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2305 WILLIAMS DR US.DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name CHARLES AND SHARON WARRINGTON Policy Number A2. Building Street Address(including Apt., Unit, Suite,and/or Bidg. No.)or P.O. Route and Box No. Company NAIC Number 2305 WILLIAMS DRIVE City CLEARWATER State FL ZIP Code 33764 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) 2305 WI LLIAMS DR - LOTS 425 AND 426,MORNINGSIDE ESTATES UNIT 5A (PARCEL ID 19-29-16-59076-000-4250) BCP2009-07371 A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory etc.)R I NTI DIT �. „•.:, A5. Latitude/Longitude: Lat. N 27.94532° Long.W 82.74131' ' '�" �'. .Har zon I�atum �]Y�I,�44D 1927 � NAD 1983 A6. Attach at least 2 photographs of the building rf the Cert�ate�s being use�'tb bb't�i�flood'insuraii'�e; A7. Building Diagram Number 1A � �� ``- % � � - � �- ` A8. For a building with a crawlspace or enclosure(s): " A9. �ot a buildirig with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade , N/A J �/ within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b = N/A sq m c) Total net area offiood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No�� 2� �.Q � d) Engineered flood openings? ❑ Yes � No .. . ,._, SECTION B-FLOOD IN�URANCE RATE MAP(FIRM)I FN ORMATION B1. NFIP Community Name&Community Number 62.County Name 63.State CITY OF CLEARWATER 125096 PINELLAS FL B4. Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12103C-0128 G 8-18-09 9-3-03 X N/A 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Detertnined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N!A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' � Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Comp '1�'s-'�i. � below according to the building diagram specified in Item A7. Use the same datum as the BFE. � ,�.-.�A�� `' lr�.�i...�.. Benchmark Utilized CAMPUS"S" Vertical Datum NAVD 88 � -. .'=�. Conversion/Comments N/A " ��'�� Check the measurement used. '�� _� a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 16.5 �feet ❑meters(Puerto Rico only) ; � ��• -! ,;,_,y, b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico only) '� � � �•�'��" c) Bottom of the lowest horizontal structural member(V Zones only) N/A �feet ❑meters(Puerto Rico onty) E'�1'i m �' � d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico only) �j� � � e) Lowest elevation of machinery or equipment servicing the building 15.98 �feet ❑meters(Puerto Rico only) �C'; (Describe type of equipment and location in Comments) .��.�1 vj � � Lowest adjacent(finished)grade neut to building(LAG) 15.92 �feet ❑meters(Puerto Rico only) �p �-�-�'�'' � g) Highest adjacent(finished)grade next to building(HAG) 16.08 �feet ❑meters(Puerto Rico only) � 1 c� 1 h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A �feet ❑meters(Puerto Rico only) `"'----'--� structural support 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 on this Cerfificate represents my best efforts to interpret the data available. �- I understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. ' ' 'a;yt��,�rr' : r � Check here if commeMs are provided on back of form. Were latitude and longitude in Section A provided by a 4 . � ��E�-f!• �i� ' licensed land surveyor? � Yes ❑ No ,;;� ��- �y�, sr "�';'�� szs 3�:`) r� G c Certifier's Name GEORGE A. SHIMP 111 Job Number 090167A License Number 6137 ;g, �#t-'7 Title VICE PRESIDENT Company Name GEORGE A.SHIMP II 8�ASSOCI�TES, INC. `9..p��` ��i�f' "� y#x ��°',►''G'i:a?s�'+,��1,�• Address 3301 DESOTO BLVD., SUITE D City PALM HARBOR State FL ZIP Code 34683 � , � �� #6'1,37 �t,��'�`: �� .; . t_ure � Date 10-22-09 Telephone 727-784-5496 ` °^�;^a FEMA Form 81-31, Mar 09 � See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number 2305 WILLIAMS DRIVE City CLEARWATER State FL ZIP Code 33764 Company NAIC Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial, (2)insurance agenUcompany,and(3)building owner. Comments C2.e)AIR CONDITIONER Signature GEOR E A.SHIMP III Date 10-22-09 � Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if avaitable. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the approp�iate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). � . ' ` a)Top of bottom floor(inciuding basement,crawlspace,or en losure)is.,•^� . � ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or e�os�lre)is, .' d ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's 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. The statements in Sections A,8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by iaw or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items 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 ❑Substantial Improvement G8. �levation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10. Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions �U�S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency ManagementAgency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name CHARLES AND SHARON WARRINGTON Policy Number A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number 2305 WILLIAMS DRIVE City CLEARWATER State FL ZIPCode 33764 2305 WILLIAMS DR _ A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOTS 425 AND 426, MORNINGSIDE ESTATES UNIT 5A (PARCEL 10 19-29-16-59076-000-4250) BCP2009'�737� A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc:)RESIDENTIAL AL�1TtOl�l -, A5. Latitude/Longitude: Lat.N 27.94532° Long.W 82.74131° Hori�ont�I Qat41m Q, NAC7`1$2,7� � NAD 1983 A6. Attach at least 2 photographs of the building if the Cert�cate is being used tq obtain flood,ipsuranc;e. ' ` _; A7. Building Diagram Number 1A " ' '`°-` A8. For a building with a crawispace or enclosure(s): A9. For a building'WitFi�ri att�ehed garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) S4uare footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or � b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade N/A � � within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No �V"�� .E.��red flood openings? ❑ Yes � No � _ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)I FORMATION 61. NFIP Community Name 8�Community Number B2.County Name B3.State CITY OF CLEARWATER 125096 PINELLAS FL 64. Map/Panel Number B5. Suffix B6. FIRM Index 67.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C-0128 G 8-18-09 9-3-03 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construdion Drawings* � Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CAMPUS"S" Vertical Datum NAVD 88 � �� """"' 'c� Conversion/Comments N/A �''� ;j Check the measurement use � a � �`' �'a p a) Top of bottom floor(including basement,crawlspace, or enclosure floor) 16.5 �feet ❑meters(Puerto Rico onljr) :-; � � b) Top of the next higher floor N/A �feet ❑meters(Puerto Rico I �Z --i c) Bottom of the lowest horizontal structural member(V Zones only) N/A �feet ❑meters(Puerto Rico "'� N � d) Attached garage(top of slab) N/A �feet ❑meters(Puerto Rico m °3 Ci e) Lowest elevation of machinery or equipment servicing the building 15.98 �feet ❑meters(Puerto Rico � (Describe type of equipment and location in Comments) � C) � � � Lowest adjacent(finished)grade next to building(LAG) 15.92 �feet ❑meters(Puerto Rico �uj � g) Highest adjacent(finished)grade next to building(HAG) 16.08 �feet ❑meters(Puerto Rico )C7 h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A �feet ❑meters(Puerto Rico ly)�� C�� structural su ort �-----•� 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. I certify that the information on this Ce�t�cate represents my best efforts to interpret the data available. ._ 1 understand that any fa/se statement may be punishable by fine or impnsonment under 18 U.S. Cade, Section 1001. - c"� �, `;at egr= ,_° � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �, L.:��j f,, licensed land surveyor? � Yes ❑ No ,,�' {a�-" �(' � ,�� Sp�,,_ '` Certifier's Name GEORGE A. SHIMP III Job Number 090167A License Number 6137 ,� "�^�- e�{:��'"��. ,'�', 1 z.b Title VICE PRESIDENT Company Name GEORGE A.SHIMP II&ASSOCI�tTES, INC. `'71 !y�; ;r�� , � ' F.a;�*�,°•'`Y�,r a,.` �,�,w. � � Address 3301 DESOTO BLVD.,SUITE D City PALM HARBOR State FL ZIP Code 34683 � � • � #61'�7=r�l��Ei'�� ture /� � Date 10-22-09 Telephone 727-784-5496 Q�� \ � FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:` � Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number 2305 WILLIAMS DRIVE City CLEARWATER State FL ZIP Code 33764 Company NAIC Number SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments C2.e)AIR CONDITIONER Signature GEOR E A.SHIMP III Date 10-22-09 � Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. if the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the app�°bp�latlboxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). " i ` a)Top of bottom floor(including basement,crawlspace,or,e,�c��ur,e}�is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspaoe,br enCbsu�)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Sedion A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's 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. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here"rf attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the communiry's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Pertnit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs Continuation Page i For�nsurance Company Use: ; � Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box Na j Policy Number 2305 WILLIAMS DRIVE Clty CLEARWATER State FL ZIP Code 33764 CompanyNAlCNumber If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all i I photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and °Left Side View." ' ��`� d,��, - � �`�''�^*'��_ . . .�"� '�.s^'. � �l�..,:' `4=�� ..-�, � - , �� _ �..�...""...�... _..:-..�� .�.. ,.�;...,r..� . . � J I ` . � � _��W- ._ ii , —� , . .,-<.... �r ! � - _. � �:..�— .� � ,. n _,. ..<.- _. .. __ , , _ , s - �- _i'%,.- . ., . : . � � � � �s ,�, �r __.�.,�_ �y .:s >�,. r � „., _u.�, _ _ : � ° , .r, .., • , �� • � �. �.� d� ��: � � �;'$ '` ��.._.. r. .,� - , � , �� F . . .. .' � °� , �� L, ^�� . +�„ �fl, � �:4 .�� ¢��.. <§ � � �: �',. '"."" * �,- a ; � 4�� ; `' � '` r,� �x�.. � � i K � � �� . � . .� � �,ws;� t l�n �,�� '� . �'i��f� � * + . . a Y. � � � .. -�,r.. ....:.. v- .. ..' ° .�,. . . .�� »�r� , . _ ... x,J<�. . ...M;.. . . �A�'_^ `,♦ A .. � �' � ' 3 �i�t k� "M ��T` 4�}P s`a. i� �.s . Jit�. » � .. .,x,- -4 ....0 �. ,�. � , . . . .. ��.� ,..� . . n. .t x . ._ . ,..�'" �.r e � .vr"' }J U1ls da sR�` -. .� - � ,.� "„�yy� "` ..��. -��.� . . .. . '� �.su.„ �: �J .... .... . ,w. ..: ». i '� ,,,.: . » . . .'Y.� `. .. � A ��:# - .._ .. . .. , --'�. � :yya�_ �. —:. ,.W."` �. . .� - u .+�.� ; r . .. ",,,�,.�� . . �,. .... ,`+y R , ' � S. , .._ . e�e , � .�.. •:� _ '�rt,.. � .i� Sds� �,qx �.�w. �,�y w•yy�.i� +#�i� aF�� W - � . ,..ffeaab, - .:�' �. �y�...'.. ��rv . „ µ � ' � •.i y M, Pm- n �.. • �.n . . .. .. . � w' .e w�� n ;� � .: � .. . �r n..If�., � . a � `* .+c._-.a., .. n,m2'.. �` r,:.MS�lwc,r.- REAR VIEW PICTURE TAKEN ON 10-22-09 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 2305 WILLIAMS DRfVE City CLEARWATER State FL ZI P COd@ 33764 Company NAIC Nurnber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. 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