2731 VIA CAPRI BLDG 900 FEDERAL EMERGENCY MANAGEMEN�AGENCY p,�,g. �yo. 3067-0077
.
NATIONAL FLOOD INSURAPICE PROGRAM �pires Juiy 31, 2002
� �, ELE1/AT60N CE�RTIFiCA�E
� Im ortarrt: Read the inatructlo�on a es 1 -7.
SECTION A-PROPEl2TY OWNER INFORMATION Eor fnsurance Canparry t1se;
BUILDING OWNER'S NAME . Polky Number
ING STREET ADDRESS(Indudingqp�,Unit Suite,and/or 81dg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
Venezia at Ba atch - Building �900 - 2731 Via Ca ri
Clearwater, i� �� ZIPCOQE
33764
PROPERTY DESCRlAT10N(Lot and 81odc Numbers,Tatt Parcel Number,Legal Description,etc.)
Tax Folio No. 29/29/16/00000/220/0200
BUILDING USE(e.g.,Residentfal,Non-rosidential,AddiNon,Accessory,eta Use Commerrts sedion if�ecessary.)
Residential
LATITUDEILONGITUDE(OP170NAL) HORIZONTAL DATUM: SOURCE: ❑G?S(Type):_____
( �ta9E°-##'-##.#�" or �k.�°) ❑NAD 1927 ❑NAD 1983 ❑USGS Qugd 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 f
84.MAP AND PANEL B5.SUFFIX B6.FIRM INDDC B7.FiRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION�
NUMBER DATE EFFECTNE/REVISED DATE ZONE(S) (Zone AO,use depth of tioodir�;
0128 D 8 18 92 8 19 91 AE 10
B10. Indicate the source of the Base Flood Eievation(BF�data or base flood depth er�tered in 89.
❑ FIS Profile Q FiRM ❑Community Detertnined ❑Other(Describe):_____
B 11. Indicate the elevatlon datum used for the BFE in 89:�NGVD 1929 ❑ NAVD 1988 ❑Other(Describe):____
812.Is the buiiding located in a Coastal Barrier Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes� No �
Designalion Date ____
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Buiiding elevations are based on:(]Construdion Drawings' Q Buiiding Under Construdion" ❑Finished Construction
'A new Elevatlon Certlficate will be required when construction of the building is complete. �
C2�Idtng Diagram Number 1 (Seled the building diagram most sim7ar to the building for which this certificate is being compieted-see
es 6 and 7. If no diagram accurately represents the.buiiding.provide a sketch or photogrdph.)
C3. Elevations-Zones A1-A30,AE,AH,A(with BFE7,VE,V1-V30,V(with BFE�,AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3a-i betow accord(ng 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 for the BFE. Show field measurements and datum conversion
calcula�1hv�DUse the space provided or the Comments area of Section D or Secction G,as appropriate,�todaaimen��pea�tatr�sq..canversir
DatumIg2.9 CornersioNCommenis NJA_ �a � .;;,�. .:.
«.E,,
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑`Ye��� �p.��L'- 't-. �It�' ,
❑ a)Top of bottom floor(nduding basement or endosure) 10 . 1 �,�m� � � � -ti ,�j��- r
❑ b)Top of next highe�floo� n a , }t,(m) w ,T-:-,�.`/��'�! � _
0 c)Bottom of lowest horizontal strudural member(V zones only) n/a . ft.(m) �$ ;cs; s t��' d.� °° - �'
4 �Attached garege(top of siab) n/a ,_}��m� .�� � c t--�?,G''�� �� 1=
❑ e) Lowest elevatton af machinery and/or equipmerrt W '� t�„ ; � � �� � �'y `
senricing the buildin9 n/a _ft.(m) �� �is � �° '� �' ��''� �
� � " r
O fl Lowest adjacent grade(LAG) n/a ,R(m) Z ' .
❑ g) Highest adjacent grade(HAG) n�a.—}t,�m� _�' �' � „ � ���,��,�'"�
� i< �s
0 h) No.of pertnanern openings(flood vents)within 1 R above adjacerrt grade_??/a � �
0 )Total area of all permanent openings(flood.vents)in C3h � sq,in. (sq.cm) T -_M� � � .
SECTION D-S.URVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This cefification is io be signed and sealed by a land surveyor,engineer,o�arc�itect authorized by law to ce�ifjr elevation information..
I certify that the infoimation in Sections A, 8, and C on this cerdificate represents my best efforts to inteip►et the data available.
I unde�stand that any false statement may be punishab/e by flne or imprisonmeht under 18 U S Code Secfion ?00�
CERTIFIER S NAME UCF��$,�,NUMBER
_ Allan F_ Ocl mr�' PSM 5y
T� COMPANY NAME
�rofessional Surveyor and Mapper �n En ineerin Associates Inc.
A � C� STATE ZIP CODE
492 ia e. 00 Tam a FL 33634
SI RE J��/01 TELEPHONE
8 3-88 -8 8
F€MA FoRn 81-31,AUG 99 SEE REVERSE SIOE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIO�S
�MP�RT�eAIT: 9n these spaces,c��Oy ghe carresQoeding i�ormation from Seclion,4.
SUILDiNG STRE�f,4DDRESB tndudin � �or lnsurance Campany�
� 9 APt,Uni Sui�,and/or 81dg,No.)OR P.O.ROUTE AND BOX NO. ;Po' Number:
_.
Venezia at Baywatch - Building #900 - 2731 Via Capri �° - � - ` �
ClTY STATE Z!P CODE -
Clearwater Company NAIC N�anber
FL 33764
SECTtON D-SURVEYOR,ENGINEER,OR ARC@iITECT C�RTiFiCAT10N(CONTINUED)
Copy both sides of this Elevatian Certifiqte for(1)community offiaat, (2}insurance agenUcompany,and(3)building owner.
COMMENTS
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIREO)FOR ZONE AO AND 20 E Ahere ifi attact�mer€s
For Zone AO and Zone A(without BF�,complete Items E1 through E4. If the Elevation CertiBcate is intended for use as s�OUT BFE)
information for a LOMA or LOMR F, Section C must be comp/eted. p��R9
E1.Buiiding Diagram Number_(Seled the building diagram rrwst similar to the building for which this certficate is being completed—see
pages 6 and 7. If no diagram accuratety represents the building;provide a sketch or photograph.)
E2.The top af the botiom floor(ncluding basement or endosure)of the building is „ft.(m)_in.(cm)�above or ❑below(diedc one)
- the highest adjacerrt grade.
E3.For Building Diagrams 6-8 with openings(see pag,e�,the neict higher floor or elevated floor(elevation b)of the building is
_R(m)_in.(cm)above the highest adjacent grade.
E4.For Zone AO aniy: If no flood depth number is ava�'iable,is the top of the bottom floor elevated in accordance with the communii�s .
floodplain manaqement ordinance?�Yes 0 tYo ❑Unknown The local official must certify this information in Secaon G
SECTION F-PROPERN OWNER(OR OWNER'S REPRESENTATIVE)CERTIFlCATtON
The property owner or owner's authorized representative who completes Sedions A, B,and E for Zone A(without a FEMA-issued a�
community-issued BF�orZone AO must sign here.
PROPEftTY OWNER'S OR OWNER'S AUTHORIZEp REp12EgEN�ATNE'S NAME
���� C� STATE Z1P CODE
SIGNATURE � DATE TELEPHUNE
COMMEM'S
Check here if attachmer:�s
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local offic.ial who is auti±arized by Iaw or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B,C(or�),and G�f this Elevatlon Certficate. Compiete the applicable item(s)and sign below.
G1. Q The inf�rmLtion in Sectio��C was taken from other documentatio�that has been signed and embossed by a licensed surveyor,
engineer,or archited who is authorized by state or locai law to certify elevatio�infortnation. (Indicate the source and date of the
ele+!�tian da:a in the�omments area below.)
G2. [�A co�munity officiat.omR;�ted SecGon E for a building located in Zone A(without a FEMA-issued or community-issued BF�or
Zone A9.
�3. ❑Th�foltowing informatian(Items G4G9)is provided for community floodplain managemerrt purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERT1FtCA7E OF COMPUANCE/OCCUPANCY
ISSUED
�7.This pennit has been issued for. ❑New Construction Q Substantial lmpravemer�t
38. Etevation cf as-built lowest flaor(induding basement)af the building is: _ft.(m) Datum:
39. E�FE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum:
LOCAL OFFiCWL'S NAME n�
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Checic here if attachmer�fis
'EMA Form 81-31,AUG 99 REPlACES ALL PREVtOUS EDtTIONS