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249 WINDWARD PSGEFEMA NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS 2015 EDITION OMB No. 1660-0008 Expiration Date: November 30, 2018 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. Privacy Act Statement Authority: Title 44 CFR § 61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA -003 — National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/ FEMA/NFIP/LOMA-1 — National Flood Insurance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notice 71 Fed. Reg. 7990 (February 15, 2006); and upon written request, written consent, by agreement, or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Purpose of the Elevation Certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill (LOMR-F). The Elevation Certificate is required in order to properly rate Post -FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones A1—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, and AR/AO. The Elevation Certificate is not required for Pre -FIRM buildings unless the building is being rated under the optional Post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT -EZ or MT -1 package, whichever is appropriate. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non- residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at https://www.fema.gov/media-library/assets/documents/35391id=1727. FEMA Form 086-0-33 (Revised 7/15) Replaces all previous editions. F-053 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Clearwater Marine Aquarium, Inc. Policy Number. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Company NAIC Number. City State ZIP Code CLEARWATER Florida 33767-2244 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 6, 7 & 8, Block C, Unit 5, Island Estates of Clearwater (Plat Book 51, page 31, Public Records of Pinellas County, Florida) A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. N 27°58'37.35" Long. W. 082°49'06.82" Non -Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade N/A K1 NAD 1983 N/A 2 photographs Number with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 1A Certificate is being used to obtain flood N/A sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) N/A sq in within 1.0 foot foot above adjacent in N/A sq ft ❑ Yes 1 No garage: garage openings in the attached garage within 1.0 in A9.b N/A sq ❑ Yes r No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Clearwater, City of 125096 B2. County Name Pinellas B3. State Florida B4. Map/Panel Number 12103/C0102 B5. Suffix G B6. FIRM Index Date 09-03-2003 B7. FIRM Panel Effective/ Revised Date 08-18-2009 B8. Flood Zone(s) AE & VE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 12 (AE) and 13 (VE) B10. Indicate the source of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data or base flood ❑ Other/Source: ❑ NGVD 1929 System (CBRS) CBRS ❑ OPA depth entered in Item B9: • FIS Profile B11. Indicate elevation B12. Is the building Designation x FIRM datum used located in a Date: ❑ Other/Source: Protected Ki NAVD 1988 area or Otherwise Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1880-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding Information from Seudlon A. FOR INSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suits, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Policy Number: City State ZIP Code CLEARWATER Florida 33787-2244 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: c i 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, Complete Items C2.a-h below according to the building diagram specMed in !tern A7. In Puerto Benchmark Utitlzed: City of Clearwater BM G•03.5 Vertical Datum: NAVD 1988 AR/A1-A30. AR/AH, AR/AO. Rao only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ■ NGVD 1929 © NAVD 1988 • Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, craw Ispece, or endosure floor) Check the measurement used. 55 © feet ■ meters b) Top of the next higher floor 6.7 p feet 0 meters c) Bottom of the lowest horizontal structural member (V Zones only) 152 feet ■ meters d) Attached garage (top of dab) 4.8 r feet ■ meters e) Lowest elevation of machinery or equipment q prteM servidng the buliding (Describe type of equipment and In Comments) 1 S r..1 feet ■meters f) Lowest adjacent (finished) grade next to building (LAG) 52 © feet • meters g) Highest adjacent (finished) grade next to building (HAG) 5.8 © feet • meters h) Lowest adjacent grade at lowest elevation of deck or stairs, includingstructural support SS r.,i feet • meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by I certify that the information on this Certificate represents my best efforts to interpret the data available. statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false Were latitude and longitude in Section A provided by a licensed land surveyor? © Yes • No ■ Check here if attachments. CertMer's Name License Number Mark H. Foster, PSM Florida License No.L.S.5535 Digitally signed by „4 `fat F H `,�( NO.5555 ter " "' STATE OF ie. =.- a :.IoP • 4 119.06.24 S 6EYOO , 14:19:01 -04'00' PProfissional and Mapper„.,,,��l” Surveyor Company N Stantsc Con!„�g Services Inc.`arne `^n'i`.^"'Y Address 777 S. Harbour island Blvd., Suite 600 City state ZIP Cods Tampa Florida 33802-5729 Signature Date Telephone Ext. 06-24-2019 (813) 223-9500 Copy all pages of this Elevation Certifcate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comrnenb (including type of equipment and location. per C2(e), if applicable) ALL ELEVATIONS ON THIS CERTIFICATE PERTAIN TO BUILDING B (EXHIBIT BUILDING & ATTACHED PARKING GARAGE) C2(a) is the lowest floor elevation Building B C2(b) is the next higher floor at Elevator 3 lobby of Building B C2(c) pertains to the southeastern portion of the garage structure as Building B and the northwestern portion of the garage lie within Zone AE C2(d) Is the lowest floor of the attached parking garage at the drainage inlets C2(e) is the bottom of elevator pit for elevators 1 and 2 within Building B FEMA Form 088.0-03 (7115) Replaces all previous editions. Form Page 2 of ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE Policy Number. City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number 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 complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑ below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet • meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ■ below the HAG. ❑ above or ❑ below the HAG. with the community's certify this information in Section G. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE Policy Number: City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance Sections A, B, C (or E), and G of this Elevation used in Items G8—G10. In Puerto Rico only, enter to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located in Zone A (without a FEMA -issued or community -issued BFE) is provided for community floodplain management purposes. G1. • The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 • A community official completed Section or Zone AO. G3. • The following information (Items G4—G10) G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction ❑ Substantial Improvement basement) ❑ feet ❑ feet ❑ feet ❑ meters Datum building site: ❑ meters Datum ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Si. Instructions for Item M. OMB No. 1880-0008 Expiration Date: November 30,2018 IMPORTANT: In these spaces, copy the corresponding Inion nation from Section A. FOR INSURANCE COMPANY USE Bundling Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Policy Number City State ZIP Code CLEARWATER Florida 33787-2244 Company NAIC Number If us ng the Eisvation Certificate to obtain INP Iood isurancs, Aix at least 2 building photographs below sccadrg to the Instruceons for Item M. Identify al photographs with data talon; 'Front View' and 'Rear Vie '; and, if required, 'Right Side VIsw" and 'Left Side View.' Whin applicable, photographs must show the foundation with represerdatlw wombs of the ttood openings or vents, as indicated in Section M. if submitting more photographs than will et an this page, use the Continuation Page. Photo One Rua Ono Photo One Caption Photo Two Mb Tee Photo Two Capgon FEMA Foran 066-0-33 (7115) Replaces al previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE Policy Number. City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number If submitting more photographs than wil fit on the preceding page, affix the additional photographs below. identify all photographs with: date taken; 'Front View" and 'Rear View'; and, if required, "Right Side View" and "Left Side View.' When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS. Photo Three Pots Throe Photo Three Caption Photo Four Rob Fes Photo Four Caption FEMA Form 086-033 (7/15) Replaces all previous editions. Form Page 6 of 6 FEMA NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. Privacy Act Statement Authority: Title 44 CFR § 61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This indudes using this information as necessary and authorized by the routine uses published in DHS/ FEMA -003 — National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/ FEMA/NFIP/LOMA-1 — National Flood Insurance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notice 71 Fed. Reg. 7990 (February 15, 2006); and upon written request, written consent, by agreement, or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Purpose of the Elevation Certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill (LOMR-F). The Elevation Certificate is required in order to properly rate Post -FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones A1—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, and AR/AO. The Elevation Certificate is not required for Pre -FIRM buildings unless the building is being rated under the optional Post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT -EZ or MT -1 package, whichever is appropriate. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non- residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodprooflng of residential .buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at https://www.fema.gov/media-library/assets/documents/3539?id=1727. FEMA Form 086-0-33 (Revised 7/15) Replaces all previous editions. F-053 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Clearwater Marine Aquarium, Inc. Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Company NAIC Number. City State ZIP Code CLEARWATER Florida 33767-2244 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 6, 7 & 8, Block C, Unit 5, Island Estates of Clearwater (Plat Book 51, page 31, Public Records of Pinellas County, Florida) M. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. N 27°58'36.22" Long. W. 082°49'07.41" Non -Residential Horizontal Datum: insurance. above ❑ NAD 1927 adjacent grade grade N/A CI NAD 1983 N/A 2 photographs Number with a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 1A Certificate is being used to obtain flood N/A sq ft or endosure(s): or endosure(s) openings in the crawlspace in A8.b or endosure(s) N/A sq in within 1.0 foot foot above adjacent in N/A sq ft ❑ Yes 1 No garage: garage openings in the attached garage within 1.0 in A9.b N/A sq ❑ Yes V No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number Clearwater, City of 125096 B2. County Name Pinellas 83. State Florida B4. Map/Panel Number 12103/C0102 B5. Suffix G B6. FIRM Index Date 09-03-2003 B7. FIRM Panel Effective/ Revised Date 08-18-2009 B8. Flood Zone(s) AE & VE B9. Base Flood E evation(s) (Zone AO, use Base Flood Depth) 12 (AE) and 13 (VE) B10. Indicate the source of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ (BFE) data ❑ NGVD System CBRS or base flood ❑ Other/Source: depth entered in Item B9: • FIS Profile B11. Indicate elevation B12. Is the building Designation x FIRM datum used located in a Date: ❑ Other/Source: Protected 1929 Ki NAVD 1988 (CBRS) area or Otherwise ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1860-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE Policy Number City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number 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. Complst' Items C2.a-h below according to the building diagram specified in item A7. In Puerto Rico only, enter meters. Benchmark Utilized: City of Clearwater BM G-03.5 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. • NGVD 1929 p NAVD 1988 • Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, c awlspace, or enclosure floor) 6.0 p feet • meters b) Top of the next higher floor 6.7 p feet ■ meters c) Bottom of the lowest horizontal structural member (V Zones only) 10.4 p feet • meters d) Attached garage (top of slab) N/A • feet • meters e) Lowest elevation of machinery ort servicing the building (Describe type of equipment and on In Comments) 2.7 p feet ■meters f) Lowest adjacent (finished) grade next to building (LAG) 43 p feet • meters g) Highest adjacent (finished) grade next to building (HAG) 6.7 p feet • meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 55 p feet ■meters 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 Thfcnnation on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? p Yes • No ■ Check hero if attachments. Certifiers Name License Number Mark H. Foster, PSM Florida License No.L.S.5535 Digitally y by j 1" Titlesigned Professional Surveyor and Mapper .. ,PaK Fo H Company Name _ Stang Consulting Services Inc. STATE OF ;;,,� ,�,gqSte� Address 777 S. Harbour Island Blvd., Suite 800 A`te: =. ORIDIt os;'19.06.2 suave, 4 16:32:41 City State ZIP code Tampa Florida 33602-5729 -04'00' Signature Date Telephone 06-24-2019 223-9500 Ext. --M-.R --••- (813) Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenf/cornpany, and (3) building owner. Comments (including type of equipment and location, per C2(e), If applicable) ALL ELEVATIONS ON THIS CERTIFICATE PERTAIN TO BUILDING A (DOLPHIN POOL) C2(a) is the Iowest floor elevation of a crawtspace beneath the main Building A C2(b) is the next higher floor (Pubic Viewing Area and Bottom of Pool No.1) C2(c) is the lowest structural beam the main Building A C2(e) is the bottom of elevator pit for elevator 4 within Building A C2(1) is the bottom of stair !f5 FEMA Foran 088-0-33 (7/15) Replaces afi previous editions. Form Page 2 o1 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE Policy Number: City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number 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 complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El . Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑ below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet • meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet • meters E3. Attached garage (top of slab) is • feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ■ meters ❑ above or 1 below the HAG. with the community's certify this information in Section G. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ■ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE Policy Number. City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance Sections A, B, C (or E), and G of this Elevation used in Items G8—G10. In Puerto Rico only, enter to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located in Zone A (without a FEMA -issued or community -issued BFE) is provided for community floodplain management purposes. G1. • The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 ❑ A community official completed Section or Zone AO. G3. ❑ The following information (Items G4—G10) G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction ❑ Substantial Improvement basement) ❑ meters Datum • feet ❑ meters Datum building site: • feet ❑ meters Datum • feet Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) • Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In those spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE BuNdkng Street Address (Ududing Apt.. Unit, Suits, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Policy Number City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number If using the Elevation Certificate to obWn NFIP flood insurance, affix at least 2 buNdtrng photographs below a000rdng to the i nstrudlons for Item A6. Ider4ify all photographs with date taken; "Front View' and 'Rear Vire; and, if requked, 'Right Side View' and 'Left Side Mew" When applicable, photographs must show the foundation with rspreserts8ve examples of the flood openings or vents, as kodcated in Section A8. If submitting more photographs than will fit on this page, uea the Continuation Page. Photo One Phe an. Photo One Caption Photo Two Phelps Two Photo Two Caption FEMA Fonn 086-0.33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Date: November 30, 2018 IMPORTANT: M 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. 249 WINDWARD PASSAGE _ Policy Number. City State ZIP Code CLEARWATER Florida 33767-2244 Company NAIC Number If submitting more photographs than wiN tit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View' ; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated M Section A8. Photo Three R,d. Three Photo Three Caption Photo Four PIM* Four Photo Four Caption FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1-9. ELEVATION CERTIFICATE 1/ -co OMB No. 16.11 • "8 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name CLEARWATER MARINE AQUARIUM INC. Policy Number. A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Company NAIC Number. City CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL I.D. NO. 08-29-15-00000-130-0700 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27'58'37.9" Long. 82'49'09.4" Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1,0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? 0 Yes 0 No COMMERCIAL BUILDING ADDITION 0 NAD 1927 ® NAD 1983 to obtain flood insurance. A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? 0 Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER 125096 B2. County Name PINELLAS B3. State FLORIDA B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8/18/2009 B7. FIRM Panel Effective/Revised Date 9/3/2003 B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 13' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM 0 Community Determined 0 Other/Source: B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: ❑ CBRS 0 OPA ❑Yes ®No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings" 0 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/A0. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: CLEARWATER G-03.5 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 ® Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5.07 ® feet 0 meters b) Top of the next higher floor ® feet ❑meters c) Bottom of the lowest horizontal structural member (V Zones only) 3.40 ® feet 0 meters d) Attached garage (top of slab) N/A. 0 feet 0 meters e) Lowest elevation of machinery or equipment servicing the building 10 . 23 ® feet 0 meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4 .5 g) Highest adjacent (finished) grade next to building (HAG) 4 . 8 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.07 ® feet 0 meters ® feet ❑ meters ® feet 0 meters 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. / certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ' ® Check here if comments are provided on back of form. 0 Check here if attachments. licensed land surveyor? 0 Yes 0 No Were latitude and longitude in Section A provided by a Certifier's Name EDWARD C. ELLIOTT License Number 3983 Title P.S.M. Company Name EMME Land Surveying, LLC Address 300A S. Belcher Road Signature FEMA Form 086-0-33 (7/12) City Clearwater State fl ZIP Code 33774 Date 2/12/2013 Telephone (727) 474-3751 See reverse side for continuation. Replaces alt rirstiriOLis'editions. V1. 1.. . 1% t1 VL 11, 11 wfl, V, Flit113 4 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE FOR INSURANCE COMPANY USE Policy Number: City CLEARWATER State FL ZIP Code 33767 Company NAIC Number: SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 1.) THE ELEVATION SHOWN IN ITEM C2e 1S THAT OF THE GENERATOR PLATFORM AT THE REAR OF THE BUILDING 2.) P.S.M. = PROFESSIONAL SURVEYOR AND MAPPER 3.) THE ELEVATION SHOWN IN ITEM C2c IS BASED ON BUILDING PLANS AND SITE CONTRACTORS RECORDS. THE BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER IS WELL BELOW THE GRADE OF THE SITE AND WAS NOT ACCESSIBLE TO THE SURVEYOR. Signature Date 2/12/2013 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. El. 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 enclosure) is b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or ❑ below the HAG. 0 feet 0 meters 0 above or 0 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 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 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 0 No 0 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, 5, 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 0 Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official 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 -G10. In Puerto Rico only, enter meters. G1. 0 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. 0 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. 0 The following information (Items G4 -G10) 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: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet 0 meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters Datum G10. Community's design flood elevation: 0 feet 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. 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. 249 WINDWARD PASSAGE Policy Number: City CLEARWATER State FL ZIP Code 33767 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW — PHOTO TAKEN 2/12/2013 FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page 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. 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 Policy Number: Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086-0-33 (7/12) Replaces all previous editions. �C P 'L() It - 0 5 2.2 ( SECURITY ELEVATION CERTIFICATE icy National Flood Insurance Program Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION For insurance Company Use: Al. Building Owner's Name CLEARWATER MARINE AQUARIUM, INC. Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE Company NAIC Number City CLEARWATER State FL. ZIP Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL I.D. NO. 08-29-15-00000-130-0700 • A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27°587.4" Long. 82°49'08.4"Horizontal Datum: A6. Attach at least 2 photographs of the building If the Certificate is being used A7. Building Diagram Number jj1 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) No. of permanent flood openings In the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? 0 Yes 0 No /ADDITION 0 NAD 1927 ® NAD 1983 to obtain flood Insurance. A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) No. of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? 0 Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name & Community Number CITY OF CLEARWATER 125096 82. County Name PINELLAS 83. State FLORIDA B4. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 1210300102 G Date Effective/Revised Date Zone(s) AO, use base flood depth) 8/18/2009 9/3/2003 VE 13.0' B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item 89. 0 FIS Profile ® FIRM 0 Community Determined 0 Other (Describe) B11. Indicate elevation datum used for BFE In Item B9: 0 NGVD 1929 ® NAVD 1988 0 Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date ❑ CBRS ❑ OPA ❑ Yes 0 No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction` 0 Finished Construction *A new Elevation Certificate will be required when construction of the building Is complete. C2. Elevations - Zones Al -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 02.a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CLEARWATER G-03.5 Vertical Datum NAVD 1988 Conversion/Comments a) b) c) d) e) f) 9) h) Check the measurement used. Top of bottom floor (including basement, crawlspace, or enclosure floor) . 07 0 feet Top of the next higher floor OQ 0 feet Bottom of the lowest horizontal structural member (V Zones only) N/A. 0 feet Attached garage (top of slab) N/A.,-, 0 feet Lowest elevation of machinery or equipment servicing the building N/A . 0 feet (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 4 .4 Highest adjacent (finished) grade next to building (HAG) 4 .0 Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ® feet ® feet 0 feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) ❑ 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 certify elevation information. / certify that the information on this Certificate represents my best efforts to interpret the data available.! understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No pC r. - I I v - - . "'Es: '*11 (14 7:7'1'/''1°4.i.:IRi 111°1 Certifier's Name EDWARD C. ELLIOTT License Number 3983 Title Professional Surveyor and Mapper Company Name EMME Land Surveying, LLC Address 300A 5. BELCHER RD. Signature City CLEARWATER Date 11/22/2011 State FL ZIP Code 33765 Telephone (727) 474-3751 FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions 7. IMPORTANNT: In these spaces, copy the corresponding Information from Section A. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE For Insurance Company Use: Policy Number City CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature 0 Check here if attachments ieft 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. El. 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 enclosure) Is 0 feet 0 meters 0 above or 0 below the HAG. b) Top of bottom floor (Including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 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 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is • 0 feet 0 meters 0 above or 0 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? 0 Yes 0 No 0 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 0 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 5, 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. 0 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. 0 The following Information (Items G4 -G9) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued GB. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet 0 meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters (PR) Datum G10. Community's design flood elevation 0 feet 0 meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here If attachments FEMA Form 81-31, Mar 09 Replaces all previous editions FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. O.M.B. No. 3067-0077 Expires July 31, 2002 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUIL OWNER'S NAME /� _ - otia BUILDING STREET DDRESS (Including Apt., Suite, an or Bldg. No.) OR P.O. (OUTE AND BOX NO. 04411, N i 4 & ,4 CITY STATE Policy Number Company NAIC Number •PROPERTY DESCRIPTIO (Lot a d Block Numbers, Tax Parcel Number, Legal Description, etc.) - A1r4 - L 7 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) .i C LA ITUDE/LONGITUDE (OPTIO AL) ( ##° - ##' - ##.##" or ##.#####°) ZIP CODE HORIZONTAL DATUM: SOURCE: Ll GPS (Type): LI USGS Quad Map Ll Other. l_J NAD 1927 Ll NAD 1983 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER10 B2. COUNTY NAME B3. STATE FL. 84. MAP AND PANEL 85. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) ia5ogo, • eine7. o 0 . /47.9/ 7 $• //• q/ AP" EL . /2.1 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. JJ FIS Profile IZFIRM JJ Community Determined L j Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: (_J NGVD 1929 JJ NAVD 1988 IJ Other (Describe): F/gM, frA B12. Is the building located in a Coastal_Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJYes Designation Date: ry/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) uilding elevations are based on: J onstruction Drawings` JJBuilding Under Construction* IIFinished Construction `A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 4• (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. 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 C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section 0, as appropriate, to document the datum conversion. Datum /i/44 Conversion/Comments A//A Elevation reference mark used /N//4r Does the elevation reference mark used appear on the FIRIu"? 1441Y7 No No ❑ a) Top of bottom floor (including basement or enclosure) 2 .4. ,t.(m) ❑ b) Top of next higher floor''' .. 'ft_(m)(73 e CI c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) ❑ d) Attached garage (top of slab) N/A ft.(m) W 7 ❑ e) Lowest elevation of machinery and/or equipment servicing the building _ . . ft.(m) 1 s ❑ f) Lowest adjacent grade (LAG) ,46t.(m) z ❑ g) Highest adjacent grade (HAG) �9! ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade (m) 1�G 1 O i) Total area of all permanent openings (flood vents) in C3h N/4 sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that an false statement ma _ be • un i able b fine or im • risonment under 18 U.S. Code, Section 1001. CERTIFIER'S NA -- ADDRESS SIGNATURE /q FEMA Form 81-31, AUG 99 DA ' n. 212'237' SEEIREVERSE SIDE FOR CO PLANT TNG DE: ELOPMENT SVCS CITY 'AR/ ATER LICENSE NUMBER AA GQOD Z tow,• ST ` zu45,aO/ .0}1. AO' TEL HONE ') 7 I/. 1/1 ATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt., UryIri uite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 241 tihN wA-Rb f CITY STATE ZIP CODE Company NAIC Number .---/tatandOiv.4rr ., .:/. 44 76,7 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COJI)N FTS _I Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. /!,///4 El. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed – see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is LLI ft.(m) LLIin.(cm) LI above or LI below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I—I_I ft.(m) I__Ilin.(cm) above the highest adjacent grade. E4. For 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? I,I Yes LI No LI 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 A• ust sign here. ADDRESS SIGNATURE CITY DATE S ATE ZIP C/ODE 72i _7 TELEPFIeNE COMMENTS I—I Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) WA. The local official 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. G1. II The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. II 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. II 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 I_I New Construction LI Substantial Improvement 08. Elevation of as -built lowest floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the budding site is: . ft.(m) Datum: LOCAL OFFICIALS NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS I.,_I Check here if attachments FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as -built lowest floor elevation was issued by the community as evidence that all work Sorized by the floodplain development permit has been completed in accordance with the community's floodplain agement laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage, regardless of the actual repair work performed. Item G8. As -built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE (or base flood depth) of the building site. Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. • Instructions — Page 5 BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram number in Item C2 and the elevations in Items C3a-C3g. In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section C). DIAGRAM 1 All slab -on -grade single- and multiple -floor buildings (other than split-level) and high-rise buildings, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor is at or above ground level (grade) on at least one side. • NEXT HIGHER FLOOR GRADE (determined by existing grade DIAGRAM 3 All split-level buildings that are slab -on -grade, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (excluding garage) is at or above ground level (grade) on at least one side .• HIGHER FLOORS GRADE BOTTOM LOOR NEXT HIGHER FLOOR (determined by existing grade) DIAGRAM 2 All single- and multiple -floor buildings with basement (other than split-level) and high-rise buildings with basement, either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.` GRADE NEXT HIGHER FLOOR BOTTOM FLOOR (BASEMENT) (determined by existing grade) DIAGRAM 4 All split-level buildings (other than slab -on -grade), either detached or row type (e.g., townhouses); with or without attached garage. Distinguishing Feature — The bottom floor (basement or underground garage) is below ground level (grade) on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram. • GRADE HIGHER FLOORS BOTTOM FLOOR BASEMENT NEXT HIGHER FLOOR (determined by existing grade) • A floor that is below ground level (grade) on all sides is considered a basement even if the floor is used for living purposes, or as an office, garage, workshop, etc. Instructions — Page 6 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name CLEARWATER MARINE AQUARIUM, INC. Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (EAST TOWER) Company NAIC Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PART OF LOT 1, BLK C, UNIT 5 ISLAND ESTATES OF CLEARWATER - 08-29-15-43380-003-0050 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of c) Total net area d) Engineered A9. For a building a) Square footage b) Number of c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.9768° N. Long. 82.8179° W. NON-RESIDENTIAL Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD grade 1927 x NAD 1983 N/A 2 photographs Number with a crawlspace of crawlspace permanent flood of flood openings flood openings? with an attached of attached permanent flood of flood openings flood openings? of the building if the 1B Certificate is being used to N/A sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b N/A sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A ❑ Yes 0 No garage: garage N/A openings in the attached garage in A9.b N/A ❑ Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS COUNTY B3. State FLORIDA B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8-18-09 B7. FIRM Panel Effective/ Revised Date 9-3-03 B8. Flood Zone(s) AE & VE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 12' & 13' B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ CBRS data ❑ ❑ NGVD System or base flood depth entered in Item B9: Other/Source: x FIRM datum used located in a N/A 1988 ❑ Other/Source: or Otherwise Protected 1929 x NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (EAST TOWER) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under 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, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, Benchmark Utilized: DEUEL T.B.M. # 1 Vertical Datum: N.A.V.D. 1988 x Finished Construction AR/AH, AR/AO. enter meters. Indicate elevation datum ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5 . 9 x the measurement used. feet ❑ meters b) Top of the next higher floor 17 0 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N A x feet ❑ meters d) Attached garage (top of slab) N A x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7 2 x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5 . 1 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5 . 9 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A x feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect I certify that the information on this Certificate represents my best efforts to interpret statement may be punishable by fine or imprisonment under 18 U.S. Code, Section Were latitude and longitude in Section A provided by a licensed land surveyor? X authorized by law the data available. 1001. Yes ❑ No to I understand x certify elevation information. that any false Check here if attachments. Certifiers Name License Number GEORGE A. SHIMP 111 6137 Title Job Number VICE PRESIDENT 160291-N R1 Place Seal Here Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. 44AV 4 4y0 Address 3301 DeSOTO BOULEVARD, SUITE D # 6137 Date: 5-9-2017 City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with surveyor's original raised seal) Stitrture Date Telephone j? I g_A J( 440 5-9-2017 727-784-5496 Copy all pagesLof this Elevatiertificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 'ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 3O.2O18 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Sulte, and/or BIdg. No.) or P0. Route and Box No. 249 W1NDWARD PASSAGE (EAST TOWER) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company N8|CNumber SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones A0 and A , comlete IteE1—E5. Ifthe Certificate is intended to support a complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation inforrnation for the fotlowingg and check the ampriaoybnxeo<oaomwwhetherthaa|evadonivabuveorb*|ow the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is 0haet 0mnoam LOMA or LOMR-F reeut, used. In Puerto Rico only, • above or below the HAG, above or below the LAG. 9 (see pages 1-2 of Instructions), above or be/m*toeHAG. above or 0 below the HAG. above or 0 below the HAG, with the community's certify this information in Section G. b) Top of bottom floor (including basement, crawlspace, or enclosure) is Ej8ent []meters E2. For Bi|din Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevationn C2.b in the diagrams) of the buliding is feet 0metem E3. Attached garage (top of slab) is El feet meters E4. Top of platform of machinery and/or oquipment servicing the building is 0 feet 0meVas E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinarice? 0 Yes 0 No Ei Unknown. The Iocal cfficial must 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 ZoneA ithout 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 Check here if attachments. FEMA Form OO8�-33(7/15) Replaces aH previous editions. TIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (EAST TOWER) FOR INSURANCE COMPANY USE Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 SECTION G — COMMUNITY INFORMATION (OPTIONAL) Company NAIC Number The local official 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—G10. In Puerto Rico only, enter meters. 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—G10) 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: ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction ❑ Substantial Improvement basement) ❑feet ❑meters Datum ❑ meters Datum building site: • feet ❑ meters Datum • feet Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. orm rage 4 o 'ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (EAST TOWER) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, it required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. 1 1 1 ■ 1 4 s w Photo One Photo One Caption FRONT VIEW 5-9-2017 } Pnuto T `,,o Photo Two Caption REAR VIEW 5-9-2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ontinuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (EAST TOWER) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number — If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Caption N/A Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. orm Pag ELEVATION CERTIFICATE Surveyor's Notes Attachment Page 7 OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (EAST TOWER) City CLEARWATER FOR INSURANCE COMPANY USE Policy Number: State ZIP Code FLORIDA 33767 Company NAIC Number SECTION D - SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING. ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: 0 CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE CI N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A - MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A - MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: N/A IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES 0 NO ® N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A - MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLET IN WALL. Attachment Page 7 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name CLEARWATER MARINE AQUARIUM, INC. Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Company NAIC Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PART OF LOTS 1 & 4, & LOTS 5 & 6, BLK C, UNIT 5 ISLAND ESTATES OF CLEARWATER - 08-29-15-43380-003-0050 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of c) Total net area d) Engineered A9. For a building a) Square footage b) Number of c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.9768° N. Long. 82.8179° W. NON-RESIDENTIAL Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD grade 1927 x NAD 1983 N/A 2 photographs Number with a crawlspace of crawlspace permanent flood of flood openings flood openings? with an attached of attached permanent flood of flood openings flood openings? of the building if the 1B Certificate is being used to N/A sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b N/A sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A ❑ Yes X No garage: garage N/A openings in the attached garage in A9.b N/A ❑ Yes x No SECTION E— FLOOD INSURANCE TE P (FIRM) INP RMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS COUNTY B3. State FLORIDA B4. Map/Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8-18-09 B7. FIRM Panel Effective/ Revised Date 9-3-03 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11' & 12' B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item 89: Coastal Barrier Resources ❑ CBRS data ❑ ❑ NGVD System or base flood depth entered in Item B9: Other/Source: x FIRM datum used located in a N/A 1988 ❑ Other/Source: or Otherwise Protected 1929 p NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATEExpiration Date: November 30, 2018 OMB No. 1660-0008 IMPORTANT: In these spaces, copy the correspondng information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Sulte, and/or Bldg. No)orPD. Route and Box No. 249 WNDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECT ON C-BUILD}NG ELEVATION KNp0RMATIONNGURVEYREQUIRED) C1. Building elevations are based on: 0 Construction Drawings* [] Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2.Elevations - Zones A1-A3O.AE, AH, 4(with BFE.VE, V1-v3V.V(with BFE).AR, AR/4.AR/AE.AR/A1-A30.AR/AM.A0AO. Complete Items C2.a-h below according to the building diagram specified in Item A7, In Puerto Rico only, enter meters. Benchmark Utilized: DEUEL T.B.M. # 1 Vertical Datum: N.A.v.D. 1908 Indicate elevation datum used for the elevations in items a) through h) below. [] NGVD 1929 0 NAVD 1988 0Othnr/Gnunm: Datum used for building elevations must be the same as that used for the BFE. Check the measuremerit used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5 . 4 0 feet 0 meters b) Top of the next higher floor 16 8 0 feet Fl meters c)Bottom u[ the/u�ou�hohzunto|a�mc�ura)mem�er(VZonoonn|y) N A 0 feet 0meuem d) Attached garage (top of slab) N A 0 feet [1] meters e) Lowest elevation of machinery or equipment servicing the building 13 4 0 feet [] meters (Describe type of equipnient and Iocation in Comments) f) Lowost adjacent (finished) grade next to building (LAG) 5. 3 0 feet 0 meters g) Highest adjacent (finished) grade next to building (HAG) 5.4 0 feet Flmeters h) Lowest noda at lowest elevation of deck or stairs, including N N. A 0 feet 0 meters structural support SECTUN 'I' - SURVEYOR, ENGINEER, 07' AnCH0TECT CERTOF0Cf:\T ON This certification is to be signecj and sealed by a land surveyor, wngineer, or architect auh h od by lawoo certify elevation information. / certify that the information onthis Certificate representsmybootofforts to intet the data avai/ab!e. / understand that any false statement may be punishable by fine or imprisonment under /8�S.Code, Section 1001. Were latitude and Iongitude in Section A provided by a Iicensed Iarid surveyor? 0Yes 0 No Check here if attachmerits. Certifier's Name License Number GEORGE A. SHIMP 111 6137 .` - .'' '''~'`/� S ' �• • Title Job Number VICE PRESIDENT 160291-N R2 Company Name GEORGE A. SHIMP 11 & ASSOCIATES, INC. ' ` -r `• Address 3301 DeSOTO BOULEVARD, SUITE 0 City State ZIP Code PALM�ARgOR FLORIDA34683 ' ` �` (Not mdk� �---�'�-� eumeyo��original raised seal) SiDate Telephone 727-784-5496� ��K Tl/ 5'9'2017 Copy l pages of this levebnnertificateand all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISE[] SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WNDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number 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 complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is feet ❑meters LOMA or LOMR-F request, used. In Puerto Rico only, the elevation is above or below above or ❑below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1-2 of Instructions), ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. with the community's this information in Section G. • b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) is ❑ feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify SECTION F — P."OPERTY SINNER (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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt., Unit, Sulte, and/or BIdg. No.) or P0. Route and Box No. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who ioauth authorized law orordinance hoadmini�erdenommun dp|einmanagement ordinance can oomp|�e —ofU`'Certificate.C below.|�e�hnepp|ico�(�iva�(o)�ndoign G��ionoA.B.C(orElondQ m Elevation Complete Check the measurement used in Items G8—G10. iri Puerto Rico only, entor meters. 01 0 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 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0. G3. 0 The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Perrnit Number G5. Date Permit ssued G0. Date Carbfioateof Comp|ianoe/0ccupanoy|onueg G7. This permit has been issued for: 0 GO.Elevation lowestofas-hui|tfloor<inn|uging�aoemnnV uf�hebui|�ing� G9. BFE or (in Zone A0) depth of flooding at the G10. Community's design flood elevation: New Construction 0 Substantial Improvement ��feet 0 feet 0 feet 0meters Datum building site: [] meters Datum []meters Datum Local Officials Name Title Community Name Telephone Signature Date • Comments (including type of equipment and location, per C2(e), if applicable) 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces afl previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) FOR INSURANCE COMPANY USE Policy Number: City CLEARWATER State FLORIDA ZIP Code 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption FRONT VIEW 5-9-2017 Photo Two Photo Two Caption REAR VIEW 5-9-2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Photo One Caption N/A Photo Two Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 Surveyor's Notes Attachment Page 7 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State CLEARWATER FLORIDA ZIP Code 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFIC/ .TION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING. ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: 0 CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE ® N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: N/A ). IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES 0 NO II N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLET IN WALL. Attachment Page 7 of 7 r.. U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1 -9. OMB No. 1660 -0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION J FOR INSURANCE COMPANY USE Al. Building Owner's Name CLEARWATER MARINE AQUARIUM, INC. Policy Number: A2. Budding Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Company NAIC Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PART OF LOTS 1 & 4, & LOTS 5 & 6, BLK C, UNIT 5 ISLAND ESTATES OF CLEARWATER - 08- 29- 15- 43380- 003 -0050 A4. Building Use (e.g., A5. Latitude /Longitude: A6. Attach at least A7. Building Diagram A8. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non- Residential, Addition, Lat. 27.9768° N. Long. Accessory, etc.) NON - RESIDENTIAL 82.8179° W. Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 N/A 2 photographs of the building if the Number 1B Certificate is being used to N/A sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b N/A sq or enclosure(s) within in ft within 1.0 foot sq in N/A sq ❑ Yes X No garage: garage N/A openings in the attached garage in A9.b N/A ❑ Yes x No SECTION 2 — FLOOD INSURANCE i. ;<,TE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER - 125096 B2. County Name PINELLAS COUNTY B3. State FLORIDA B4. Map /Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 8 -18 -09 B7. FIRM Panel Effective/ Revised Date 9 -3 -03 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11' & 12' B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ CBRS data or base flood depth entered in Item B9: ❑ Other /Source: x FIRM datum used located in a N/A /Source: • NGVD 1929 x NAVD 1988 • Other System (CBRS) area or Otherwise Protected ❑ OPA Area (OPA)? ❑ Yes x No FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE ,.t OMB No. 1660 -0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* x 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. In Puerto Rico only, enter meters. Benchmark Utilized: DEUEL T.B.M. # 1 Vertical Datum: N.A.V.D. 1988 Indicate elevation datum used ❑ NGVD 1929 x for the elevations in items a) through h) below. NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5 . 4 x feet ❑ meters b) Top of the next higher floor 16 8 x feet ❑ meters x feet ❑ meters x feet ❑ meters x feet ❑ meters p feet ❑ meters x feet ❑ meters x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N A d) Attached garage (top of slab) N A e) Lowest elevation of machinery or equipment servicing the building 13 4 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5 . 3 g) Highest adjacent (finished) grade next to building (HAG) 5 . 4 h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A structural support SECTION ' — SURVEY, R, ENGINEER, O'" 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 Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? X Yes ❑ No x Check here if attachments. Certifiers Name License Number GEORGE A. SHIMP III 6137 # 6137 Place Seal Here /!J � ir �f Date: 5 -9 -2017 Title Job Number VICE PRESIDENT 160291 -N R2 Company Name` GEORGE A. SHIMP II & ASSOCIATES, INC. Address 3301 DeSOTO BOULEVARD, SUITE D City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with surveyor's original raised seal) Sture Date Telephone /C-- . //-- 5-9-2017 727 - 784 -5496 Copy all pages of this Elevation ertificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 2 of 6 i ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number 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 El—E5. If the Certificate is intended to support a complete Sections A, B,and C. For Items E1 —E4, use natural grade, if available. Check the measurement enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, LOMA or LOMR -F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑ below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1 -2 of Instructions), ❑ above or ❑ below the HAG. . ❑ above or ❑ below the HAG. ❑ above or ❑ below the HAG. with the community's this information in Section G. crawlspace, or enclosure) is • feet ❑ meters b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and /or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) is ❑ feet ❑ meters E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify SECTION F — Pr'OPERTY OWNER (OR O' ^,''PER'S- 'EPRESENTATIVE) 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660 -0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official 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 —G10. In Puerto Rico only, enter meters. 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 —G10) is provided for community floodplain management purposes. G4. Permit Number RC P I ( 07 i3 3 G5. Date Permit Issued G6. Date Certificate of Compliance /Occupancy Issued G7. This permit has been issued for: ❑ G8. Elevation of as -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: ❑feet ❑ feet ❑ feet ❑meters Datum New Construction • Substantial Improvement basement) building site: ❑ meters Datum ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660 -0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) FOR INSURANCE COMPANY USE Policy Number: City CLEARWATER State FLORIDA ZIP Code 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption FRONT VIEW 5 -9 -2017 Photo Two Photo Two Caption REAR VIEW 5 -9 -2017 FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660 -0008 Expiration Date: November 30, 2018 IMP sRTANT: 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Caption N/A Photo Two Photo Two Caption N/A FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Surveyor's Notes Attachment Page 7 ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 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. 249 WINDWARD PASSAGE (MAIN PARKING STRUCTURE) Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) Al.) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND /OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING. ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE ❑ ENCLOSURE ❑ ATTACHED GARAGE ® N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: N/A IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? ❑ YES ❑ NO ® N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLET IN WALL. Attachment Page 7 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY OMB IVo. 1660-0008 Federal Emergency IVlanagement Agency Expiration Date: November 30, 2018 R�ational Flood Insurance Program ELEVi4TIOIV CERiIFICATE Bax�poa�au��: Follow fhe insfiructions on pages 1-9. Coov all �aaes of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SEC°TB�B� A— P9��PERTI( 9NE�RMATB�B� FOR INSURANCE CO�/IPANY USE A1. Building Owner's Rlame Policy Number: � CLEARW,4TER fViARINE AQUARIUM, IRIC. A2. Building Streef Address (including Apf., Unit, Sui4e, and/or Bldg. No.) or P.O. Route and Company fVAIC PJumber: Box iVo. 249 �NlND�IARD P,4SS,4GE (MAlN PA!?KlYVG STRUCTURE) City S4ate ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lof and Block Numbers, Tax Parcel Rlumber, Legal Descripfion, etc.) PART OF LOTS 1& 4, & LOTS 5& 6, BLK C, URIIT 5 ISLAiVD ESTATES OF CLEARWATER - 08-29-15-43380-003-0050 A4. Building Use (e.g., Residential, Rlon-Residen4ial, Addition, Accessory, efic.) IVOIV-RESIDERITIAL A5. Lafiitude/Longitude: Lat. 27.9768° V�. Long. 82.8179° W. Horizonfal Datum: ❑ iVAD 1927 Ox f��D 1983 A6. Atfiach at least 2 phoYographs of the building if the Cer�ificaYe is being used 40 obtasn flood insurance. ,47. Building Diagram Number 1B A8. For a building wi4h a crawlspace or enclosure(s): a) Square foofage of crawlspace or enclosure(s) ��q sq ft b) Number of permanen4 flood openings in ihe crawlspace or enclosure(s) wi#hin 1.0 foot above adjacent grade �/,q c) io4al net area of flood openings in A8.b f�/P, sq in d) Engineered flood openings? ❑ Yes ❑� No A9. For a building wiih an attached garage: a) Square fooiage of attached garage RI/A sq ft b) Number of permanen4 flood openings in the attached garage wi4hin 1.0 foot above adjacent grade IV/A c) To#al net area of flood openings in A9.b �/q sq in d) Engineeied flood openir�gs? ❑ Yes ❑x iVo �E�°�B�R9 � — �� BB��9�8�� lf� 91�� Q�V�3�ID BB��6�@Y��'B�B� B1. NFIP Community Rlame � Community Rlumber 62. County iUame B3. S4ate CIT`( OF CLEARWATER - 125096 PIRIELLAS COUYVTY FLORIDA 64. Map/Panel B5. Suffix B6. FIRM Index 67. FIRM Panel B8. Flood Zone(s) 69. Base Flood Elevation(s) fVumber Dafie Effective/ (Zone AO, use Base Revised Date Flood Depth) 12103C0102 G 8-18-09 9-3-03 AE 11' � 12' B10. Indicate fhe source of the Base Flood Elevation (BFE) dafa or base flood depth enfered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indica4e elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x NAVD 1988 ❑ OtherlSource: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? � Yes ❑Q R!o Designation Date: �/p, � CBRS ❑ OPA FENiA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELE!/ATIORI �ERTIF��AI'E r OUIB IVo. 1660-0008 Expiration Date: November 30, 2018 BIVIPORTARIT: 9n �h�s� sg��, ��p�y gl�� o��'�sp��da�g iroforrveaiion frore� Sectao�e �. FOR INSURAIVCE COIVIPANY USE Building Sfreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Rlo. Policy Rlumber: 249 WIRIDWARD PASSAGE (fUTAIN PARKIiVG STRUCTURE) City CLEARWATER State ZIP Code FLORIDA 33767 ��8�9� � — ��98�D9(�� E�EVA�BON 9NFORIIAA°�'B��➢ Q�1�R99�� 93E��98RED) C1. Building eleva4ions are based on: ❑ ConsYruction Drawings� ❑ Building Under Constructiont4 0 Finished Construction kA new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—P,30, AE, AH, ,4 (wifh BFE), VE, V1—V30, V(with BFE), ,4R, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. C�rr�plete iterr�s C2.a—h b2lo�rv according to fhe building diagram specified in Item A7 In Puerto Rico only, enter meters. Benchmark U4ilized: DEUEL T.B.IVI. # 1 Vertical Datum: RI.A.V.D. 1988 Indicate eleva4ion datum used for the elevations in items a) through h) below. ❑ R1GVD 1929 � NAVD 1988 ❑ Ofiher/Source: Datum used for building elevations must be the same as that used for 4he BFE. Check the measurement used. a) Top ofi bottom floor (including basement, crawlspace, or enclosure floor) b) Top of 4he next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) t� Lowesf adjacen4 (finished) grade next fo building (LAG) 5. 3 Ox feef ❑ meiers g) Highes4 adjacent (finished) grade nex4 to building (HAG) 5. 4 � feei ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including �. A � fee4 ❑ meters strucfural support �IE�°��8� � — ��D9�0�/��9�, �B��9B��?, ��2 �B�c��BB°��lf ��1f�IFU��alf@�� 5. 4 x� feet ❑ meters 16 , 8 �x fe2t ❑ meters � . � ❑x feefi ❑ meters N, A � feefi ❑ meters 13 , 4 � feet ❑ meters This certification is to be signed and sealed by a land surveyor, engineer, or archi4ecf authorized by law fio certify elevation information. I ce►fify thaf the information on this Cerfificate represents my best efForts fo interpref the dafa available. 1 undersfand that any false statement may be punishable by fine or imprisonment under 98 U. S. Code, Section 9009. Were lati4ude and longitude in Sec4ion A provided by a licensed land surveyor? ❑X Yes ❑ iVo �x Check here if attachments. Certifier's Name GEORGE A. SHIMP III Ti41e VICE PRESIDERIT Company Name GEORGE A. SHINiP II � ASSOCIATES, �NC. Address 3301 DeSOTO BOULEVARD, SUITE D PALNI HAF260R License Rlumber 6137 Job Number 160291-RI R2 FLORIDA Date 5-9-2017 .. �. � r .. �,m`i� „ >� °� s �tk _ -"� `.. �:;r . �:,- ;��e _ .,1 Ed; , :i t 31 � =`' - ,�.� ' ,.., .. ..$ i ,, v S `:� r;.r;... # 613� ' �a��., .. ...� 9-4E11,7 - ZIP Code (Not valid: unless Embo3sed with 34683 surveyor's origi�nal raised seal) Telephone 727-7�4-5496 � Copy all pages ofi 4his levafion ertificate and all attachments for (1) community official, (2) insurance agenf/company, and (3) building owner. Comments (including type ofi equipment and location, per C2(e), i� applicable) SEE ATTACHMERIT PAGE 7 OF 7 FOR SLJRVEYOR°S R90TE.S A9�D �ONBnIiENiS. THIS DOCl99V�ENT sS �90T i/A�i� �9RJLESS SIGNED AR9D EM�OSSED VVBTH THE SURVEVOR°S OR9�INAL RASSE� SEA� A�9� 9��J�T CORYTAIR9 ALL 7 PAC�E�. FE�iA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CEIZTIFICATE Expiration Date: IVovember30, 2o1s IMPORTANT: In these spaces, �opy tMe �oo°r�spora¢lirt�g informat6on from Section e4. FOR INSURANCE COMPANY USE Building Sfreet Address (including Apf., Unii, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 249 WINDWARD PASSAGE (MAIRI PARKIIVG S7RUCTURE) City Siate ZIP Code Company NAIC Rlumber CLEARWATER FLOFtIDA 33767 �E��B�9� E��9LDBN� ELEVs�TI�N INFORIIAATION (SflJ12iJEY N�T RE��BORE�� 8� ��9dE A� �►ND Z�NE A (VII9THOUT BFE� For Zones AO and A(without BFE), complete Items E1—E5. If 4he Certificate is intended to support a LOMA or LOiVIR-F requesf, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurem�nt used. In Puerfo Rico only, enter me4ers. E1. Provide elevafiion informa4ion for the followring �nc� cher,k the appropri�fe hoxes to shrnN whether khe ele�r�tion is �k��ve or below 4he highesf adjacent grade (H,4G) and the lowesf adjacent grade (LAG). a) Top of botfom floor (including basement, crawlspace, or enclosure) is , ❑ feet ❑ mefers � above or ❑ below fhe HAG. b) Top of bottom floor (including basemenf, crawlspace, or enclosure) is . ❑ feet ❑ mefiers ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanenfi flood openings provided in Section A items 8 and/or 9(see pages 1-2 of Instructions), fhe nex4 higher floor (elevation C2.b in fhe diagrams) of the building is . ❑ feet ❑ meters ❑ above or ❑ below fhe HAG. E3. Attached garage (top of slab) is . ❑ feet ❑ me4ers ❑ above or ❑ below the H,4G. E4. Top of platform of machinery and/or equipmenf servicing the building is . ❑ fe2t ❑ meters ❑ above or ❑ below fihe NAG. E5. Zone AO only: Ifi no flood depth number is available, is fhe top of the botiom floor elevatecl in accordance with 4he community's floodplain managemen4 ordinance? � Yes ❑ fVo ❑ Unknown. The local official must cerfiify ihis information in Section G. ��`�9�8� � � �0��lf �A�P�� Q�Ut �FdQ��B�ff�°� B��P93��B�TA�"B��) ��'8�'B��B�B� The property owner or owner's authorized represen4a4ive who comple4es Sections A, B, and E for Zone A(wifhoufi a FE�iA-issued or community-issued BFE) or Zone AO musfi sign here. The s4afiements in Sections A, B, and E are correct to fihe besf of my knowledge. Property Owner or Owner's Authorized Represen4afiive's R�ame ,4ddress City Stafie ZIP Code Signature Date Telephone Commenfis ❑ Check here ifi attachmen�s. FEMA Form 086-0-33 (7/15) P.eplaces all previous editions. Form Page 3 of 6 ELE�0Ai90N CEIZTIFI�a4TE OMB No. 1660-0008 Expiration Date: November 30, 2018 911APORYANT: loa $8aese spaces, �opy tB�e �orrespoaading irsforrnatioaa froraa aectooaa �. FOR INSURAIVCE COMPAYVY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box Rlo. Policy Number: 249 WIiVDWARD PASSAGE (MAIN PARKIRIG STRUCTURE) City State ZIP Code Company NAIC Number CLEARW,4TER FLORIDA 33767 S�CTBG)B�➢ G� C011�IVt�99�Y9T� 11�7��9?A�s��9�BP7 Q�9��°@�9�Ye��H The local official who is authorized by law or ordinance to adminisfer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G o# this Elevation Certificafe. Complete the applicable item(s) and sign below. Check 4he measurement used in Items G8—G10. In Puerto Rico only, enter meters. �7. ❑ The inform�fiion in Section G N✓as taksn from other �on�menfation that has been siqned and sealed by a licensed surveyor, engine2r, or architecf who is au4horized by law to certify elevation information. (Indicafe the source and da4e of the elevation data in the Comments area below.) G2 � A community official completed Section E for a building located in Zone ,4 (vvithou� a FEfViA-issued or community-issued BFE) or Zone AO. G3. ❑ The following infiormation (Ifems G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Daie Permi4 Issued G6. Date Certificate of Compliance/Occupancy Issued G7. 7his permit has been issued for: ❑ Rlew Construction ❑ Subs4antial Improvement G8. Elevation of as-builf lowest floor (including basement) � feet ❑ meters Dafium ofi 4he building: • G9. BFE or (in Zone AO) dep4h of flooding at fhe building site: , ❑ fee4 ❑ meters Dafum G10. Community's design flood elevation: . ❑ feet ❑ mefiers Datum Local Official's fVame Tifile Community �lame Telephone Signa4ure Daie Comments (including type of equipmenf and loca4ion, per C2(e), if applicable) � Check here if attachments. FEM,4 Form 086-0-33 (7/15) Replaces all previous edi�ions. Form Pac�e 4 o`r 6 BUILDIIVG PFIOT'C�(;f2�4F�Y�S on��B �o. lsso-000a EL,E�AT��N �ERTIFBCe�TE See Insfrucfions for Item A6. Expiration Date: November 30, 2018 BNIPORTANT: 9aa �9�ese spa��s, ��py �Fae correspondi�g infor�a4Bon f�°or�a Se��e�o� A. FOR INSURANCE COMPANY USE __ _��.--� Building Street,�ddress (including Apf., Unif, Suife, and/or Bldg. Rlo.) or P.O. Roufe and Box No. Policy Number: 249 WIfVDWARD P,4SSAGE (NI,41fV PARKING STRUC7URE) City Stafe ZIP Code Company IVAIC Number CLE,qRWATER FLORIDA 33767 If using fhe Eleva4ion Cerfifica4e to obfain NFIP flood insurance, affix ai leasf 2 building phofographs below according io fhe insiruc�ions fior Item A6. Identify all photographs wifh dafe iaken; "Front View" and "Rear Vie�v"; and, if required, "Righi 5ide Vie�v" and "Lefi Side View." VVhen applicable, phofographs must show fhe foundation wi4h representafiive examples of fihe flood openings or vents, as indicated in Section A8. Ifi submitting more photographs than will fit on fihis page, use fhe Continuation Page. `.I—___,_,_ _ __ -- ---. _t. _-- ---- --- __ �: K �.' * F .. . __ � .. � _ - __,_ - — ' r� _._�_ _-__ , _-: . - !. -- -:-�`�t � �� .�� ''°"^'•-�`' -- —�p y -,-.�*"`�'� �` et � � - � .�s= W � �% r�,� 4'��*� , ��' _ -t�t ' � . :. > . � ..7'.. , . ,. �; �w�-,; - .,� I � :.. -.. �;: ,� , ... Pi . . .. _x.,._�,-�.. w.,..... � , :� � , ; . _^ � ,�_ _ � � _ � ...� ., . . . . �.... , ��i . ... . � ..._._. •x:. ' � .. »�� ` � x .�a�'3 7+.� �.,-�, �,, '°°'" .�.,,, �_" .� �" ,� ..�� i�i�1� ��4�N. �� i i� � � �,�r2 ,x.'�nh � 'k�s; x�.h �. >i � _ ,.�. _ ..r-, - .: i _ � „ , ,.�. , .. , :., . �I ` .,... - � _ � � , �, ,,. �,:........ . . . .. >.. . _ ... .. � � Photo One Phofio One Caption FROi�T VIEW 5-9-2017 . . .. �� , . �� _. � r k I ,�; � � x..,, � " �� :ti:° ��? �� i,'� �� I�!II 1 � h < j�'� � �i+ jj ', � � �.�'�� .` �§t � . tll , . } s'�'� � �� i s«'—'.A.:� . � � ' �„ � i s� � � � #�r5� ° a� .:'.; � f f � `� . , � � �;�: � �' � ��b �: y � -z-;�,. . :.. I � �_ � .�- .... = - -- �:� Photo Two Photo TNio Caption REAR VIEW 5-9-2017 FEM� Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ��9B�D�9�� PH�T'��t�4�H5 ONiB iVo. 1660-0008 E�.EVATB��V �E�T�F8�A4TE Contmuation Page Expiration Date: Rlovember30, 2018 991�P�RTA9�i: 90� th�se sg��e�, �opy �8�� sg��o��u�o� oua��atto��a�a� ff��Aao Sectiort� A. FOF2 IRISURANCE COiVIPARIY USE Building Sfreet Address (including Apt., Unit, Suite, and/or Bldg. �lo.) or P.O. Route and Box No. Policy Number: 249 WINDWARD PASS�GE (MAIRI P,4RKING STRUCTURE) City Sfafe ZIP Code Company i�AIC i�umber CLEARWATER FLORIDA 33767 If submitting more photographs fhan will fit on fihe preceding page, affix the addifiional photographs below. Identify all photographs with: date faken; "Fron4 View" and "Rear View"; and, if required, "Right Side View" and "Lefii Side View." When applicable, photographs mus4 show the founda�ion vvith represen4a4ive examples of 4he flood openings or vents, as indicated in Section A8. � .. , Photo One Phofio One Capiion Rl/A � ,.. : � ,.;: Photo Two Photo Two Caption RI/,A --- _ _ - �-_ ----.__ _�— _--�-- - _ � _ ��;-,�, r�_,��o � n, F FEPA�1 Form 086-0-33 (7/15) repiaces au pre�nous ea�❑�n5. Surveyor9s Notes Attachmen4 Page 7 ELEi//�T'BON CERTBFICATE 99�P�RTAN7T: 9n tB�ese spac�s, �opy �he corresporad'aa�g infora�s�,�6o�o ffu��vu S��t��r� �., Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE (MAIN P,4RKIIVG STRUCTURE) City State ZIP Code CLEARWATER FLORIDA 33767 OMB No. 1660-0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number �E�T9�IV D — SU�2iiE�OR'S �EB�TB�B�6��@�B� (��B�T9NlB�� 9S�i1� PAC�E 2) A1. ) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AIVD BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINIfVG FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERIVING AUTHORITY. THIS DOCUMENT SHAL� NOT BE VALID AfVD BINDIiVG AGAINST THE SIGIVING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AIVD SIGIVATURE OF THE FLORIDA LICENSED SURVEYOR AIVD MAPPER. USE OF THIS DOCUMENT BY AiVY OTHER PARTY OR FOR ARIY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL REIVDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AIVD SHALL NOT BE VALID. REQUESTS FOR AIVY ADDITIONAL OFFICIAL SIGlVED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II � ASSOCIATES, IfVC. A4.) THE BUILDIRIG USE WAS DETERMIRIED BY PHYSICAL OBSERVATIOIVS MADE ORI 7HE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDIiVATES WERE OBTAINED USING A HA�ID HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDIRIG DIAGRAM i�UMBER WAS DETERMIRIED BY PHYSICAL OBSERVATIOi�S MADE Oi� THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES IVOT VISIBLE TO THE SURVEYOR (PILII�GS, GRADE BEAIVIS, ETC.) OR USE OF AI�Y AREAS BELOW THE BASE FLOOD ELEVATIOI� THAT DOES NOT COMPLY WITH FEMA REGULAiIONS CAN AFFECT THIS DETERMINATIORI. A8.) FOR THE PUFdPOSE OF THIS DOCUMENT, A BUILDING ENCLOSUFdE IS DEFINED AS THAI" PORTIORI OF AfV ELEVATED BUILDIi�G, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IfV BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDIRIG IS COiVSIDERED ARI ENCLOSURE. SUCH AREAS SHALL NOT CONTAIiV MORE THAN 20 LINEAR FEEI' OF FIfViSHED If�TERIOR WALLS (PAIVELING, ETC.) OR IT WILL BE COi�SIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE COIVTAIf�S: ❑ CRAWLSPACE ❑ ENCLOSURE ❑ ATTACHED GARAGE ❑tt f�/A IF APPLICABLE, THE CRAWLSPACE CORITAIRIS ��A ENGIIVEERED FLOOD OPENIV�G(S) CERTIFIED TO COVER �1�A SQ. FT. PER OPEfVIRIG (MANUFACTURER: N/A — MODEL: RI/A ). IF APPLICABLE, THE BOTTOM FLOOF2 EfVCLOSURE CO(�TAII�S N/A EfVGIR1EERED FLOOD OPEiVIiVG(S) CERTIFIED TO COVER iV/,4 SQ. FT. PER OPEiVING (MARIUFACTUF2ER: N/A — MODEL: RI/A IF APPLICABLE, THE BOTTOM FLOOR ERICLOSURE CORITAIRIS: `il� IF APPLICABLE, DOES THE BOTTOM FLOOR EIVCLOSURE APPEAR TO COf�TAIi� BREAK-AWAY WALLS? ❑ YES ❑ IVO ❑� IV/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CORITAIiVS ��A ENGIRIEERED FLOOD OPERIING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENIiVG (M,4NUFACTURER: N/A — PAODEL: N/A ). A8. � A9.) FOR THE PURPOSE OF THIS DOCUMEIVT, A FLOOD OPEIVING IS DEFIIVED AS A PERMANEfVT OPEIVING IRI ARI EXTERIOR WALL THAT IS NO HIGHER THARI 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPERIING. B8.) UNLESS OTHERWISE NOTED IRI SECTIO�I B, 17EM 10, THE FLOOD ZOI�E WAS DETERMIRIED BASED ORl THE FLOOD INSURAfVCE RATE MAP. IN CERTAIN CASES WHERE AIV ACCURATE DETERMINATIORI COULD �IOT BE MADE FROM THE MAP, FEMA'S IRITERACTIVE MAP OR THE COURITY'S G.I.S. OVERLAY MAY HAVE BEEfV UTILIZED TO DETERMIiVE THE FLOOD ZONE. �10 SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) ELECTRIC OUTLEi IN WALL. �lttachment Page 7 ofi 7 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EME,�GENCY MANAGEMENT AGENCY National Flood Insurance Program A1. Building Owner's Name CLEARWATER ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL I.D. NO. 08-29-15-00000-130-0700 lI �-�� OMB No. 1660-0 08 Expiration Date: July 31, 2015 FORINSURANCE Policy Number: Company A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) COMMERCIAL BUILDING ADDITION A5. Latitude/Longitude: Lat. 27°58'37.9" Long. 82°49'09.4" Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building 'rf the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A 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 N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b sq in c) Total net area of flood openings in A9.b 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 8� Community Number 62. County Name 63. State CITY OF CLEARWATER 125096 PINELLAS FLORIDA B4. Map/Panel Number 65. Suffix 66. FIRM Index Date 67. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone 12103C0102 G 8/18/2009 Effective/Revised Date Zone(s) AO, use base flood depth) 9/3/2003 VE 13' 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/Source: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise 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. In Puerto Rico only, enter meters. Benchmark Utilized: CLEARWATER G-03.5 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑ NAVD 1988 � Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V 2ones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of dedc or stairs, including structural support 5.07 15.09 3.40 N/A. 10.23 4.5 4.8 5.07 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 Certificate represents my best efforts to interpret the data available. ,;,�� ?� ',��' �/ ``,, I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. .�� ' .•� ��+ trD '�i`;� a G �'•,.� � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ; •� P� �, t,_ `� ❑ Check here itattachments. licensed land surveyor? ❑ Yes ❑ No w ��5� ', � Check the measurement used. � feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters Certifier's Name EDWARD C. ELLIOTT Title P.S.M. Address 300A S. Belcher Road Signature FEMA Form 086-0-33 (7/12) License Number 3983 Company Name EMME Land Surveying, LLC City Clearwater State fl ZIP Code 33774 Date 2/12/2013 Telephone (727) 474-3751 See reverse side for continuation. > : Tl�� ~�F • � = .�� L a�., � � ,� �,�, ; • a � � � ,� i �� n�l' • . . . • • e`�p ; �r/ t�� {tr�� ,ti,,� 1 1 t � ✓'�. rIM � �:�`, Replaces aFl previous editions. �� v�� v�� n �v� � �� Nayc i IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: 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 1.) THE ELEVATION SHOWN IN ITEM C2e IS THAT OF THE GENERATOR PLATFORM AT THE REAR OF THE BUILDING 2.) P.S.M. = PROFESSIONAL SURVEYOR AND MAPPER 3.) THE ELEVATION SHOWN IN ITEM C2c IS BASED ON BUILDING PLANS AND SITE CONTRACTORS RECORDS. THE BOTTOM OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER IS WELL BELOW THE GRADE OF THE SITE AND WAS NOT ACCESSIBLE TO THE SURVEYOR. Signature Date 2/12/2013 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. Chedc 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 enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams Cr9 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, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments City Date State Telephone ZIP Code Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The Iocal official 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 Certficate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. 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 o�cial 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—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certficate 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 G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters G10. Community's design flood elevation: ❑ feet ❑ meters Local Official's Name Community Name Signature Comments Title Telephone Date Datum Datum Datum Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 guilding Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear Vievd'; and, if required, "Right Side VievW' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW — PHOTO TAKEN 2/12/2013 �_ a%.�.: �` —. . . r :'aq..,. .:, i !� �' . �`g k � <r �� et k.�i. A �� _��' y I ,.W�" .'." �,7y°`* �_E�, �il I '�' n ..,N:.e' '� .�; � � � �,�, �,,ti� >�,4 �� ,� �,, , �.� �� t¢ u,. ,; �� . ��'� y�. f �Kr ��.. l �r ..��' � � ..1 � ' - ��` � !�� . FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front Vievd' and "Rear VievW'; and, if required, "Right Side Vievd' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. REAR VIEW — PHOTO TAKEN 2/12/2013 .........,,�.�,.,. �;�� :e . i r�, ��;x FEMA Form 086-0-33 (7/12) Replaces all previous editions. (�C� L�� - �� Zz� SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 v ��y Expires March 31,2012 Nationai Fiood insurance Pro9ram Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For insufance Company Use: A1. Building Owner's Name CLEARWATER MARINE AQUARIUM,INC. Policy Numt�er A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 A3. Properry Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) , PARCEL I.D.NO.OS-29-15-00000-130-0700 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)ADDITION A5. Latitude/Longitude: Lat.27°58'37.4" Long.82°49'08.4"Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building ff the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1B 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 � 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 within 1.0 foot above adjacent grade c) Total net area of flood openings in AB.b sq in c) Yotal net area of flood openings in A9.b sq in d) Engineered flood opening�? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOQ INSURANCE RATE MAP(FIRM)INFORN1ATION 61.NFIP Community Name&Community IVumber 62.County Name 83.State � CITY OF CLEARWATER 125096 PINELLAS FLORIDA _ 64.Map/Panel Number 85.Suffix B6.FIRM Index 67.FIP,M Panel B8.Flood 69 Base Flood Fievation(s)(Zone 12103C0102 G Date EffeclivelRevised Date Zone(s) AQ,use base flood depth) 8l18/2009 9/3/2003 _ VE _ 13.0' B10. Indicate the source of the�3ase Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum u3ed for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resourc�s System(CBRS)area or Otherwise Prateded 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 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-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized CLE,�RWAT[R G-03.5 Vertical nalum NAVD 1988 Conversion/Commsnts__ Check the measurement used. a) Top of bottom floor(including basement,crawispace,or enclosure Iloor).5.07 � feet ❑meters(Puerto Rico only) b) Top of the next higher fl�ar 15.00 �feet []meters(Puerto Rico only) c) Bottom nf the lowest horizcntal structural member(V 7_ones onty) tJ!A.__ ❑feef ❑metars(Puer!o Rico anly) d) Attached garac�e(top af slab) N/A..�, ❑feet ❑meters(Puerto Fiico only) e) Lowest elevation of rt�achinery or equipment servicing the biailding N/A. _[]feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 4.3 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to buiiding(HAG) 4.6 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including ____ �feet ❑meters(Puerta 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. I certify that the infonnation on this Certificate represents my best efforts to interpret tho da[a available.l t��'' �� , � f R�J, understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.� �'� ��",• • • ••.,�l �, Check here if comments are provided on back of form. Were latitude and longitude in Sectiun A provided by a ��°,•� ��•,r�j�'� " licensed land surveyor7 � Yes ❑ No � s� � � ,�� - • '��- �(�; j� .-. � Certifier's Name EDWARD C.ELLIOTT Liaense Number 3983 m 4��,�;�� - � �, °r '� » Title Professional Sunreyor and Mapper Cumpany Name EM�JIE Land Surveying, LLC � �,.• ��•��.� �� - • c�.: Address 300A S.BELCHER RD. City CLEARVVATER 5tate F"L ZIP Coda 33765 �:.� "'?` ' �„ .'��ir�' � ,,� .< G � t�,.,. .,,.,: Signature Date 11/72/2011 Telephvne (727)474-3751 �`.,J�7/"' • ' ' ��''41,ti __ _ _�..,_�. , '��!l li t 11S�ti �� FEMA Form 81-31, Mar 09 See revarse side far coniinuation. Repluces all previous edit�en, IMPORTAN : 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 249 WINDWARD PASSAGE City CLEARWATER State FL ZIP Code 33767 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 Z2 l Signature ate ❑ 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,cdmplete 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 infortnation 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,crawispace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑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 Instrudions),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 ordinance7 ❑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 ff attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the communitys 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 i�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 Title Community Name Telephone Signature Date Comments ❑Check here if attacMnents FEMA Form 81-31, Mar 09 Replaces all previous editions FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 ELEVATION CERTIFICATE Im ortant: Read the instructions on a es 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance CompanyUse: BUIL OWNER'S NAME Policy Number BUILDING STREET DDRESS(Including Apt., ' Suite,an or Bldg.No.)OR P.O. OUTE AND BOX NO. Gompany NAIC Number ' CITY STATE ZIP CODE �usE7-�. � �337 7 PROPERTY DESCRIPTIO (Lot a d Block Numbers,Tax Parcel Number,Legal Description,etc.) ��-�t7'r'�� BUILDIN USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) - SS�'lN�LY l A l - s"u�.�t,�lN/2��r' � t�cb�21GI�lC� ST7Q►G�� LA ITUDE/LONGITUDE(OPTIOt�) HORIZONTAL DATUM: SOURCE: �_�GPS(Type): ( ##°-##'-##.##" or ##.�#°) �_�NAD 1927 �_�NAD 1983 ��USGS Quad Map �_�Other: �LY�� SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE L 64.MAP AND PANEL B5.SUFFIX 66.FIRM INDEX B7.FIRM PANEL 68.FLOOD 69.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) . / B10. Indicate the source of the Base Flood Elevation(BFE)data or ba e flood depth entered in B9. I—I FIS Profile ��IRM �_� Community Determined �_�Other(Describe): 611. Indicate the elevation datum used for the BFE in 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: �/� SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) uilding 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. Building Diagram Number_�(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3. 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 C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum eonversion. Datum N�.4 Conversion/Comments�f� Elevation reference mark used /�/�1�r poes the elevation reference mark used appear on the F4,R�1?..�� ,gYes' �_� No ❑ a)Top of bottom floor(including basement or enclosure) 2 .'�. h.(m) � }— �;,:�y.� � ,�;, ❑ b)Top of next higher floor [;�• .�d�ft.(m) " <3::^•� �, �- '`� `� ❑ c)Bottom of lowest horizontal structural member(V zones only) /�//i� _ft.(m) �u • ��,' *�� :s 9 � � ❑ d)Attached garage(top of slab) �/�� _ft(m) E° � �� U � _�`. � �A � ❑ e)Lowest elevation of machinery and/or equipment W� ; �' ��" ��$;;�;'' servicing the building .�ft.(m) � ' � � ; ;°� + ° ❑ �Lowest adjacent grade(LAG) .,�t.(m) i� 7.� �'�' � �" �' °� ❑ g)Highest adjacent grade(HAG) �J ft.(m) � 1 � � o:':�;:` ❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade__1;1�� ••. m� •• ,+, �� ❑ i)Total area of all permanent openings(flood vents)in C3h /�//i� sq. in. (sq.cm) J ' � 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 celtify that the informa6on in Sections A, 8, and C on this certificate represents my best efforts to inte�pret the data availab/e. I understand that an false statement ma be uni ab/e b fine or im risonment under 18 U.S. Code, Section 1001. CERTIFIER'S NA LICENSE NUMBER E - r G. ., ; . ADDRESS O ; ' ;_. !._� ST ZIP O E . ' �i --- � SIGNATURE '` �,'�1 DAT TEL HONE a � � • � FEMA Form 81-31,AUG 99 S�iEi�tEVERSE SIDE FOR CO ATION REPLACES ALL PREVIOUS EDITIONS 2�'.��"M��t�. :.U r �; (�/rr"i�`SVCS ' 'Y�rii'�°urV/yi�� , IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,U � uite,and/or Bldg.No.)OR P.O. ROUTE AND BOX NO. Policy Number CITY STATE ZIP CODE Company NAIC Number = 7 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. coM�j�-rs �tY I_ _I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. /�//� E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed– see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is I—I—I ft•�m) I—I—I�n.(cm) ��above or �_�below (check one)the highest adjacent grade. E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is �_�_�ft.(m) �_�_�in.(cm)above the highest adjacent grade. E4. For 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 A ust sign here. PR P RTY OWNER'S O R I E EP NTATIV 'S ME ADDRESS CITY S ATE ZIP CODE � 7• ( �. 4a �727 � 7°l/ ' '� ?�a SIGNATURE DATE TELEP NE COMMENTS ••--•- ��) Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) f�(�� , The local official 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. G1. �_�The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, , engineer,or architect who is authorized by state or local 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 is: _ft.(m)Datum: G9. BFE or(in Zone AO)depth of flooding at the building site is: _ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE ' COMMUNITY NAME TELEPHONE - SIGNATURE DATE . COMMENTS �_� Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS Item G6. Date Certificate of Compliance Issued. Enter the date that the Certificate of Compliance or Occupancy or similar written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work �orized by the floodplain development permit has been completed in accordance with the community's floodplain agement laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement"means any reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement. The term includes buildings that have incurred substantial damage,regardless of the actual repair work performed. Item G8. As-built lowest floor elevation. Enter the elevation of the lowest floor(including basement)when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum used. Item G9. BFE. Using the appropriate FIRM panel, FIS, or other data source, locate the property and enter the BFE(or base flood depth)of the building site.Indicate the elevation datum used. Enter your name, title, and telephone number, and the name of the community. Sign and enter the date in the appropriate blanks. • • Instructions—Page 5 BUILDING DIAGRAMS The following eight diagrams illustrate various types of buildings. Compare the features of the building being certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram • number in Item C2 and the elevations in Items C3a-C3g. In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for Section C). DIAGRAM 1 DIAGRAM 2 All slab-on-grade single-and multiple-floor buildings All single-and multiple-floor buildings with basement (other than split-level)and high-rise buildings,either (other than split-level)and high-rise buildings with detached or row type(e.g.,townhouses);with or basement,either detached or row type(e.g., without attached garage. townhouses);with or without attached garage. Distinguishing Feature-The bottom floor is at or above ground level Distinguishing Feature-The bottom floor(basement or underground (grade)on at least one side.' garage)is below ground level(grade)on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.* b � , a i NEXT HIGHER � a � i i FLOOR NEXT HIGHER b FLOOR GRADE BOTTOM FLOOR � GRADE BOTTOMFLOOR (BASEMEN� ..::.- .. . ,„...:.:. - ';i::.:•::. �r:::: i�:;::::':(: _ :;�.�. ......:.::...:>,s: - . •.. .. ..... ,.:,.;�: :,.�;:: , � , .:�.::..:....:.:�..... ..:.�.:�.....r•::..-.:...;�:.t :�c__:.� �.�:t..:�.�::: .. ... ..::... .,...,;.. �:�;::!::.t ;�:�.:,�..;:: .: . ,. .. . . ...... ........ . ...�.... - . ........ ...� . ... ........:�..��. ... � ...............:.:..... '.�r':. _ �.:��..:��: ... ... ....... ... . ...... ............. .... ... ..... �.�::,� " — — - :::��:..:.. ..,, ..,....:� :.. .. .... ,...�.:..,;.. i. :.:��... .......:.: ... ... ...�.� . �... . . . .. .. . . .. .. ..,... . ...........�•�.....:.: �.. �... ..... �.�...�.:. . .. .. - . .. .. .. .... .. ... ....... .. ... .. .... .. .. .. .... .. .. . . .. . ... ... .. . ... ... .. . ... ... .. . ... ... .. .. ...... • f 9 (determined by existing grade) f g (determined by existing grade) DIAGRAM 3 DIAGRAM 4 All split-level buildings that are slab-on-grade,either All split-level buildings(other than slab-on-grade), detached or row type(e.g.,townhouses);with or either detached or row type(e.g.,townhouses);with or without attached garage. without attached garage. Distingufshing Feature-The bottom floor(excluding garage)is at or Distinguishing Feature-The bottom floor(basement or underground above ground level(grade)on at least one side.* garage)is below ground level(grade)on all sides. Buildings constructed above crawl spaces that are below grade on all sides should also use this diagram.' i � i � a � � i b a b FLOORS � HIGHER NEXT HIGHER GRADE FLOORS FLOOR NEXT HIGHER RADE gOTTOM BOT7oM FLOOR FLOOR LOOR BASEMENT ..:..:..•�•..•..�.::.••..: ..•�:.`•:...'':..••..: ... •.. .....•..�r.::..: ....... . ...,..... ;.. .. l: .. ...•.:, ... •.. .. . '.��:�:' . .. .. ....i�.::::•.�.:: • . .. ... . .. .. ... . ....:.... .... �... . . ..::.:,.:.. y .i. \ _.�;:; y:;:' \ '.��.� �.;}: .��; ;,;:. �'-e�',.�,w;:. �'�i1 •�K r '�'.`�"i.'.�:'',i:��`:�::�'::��.'."::.�•',i.•'.':�':�.:,':'.':��.'..�.:'.:',�:`.'::��:;�:'.'::'.��.:;''�.'.`.'':•::�: ......�.... .:..•..'...•�.., .::.•...•...•'... .:::•..�...••.... •:::•...'...•'..:'.:::•.. .......:.:....... ......:....... ...:....:.....�'.�.. ...:.:....... .. ........ .... .. . .........:.......�... . .. ... . ...... ....., .. ... f g (determined by existing grade) f g (determined by existing grade) • * A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office, garage,workshop,etc. Instructions—Page 6