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1 WINDWARD IS 1 �'�V�:x:DWARD ISL BCP2011-04550 ADDITION & REMf�DEL BAIR, DAV1D 4TI4N CERTIFICATE OMB No. 1660-0008 Expires Februarv 28,2009 Zoning: Island Estates Neighbor Atlas#: 277A tead the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For insurance Company Use: A1. Buiiding Owner's Name Policy Number D ID AI A2. Suilding Street Address(indud'mg Apt.,lfnit,Sui1e,arnfior Bfdg.No.)or P.O.Route and Box No. Company NA4C Numbei 1 Windw rd island City State ZIP Code ��parwater Beach fLORIDA 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcet Number,Legal Description,etc.) Lot 18 UNIT 4 OF ISLAND ESTATES OF CLEARWATER accordino to the olffi thereof as recorded in Plat Book 51 Paoe 32 and 33 of Ihe P�lic Racords of PINEILAS Counb FLORIDA A4. Building Use(e.g..Residential,Non-Residential,Addition,Accessory,etc.)RFSIDENTIAL A5. Latitude/Longitude:Lat.�,7 58 54 Long. 82 48 39 Horizontai Datum: ❑NAD 9927 � NAD 1983 A6. Attach at least 2 photographs of the building ff the Certificate is being used to obiain flood insurance. A7. Buiiding Diagram Number�_ A8. For a building with a crawl space or enclosure(s),provide: A9. For a building with an attached garage,provide: a) Square fnotage of cxawl space or enGosure(s) j�[�_ sq ft a) Square footage of attached garage 550 sq ft bj No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garaee endosure(s)wa11s within 1.0 foot above adjaceM grade NiA waNs w+thin 1.0 Eoot above adjacent grade N!A c} Total net area of flood openings in AS.b �_sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State N 121 I E FO B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood B9.Base Flood ElevaUon{s)(Zone Date Effecfi+eff�evised t)ate Zone(s) AO.use base fiood deptfi) 12103C-0106 H /17/0 AE t2.0'&73.0'NAVD 1988 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) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1928 �NAVD 1988 ❑Other(Describe) B12. 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 ConsVuction* � Finished Construdion *A new Elevation Certificate wiil be required when construcGon 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,ARlAH,AR/A0. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark U6lized 60D NAIL IN WPP#6-A-1047:TBM�5.60 Veftical Datum Conversion/Comments Etevation Datum Used:NAVD 1988 Check the measurement used. a) Top of bottom floor(inGuding basement,crawl space,or enGosure floor) 6.90 0 feet �meters(Puerto Rico only) b) Top of the neut higher floor N/A _�feet ❑meters(Puerto R1co only) c) Bottom of the lowest ho�zontal structural member(V Zones oniy) N/A �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) f,20_�X feet ❑meters(PueAo Rico ony) e) Lowest elevation of machinery or equipment servicing the building �(19_QX feet ❑meters(Puerto Rico oniy) (Describe type of equipment in Comments) @ Lowest adjacent(finished)grade(LAG) 4.67_QX feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) fi.01 _,�X feet ❑meters(Puerto Rico only) SECTiON D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certrfication is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation infortnation. l ceRify that the information on fhis Certifrcate represents my best efforfs to inferpret the data available. I understand fhat any false statement may be punishable by fine or impnsonment under 18 U S. Code,SBChOR 1001. ��,f R• ��9 f 7�� dGa,RT 1 F 1CH�,�k� �Check here if comments are provided on back of fortn. No.G5.'1 Certifiers Name License Number ��j �/ � Da1e Haywood 6571 ,�� Title Company Name � ( _ Professional Survevor and Man�er Exacta Land Survevors.Inc. '� �Tp-t�pF �, Address City State ZIP Code �• � 6Q1 CLEVELAND ST..SUITE 501-11 CLEARWATER Te ephone 33755 `�si�ti tt s�R`o`��;' Signature r�,� ,r 7�/�g/2008 „;'��"`�"� P:813-549-4947 12h 9/20Q8 FEMA Form 81-31, February 2006 See reverse side for continuation. ' Replaces a(1 previous editions Revision History:(rev.1 12/30/2008) (rev.0 12119/20Q8j . _. _ __ v re��o tr.mcs.ft� IMPORTANT• In these spaces,copy the corresponding information from Section A. For Insurance Company Use: g��y�g��i q��(i�duig qpt.,Unit,Suite.and/or Bldg.P[o.)or P.O.Route and Box No. Policy Number G�� State ZIP Gode Company NAIC Number ClearwaterBeach FL 33767 S�CT10Af D-SURVEYOR,EfiG1T1EER,OR ARCSi�'TECT CERTtiFICAT{ON(CO{�tTtNUED} Copy both sides of this Elevation Cer6ticate for(1)cammunity offiaai,(2)insurance agent/company,and(3)building owner. Gomments Center►ine Road Elevation:4.80 Si nature Date 9 r„�;,y;,,,,,�,�' 12119/2008 ❑ Chedc here if attachments `, SECTION E-BUIL.DiNG ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR 20NE 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 oniy,enter meters. E1. Provide eievation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and ihe lowest adjacent grade(LAG). � ❑above or ❑below the HAG. a)Top of bottom floor(inGuding basement,crawl space,or endosure)is N!A X feet ❑meters o ��ow the LAG. b)Top of bottom floor(induding basement,crawl space,or endosure)is N/A ❑feet ❑meters above or E2. For Buitding Diagrams 6-8 with permanent flood openings provided in Sedion A Items 8 and/or 9(see p�a e 8 of Instructions),the next higher flaor (elevation C2.b in the dagrams)of the building is N!A � feet❑ melers ❑ abanre°r u be�°�'��G� E3. Attached garage{top of slab)is N/A []X feet 0 meters ❑above or ❑belaw the HAG. E4. Top of platfoRn of machinery and/or equipment senriang the building is N/A 0 feet ❑meters �above or �below the HAG. E5. Zone AO oniy: If no flood depth number is available,is the top of the bottom floor elevated in acconiance wifh the cammunity's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local offiaal must certify this informafion in Section G. SECTIONF-PROPERTYOINNER(OROWNER'S REPRESENTATIVE)CERTIFICATION The property oy+ner or owr�e�'s au�orized represerrtative who completes Sections A,6,and E for Zone A(wichout a FEPaPr+ssued oc comR►unitY=rssued BFE) or Zone AO must sign here. The statements in Sec6ons 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{OPTIUNAL) The iocal offiaat who is authorized by law or ortiinance to administer ihe communify's floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certiflcate. Complete the applicabie item(sj and sign beiow. Gheck the measurement used in Items G8.and G9. G1. � The information in Sedion C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or archftect who is authorized by law to certify etevation infarmation. (Indicate the source and date of the eievation 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 iriformation(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.Elevatio�of as-built lowest floor(inGuding basement)of the building: ❑feet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the buiiding site: ❑feet ❑meters(PR) Datum locai Official's Name Tifte Gommunity Name Telephone Signature Date Comments ❑Chedc here if attachmerris FEMA Form 81-31, February 2006 Replaces all previous edifions F�1 of 3 _..� U.S_D�PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Expires Februarv 28,2009 Federal Emergenc,y Management P�qency Nationai Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use• A1�. iuildin�R ner's Name Policy Number A2. Building Street Address(induding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1 Win w r Isl nd City State ZIP Code - FLORIDA 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal DescnpUon,etc.) Lot 18 UNIT 4 OF ISLAND ESTATES OF CLEARWATER acoordirw to the dat thereof as recorded in Plat Book 51 Paae 32 and 33 of tlie Public Records of PINELLAS Cou�N.FLORIDA. A4. Building Use(e.g.,Residential,Non-Residential,Addition,Aocessory,etc.)RFSInFhTI� A5. latitude/Longftude:Lat.?�S�5a Long. a9 48 39 Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number�_ A8. For a building with a crawl space or enGosure(s),provide: A9. For a buiiding with an attached garage,provide: a) Square footage of crawl spaoe or enGosure(s) �_sq ft a) Square footage of attached garage 550 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade�[�,_ c) Total net area of flood openings in A8.b �_sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name 8�Community Number 62.Cou�ty Name B3.State PIN CO 1 513 PI E RID B4.Map/Panei Number 65.S�ffix B6.FIRM Index 67.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone Date EflectivelRevised Date Zone(s) A0,use base flood depth) 12103C- 106 H 05117/05 AE 12.o'&t3.o'NAVD 1988 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 �NAVD 1988 ❑Other(Descxibe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? �Yes � No Qesignation Date��rA ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings' ❑ Buiiding Under Construction' � Finished Construdion 'A new Elevafion Certificate will be required when consUudion of the building is compiete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below acCOrding to the building diagram spedfied in Item A7. Benchmark U6lized�^^��eu ��i��ioo it c_e_�ne7•TF41lA•5 p Vertiql Datum ConversioNComments�' ^`:^^^^`..^�"°°d•NAVD 1988 - Chedc the measurement used. a) Top of bottom floor(induding basement,crawl spaoe,or enGosure floor) 6.90_�feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A_�feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizoMal structural member(V Zones only) N/a _�feet ❑meters(Puerto Rico only) d) AttaChed garage(top of siab) 620._Q feet ❑meters(Puerto Riw only) e) Lowest elevation of machinery or equipment serviang the building 6.n9_QX feet ❑meters(Puerto Rico only) (Describe type of equipment in Commerrts) � Lowest adjacent(finished)grade(LAG) 4•67_0�t ❑meters(Puerto Rioo only) g) Highest adjacent(finished)grade(HAG) 6.01 _QX feet ❑meters(PueRo Rico only) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be slgned and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the infarmation on this Certificate�epresents my best effnrts to interpret Yhe data available. l understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S.Code,SeCtion 1001. �i�- R ��'��'iv� . _ `G� �q^(.LF iE,�Y'�G`\ _ x0 Check here if comments are provided on back of form. - �No�ai7t` .. Certifiers Name License Number j) jf i/ Date Haywood 6�� 4� � Title Company Name b �• Professional Survevorand Ma��er Exacta Land Survevors Inc. P;, s�;e�re� c Address City State ZIP Code !r - � .; �,EyELAND ST..SUIT 501 11 CLEARWATER FL 33755 �'��i��o�1�� Signature ��_ _Q 11/�912008 Telephone s uRVt ��°��~ P•813-549-4�1d7 12119/2008 FEMA Form 81-31, February 2006 See reverse side for continuation. ' Replaces all previous editions Revision History:(rev.1 12130I2008) (rev.D 1211912008) �aot� IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(inGuding Apt.,Unit,Suite,andlor Bldg.No.)or P.O.Route and Box No. Policy Number City State ZIP Code Company NAIC Number Cieannrater Beach FL 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner. Comments Cente�line Road Elevation:4.80 Signature �N_ _( Da� 12/19/2008 �•w�� ❑ Chedc here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR 20NE AO AND 20NE 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 Secdons A,B, and C. For Items E1-E4,use natural grade,if avaitablc. Chedc the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation infortnation for the following and chedc the appropriate boxes to show whether the elevation is above or below the highest adjacent grdde(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(induding basement,crawl space,or endosure)is N/A 0 feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(induding basement,crawl space,or endosure)is N/A �feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-8 with pertnaneM flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is N!A Q feet❑ meters ❑ above or�below the HAG. E3. Attached garage(top of slab)is N/A Q feet�meters ❑above or � below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A �X feet ❑meters �above or �beiow 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 infortnation in Section G. SECTIONF-PROPERTYOWNER{OROWNER'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 art4 conect to the best of my/mowledge. Property Owner's or OwnePs Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Chedc here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local otficial 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 of this Elevation Certificate. Complete the applicable item(s)and sign below. Chedc the measurement used in ttems G8.and G9. G1. � The infortnation in Sedion C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or archited who is authorized by law to certify elevation infortnation. pndipte the source and date of the elevation data in the Comments area below.) G2. ❑ A community offiaal completed Seaion 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 Pertnit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: ❑ New Construction ❑Substantiai Improvement G8.Elevation of as-built lowest floor(inGuding basement)of the building: ❑feet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building sRe: ❑feet ❑meters(PR) Datum Local Offiaal's Name Title Community Name Telephone Signature Date Comments ❑Chedc here ff attachments FEMA Form 81-31, February 2006 Replaces atl previous editions ',� � r � lDWARD ISL , Page 1; : ��r-1U11-04550 � ADDITION & REMO�EL � /ATION CERTIFICATE OMB No. 1660-0008 BAIR. DAVID Expires Februarv 28,2009 Zoning: Islahd Estates Neighbor Atlas#: 277A Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building OwnePs Name Policy Number D VID BAIR A2. 8uitding Street Address(induding Apt.,Unft.Suite.andlor B{dg.NoJ or P.O.Rou1e and Box No. Campany NA4C Number 1 Windward Island ��ty State ZIP Code �1earwater Raar.h FLORIDA 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Descriptian,etc.) Lot 18 UNIT 4 OF ISIAND ESTATES OF CLEARWATER accordina to ihe plat thereof as recorded in Plat Book 51 Page 32 and 33 of the Public Records of PINEILAS CounN FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etcJ RFSif�FNTIAL A5. Latitude/Longitude:Lat.,�7 SB 54 Long. 82 48 39 Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obiain flood insurance. A�. Buiiding Diagram Number,_ A8. For a building with a crawt space or enGosure(s),provide: A9. For a buiiding with an attached garage,provide: a) Square footage of crawl space or enGosure(s) J�/,� sq ft a) Square footage of attached garage 550 sq ft b) No.of permanent flood openings in the crawi space or b) No.of permanent flood openings in the attached garage enclosure(s)wa11s wiltiin 1.ti foot above adjaceM g�ade IfZ R walls w+thin 1.0 foot above adjacent gcade NIA c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b �(g_ sq in SECTION B-FLOOD iNSURANCE RATE MAP(FIRM�INFORMATION B1.NFIP Community Name&Community Number 62.Couniy Name 83.State PINELLA UN 1 I E I B4.Map/PanellVumber 65.Suffix B6.FIRM Index 67.FIRM Panel B8.Flood 69.Base Flood Elevation(s)(Zone Date Effeclfire/Revised Date Zone(s) AO,use base flood depih) 12103C-0106 H 17/D5 AE 72. &73.0'NAVD 1988 610. indiqte the source of the Base Flood Elevation(B�E)data or base flood depth entered in Item B9. ❑FIS Proflie �FIRM ❑Community Determined ❑Other(Describe) 611. indicate elevation datum used for BFE in Item 89: ❑ NGVD 1928 �NAVD 1988 ❑Other(Describe) B12. 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 eievations are based on: ❑Co�struction Drawings' ❑ Building Under Constniction` � Finished Construdion `A new Elevation Certificate wilt be required when construcGon of the building is compFete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V{with BFE),AR,AR/A,AR/AE,ARlA1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark UUlized 60D NAI�IN WPP#6-A-1047•TBM•5.60 Vertical Datum Conversion/Comments Elevation Datum Used:NAVD 1988 Check the measurement used. a) Top of bottom floor(inGuding basement,crawi space,or enclosure floor) 6.90_�feet �meters(Puerto Rico only) b) Top of the neut higher floor wA _�feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontat structural member(V Zones only) N/a _�feet ❑meters(Puerto Rico only) d) Attached garage(top of siab) R2D_f]X feet ❑meters(f'uerto R9co onfy) e) Lowest elevation of machinery or equipment servicing the building 6.09_QX feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent{finished)grade(LAG) 4.67_[]X feet ❑meters(Puerto Rico only) g) Highest adjacerrt(finished)grade(HAG) 6.01 _QX feet �meters(Puerto Rico only) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certiflcation is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevaUon information. i certify that the informa6on on this Certificate represents my best etforts to inte�pr�st the data available. I understand that any false statement may be punishable by firte or imprisonment under i8 U.S. Code,Section 1001. �,vf- R� �#�rrv �Check here if comments are provided on back of fartn. "�a,R��F Ir�,.�� No.Gi:l Cer6fier's Name License Number � Dale Haywood 6571 �c{� �;c Title Company Name � �� Professional Survevor and Maooer Exacta Land Survevors.Inc. �'o STA'Cc AE �, Address City State ZIP Code f• � 6Ql CLEVELAND ST..$UIj�501-11 CLEARWATER Te ephone 33755 ss��it�R`��` � Si nature j 1�/�912008 �. �� .�, ., P:813-549-4947 12/19l2Q08 FEMA Forrn 81-31, February 2006 See reverse side for continuation. ' Replaces all previous editions Revision History:(rev.1 12I30/20d8) (rev.0 12119/20Q8) . r�uoi�,uaoot� IMPORTANT: fn these spaces,copy the corresponding informatio�from Section A. For Insurance Company use: Buikling�St�eet Address(i�u,luding AQt.,Unit,Suite,andlar Bldg_No.)or P.O.Route and Box No. Policy Numbe� C�ty State ZIP Code Company NAIC Number Cleanvater Beach FL 767 SECT1013 D-StfRVEYOR,ENGil1EER,OR ARC4i1TECT CERTIF{CATtON(CONTINUED} Copy both sides of this Elevation CertifiCate for(1)community official,(2)insurance agenUcompany,and(3)building owner. Comments Cente�line Road Elevation:4.80 Signature %I��% Date 12/19/2008 ❑ 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 informaUon for the following and check the appropriate 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(inGuding basement,crawl space,or endosure)is N/A �feet ❑meters ❑above or ❑beiow the HAG. b)Top of bottom floor(induding basement,c,�awl space,or endosure)is N/A �feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in SectlQIl,A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the bulding is N1A � feet L,1 meters ❑ abrnre or�below the HP,G. E3. Attached garage(top of slab)is N/A �feet�meters ❑above or ❑below the HAG. E4. Top of platfonn of machinery and/or equipment serviang the building is N/A �X 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 certiry this information in Section G. SECTIONF-PROPERTYOWNER(OROWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized represerrtative wfio completes Seclions A,8,and E tor Zone A{witha�t a FEMA-issued o�community-issued BFE) or Zone AO must sign here. The statements in Sections A,B,and E are co�rect to the best of my know/edge. Property Owner's or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Tetephone Comments ❑Check here if attachmerrts SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local offiaal who is authorized by law or ordinance to administer the community's floodplain management ordinance can camplete Sections A,B,C(or E}, and G of tfiis Elevation Certificate. Complete the applicabie 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 informa6on. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official compieted Secdon E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(ttems G4:G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Pertnit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permk has been issued for: ❑ New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(induding 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 Local Offiaal's Name Titie Commu�ity Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions . f - . ... . _- __ .__ -. ._-_ . _.__ _.-_._ __ "- :"r��DWARD ISL BC�2011-04550 � � ADDITION & REMODEL BAIR, DAVID ATION CERTIFICATE OMB No. 1660-0008 Zoning: Is(and Estates Neighbor Atlas#: 277A Expires Februarv 28.2009 ' ,�ead the instructions on pages 1-8. SECTiOId A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name Policy Num6er DAVID A2. Suilding Street Address(induding Apt.,Lfnft,Suite,andfw 8k5g.No.)w P.O.ftoWe and Sflx No. Compas�y NA4G Number 1 Windw Islan City State ZIP Code Clearwater Beach FLORIDA 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,legal Description,etc.) �t 18 UNIT 4 OF ISLAND ESTATES OF CLEARWATER accordina to the olffi tl�ereof,as recorded in Plat Book 51.Paae 32 and 33 of the Public Records of PINELLAS CouMv.FLORIDA. A4. Building Use(e.g.,Residentiai,Non-Residen6al,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat. 27 58 54 Long. 82 48 39 Horizontal Datum: ❑NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building'rf the Certificate is being used to oCtain flood insurance. A7. Building Diagram Number�_ A8. For a building wiih a crawl space or enGosure(s),provide: A9. For a building with an attached garage,provide: a) Square footage of crawl space or enGosure(s) N/A sq ft a) Square footage of attached garage 550 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage endosure(s)wa11s wiihin 1.0 foot above adjaoerrt grade N/A wa11s wilhin 1.0 foot above adjaoent grade NIA c) Total net area of flood openings in AB.b N/A sq in c) Total net area of flood openings in A9.b N/A _ sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 62.County Name B3.State PIN S PIN L FLO I B4.Map/Panel Number B5.Suifix 66.FIRM index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone t?ate Eifective/Revissd Oate Zone(s) AO,usQ base flood depth) 12103C-01 H 05l17/0 AE 12.0'813.0'NAVD 1968 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in item 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe) B11. Indicate eleva6on datum used for BFE in Item 89: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? �Yes Q No Designation Date N/A �CBRS �OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Buiiding elevations are based on: ❑Construction Drawings" ❑ Building Under Construction* � Finished Construdion 'A new Elevation Certificate will be required when construdion of the bulding 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-g below according to the building diagram speafied in item A7. Benchmark UGlized 60D NAIL IN WPP#6-A-1047�TBM�5.60 VeRical Datum ConversioNComments Elevation Datum Used:NAVD 1988 Check the measurement used. a) Top of bottom floor(inGuding basement,crawl space,or enclosure fioor) 6.90_�feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A _�feet ❑meters(Puerto Rlco onty) c) Bottom of the lowest horizontal structural member(V Zones only) NiA _�feet ❑meters{Puerto Rico only) d) Attached garage(top of slab) �2t1_�X feet ❑meters(Puerlo f2ico only) e) Lowest elevation of machinery or equipment servicing the building 6_09_QX feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent(finished)grade(LAG) 4.67_QX feet ❑meters(Puerto Rico only) g) Highest adjacent(finished}grade(HAG) 6.01_QX feet ❑meters(Puerto Rico only) 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 ceRify elevation information. I certify that the information on this Certificate represenfs my best etfnrts to inte�pret the data available. I understand that any fa/se statement may be punishable by flne or imprisonment under 18 U.S. Code,Section 1001. �Uf R• �+�j•W ��kgK�4;C,�r�i x0 Check here if comments are provided on back of form. No.65 71 Certifier's Name License Number' �� ;/ Date Ha�tood g571 ff�c��r,� Tide Company Name ., a Professional Survevor and Ma�aer Exacta La�d Survevors Inc. "� sTar�aF � Address City State ZIP Code C r 6�t CLEVELAND ST..$.UITE_501-11 CLEARWATER FL �.7 `�si� F c Q R i o�` rr`r Signature .��,;�,� 1��g/2008 Telephone �`'�� suev�yO4 ., P:813-549-4947 12119/2008 FEMA Form 81-31, February 2006 See reverse side for continuation. ' Replaces alt previous editions Revision History:(rev.1 12/30/2008) (rev.0 12/19t2008) .r�uo��.'snt� ' IMPORTANT: 1n these spaces,copy the corresponding information from Section A. For insurance Company Use: BuBding Street Addcess(iactuding AQt•,Uait,Suite,andlor Bldg.No.)or PA.Route and Box No. Policy Number C�ty State ZIP Gode Company NAIC Number Clearwater Beach F 33767 SECTION D-SURVEYOR,EtiGIfiEER,OR ARCti1TECT CERTIFICAT{ON(CClNTiNUEQ) Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenVcompany,and(3)building owner. Comments Centerline Road Elevation:4.80 Signature ��y:,4,�;;"r Date �y19�� ❑ 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(wRhout BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,compiete Sections A,B, and C. For Items E1-E4,use natural grade,if avaitable. Chedc the measurement used. In Puerto Rico only,enter meters. E1. Provide eleva6on information for the following and check the appropriate 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(inGuding basement,crawl space,or endosure)is N/A �feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(induding basement,crawl space,or endosure)is N/A �feet ❑meters ❑above or ❑below the LAG. E2. For Buiiding Diagrams 6-8 wfth permanent flood openings provided in Secti¢n�A Items 8 and/or 9(see a e 8 of Instrudions),the ne�ct higher floor (elevation C2.b in the dagrams)ofi the buiiding is N/A � feet u mehers ❑ abrnre or�befow the 4iAG. E3. Attached garage(top of slab)is NiA Q feet Q meters ❑above or ❑below the HAG. E4. Top of platform of machinery andlor equipment serviGng the buiiding is N/A Q 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 infortnation in Section G. SECTIONF-PROPER7YOWNER(OROWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who compleies Seclions A,8,and E for Zone A(witkwut a FEMAissued o�commu�ity-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correrd to the best of my know/edge. Properry Owner's or OwnePs Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTiON G-COMMUNITY INFORMATtON(OPTIONAL) The Iocal otfiaal who is authorized by law or ordinance ta administer the community's floodplain management ordinance can complete Sections A,B,C(or E7, and G of this Elevation Certificate. Compiete 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 ticensed surveyor,engineer,or architect who is authorized by law to certify elevabon 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 infortnation(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 Construdion ❑Substantial Improvement G8.Elevation of as-buitt lowest floor(inGuding basement)of the building: ❑teet ❑meters(PR) Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters{PR) Datum Local Offiaal's Name Title Community Name Teiephane Signature Date Comments ❑Check here if attachmerrts FEMA Forrn 81-31, February 2006 Replaces ail previous ediiions _ _P.aq�e 1 of 3 � U.S.D�PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Expires Februarv 28.2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owners Name Policy Number DAVI AI A2. Building Street Address(inGuding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 1 Windwar Island �ity State ZIP Code rie......��e.Qe�..ti FLORIDA 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcei Number,Legal Description,etc.) Lot 18 UNIT 4 OF ISLAND ESTATES OF CLEARWATER accordina to the dat ihereof as recorded in Plat Book 51 Paae 32 and 33 of the Public Records of PINELLAS Countv FLORIDA A4. Building Use(e.g.,Residential,Non-Residential,Addition,Acoessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.27 58 54 Long._82 48 39 Horizontal Datum: ❑NAD 1927 �NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number� A8. For a building with a crawl space or enclosure(s),provide: A9. For a building wiU�an attached garage,provide: a) Square footage of crawl space or enGosure(s) d/A sq ft a) Square footage of attached garage 550 sq ft b) No.of pertnanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)watls within 1.0 foot above adjacent grade N!A walls wiihin 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 SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 62.County Name B3.State PIN 1251 PINELLA FL RIDA B4.Map/Panei Number 85.Suffix B6.FIRM Index 67.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date EffectirrelRevised Date Zone(s) AO,use base flood depth) 12103C-0106 H 05/17105 AE �z.o�8�s.o'NAVD 1968 610. 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) 811. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe) 812. Is the buitding loqted in a Coastal Bartier Resources System(CBRS)area or Othervvise 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 Construdion *A new Elevation Certificate will be required when construdion 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-g below according to the building diagram specified in Item A7. Benchmark Utilized 6oD NAI�IN w?P#6-A-1047:TBM:5.60 Vertical Datum Conversion/Comments Fievatinn natum Used•NAVD 1988 Check the measurement us �� j D�/.- O( / a) Top of bottom floor(inGuding basement,crawl space,or enclosure floor) 6.90_�feet ❑meters(Pw b) Top of the ne�R higher floor N/A _�feet ❑meters(Pw /� �� c) Bottom of the lowest horizontal strudural member(V Zones only) N/A _�feet ❑meters(Pu� � V d) Attached garage(top of slab) 620_❑X feet ❑meters(Pw / e) Lowest elevation of machinery or equipment servicing the building s.09_❑X feet ❑meters(Pu� j (DesCribe type of equipment in Comments) � Lowest adjacent(finished)grade(LAG) 4.67_❑X feet ❑meters(Pu�.._............,, g) Highest adjacent(finished)grade(HAG) 6.01 _QX feet ❑meters(Puerto Rico only) 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 certiy elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code,Section 1001. ,,L.� R��+�3•w t��T.►F t��,�b_� . 0 Check here if comments are provided on back of form. ao.tr;7��.,. Certifier's Name License Number n ff �/ _ Dale Havwood 6571 (f4�Q tt Title � Company Name b ` Professional Survevor and Mapper Exacta Land Survevors,Inc. ____ P sr,�it�iF � Address City State ZIP Code % - .� 601 CLEVELAND ST..St11TF 501-11 CLEARWATER FL 33755 'rsi "t ��c�" s-r Si nature �N_ f/ p�t Tele hone ��%�� 4 9 �� 17J�912008 P:813-549-4947 S�1RYF 12119/2008 FEMA Form 81-31, February 2006 See reverse side for continuation. ' Replace.s all previous editions Revision History:(rev.1 12130/2008) (rev.0 12H9/2008) • �aot� . � r IMPOI�TANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(induding Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number �;ty State ZIP Code Company NAIC Number Clearwater Beach F� 33�6� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)buflding owner. Comments Centeriine Road Elevation:4.80 Signature ��_ 1/ Date �y�912008 ��°�' ❑ Chedc here'rf attachmeMs 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 Sedions A,B, and C. For Items E1-E4,use natural grade,if available. Check the measureme►�t used. In Puerto Rico oniy,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to shaw whether the elevation is above or below the highest adjacent grade(HAG)and the lowest�jaoent grade(LAG). a)Top of bottom floor(induding basement,crawl space,or endosure)is N/A 0 ieet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(induding basement,cxawl space,or endosure)is N/A 0 feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-8 with pertnanerrt flood openings provided in Section A Items 8 and/or 9(see a e 8 of Instructions),the next higher floor (elevation C2.b in tfie diagrams)of the building is N/A � feet❑ meters ❑ above or�below the HAG. E3. Attached garage(top of slab)is N/A �feet 0 meters ❑above or ❑below the HAG. E4. Top of platfortn of machinery andlor equipment servicing the building is N/A QX 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. SECTIONF-PROPERTYOWNER(OROWNER'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 a�e conecf to the best of my know/edge. Property Owners or OwnePs Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Chedc here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local officiat 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 of this ElevaUon Certificate. Complete the applipble item(s)and sign below. Chedc the measurement used in ftems G8.and G9. G1. � The infortnation 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 Iaw 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 infortnation(Items G4:G9.)is provided�for community floodplain management purposes. G4.Permft Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for. ❑ New Construdion ❑Substanfial Improvement . G8.Elevation of as-buitt lowest floor(induding 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 Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA FoRn 81-31, February 2006 Replaces all previous editions � Page 1 of 1 y �M . .n I I O�SNE CIq�G�TC I I��III II�I'�II�I�II��IIII�II'II�I�{I'I�I I �,�-� °p ( " �-1 ' �/ Transaction#: 1953245 Print Date: ° � � Recei t#: 1863847 * * p 7/6/2011 10:14:35 AM q . o Cashier Date: 7/6/2011 10:14:34 AM 2`�<<q��°�`F�°Q (CLKDMC8) s COUNt�' (727)464-4876 Customer Information Transaction Information Payment Summary DateReceived: 07/06/2011 Source Code: Clearwater () BAY TO BAY PROPERTIES LLC Q Code: Clearwater 433 2ND ST S Over the Total Fees $32.60 SLTITE A Return Code:Counter Total Payments $32.60 Safety Harbor,FL 34695 Trans Type: Recording Agent Ref Num: 1 Payments ■_ $32.60 P CREDIT IPASS 5420589 IPASS Convenience Fee 31.5 $1.10 2 Recorded Items � BK/PG: 17294/1525 CFN:20I1176842 R � . 1�iOT COM�NOTICE OF Date:7/6/201110:14:33 AM COMMENCEMENT From:MORTONPLANT MEASE HEALTH SVCS � 11�L 1G. Dfi�lV l�fil�rllV��lnlll�il LLl^, � Recording @ 1 st=$10, Addt'1=$8.50 ea. 1 $10.00 Indexing @ 1 st 4 Names Free, Addt'1=$1 ea. 2 $0.00 COPIES (1) Copy 1 $1.00 � Certify 1 $2.00 �_ BK/PG: 17294/1526 CFN:2011176843 R��" _�NOTI_CE)NOTICE Date:7/6/2011 10:14:34 AM From: CLEARWATER To: BAIR DAVID Recording @ lst=$I0, Addt'1=$8.50 ea. 2 $18.50 Indexing @ lst 4 Names Free,Addt'1=$1 ea. 4 $0.00 _ .__0_Seaxch_Items __. __---- __ _ __ __- _ _ _ _-- _.__ ______ __ _-- _ _ _ _ __ 0 Miscellaneous Items �uk �� CZ�G��-�..� � d � � �:��.iir.�n....�..,...... L�:1�,.�D�,.,.,.a;..,�.T�f.,.7„to\�iof.,,,ir 1,+,-., '1/�t�n11 . . � � 1�� . , BUILDING/FLOOD BOARD OF ADJUSTMENT AND APPEALS MEETING MINUTES CITY OF CLEARWATER April 5, 2011 KEN BURI(E,CLERK OF COURT Present: John H. Logan, Jr. Chair PINELLAS COUNTY FLORIDA Edward H. Walker, Jr. Board Member �NST# 201117684307/06/2011at10:14AM Pankaj Shah Board Member �REC BK:17294 PG; 1526-1527 Gary Richter Board Member y��NOTtCE RECORDING: 518.50 Absent: Arthur Shand Board Member � ��J L` '� �� Also Present: Leslie Dougall-Sides Assistant City Attorney Kevin Garriott Building Official Nicole Sprague ORLS Coordinator The Chair called the meeting to order at 2:00 p.m. at City Hall. To provide continuity for research, items are in agenda order although not necessarily discussed in that order. 2 -Approval of Minutes— February 11, 2011 Member Shah moved to approve the minutes of the special Building/Flood Board of Adjustment and Appeals meeting of February 11, 2011, as submitted in written summation to each board member. The motion was duly seconded and carried unanimously. ---____..__._..r 3—Continued Requests: None�---��" r�.- 4—I�icV�i �cMucSi: i' ` 4.1. Case: MIS 11-03001 — 1 Windward Island—Le al Descri tio . Island Estates of Clearwater ,r�it 4 Lot 18—A ent: Katherine Cole Es .� A ella : David &Aileen Bair— Re uest: V riance Relief from 18-foot setback to seawall to ow construction a accesso structure. ,,.�'' .�.' � Kat Cole, representing David &Aile�rr�air, said the applicants requested relief from the requirem t that accessory struc�r.es`be built at least 18 feet from the seawall. She said the swimming po � f fror�n�the seawall. She said the applicant intends to construct, within 10 feet of the seawall, a covered outdoor living space on two concrete pads. She said interlocking pavers will be installed, retaining access to the deadmen. In response to questions, Building Official Kevin Garriott said the City cannot locate information related to approval of installing the swimming pool in its location. The outdoor space will be similar to a covered patio. The City has no objections. _ __ . _ __ . __ Member Richter moved that the Building/Ftood Board of Adjustment and Appeals approved the request to grant a variance to construct a covered patio living space within 18 feet of the seawall at 1 Windward Island, based on the design, as long as access to the deadmen is not restricted. The motion was du�y seconded and carried unanimously. Building - Flood 2011-04-05 � • Y v o��c�. � ' , �v i��J�� -�"�-�� :. . 4 ,' �/I� ��ee� o#- �-e car� O��Y��on � r I 1,J;hJ��,-� � Reuben Clarson Consulting, Ync. �'�'�`� ��C��J�.�',�/ �L 972-31 st Ave. N.E. St.Petersburg, Fl. 33704 �3 `7(v� Ph. 727-895-47 l 7 Fax 727-895-4717 Florida Licensed Engineer#16313 Certificate of Authorization#9206 Apri14, 2011 David Bair Quality Boats of Tampa Bay 17389 US 19 North Clearwater, Fl. 33764 Re: Detached accessory structure at 1 Windward Island, Clearwater, Fl. Gentiemen: I have inspected the above seawall and reviewed the plans for the detached light wood structure which is to have 2 of the 4 footers approximately 10' from the seawall. The load from this light framed structure will have no affect on the seawall as the bottom of the 2 footers closest to the seawall will be above the existing deadmen and 10' long original tierods(no conflict) and they are below the failure plane of the seawall in that area. The detached structure can be built per the location shown on the plans. It is possible the issue of the"setback for deadmen" so the deadmen can be checked, etc. will come up. I have expressed to different Boazds and officials that there is absolutely no need for any of the deadmen to ever be uncovered, checked or worked on unless they conflict with a new pool in which case a modified anchor system is designed and built. If seawail repairs are made on the existing seawall the new anchor system would be a Manta Ray system if the new tieback rods need to be of a particular length that would put the anchors under a structure, patio, etc. where new poured-in-place deadmen would not be feasible. This is what Manta Ray anchors are designed to do. Please give a copy of this signed and sealed letter to whomever requires one. �.��tl�rg�any questions please call. Thank you for j , nn n ,.��Sincerel , __ D �Q �---�"!�t��_t _ .�,. .�_�-_---�---- __ ___- _ . Y RECElVED i ; Reu�en Clazson�Consulting } . �C�'--�-- __ t' o y JUN 0 7 Z011 � 'p 2euben C'larson - ,�3��i�ia L�ce�szcl �ngineer 16313 D E V E L O P M E N T & . NEIGHBORHC�GD SERVICE� • � CITY QF Cl_ E��WATEFi Page 1 M 3 not valid�vitliout all three pages U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 Nationef'Flood Insurance Program Important: Read the instructions on pages 1-9. ��.2osaEc SECTION A-PROPERTY INFORMATION For insurance Company Use: A1. Building Owner's Name Policy Number v' ir A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC IVumber 1 WINDWARD I LAND City State ZIP Code CL.EARWATER BEACH Florida 3�767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Tau ParczIID:09-29-15-43362-000-0180 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat. 27 58 25.08 Long.82 48 39.69 Horizontal Datum: �NAD 1927 �x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number�_ A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N�A sq ft a) Square footage of attached garage 550 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 0 c) Total net area of flood openings in AS.b N/A sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? �Yes �No d) Engineered flood openings? �Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number 62.County Name B3.State CITY OF CLEARWATER 125096 PINELLAS Florida B4.Map/Panel Number B5.Suffix 66.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-0106 H 8I18/2009 05/17/05 AE&VE 12.0&1 .0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. �FIS Profile �FIRM Community Determined �Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe) B13. Is the build"mg lacated in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? �Yes � No Designation Date �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. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmarlt Utilized L-Net Realtime Network(Clearwater);clw;37.15 Vertical Datum NAVD 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor(inGuding basement,crawlspace,or endosure floor) 6.92.�feet 8 meters(Puerto Rico only) b) Top of the next higher floor WA.��feet mete►s(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 6.22._LI feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 6.22._�feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.09._Q feet �meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 5.69._Qx feet �meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 5.72._Q feet �meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 5.84._Q 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 Certificate represents my best efforis to interpret the data availab/e. �g��Y B• X 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. d�Br�sE NU,� v� �p �Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �708 licensed land surveyor? �Yes Q No � � �r ' ll/ Certifier's Name License Number ��` 71` f� a Weslev B.Haas 3708 b //�//i�� , Title Company Name �'o� / ST�A�OAF 44 Professional Survevor and Ma�oer Exacta Land S�rveyors_Inc. �°,t. � Address City State ZIP Code `�rp � 12220 TOWNE LAKE DRIVE SUITE 55 FT.MYERS FL 33913 `�'`�svxve`�o4 Signature �'`�i � Date Telephone 6t2912011 -`'- _��'`�- 6/29/2011 P:(813)549-4947 FEMA Form 81-31,Mar 09 See reverse side for continuation. Replaces all previous editions (rev.0 6/2912011) � Page 2 of 3 not valid without all three pages . 1106.2064EC IMPORTANT:.in these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Streei Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. Policy Number 1 WINDWARD ISLAND City State ZIP Code Company NAIC Number CLEARWATER BEACH FL 33767 SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community offlcial,(2)insurance agenUcompany,and(3)building owner. Comments C.2.e.e ui ment is AIC unit outside of buildin . This Elevation Certificate is onl valid for the rson or ons named on this certifiqte.Latitude and Lon itude were e ermine y using e - e ea me e o . Centerline Road Elevation•4 91 This Certificate is for flood insurance purposes onlv The infortnafion on this certifipte should not be used for construction or planning. Signature ��p� Date �g/2011 ❑ Chedc 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 appropriate 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(including basement,crawlspace,or enGosure)is N/A ._ �feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is N/A ._ �feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Secti Items 8 and/or 9(see a es 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is N/A ._�feet�meters ❑above or �below the HAG. E3. Attached garage(top of slab)is ti�p �feet Q meters �above or � below the HAG. E4. Top of platfortn of machinery and/or equipment servicing the building is N/A ._�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 know/edge. 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 o�cial 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 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 �s 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. 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 TiUe Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31,Mar 09 Replaces all previous editions Page 3 of 3 not valid without all three pages , 1106.2064EC 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 rvumber 1 WINDWARD ISLAND City State ZIP COd@ Company NAIC Number CLEARWATER BEACH FL 33767 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View'; and, if required, "Right Side View"and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. � � �°''�". a� � � �,. _ _ _ � . . .- .. �` � ' i , „ -. � �� . ��;i I '� � �+ � ,�,..m, .� , ^� w � � p � .,. �_� � �---��"��- � � ��r= � _. _ . . .. �:: � A, � � �.. , ., , . .:. � � ;, tA , M„ , , : , ; ' - � ii ii� �� . � �u�� ,, in „ � . , . - , r. ,,. �„' _._^",_ 'd �' ' � -; - . '�'�"�^ �s �,n .. .�., -�. _ -. : ,��. �, � w . .<� '`'_- k..._ , � �� 2� _r� t -a.�.x „, `��, � . . , . ; , . �»�. a•:� ��. . _ .,. :,. �.' ' �'r,. �<:' n� ' '" _ ".�r'' � 4 Front Property Picture 6/29/2011 Rear Property Picture 6/29/2011 Right Property Picture Left Property Picture