2732 VIA MURANO BLDG 500 FEDERAL EMERGENCY MANAGEMENT AGENCY p_�_B. �yo. 3067-0U77
. , NATIONAL FLOOD INSUR.4NCE PROGRAM
• Expires July 31, 20fl2
� � EL�/AT601U CERTIFICATE
Im ortar� R�d the instructto�on a es 1 -7.
SECTION A-PR�PERTY OWNER INFORMATION Fcr fnsurance Cort�any Use;
BUILDING OWNER'S NAME Polky Number
ING STREE'�ADDRESS(Induding Apt.,Unit.Suite,andJor Bldg.No.)OR P.O.ROlJI'E AND BOX NO. Company NAIC Nurnber
Venezia at Ba atch - Buildin #500 - 2732 Via Murano
..: ....
Clearwater, ::i, �FL- 733764E
PROPERTY DESCRIPTION(Lot and 81odc Numbers,Tax Parcel Number,Legal Description,etc.)
Tax Folio No. 29/29/16/00000/220/0200
BUILDING USE(e.g.,Residentlai,IYon-residential,Addi�on,Accessory,etc. Use Commerns sedion N necessary.)
Residential
LATITUDE/LONGITUQE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):_____
( #A�°-##'-##.#�" or �#.� Q NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.-----
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFiP COMMUNITY NAME 8 COMMUNITY NUMBEft BZ.COUNTY NAME B3.STATE
Pinellas Count FL Unincor . 125139 Pinellas Florida �
84.MAP AND PANEL B5.SUFFIX B6.FlRM INDDC 87.FIRM PANEL B8.FLOOD 89.BASE FLOOD ELEVA710N�a
NUMBER DATE EFFECTNElREVISED DATE ZONE(S) (Zone AO,use depth of ttooding;
0128 D 8 18 92 8 19 91 AE 10
B10.lndicate the source of the 9ase Flood Elevation(BFE7 data or base flood depth eritered in B9.
❑ FIS Profde Q FiRM ❑Community Determined ❑Other(Descn'be):_____
811.Indicate the elevatlon datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):____
812.Is the buiiding located in a Caastal Barrier Resources System(CSRS)area or Otherwise Proteded Area(OPA)? ❑Yes � No �
Designation Date ----
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Buiiding etevations are besed on:[]Construdion Drawings' Q Buiiding Under Ccnstruction' ❑Finished Construction
'A new Elevadon Certificate wiil be required when consUuction of the building is complete. �
C ilding Diagram Number 1 (Select the buiiding diagram most sirrular to the buiiding for which this certficate is being completed-see
es 6 and 7. If no diagram accurately represents the.buiiding, provide a sketch or photograph.)
C3. evations—Zones A1-A30,AE,AH,A(with BF�.VE.V1-V30,V(with BFE�,AR,AR/A,ARiAE,AR/Ai-A30,AR/AH,AR/AO
Complete Iterr�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,cornert the datum to that used fo�the BFE. Show field measurements and datum convession
calcuia�gt� Use the space provided or the Comments area of Sedion D or Section G,as appropnate,�to dxua�r�t the�atihtr carners�r_
Datumi� CornrersioNCamments NJA_ �1� �a/�.. ,
Elevation reference ma�lc used Does the elevation reference maric used appear on the FIRM'?° ❑�f' 'µ=�}'I�' �a���"a� "� '
❑ a)Top of boftom floor(nduding basemerrt or endosure) 10 . 1 R(m) � � ,- <.;� ��T'
❑ b)Top of neut higherfloor n/a . ft.(m) �' �--����G'",� ''�� �� ,,
0 c)Bottom of lawest horizontal structural member(V zones only) n/a . fL(m) � �=, �- � � � r' r,-
❑ �Attached garage(top of siab) n�a R�m� �� ,l,J 3�/G—�71� ;�
❑ e) Lowest elevation af machinery and/or equipment W� � `�" p t�' ��' '` , � -
serviang the building n/a _ft.(m) � � G���, `-��!y= .�
❑ �Lowest adjacent grade{LAG) n/a ft. m ' � • " `� �_ c.`
,
❑ g)Highest adjacent grade(HAG) n�a _ft.(rr�)) �y :0'" n��, �}; _
❑ h) No.of pertnanent openings(flood ventsj within 1 ft.above adjacerrt grade_n/a � � ' " 4`�
❑ )Total area of ali peimanent openings(fload.vents)in C3h � sq.in. (sq.an) . f-R
,
SECTION D-SURVEYOR,ENGiNEER,OR ARCHITEC'T CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certKy etevation ir�formation,
1 cerSfy that the infonna�on in Secfions A, B, and C on this ce►tificate represents my best efl`orts to inteip�et the data available.
i understand that any false statement may be punishable by fine or imprisonmebt under 18 U.S. Code, Section 1001.
CERTIFtER'S NAAAE UCF�I�I$�,NIiMBER
Al lan F_ C�G 1 md� PSM 6�ti
n COMPANY NAME
�rofessional Surveyor and Mapper Kinq Enctineerin Associates, Inc.
�► SS C(TY STATE Z!P CODE
4921 or' S Q0 Tam a FL 33634
SI RE ��;� DATE TELEPHONE .
-�- 3 16 8 3-88 -888
FEMA Fortn 81-31,AUG 99 SEE R�VERSE S1DE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIO�S
9MP�RT�I�IT: 9n these spac�s, copy the corresponding ir�formation from Seclion�►.
_.For insurance Camparry(� _
�UIIDING STRE�T,4DDRESS Irtdudin --
f B�pt,Unif,Suite,and/or 81dg,No.)OR P.O.ROUTE APIQ 80X NO. Po Number:: �
Venezia at Ba atch - Building #500 - 2732 Via Murano �' '
C1TY STATE ZIP CODE 'Company NAIC Nianber
Clearwater FL 33764 -
SECTION D-SURVEYOR,ENGINEER,OR,4RCHITECT C�RTiFICATION(CONTINUED)
Copy both sides of this Etevation Cefificate for(1)community official, (2}insurance agenUcomparry,and(3)building owner.
COMMENTS
Check here if attachmer€s
SECTION E-BUILDING ELEVATION IMFORMATION(SURVEY NOT REQUIRED)POR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE',complete Items E1 through E4. 1f the EJeva6on Cerfificat�s is intended for use as supporting
infamation for a LOMA or LOMR F, Secfion 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 flaor�nctuding basement or endasure)of the building is `ft,(m)_in,(cm)�above or ❑below{checic one}
- the highest adjacerrt grade.
E3.For Building Diagrams 6-8 with openings(see page�,the next higher floor or Nevated floo�(elevation b)of the building is
_,ft.(m)_in.(cm)above the highest adjacent grade.
E4.For Zone AO only: If no fload depth number is avaiiable,is the top of the bottom floor elevated in accordance with the communii�s '
_ floodplain manaqement ordinance?Q Yes � No Unknown The local offiaal must certify this infortnation in Section G
SECTION F PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFICATI�N
The property owner or owners authorized representative who completes Sedions A,B,and E for Zone A(without a FEMA-issued o�
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 INFORMATtON(OPTIONAL) '
The local officia!who is authonzed by law or ordinance to administer the communiiy's floodplain management ordinance can complete
Sedions A, 8,C(or�,and G of tfi':s Elevation Certificate. Complete the applicable item(s)and sign below.
G1. Q The infam+.ation in Section C was taken from other documerrtation that has been signed and embossed by a licensed surveyor,
engineer,or ar�chited w.ho is authorized by state or local law to certify eievation information. (Indcate the source and date of the
elevation data in the CornmFnts area below.)
32. 0 A community o�cial aompleYed Sedion E for a building located in Zone A(without a FEMA-issued or community-issued BF�or
Zone AO.
33. �The foltowing information(ltems G4-G9)is provided for community floodplain managemerrt purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFiCATE OF COMPLIANCElOCCUPANCY
, ISSUED
37.This permit has been issued for. ❑New Construction Q SubsiantiaF>Improvemerrt
38. Elevation of as-built lowest floor(induding basement)of the building is: _ft.(m) Datum:
39. QFE ar(in Zone AO)depth of ftooding at the building site is: _ft.(m) Datum:_____
LOCAL OFFtCWL'S NAME ��E
COMMUNITY NAME TELEPHONE
SIGiVATURE DAT'E
COMMENTS
❑ Check here if attachmer�s
'EMA Form 89-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS