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2705 VIA MURANO BLDG 100 FEDERAL EMERGENCY MANAGEMENT AGENCY ' NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 • ' ELEVATION CERTIFiCATE �p��es July 31, 2002 ' Importar� Read the instructlons on es 1 -7. SECTION A-PROPERTY OWNER INFORMATION For fnsurance Company t3se; ING OWNER'S NAME policy Number BUILDING STREET ADORESS(Including,Apt..,Unit,Suite and/or Bld .No,)OR P.O.ROUTE AND BOX NO. Company NAIC Number Venezia at Baywatch - Building #lOb - 270� Via Murano CITY ' ST�TE Z1P 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.,Residential,Non-residential,Addition,Accessory,eta Use Comments section if�ecessary.) Residential LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑G?S(Type):_____ ( #IF°-##'-##.�1#" 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 E Pinellas Count FL Unincor . 125139 Pinellas Florida i B4.MAP AND PANEL 65.SUFFIX 86.FIRM INDEX 67.FiRM PANEL 68.FLOOD 89.BASE FLOOD ELEVATION�'. � NUMBER DATE EFFECTNEJREVISED DATE ZONE(S) (Zone AO,use depth of Roodirg; 0128 D 8 18 92 8 19 91 AE 10 610. Indicate the source of the Base Fiood Elevation{BF�data or base flood depth errtered in 69. ❑ FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe):_____ 611. Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑ NAVD 1988 ❑Other(Describe):___ B12. Is the building located in a Coastal Barrier Resources System(CSRS)a�ea ar Othervuise Proteded Area(OPA)? ❑Yes� No Designation Date ____ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on:Q Construdion Drawings" 0 Building Under Constructian' ❑Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C ilding Diagram Numberl (Seled the building diagram most similar to the building for which this certificate is being completed-see ages 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 differecrt from the datum used for the BFE in Sedion 8,convert the datum to that used for the BFE. 8how field measurements and datum conversion calcul�}�Q�Use the space provided or the Comments area of Sedion D or Section G,as appropriate,to document the datum corners'rr_ Datum132�3 ConversionlComments N,A_ .�<�� m�wa°�'�'°a'��`+'a� Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ��, �` '`""� :�1r��¢�o , ❑ a)Top of bottom floor(induding basement or endosure) 10 .1 ft.(m) �; �-> �g O b)Top of next higher floor n/a ._ft.(m) � �°�� S � ' t ❑ c) Bottom of lowest horizontal struotural member(V zones only) n/a . ft.(m) �; = p �� 4 �b� +�" `' �% �s� � ; ❑ d)Attached garage(tap of slab) a3L�•—ft-(m) �a �,� �� '-' ;� ; ❑ e) Lowest elevation of machinery and/or equipment W m ` ' :, : �'�` ' r` , ; � servicing the building n/a ._ft.(m) E� /j�� ❑ fl Lowest adjacent grade(LAG) n/a ._ft.(m) z'�, ��'.,�. .,J<r-�-'-�" e '. '� ❑ g) Highest adjacent grade(HAG) n a._ft.(m) �� s�`�� °'a��.'z�'Y„�'�' ' ❑ h) No.of permanent openings(flood vents)within 1 ft.above adjacent grade nf a_ � �� r i �-�'' ❑ 7 Total area of all peRnanent openings(flood�vents)in C3h 0 sq.in. J ��'" (�•�) ,,�.�_ 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 the information in Sections A, 8, and C on this certificate iepresents my best efforts to inte�p�et the data available. 1 understand that any fa/se sfatement may be punishab/e by fine orimprisarment under 18 U.S. Code Section 1001. CERTIFIER'S NAME UCE�I�$�,NUMBER Al1an F_ Osl md, PGM 7ti T�T�-E COMPANY NAME ional Surve or and Ma er Kin En ineerin Associates, Inc. �� CITY STATE ZIP CODE 4921 orial e. 300 Tam a FL 33634 SIGNATURE �ATE TELEPHONE 1 01 813-880-8881 � FEMA FoRn 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIO�.S IMPORTANT: In these spaces, copy the cornesponding information from Section A. ;;:For Insurance'Comparry Use_ , BUILDING STREEi'ADDRESS(Indudlng ApL Unit,Su'e,and/or 81dq�y0. OR P.O.ROUTE AND BOX NO. Poli�y Number Yw g �100 - 2T05 � ' ,-� Venezia at Ba atch - Buil'din ia Murano _ - C��learwater STATE ZIP CODE 'Company NAIC Niar�ber ` FL 33764 SECTlON D-SURVEYOR,ENGlNEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Ceraficate for(1)community offipal, (2)insurance agenUcompany,and(3)buiiding owner. COMMENTS ❑ Check here if attachmer�s 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. lf the Elevatiort Certificate is intended for use as supporting information for a LOMA or LOMR-F, Secdon C must be completed. E1.Buiiding 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(inGuding basement or endosure)of the building is _ft.(m)_in.(cm) �above or ❑ below(checic one) the highest adjacerrt grade. E3.For Building Diagrams 6-8 with apenings(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 flood depth number is available, is the top of the bottom floor elevated in accordance with the communit�s floodplain manage_ment ordinance?�Yes Q No ❑Unknovm The local offiaal must certify this information in Section G SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A, B,and E for Zone A(without a FEMA issued ar community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachmer.� SECTION G-COMMUNITY INFORMATION(OPTIONALj ` The local offiaal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sedions A, 8,C(or�,arEri G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1.�The informati�n in Seution C was taken from other documentation that has been signed and embossed by a licensed surveyor, engin�er,or arciaited w�io is authorized by state or local taw to certify elevation information. (Indicate the source and date of the el�vation�ata in tt��P Comments area below.) G2. (]A�mmunity official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BF�or Zone A�. G3.[1 The 1`oll�wing in`ormati�n(ltems 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 Q Substantial Improvement G8. Elevation of as-built towest 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 OFFICWL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS . ❑Check here if attacl�mer�s =EMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS