zone AO)c�th�9oo�r�g at tt�b�x�s�is: __ft(m) Dahm:
LOC;AL OFFICIAL'S tJfW1E 71T1E
COMMUNITY P1Ah4E TELEPH01�
SfGt�IATURE DA1E
CQt�MENTS
❑ct�c r�if atSaac#,�ner�s
FFMA Fnrm R1-:�1 .lanuarv�(N13 Ranlar.PS all nravinuc crlRion.s