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2739 VIA CAPRI BLDG 1000 FEDERAi.EMERGENCY MANAGEMENT AGENCY o � g �yo. 3067-0077 ,, , NATtONAL FLOOD INSUR�►NCE PROGRAM �pires Juiy 31, 2002 � �, EL�,/A�90N CERTIFiCA�E � Im artarrt Read the inatructiona on es 1 -7. SECTION A-PROPERTY OWNER INFORMATION Eor�nsurance Cort�any Cise; BUILDING OVVNER'S NAME �Polky Number ING STREET ADDRESS(Induding Apt,Unit,Suite,and/or 81dg.No.)OR P.O;ROUTE ANQ BoX NO. Company NAIC Number Venezia at Baywatch - Building #1000 - 2739" Via Capri C�rwater, ), �� ZlPCODE 33764 PROPERTY DESCRIPTION(Lot and 81odc Numbers,Tax Parcel Number,Legal Desaiption,etc.) Tax Folio No. 29/29/16/00000/220/0200 BUILDING USE(e.g..Reaidentlal,Non-residential,Additlon,Accassory,etc. Use Comments sedion it necessary,) Residential LATITUDE/I.ONGf1UDE(OPTIONAL) HORIZONTAL DATUM: SOURCE ❑GPS(Type):_____ ( #�°-##'-##.#�" or �.#�4�#°) Q 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 B3.STATE f Pinellas Count FL Unincor . 125139 Pinellas Elorida � 84.MAP AND PANEL B5.SUFFIX 86.FiRM INDDC 67.FlRM PANEL 88.FLOOD B9.BASE FLOOD ELEVATiON� NUMBER DATE EFFECTNE/REVISED DA7E ZaNE(S) (Zone AO,use depth of 400dir�;, � 0128 D 8 18 92 8 19 91 AE 10 810. Indicate the sourcs of the 8ase Flood Eievation(BFE�data or base flood depth entered i�B9. ❑ FIS Profile Q FIRM ❑Community Detertnined ❑Other(Describe):____ 811.Indicate the elevatlon datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):____ 812.ls the buiiding located in a Caastal Barrier Resources System(CBRS)area or Othervuise Proteded Area(OPA)? ❑Yes� No � Designat�on Date_____ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Buildtng elevations are based on:�Construdion Drawings' Q Buiiding Under Construdion' ❑Finished Construction 'A new Elevation Certfficate will be r�equired when consUuction of the building is complete. � C2 ilding Diagram Number 1 (Select the building diagram most sim7ar to the building for which this certficate is being completed-see es 6 and 7. (f no diagram accurately represents the buiiding.provide a sketch or photograph.) C3. levations-Zones A1-A30,AE,AH,A(with BF�.VE,V1-V30,V(with BF�,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,conven the datum to that used fo�the BFE.Show field measurem�nts and datum conversion calcul��Use the space provided or the Comments area of Section D or Section G,as appropriate,�to doCument the�iatum conversi�-_ Datum CornersioNComments N�A_ ..�,, _ ��,��,ti�a�a��,a,�.;��i Elevation reference mark used Does the elevation reference mark used appearon the FIRM?' `Q Y�'Un �to `� '�-. \ � ❑ a)Top of bottom flaor(induding basement or endosure) 10 , 1 �,�m� m ' � T ��, � 0 b To of next h" er floor n a � � � --��1 �`'�l"��.. �;�,` � ) P � / . ft. m �� a ra :�r�� ❑ c) Bottom of lowest horizontal structural member(V zones onty) n/a . R(m) �= ' '�' Z ��'�� `. :.r� ❑ �At�ched garage(top of slab) n/a , ft,�m� �� -`��p. �" ,�� c- ,-� ❑ e)Lowest eleva�on of machinery and/or equipment W� � ; � E` �� - senriang fhe buildin9 n/a _ft.(m) �� ` � `' K� V .� D fl Lowest adjacent grade(LAG) n/a _g, m E `' ( ) z'� ��---� 0 g)Highest adjacer�t grade(HAG) n/a _��m� � � ' >t..� .s: 0 h) No.of permanerrt openings(flood vents)within 1 R above adjacerrt grade_n/a � u` � '`" 1�`'r�s� • 0 )Total area of all permanent.openings(flood.vents)in C3h � sq,in. (sq,cm) , �- - SECTION D-S.URVEYOR,ENGiNEER,.OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,o�archited authorized by law to certKy elevation information., !certify that the inio�ma�ion in Secdions A, 8, and C on this certficate represents my best eflbrts to interpret dte data available. 1 understand that any fa/se statement may be punishable by fli�e or imprisonment under 18 U S Code Secfion 1001 CERTIFIER'S NAAAE LICF�i�$,�,NUMBER —_Bl l an F_ OG 1 �nr3 _ P4M �y �rofessional Surveyor and Mapper COMPANY NAME Kina Enaineerin Associates, Inc. � C� STATE ZIP CODE 4921 ia . . �0-0 Tam a FL 33634 Sl RE � DATE TELEPHONE � 8 3-88 -8 8 � FEMA FoRn 81-31,AUG 99 SEE REVERSE SiDE FOR CONTiNUATION REPLACES ALL PREVIOUS EDITlO�S 9MP�RT,�NT: 9n these spaces,ca�r 2he carresg�onding informatton from Section.4. . - �UILDING STRE�T,4DORESS(Induding Apt,Unit,Suite,and/or 81dg.No.)OR P.O.ROUTE APID 80X NO. ��Or tc�ssurance Comp�any U� ; ;:; Venezia at Ba atch - Building #1000 - 2739 Via Capri °Pa Number•: • �:.. CITY STATE ZIP CODE Clearwater '_Company iVAIC N�anber FL 33764 ,'. SECT[ON D-SURVEYOR,ENGiNEE�t,OR ARC9iITECT CFRTiFiCAYION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agenUcompany, and(3)building owner. COMMENTS SECTION E-BUILDING ELEVATION INFORMATION(SURVEY AIOT REQUIRE� FOR ZONE AO AND ZONE Ahere if attachmer+�s � (WiTHOUT BFE) For Zone AO and Zone A(without BFE�,complete Items E1 through E4. !f the Eleva6on Ce�tif'rcate is inte�ed for use as supporfing i»formation fnr a LOMA or LOMR F, Secbon C must be comp/eted. E1. Buiiding Diagram Number_(Select the building diagram most similar to the building for which this certificate is being compieted—see pages 6 and 7. If no diagram acauately represents the buiiding,provide a sketch or photograph.) E2.The top of the bottom ftoor(nciuding basement or endosure)of the building is �ft,(m)_in,(cm)�above o� ❑below{chedc 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 _ft.(m)_in.(cm)abave the highest adjacent grade. E4.For Zone AO oniy: (f no flood depth number is available,is the top of the bottom floor elevated in accordance with the communii�s � floodplain management ordinance?(�Yes ❑No ❑Unknown The local official must certify this information in Sedion G SECT'iON F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE�CERTtFlCAT10N The property owner o�owners authorized repnesentative who completes Sedicns A,B,and E for Zone A(without a FEMA-issued or community-issued BF�or Zone AO must sign here. � PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE • DATE TELEPyONE COMMENTS ❑ Check here if attachmer�s SECTION G-COMMUNITY INFORMATION(OPTIONAL) ' The local officia!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 cf this Elevation Ce�tficate. Complete the applicable item(s)and sign beiow. G1. �The infortnation in Sedion�was taken from other documetrtation that has been signed and embossed by a licensed surveyor, er,gineer,er archited who is authorized by state or local Iaw to certify elevation ir�formation. (Indicate the source and date of the elevati�data in the Co:Tmerta area be�ow,) 32.Q A community official compl�t�d Sedion E for a building located in Zone A(without a FEMA-issued or community-issued BF�or Zone AO. 33• Q The fo0owing infortnation (Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFtCA7E OF COMPLIANCE/OCCUPANCY , ISSUED 37.This pertnit has been issued for. ❑New Construction 0 Substarnial lmprovemerrt �8. Elevation of as-built lowest flaor(i�duding basement)of the building is: _ft.(m) Datum: 39. QFE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum: LOCAL OFFIClAL'S NAME n� COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Checfc here if attaciimer� 'EMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDlTIONS