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1828 VENETIAN POINT DR (2) U.S.DEPAf�TMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 E�cpires Februarv 28. 2009 Federal Emergency Management Agency National Flood Insurance Program ' Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: At. Building Owners Name Policy Numbe� �y PLM CONTRACTORS and ROWLAND&KATHY MILAM �i� A2. Building Street Address(induding Apt.,Unit,Suite,and7or Bldg.No.)or P.O.Route and Box No. Company NAIC Number � 1828 VENETIAN POINT ORIVE ~ C� State ZIP Code � CLEARWATER F�ORIDA 33758 �. A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) � FOLIO 04/29/15/93894/001/0030 LOT 3 BLOCK A,VENETIAN POINT SUBDIVISION, RECORDED IN PLAT BOOK 27,PAGES 26 AND 27 a A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL Z A5. Latitude/Longitude:Lat.N27°59'14" Long.W82°47'55" Horizontal Datum: NAD 1927 ❑NAD 1983 � Q r. A6. Attach at least 2 photographs of the building ff the Certificate is being used to obtain flood i�surance. � � A7. Building Diagram Number ONE_ � A9. For a buildin with an attached garage,provide: W O A8. For a building with a crawl space or endosure(s),provide: 9 Z a) Square footage of crawl space or enclosure(s NA sq ft a) Square footage of attached garage 400+/- Sq ft � b) No.of permanent flood openings in the crawl space or b) No.of permanerrt flood openings in the attached garage W � enclosure(s)walls within 1.0 foot above adjacent grade NA_ walls within 1.0 foot above adjacent grade NONE � Q c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in N � SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION � U B1.NFIP Community Name&Commun'dy Number B2.County Name B3.State r. m CLEARWATER 125096 PINELLAS COUNTY FLORIDA 64.Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zo Date Effective/Revised Date Zone(s) AO,use 12103C 106 H 5-17-05 5-17-OS VE 15.00 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. �FIS Profile �FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe} 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? �Yes � No Designation Date [�CBRS �OPA SECTION C-BUI�DING 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,ARIAO. Complete Items C2.a-g below according to the building diagram specified in ftem A7. Benchmark Utilized CITY OF CLEARWATER BM I-06 -Vertical Datum NAVD 1988 PUBLISHED ELEVATION OF 11.5778 a) Top of bottom floor(including basement,crawl space,or enclosure floor 5.35 FEET r� � � � � � � b) Top of the�ext higher floor 6.70 FEET �� c) Bottom of 1he lowest horizontal structural member N Zones only) SLAB ON GRADE „� d) Attached garage(top of slab) 4.66 feet ��1 ,�AN 2 6 ZW� e) Lowest elevation of machinery or equipment servicing the building 4.85 feet U (Describe type of equipment in Commerrts) E�'T SERVICES��� fl Lowest adjacerrt(finished)grade(lAG) 4.40 feet ���L� g) Highest adjacerd(finished)grade(HAG) 5.25 feet CITY O� C�EARWATER SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certfication is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certiTy elevation information. 1 certify thaf the information on this Certificate represents my best efforts to interpret the data avaitable. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. B ILL HYATT ❑Check here'rf comments are provided on back of form. PLS # 4636 Certifier's Name License Number O 1-2 6-2 0 0 9 B�LL HYATT FLORIDA LICENSE#4636 Title Company Name PRESIDENT KNOW IT NOW ING � Address City State ZIP Code `,.. MAIL=1497 MAIN STREET#321 DUNEDIN FLORIDA 34698 ,�• o �+�t titµ:, Signature y''�' �;���"�i;; :�U '' �.�, ,..•. �� � ��� - . .: �� �. ;.'��. DATE� 1-26-2009 TELEPHONE: 727-415-8305 . u"� *.� �.. .�. .� � ,t��� �,'� � •esy ?f':s���-'+ e:p�li��s,J i��'h .'..�`�'•. . FEMA Form 81-31,January 2003 See reverse side for continuation. ,,,�1A�����`�ous 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 1828 VENETIAN POI T DRIVE C� •• State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33758 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�' NONE:: ..> . � ,. • • Y�, ��� ❑ °96� •��• • ��� �''��.J� Y •`•� . �� /.� ° ,��.x�,�..,r� ' ,�,': �, ;� Date 1-26-2009 tf�waiu . ._c��� �si . �.s :. A•A - „ : Check here if attachmerrts `'°�,SE�, Q@' -BUI�DIf�fG ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) 1 �.;. �or Z�gries,�0 a�r�jd+����hotirt BFE);complete Items Et-E5. If Uie Certificate is irrtended to support a LOMA or�OMR-F request,complete Sections A,B, an8 Q !�,�rA�m�,�,1. 9,,'use natural grade,ff available. Check the measurement used. In Puerto Rico only,enter meters. E1.,�"cbN'�de.e�evetion information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacerrt grade(HAG)and the lowest adjaceM grade(LAG). a)Top of bottom;floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is . ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ._Q feet ❑meters ❑above or �below the HAG. E3. Attached garage(top of slab)is . �feet Q meters �above or � below the HAG. E4. Top of platform of machinery andlor equipment servicing the building is ._Q 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 managemerrt ordinance? ❑Yes ❑No ❑Unknown. The local official must certity 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 conect to the best of my knowledge. Property Owne�'s or Owner's Authorized RepreseMative's Name Address City State ZIP Code Signature Date Telephone CommeMs ❑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 ftem(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 managemerrt purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑ New Construction ❑Substarrtial Improvement G8.Elevation of as-built lowest floor(including basement)of Uie building: ❑feet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR) Datum Local Offiaal's Name Title Community Name Telephone Signature Date Comments ❑Check here'rf attachments FEMA Form 81-31, February 2006 Replaces all previous editions . , � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(inGuding Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Po►icy Number 1828 VENETIAN POINT DRIVE City State ZIP Code �mr�c N"mber CLEARWATER FORIDA 33758 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 VievW'; and, if required, "Right Side View" and°Left Side View." If submitting more photographs than will fit on this page, use the Continuation Pa e, following. ,. ��,. �r ,r�t�g,� � �:; . _�.. , __ _ `.� ..y.�,-�"'� , ___ M,�:..:,� ` � �a , �� '` � `� -� ,'"� � • � .. � - ,,y, , , ,. �. " _. �� ' t�'y " ` � ' � , � . . _ 1� � ` x: � E: < �. .. z >_:� � �� ��` ' > � ,. ��. � Y ` M a� �a r s w u ai e �. ;, � €� � �r ` � 4, �. 4� r .. . _ .. . �.. .,: _---_'--- �'. i �;.^+Q—'a'�` � _ . t,..�.. � R � � ��' y � � � n i �";. _ � a -� ��.�. . � ee: �. . —.....,, ,�.�„��„ � �- .� , - y¢ „ � IiP " . +y.� .�^ uF�R?4 c � ... �� _. . �:' .. �.._ . xti,a � �r k �� � d�, � �, �" �"�., .:; �.,y — � � � .�' `�k 4 � �:� ��k � X� : , � ' I� �< � �`� ft k ��� � '.. 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