1858 VENETIAN POINT DR (2) '
w FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
�-p c��`r� I(��`�T� ELEVATION CERTIFICATE
Im rtant: Read the instructions on es 1-7.
SECTION A-PROPERTY OWNER INFORMATION Fa Insurarxe Canpany t�se:`
UILDING OWNER'S NAME Policy'Number'
REECE BADER
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or BkJg.No.)OR P.O.ROUTE AND BOX NO. Company NRIG Number'
1858 VENETIAN POINT DR.
CITY STATE ZIP CODE
CLEARWATER FL 33755
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 18,BLOCK A,VENETIAN POINT SUBDNISION
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#Ik�#� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNfTY NAME&CONMAUNITY NUMBER B2.COUNTY NAME B3.STATE
CITY OF CLEARWATER 125096 PINELLAS FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
12103C0106 H 5I172005 5/17I2005 VE 14.0'
B10.Indicate the souroe of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):
B12.Is the building located in a Coastal Bamer 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 CeRificate will be required when construction of the building is complete.
Building Diagram Number 6 (Seled 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,ARIA,ARIAE,AWA1-A30,ARIAH,ARIAO
Complete Items C3.-a�below according to the building diagram specfied 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 NAVD 1988 Conversion/Comments .�9 a����=a s&f ,,
Elevation reference mark used AURAL B Does the elevation reference mark used appear on the FIRM? ❑Yes �No a���+ y �ar.,
❑ a)Top of bottom floor(induding basement or endosure) 6 . 5 ft.(m) � ,��,`'�,��'� .�' ' ' :`'f,
❑ b)Top of neact higher floor 17 . 5ft.(m) � ��:,° �v - $. r ��.
❑c)Bottom of lowest horizontal structural member(V zones only) 14 . 6 ft.(m) N� ,��,�• ' � .� s ��
❑ d)Attached garage(top of slab) 6 . 4 ft.(m) E� � ' y � � '� "`
❑ e)Lowest elevation of machinery and/or equipment W� �f,�.�a � � �" "
� ` � V� t3; .� ;..
serviang the building(Describe in a Comments area) 15 . 4 ft.(m) �,� �, � �, � � �'� r •-
❑fl Lowest adjacent(finished)grade(LAG) 5. 6 it.(m) z'� `' ��•'�� '
❑ g)Highest adjacent(finished)grade(HAG) 6. 3 ft.(m) � '�a`���/24/06 '��n,F>
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 � np„ <> ���'�� ''�`:�'
❑ i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm) "4 e��''
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 fhe information in Sections A,B,and C on this certificate represents my best efforts fo interpret the data available.
1 understand that an false statement ma be unishable b fine or im risonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME � SE NUMBER
EDWARD C.ELLIOTT 3983
TITLE NY NAME
ePROFESSIONAL SURVEYOR&MAPPER CONSULTANTS,INC.
ADDRESS STATE ZIP CODE
2546 SUCCE R. ODESSA FL 33556
SIGNATU � TELEPHONE
2006 (727)375-1101
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In ihese spaces,copy the correspcx�ding information from Section A F«ir��rar�ce comperry use:
BUIIDING STREET ADDRESS(Inclucing Apt.,Unit,Sute,ancYor Bkig.No.)OR P.O.ROl1TE AND BOX N0. Pdiyr Number s
1858 VENETIAN POINT DR
CITY STATE ZIP CODE Company NAIC Nunber
CLEARWATER FL 33755
SEC710N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTiFlCATION(CONIINUED}
Copy both sides o�th's Elevation CertiFicake for(1)communiry offiaal,(2)insurar�ce agent/company,and{3)buikling owner. ,
COMMEMS
THE ELEVATION SHOWN AS THE LOWEST ELEVATION OF MACHINERY AND/OR EQUIPEMENT SERVICING THE BUILDING SHOWN IN ITEM C3e
REFERS TO THE RAISED WOOD AIR CONDITIONING EQUIPMENT DECK ON THE EAST SIDE 0�THE RESIQENCE
❑cnedc t�ere if attactrnents
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(w�hhout BFE),canptete Items E 1 through E4. If the F�v�ion Certificate is intended for use as supporting irrfortn�ion for a LOMA or LOMR-F,
Section C must be completed.
E 1.Buil�r�g Diagram Number_(Select the buil�ng d'ragram most similar to the buildirg for which this ce►tificate's being oomple�—see pages 6 and 7. If no ciagram accurately
rep�sents the bu�dir�,provide a ske�h or photograph.)
E2.The top of the boitom floa(inclu�ng basement or er�clOSUre)a�the buil�ng is _ft(m)_in.(an)�above a ❑below(chedc one)the highest adjacent grade. (Use
natural grade,fi available).
E3.Fa Buikiing Diagrams 6-8 with openings(see page 7),the next t�gher floor or eleva�ed floor(elevaliai b)af the bu�ding's _ft(m)_in.(an)above the highest adjacent
grade. Compl�e iterr�C3.h and C3.i on front af fam,
E4.The top of the pla�orrr►of machinery andla equipmeM senricing the buiding� _ft(m)_in.(an)�above a ❑bebw(chedc one)the highest adjacent grade. (Use
natural grade,�available).
E5.For Zone AO only: If no flood depth number's ava�able,is the top d the botlom floor el�rated in aocordance wilh the cammunity's floodplah managaner�adinance?
❑Yes ❑No ❑Unknown. The bcal oificial must certi(y this i�fortnation in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The propedY owner or o�wner's author¢ed represer�ative who canpletes Sections A,B,C(I�eems C3.h�d C3.i only),�d E fa�Zpne A(wittaut a FEMA-'ssued or communit�r-
issued BFE)or Zone AO must sign here. The statamerds in Sections A,8,�and E a�e carect to the best of my knowfedge
PROPERN OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE .
SIGNATURE DATE TEIEPHONE
COMMENTS
❑Chedc here if attachments
SECTION G•COMMUNITY INFORMATION(OPTIONAL)
The bcal a�idal who's atRhorized by law or ordinance to administer the community's floodplain management ordin�ce c�camplete Sections A,B,C(or E�and G af this Elevation
CertiFicate. Complete ths app�cable item(5)and sign bebw.
G 1.�The�famatan in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,a ar�hitect who s autl�or¢ed by state
or local 1aw to c�atidy devation+nFamation. (Indicate the souroe and date aF the el�vation daka n the Commenis area below.)
G2.[]A communihr offiaal comple�ed Section E for a buid'ng located in Zone A(wilhout a FEMA-issued or oommurMy-issued BFE)or Zone A0.
G3.�The fopowing ir�ormation(Items G4-G9)is provided for oommuniiy floodplain managemerit purposes.
� G4.PERMfT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPWWCEIOCCUPANCY ISSUED
G7.Ths permR has been issued for:�New Constnrction ❑Substantial Imprnvement
G8.Elevation af as-twilt bwest floor(induding basement)of the buil�ng s: _._ft(m) Datum:
G9.BFE or(n Zone AO)deplh of floodrg at the buil�ng site's: _it(m) Datum:
LOCAL OFFlCIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMEMS .
f-1 CC�c hene i�attachments
�
� �$��,Nc�
� ��, � C ITY OF C LEARWATER
� � . ,
�� -� p DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
~��� `O� POST OFFICE BOX 474H� CLEARWATER� FLO�DA 33758-4748
�'���'�4TER��'
MUNICIPAL SERVICES BUILDING, IOO SOUTH MYRTLE AVENUE,CI.EARWATER, FLO�unn 33756
TE�rxorrE(72� 562-4567 F.vc(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
X The attached elevation certificate is complete and correct
Minor corrections have been made in the below marked sections by Community Official
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):
(##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
, .NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE
64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER g5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding)
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)
B11. Indicate elevation datum used for BFE in 69:� NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)
612. 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/Ai-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,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 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: //J �� �O Community Official: •
�evation ceRificates shall 6e maintained 6y the community and copies with fhe attached memo made availa6le by request
FRANK HIBF3ARD,MAYOR
GEORGE N.CRE'fEKOS,COUNC[LMEMAER JOIIN DORAN,COUNCILMEMAER
PAUL F.GIBSON,COUNCILMEMAER � CARI.EN A.PE'I'ERSEN,COUNCILMEMRER
��EQUAL EMYLOYMENT AND AFFIItMATIVE ACTION EMPLOYER��