2713 VIA MURANO _ _ _ _ . � � � L� uu �
, .
U..S.�PARTQ(i�NT OF HOMELAND SECURITY ELEVATION CERTIFI . �sso-000s
Federal Emergency Management Agency MAR 0 8 2010 p e March 31,2012
National Flood Insurance Program Important: Read the instructions on pag 1-9.
SECTION A-PROPERTY INFO a pany Use:
A1. Building Owner's Name
Grand Venevia at Ba tch Condo
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box Na `Company NAIC`Number
2713 Via Murano
City Clearvvater State FL ZIP Code 33764
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) !
Office/Meeting room approximeUy 100'N.W.of building G36 ��•,2� � � �+� 2?7 lD•(�•,r� Q, ( (
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat.27. 37 1 Long.-82.727472 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 16
A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A 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
Pinellas County Unincorperated Area 125139 Pinellas FL
64.Map/Panel Number 65.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Eleva6on(s)(Zone
12103C0128 G Date Effective/Revised Date Zone(s) AO,use base flood depth)
8-18-09 9-3-03 AE 9'
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) � N
611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) n �
612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? L-� '-L ��❑ Yes � Nq � W
,f�y p .:�a
Designation Date N/A ❑ CBRS ❑ OPA _' • � � i O C
� � � , O
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REGIUIRE� � `f s t0 D
�
C1. Building elevations are based on: ❑ Construction Drawings' ❑ BuHding Under Construction" �?= �cBirNshed Cons ctio � �
'A new Elevation Certificate will be required when construction of the building is complete. ;� } � �' � N C
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/F�,�Complete�ltems�2.�N
below according to the building diagram specified in Item A7. Use the same datum as the BFE. w•,-1 � � � • -�J /�
Benchmark Utilized G TIDAL FLDNertical Datum ELEV=9.48'(N.A.V.DJ �� � ��� z� � �!
Conversion/Comments N/A � Q � F ; t�`� � z
Check the measureLn�n}G�efi:� i � O
a) Top of bottom floor(inGuding basement,crawlspace,or enclosure floor)8.07 �feet ❑meters(Pu6Ro�i�o�fly) � �v � �
b) Top of the next higher floor N.A �feet ❑meters(PuP�Eof i�of�y) g � � O
c) Bottom of the lowest horizontal structural member(V Zones only) N.A �feet ❑meters(Pug►to�F3i��y) ; (`��
d) Attached garage(top of slab) N.A �feet ❑meters(Pue�ta-�i��y) ' �
e) Lowest elevation of machinery or equipment servicing the building 8.56 �feet ❑meters(Puel�dRi�q'�ly) � ��„
(Describe rype of equipment and location in Comments) ±; ,,�� �� r � n
� Lowest adjacent(finished)grade next to building(LAG) 7.9 �feet ❑meters(Pue`rtaRi�d d1�ly) � �:
Hi hest ad acent finished rade next to buildin HAG ��
9) 9 1 ( )9 9( ) $.� �feet ❑meters(Puerto�Rico only) '
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N.A �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
information. I certify that the information on fhis Certificate represents my best efforts to interpret the data available. ,,� � t � �1, ,t:�� �
I understand that any false sfatement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. ,�,��,`�i 1, ,r,. -� �;� :`
� Check here if comments are provided on back of forrn. Were latitude and longitude in Section A provided by a : ���y••"""'��• Q�' ����'
� 4 ''.�,T!F;� . 'b"�,_;
licensed land surveyor? � Yes ❑ No ''� '�
,V� �ti ,' _
Certifier's Name Philip C.Stock License Number RLS#3035 ' ``� ' ��'
;�m,3�.,�5
_ µ ^^ _ b < <.
Title President Company Name Target Land Surveying,Inc - -" ' =�
.:, �5.�.�ST�s�ia}c:y'�" ;; W
. -� y.
Address 516 Lakeside Place City Largo State FL ZIP Code 33771 %=•�,Z.j4�t�.�.�,�•';
� .� .... �1,�
Signature �� _. . _ Date 2-25-10 Telephone (727)784-0573 ���'�,�`�� S� ' - .{
/�ka.e�"�.i/ c.�_... �.� ._.__. � d 1 1 . .. >�.
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
_ __ __ _ �� ` �r rr_� « �, . .
r
IM�ORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
,BUIIdI�Stf6@t�ddress(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. :POIIcy�Numt�er�
2713 Via Murano '
City Clearwater State FL ZIP Code 33764 Company NAICNumber
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)communiry official,(2)insurance agenUcompany,and(3)building owner.
Comments
Job#100223.01
C2.e=A/C Unit
Signature,,� Date 2-25-10
6�7-._�,� c° �_..�...._
❑ Check here if attachments
SECTION -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 enGosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(inGuding 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 andlor 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 inforrnation(Items G4G9)is provided for community floodplain management purposes.
G4.Pertnit 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
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FEDERAL EMERGENCY MANAGEMENT AGEAICY
� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
� ELEVATION CERTIFICATE Expires July 31, 2002
' Importan� Read the instructions on pa es 1 -7.
SECTION A-PROPERTY OWNER INFORMATION For rnsurance Company Use;
ING OWNER'S NAME Policyr Number
LDING STREET ADDRESS(Induding Apt.,Unit.Suite,and/ar Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
n z' t Ba atch - Buildin #200 - 2713 Via Murano
CITY � ST�TE Z!P CODE -
Clearwater, !. 33764
PROPERTY DESCRIPTION{Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.)
Tax Folio No. 29/29/16/00000/220/0200
BUILDING USE(e.g.,Residendal,Non-residenaal,AddiGon,Accessary,eta Use Comments section if necessary.)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL OATUM: SOURCE: ❑GPS(Type):_____
( #!�°-##'-#�.##" cr ##.#####' ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other._____
SECTION B-FLOOD INSURANCE RATE MAP(FiRM)INFORMATION
B1.NFIP COMMUNITY NAME 8�COMMUNITY NUMBER 62.COUNTY NAME 83.STATE
Pinellas Count FL Unincor . 125139 Pinellas Florida `
84.MAP AND PANEL 65.SUFFIX 66.FIRM INDDC 67.FIRM PANEL 88.FLO�D B9.BASE FLOOD ELEVATION(a �
NUMBER DATE EFFECI'NEJREVISED DATE ZONE(S) (Zone AO,use depth of ibodim�;:
0128 D 8 18 92 8 19 91 AE 10 t
B10. IndicBte the saurce of the Sase Flood Elevation(BF�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 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):___
812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Proteded Area(OPA)? ❑Yes � No
Designation Date_____
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construcdon Drawings* Q Building Under Construction' ❑Finished Construction
'A new Elevation Certficate will be required when construdion of the building is complete.
C ilding Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see
ges 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3. Elevations-Zones A1-A30,AE,AH,A(with BF�,VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2:State the datum used. If the datum is differerrt from
the datum used for the BFE in Sedion B,convert the datum to that used for the BFE. Show field measurements and datum conversion
calcul�} Use the space provided or the Comments area of Sedion D or Section G, as appropriate,to document th�datum carnersi�-_
Datuml� ConversioNComments NJA_ ��"''°`
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes. �JVr�`�'"'� ' �1�G�� ' ;;�.
❑ a)Top of bottom floor�nduding basement or endosure) l0 .1 R.(m) � �> >� �i. �f
❑ b)Top of next highe�floor n/a ._ft.(m) �' ,���'j�,�g�"��� ��;:
0 c) Bo ttom o f lowes t horizon t a l s t r u c tura l mem ber(V zones on l y) n/a ._ft.(m) � m � ` � �'� �;, ry �
❑ d)Attached garage(top of slab) �._ft-(m) ' �° �� � 'a F
c a - � , _,
1' ° 4a,: � "y �S f' ' ,�
0 e) Lowest elevation of machinery and/or equipment W� � �~ `a """ ` �� � �
serviang the building n/a ._ft-(m) E� ����� '�w �'`''� ('� ��
❑ fl Lowest adjacent grade(LAG) n/a ._ft.(m) z' m '' . � •s ° ', �`���
0 g) Highest adjacent grade(HAG) n z._ft.(m) �`� " � �Ese''t�-� ���;=f`J
O h) No.of permanent openings(flood vents)within 1 ft.above adjacent grade nfa_ s� '"�a{, '" ��
❑ i Total area of all ermanent o enin s flood.vents m C3h 0 (sq,cm) "'"`��"'
� P P 9 ( )� sq.in.
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION ,
This certification is to be signed and seated by a land surveyor,engineer,or architect authorized by law to certify elevation information.,
!cerfify that the information in Sec�ions A, B, and C on this ceitificate represents my best efforts to interpret the data available.
1 understand thaf any false statement may be punishable by frne or imprisonmenf under 18 U.S. Code Secfion 1001.
CERTIFIER'S NAME L1CF��NUMBER
Allan F_ Osl �nd, PSM 'f
�T� COMPANY NAME
' nal Surve or and Ma er Kin En ineerin Associates Inc.
ESS CITY STATE ZIP CODE
4921 ori w St . 30�0 Tam a FL 33634
SIGNATURE DATE TELEPHONE
--�' -vL--- (,j���� 813-880-8881 �
FEMA Fortn 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIOTS
IMPORTANT: In these spaces,copy the corresponding information from Section A.
For insurance Compamr�
BUILDING STREET ADDRESS(Inctuding ApL,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Poli�y Number:
Venezia at Ba atch - Building #200 - 2713 Via Murano �
CITY STATE ZIP CODE Company NAIC Nurnber
FL 33764
SECTION D-SURVEYOR,ENGiNEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community ofiaai, (2)insurance agenUcompany,and(3)buiiding owner.
COMMENTS
SECTION E-BUILDING ELEVATION INFORMATION{SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A�THOUT B E)�
For Zone AO and Zone A(without BFE),com ple t e I t e m s E 1 t h roug h E 4. I f t he E leva6on Certiflcate 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 endosure)of the building is _ft.(m)_in.(cm)�above or ❑ below{checfc one)
the highest adjacerrt grade.
E3. For Building Diagrams 6-8 with openings(see pag,e�,the next higher floor or elevated floor(elevation b)of the building is
_ft.(m)_in.(cm)above the highest adjacent grade.
E4. For Zone AO only: If no 800d depth number is available,is the top of the bottom floor elevated in accordance with the communit�s
_ floodplain management ordinance?�Yes Q No ❑Unknown The bcal offiaal must certify this informa6on in Secction G
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Sedions A, B,and E for Zone A(without a FEMA issued o�
community-issued BFE7 or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME
ADDRESS CITY STATE Z1P CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check he�e if attachmer�
_� SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The loql offiaal who is authorized by law or ordinance to administer the community's floodplain management ordinance pn complete
Sedions A, B,C(ar�,and G af this Elevation Certificate. Complete the applicable item(s)and sign below.
G1.Q The information�rs Sedior�C was taken from other documentation that has been signed and embossed by a ficensed surveyor,
enginzer,or archit�ct who�s authorized by state or local law to certify elevatio�information. (Indicate the source and date of the
elevation datd in the Comments area below.)
G2. Q A co�!rmunity offiaal cumplated Section E for a building located in Zone A(without a FEMA-issued or community-issued BF�or
7one AO.
G3.[J 1'he follow�ng inf��rmatiors�Items G4-G9)is provided for community floodplain management purposes.
' G4.PERMIT I�UMBER G5. DATE PERMIT ISSUED G6, DATE CERTIFICATE OF COMPLIANCElOCCUPANCY
ISSUED
G7.This permit has been issued for: ❑New Construction Q Substantiat lmprovement
G8. Elevation of as-built lowest floor(including basement)of the building is: _ft.(m) Datum:
G9. QFE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum:
LOCAL OFFIClAL'S NAME TITLE
COMMUNITY NAAAE TELEPHONE
SIGNATURE DATE
COMMENTS
- ❑Check here if attachmer�ts
=EMA Form 81-31,AUG 99 REPIACES ALL PREVIOUS EDITIONS
......__._ _.. . .. .. y L! � � V 1� � V 47
' 4 ,
U.S.DEPART,�AENT OF HOMELAND SECURITY ELEVATION CERTIFIC� MAR 0 8 20tJ Masch 3 1 2012
�Federal Emergency Management Agency �
National Flood Insurance Program Important: Read the instructions on�pa
SECTION A-PROPERTY INFO MAT panyUse:
A1. Building Owner's Name V"'
Grand Venevia at Ba tch Condo
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Comparry NAIC`Number
2713�a Murano
City Clearwater State FL ZIP Code 33764
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
O�ce/Meeting room approximetly 100'N.W.of building G36
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential
A5. Latitude/Longitude:Lat.27.937 1 Long.-$2.727472 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 1 B
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) N!A sq ft a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No
SECTtON B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP Community Name&Community Number B2.County Name 63.State
Pinellas County Unincorperated Area 125139 Pinellas FL
64.Map/Panel Number 85.Suffix 66.FIRM Index 67.FIRM Panel 88.Flood 69.Base Flood Elevation(s)(Zone
12103C0128 G Date Effective/Revised Date Zone(s) AO,use base flood depth)
8-18-09 9-3-03 AE 9'
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile � FIRM ❑ Communiry Determined ❑ Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) � y
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑ Yes � No � �
Designation Date N/A ❑ CBRS ❑ OPA
N W
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) O �
c° D
C1. Building elevaHons are based on: ❑ Construction Drawings' ❑ BuAding 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 C: N C
below according to the building diagram specified in Item A7. Use the same datum as the BFE. N
Benchmark Utilized G TIDAL FLDNertical Datum ELEV=9.48'(N.A.V.D.I �1 /�
Conversion/Comments N/A �
Check the measurement used. Z
a) Top of bottom floor(inGuding basement,crawlspace,or enclosure floor)$.� �feet ❑meters(Puerto Rico only) Q
b) Top of the next higher floor N.A �feet ❑meters(Puerto Rico only) ^
c) Bottom of the lowest horizontal structural member(V Zones only) N.A �feet ❑meters(Puerto Rico only) � �
d) Attached garage(top of slab) N.A �feet ❑meters(Puerto Rico only) O
e) Lowest elevation of machinery or equipment servicing the building $.56 �feet ❑meters(Puerto Rico only) �
(Describe type of equipment and location in Comments) �
� Lowest adjacent(finished)grade next to building(LAG) 7.� �feet ❑meters(Puerto Rico only) n
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 W.A �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
information. I certi/y that the information on this Certi�cate represents my best efforts to interpret the data available. ' , ' 'f�'°'� M
I understand that any false statement may be punishable by�ne or imprisonment under 18 U.S. Code,Section 1001. .'* ��y �' :,.W.;�j^'}`
,, y h.r s
� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ~ `� .•�;;,i 1�lCn� y�:�'-
licensed land surveyor? � Yes ❑ No � � '� f�� r� � ^�
;;�. 3�3� � �
CertifiePs Name Philip C.Stock License Number RLS#3035 - y ;
_ � ` �
Title President Company Name Target Land Surveying, Inc "_� ° S f�c�a�, ,,�
��S ���'a`�1' � :
Address 516�akeside Place City Largo State FL ZIP Code 33771 t� 'sF-�',�r+r/1_�ti��
Signature ^ � _.___, Date 2-25-10 Telephone (727)7840573 j� �-', �l�i'�ru`���t� , �
� i�-� �. .,f��--r._._ _ _
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces ali previous editions
_ .
n r'S .nr- � ^ �1,72 f�
IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
8uilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number
2713 Via Murano '
City Clearwater State FL ZIP Code 33764 COmpeny NAIC Number
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)communiry official,(2)insurance agent/company,and(3)building owner.
Comments
Job#100223.01
C2.e=A/C Unit
Signature� Date 2-25-10
����� �-..�'___�..._
❑ Check here if attachments
___ _ --
SECTION -BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR 20NE 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.
E 1. 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(inGuding basement,crawlspace,or enGosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including 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 platfortn 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 ce�tify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑ A communiry 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 ❑Substantiai 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
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