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2715 VIA CAPRI BLDG 700 FEDERAL EMEiZGENCY MANAGEMENT AGENCY ,• a 6 • ��6� NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 :�� " ELEVATION CERTiFICATE Expires July 31, 2002 Importanr Read the instructions on a es 1 -7. SECTION A-PROPER7Y OWNER INFORMATION For fnsurance Company Use: ' ING OWNER'S NAME Policy Number B LDING STREET ADDRESS(lncJudinqApt.,Unit,Suite,and/or Bldg.No_)OR P.O.ROUTE AND BOX NO. Company NAIC Number Venezia at Baywatch - Building #700 - 2715 Via Capri ClTY ST�E 3 3 7 6 4E Clearwater, �, PROPERTY DES RIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) Tax Folio �o. 29/29/16/00000/220/0200 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessary,etc. Use Comments sec:tion if necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORI20NTAL DATUM: SOURCE: ❑GPS(Type):_____ ( ##°-##'-##.##' or ##.##/!##� ❑NAD 1927 ❑NAD 1983 ❑USGS Cluad Map ❑Other._____ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE j Pinellas Count FL Unincor . 125139 Pinellas Florida i 84.MAP AND PANEL 65.SUFFIX B6.FIRM INDEX 67.FIRM PANEL 88.FLO�D B9.BASE FLOOD ELEVATIONr NUMBER DATE EFFECTNEIREVISED DATE ZONE(S) (Zone AO,use depth of Roodir�; 0128 D 8 18 92 8 19 91 AE 10 B10. Indicate the source of the Base Flood Elevation(BF�data or base flood depth errtered in 89. ❑ FIS Profile Q FIRM ❑Community Determined ❑Other(Describe):_____ B11. Indipte the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):___ B12. Is the buitding located in a Coastal Barrier Resources System(CBRS)area or Othervuise Proteded Area(OPA)? ❑Yes � No Designation Date_____ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on:�Construdion Drawings' � Building Under Construction" ❑Finished ConsVuction 'A new Elevation Ceraficate will be required when construction 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. tf 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-+below according to the building diagram specified in Item C2.State the datum used. If the datum is differertt 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��p,�Use the space provided or the Comments area of Sedion D or Section G, as appropnate,to docume �}�e datum convers'rr_ �aa�a�29D� Datum ��}� ConversioNComments NJA_ .-s.,�,�*._- a��. � �< ��,: - Elevation reference mark used Does the elevation reference maric used appearon the FIRM� Q�'_'�es�;�J I�,�a, , `� ❑ a)Top of bottom floor rnduding basement or endosure) 10 , 1 ff,�m� „ - � , ❑ b)Top of next higher floor n/a , g,(m) � > °��,� `-�'��f�": 0 c) Bottom of lowest horizontal structurai member(V zo�es only) n/a ._ft.(m) �; �o� �"� � r J �'d 3 ❑ d)Attached garage(top of slab) n/a _ft.(m) �j �� "'�=� ��° � � � '�".� 1_� �- �, ❑ e)Lowest elevation of machinery and/or equipment W m � Q � . r� ° � ; serviang the building n/a _g.(m) � � . � � �,�; ' ❑ fl Lowest adjacent grade(LAG) n/a _ft.(m) z.�y; :�T ,� '_ ❑ g) Highest adjacent grade(HAG) n/a,_({,(m) ;�'� ��. '' °°3�va•°' ��-�� ❑ h) No.of permanent openings(flood vents)within 1 ft.above adjacent grade_i?/a � 4�#�a�a��poq��'�� ❑ )Total area of all permanent openings(flood.verrts)in C3h � sq.in. (sq.cm) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION'' This certification is to be signed and sealed by a land surveyor,engineer,or arcfiitect authorized by law to certify elevation i�formation.. 1 ce�tify that the informa6on in Secdons A, B, and C on this certificate represents my best efforts to inferp►et the dafa available. /understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Sec6on 1001. CERTIFIER'S NAME LICE,I��NUMBER Al l�n F_ OG 1 i�nd� PSM `f T1 COMPANY NAME rofessional Surveyor and Mapper Kin En ineerin Associates, Inc. F -� � - ��, CITY STATE ZIP CODE 4921 0 'a1 Tam a FL 33634 SIGNATURE � DAT� TELEPHONE -.l-''.-. .� y'? 2��/01� 813-88 -8881 � FEMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITlO�aS IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Comparry t1se; ,_ ,:; BUILDiNG STREEI'ADDRESS tndudin ( 9 APt-,Unit,Suite,and/or Bld .No.)OR P.O.ROUTE AND BOX NO. Poli�r Number --.. '. Venezia at Baywatch - Building #700 - 271� Via Capri - ' ��TM STATE ZiP CODE `Company NAIC Nianber Clearwater FL 33764 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community officiai, (2)insurance agenUcompany, and(3)building owner. COMMENTS Check here if attachmera�s SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(1MTHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the ElevaSon Certifi'cate is intended for use as supporting informaGon for a LOMA or LOMR-F, Section C must be completed. E1.Buiiding Diagram Number_(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.) E2.The top of the bottom floor(including basement or endosure)of the building is _ft.(m)_in.(cm)�above or ❑ below(checic one) - the highest adjacent grade. E3.For Building Diagrams 6-8 with openings(see page�,the next higher floor or elevated floo�(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. E4.Fo�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 management ordinance?0 Yes ❑No ❑ Unknown The local offiaal must certify this informatian in SecGon 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 or community-issued BFE)or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME ADDRESS CtTY STATE Z1P CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachmer� SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorzed by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E),and G of�is Elevation Certificate. Complete the applicable item(s)and sign below. G1.0 The infoRnati�n in�ection C rvas taken from other docume�tation that has been signed and embossed by a licensed surveyor, engineer,or archatect wh�is autharized by state or local law to certify elevation information. (Indicate the source and date of the elpvation data�in the Comments area below.) G2. Q A camm�nity�('icial completed Section E for a building lopted in Zone A(without a FEMA-issued or community-issued BFE�or Zone AO. G3. ❑The following in#ormatinn(It�ms G4-G9)is provided for communiiy floodplain management purposes. I G4.PERMIT NUM9ER G5. DATE PERMIT 15SUED G6. DATE CERTIFlCATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: ❑ New Canstruction Q SubstaMial lmprovement G8. Elevation of as-built lowest floor(including basement)of the building is: _ft.(m) Datum: G9. �FE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum:_____ LOCAL OFFIClAL'S NAME TITLE COMMUNITY NAME TELEPHONE S{GNATURE DATE COMMENTS • ❑ Check here if attachmer�s =EMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS