1590 GULF BLVD1 j V
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NV 0 4 2013
I PLANNING & DEVELOPMENT DEPT
CITY pF cEMgWArER__y
1590 GULF BLVD
BCP2013-06068
ELEV CERT UNDER CONSTRUCTION
FINALE ON SAND KEY
Zoning: Commercial Atlas #: 311A
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U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
• National Flood Insurance Program Important: Read the instructions on pages 1-9.
ELEVATION CERTIFICATE
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name TAUB ENTITIES, LLC aka "Finale at Sand Key"
OMB No. 1660-0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
Policy NtUmber:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
1590 Gulf Boulevard
City Clearwater
Company NAIC Number:
State FI ZIP Code 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PID: 09-31-15-34308-002-004
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat. 27deo56'22.01" N. Long. 82deg50'19.85" W.
A6. Attach at least 2 photographs of the building if the Certificate is being used
A7. Building Diagram Number 5
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 11780 sq ft
b) Number of permanent flood openings in the crawlspace
or enclosure(s) within 1.0 foot above adjacent grade na
c) Total net area of flood openings in A8.b na sq in
d) Engineered flood openings? 0 Yes 0 No
Residential
Horizontal Datum: 0 NAD 1927 ® NAD 1983
to obtain flood insurance.
A9. For a building with an attached garage:
a) Square footage of attached garage ng sq ft
b) Number of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade ne
c) Total net area of flood openings in A9.b na 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 Madeira Clearwater 125096
B2. County Name
Pinellas
B3. State
FI
84. Map/Panel Number
12103C0104G
85. Suffix
G
B6. FIRM Index Date
8-18-09
87. FIRM Panel
Effective/Revised Date
9-03-03
B8. Flood
Zone(s)
VE
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
13
B10. Indicate the source of he Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
0 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: na 0 CBRS 0 OPA
❑Yes ®No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ 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 -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: 802 City of Clearwater Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 El NAVD 1988 0 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 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)
f) 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 deck or stairs, including structural support
a.40
na.
17.73
na.
na.
7.50
7.95
7.95
Check the measurement used.
® feet 0 meters
❑ feet 0 meters
® feet 0 meters
❑ feet 0 meters
❑ feet 0 meters
El feet 0 meters
® feet 0 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. Were latitude and longitude in Section A provided by a
0 Check here if attachments. licensed land surveyor? ® Yes 0 No
Certifier's Name William C. Ward License Number 4815
Title Land Surveyor Company Name William C. Ward, PLS
Address 610 Pinellas Bayway #5201
City St. Pete State FI ZIP Code 33715
Signature l>
Date 11-03-13 Telephone 813-817-1115
FEMA Form 086-0-33 (7/12) See reverse side for continuation.
Replaces all previous editions.
,�a.�•"r wi• vl_ I •I n we„ I_, f.ayc dr -
IMPORTANT:
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.
1590 Gulf Boulevard
FOR INSURANCE COMPANY USE
Policy Number:
City Clearwater
State FI 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 Building is under construction. Ground floor slab, electric/mechanical equipment and flood vents are not yet installed
Signature
Date 11-03-13
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, crawispace, 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 (seepages 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 [] below the HAG.
E3. Atlached 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, B, and E are correct to the best of my knowledge.
Properly 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
06. Date Certificate Of Compliance/Occupancy Issued i1
G7. This permit has been issued for:
G8. Elevation of as -built lowest floor (including
G9. BFE or (in Zone AO) depth of flooding
G10. Community's design flood elevation:
0 New Construction 0 Substantial Improvement
basement) of the building: 0 feet 0 meters Datum
at the building site: 0 feet 0 meters Datum
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.
1590 Gulf Boulevard
Policy Number:
City Clearwater
State FI 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 11-03-13
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.
1590 Gulf Boulevard
Policy Number:
City Clearwater
State FI ZIP Code 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.
FEMA Form 086-0-33 (7/12)
Replaces all previous editions.
U.S.DEPARTMENTOFHOMELANDSECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood /nsurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A- PROPERTY INFORMATION `�FOR It�SUI�N�E��IlI���AlSE�������
A1. Building Owner's Name TAUB ENTITIES, LLC aka "Finale at Sand Key" Pdicy�+tw716ert� �`� '`"
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. GompBny NqIC-AlumbBr'; '
1590 Gulf Boulevard
City Clearwater State FI ZIP Code 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PID:09-31-15-34308-002-0040
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27dea56'22.01" N. Long. 82deg50'19.85" W. Horizontal Datum: ❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 5
A8. For a buiiding with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawispace or enclosure(s) 11780 sq ft a) Square footage of attached garage na sq ft
b) Number of permanent fiood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclasure(s) within 1.0 foot above adjacent grade na within 1.0 foot above adjacent grade na
c) Total net area of flood openings in AS.b na sq in c) Total net area of flood openings in A9.b na sq in
d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Community Name & Community Number B2. County Name 63. State
City of Madeira Clearwater 125096 Pinellas FI
B4. Map/Panel Number B5. Suffix 66. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
12103C0104G G 8-18-09 Effective/Revised Date Zone(s) AO, use base flood depth)
9-03-03 VE 13
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/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: na ❑ 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: B02 City of Clearwater Vertical Datum: NAVD 88
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 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)
f) 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 deck or stairs, including structural support
18.40
28.73
17.73
na.
14.23
7.50
7.95
7.95
Check the measurement used.
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
❑ feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data availab/e.
I understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S. Code, Section 1001.
� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? � Yes ❑ No
Certifier's Name William C. Ward
Title Land Surveyor
License Number 4815
Company Name William C. Ward, PLS
Address 610 Pinellas Bayway #5201 City St. Pete State FI ZIP Code 33715
Signature����--�� Date 10-15-14 Telephone 813-817-1115
FEMA Form 086-0-33 (7/12)
See reverse side for continuation.
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Replaces all previous editions.
�..�",�,� �..�. ..��.� �� �..r.� �, �,ay� �
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.
1590 Gulf Boulevard
City Clearwater State FI 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 agent/company, and (3) building owner.
Comments Structure is a V zone design with ground floor break away walls and V zone certification by engineer - allows for building diagram 5
C2e is energized electrical within AC units in garage
�
Signat�re
Date 10-15-14
SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawlspace, or 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 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 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: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building:
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Community's design flood elevation:
Local Official's Name
Community Name
Signature
Comments
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
Title
Telephone
Date
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.
1590 Gulf Boulevard
City Clearwater State FI 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 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.
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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.
1590 Gulf Boulevard
City Clearwater State FI 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 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.
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FEMA Form 086-0-33 (7/12) Replaces all previous editions.
V ZONE DESIGN CERTiFIC:ATE
Nam�a Finale Condo at Sand Key Policy Number (lnsurance Co. use)
Building Address or �ther Description 15 90 Gulf Boulevard
PermitNo. �ity Clearwater state FL zipcode 33767
BCP2013-06068 ` '
SECTION 1: Flood Insurance Rate Map (FIRM} Information
125096 12103C0104G G 8-18-09 �
Ccmmunity Na. Panel No. Suffix FIRM Date FIRM Zone(s)
SECTtON tL• Elevation Information Used %r Design ��
(NOTE': This sec6on documents elevations used in fhe design � it does not substifute for an as-built Efevatfon Certificafe. j
1. Datum...... .............................................................................. ...... ther
..............
, f� NGVQ NAVD ❑ O
2. Elevation of the Bottom of Lowest Horizon#al Structural Member ................. 1 �•.� 3 feet above datum
.............. .
3. Base Flood Elevatfon (BFE)...... 13 . 0 0 feet above datum
4. Eievation of Lowest Adjacent Grade .... ................................ ...... ...... ......... 7. �. 5 0 feet above datum
5. Approximate Depth of Anticipated Scour/Erosion used fa� Foundation Qesign... .., ...5. �..�45 feet above datum
6. Embedment Depth of Pilings or Faundatton Betow Lowest Adjacent Grade..........�.$...50 feet above dafum
SECTION lII: V Zone Desfgn Certification Statement
jNOTE. This section must be certll7ed by a Florfda licensed engineer or architecf.J
i certify: (1) that 1 have developed or reviewed the structuraf design, plans, and specifcations for construc#ion and (2) that the
design and methods of construction to be used are in accordance with accepted standards of practice far meeting the
foltowing provisions:
. The bottom of the lowest horizontal structural member of the lowest floar (with the exception of mat or raft
faundations, piling, pile caps, columns, grade 8eams and bracir�g) is elevate8 to or above the BFE in accordance
with the requiremenis of the �lorida Buiiding Code and locai flaodpiain management regulations; and
. The pile and cofumR foundation and building or struc#ure to be atiached thereto is designed in accordance with the
Florrda Building Code to be anchored to resist flotation, collapse, and laterai movement due to the effects of fhe wind
and flood loads acting simulYaneously on all building components, and other ioad requirements of the Flarida
Building Gode. The poiential for scour and erosion at the foundation has been antic9pated for conditions associated
with the base flaod, including wave action.
SECTION IV: Breakaway Wail Deslgn Certification Statement
(NOTE. This section musf also 6e cerf'�'red by a Flaida licensed engineer or architect when b�akaway walls exceed a design safe loadfng
resfstance of 20 pounds par square foot This r�quirement does »of apply fo open wood/plastic lat6ce/slafsllouvers or insect screening.]
I certify: ('f } that I have developed or reviewed the structural design, plans, and specifcations for construction and (2) that the
design and methods of construc#ion #o be used for the breakaway watEs are in accordance with #he Florida Building Code,
Building (ASCE 24) or Fforida Building Code, Residential, as applicable, and accepted standards of practice.
SECTION V: Certlflcation and Sea!
This certificatian is to be signed and sealed by a Florida licensed professional engineer or architect authorized by law to
certify struc#urat designs. 1 certify fhe V Zone Design Ce�tifrcaiion Sfatement in Section 11I and the Breakaway Wa!! Design
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1590 GULF BLVD
BCP2013-06068
ELEV CERT UNDER CONSTRUCTION
FINALE ON SAND KEY
Zoning: Commercial Atlas #: 311A
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,U.S. DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE
�EDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
�?vanonatFlood�ns«ra„�eProgram Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A- PROPERTY INFORMATION Ft�R INSURANCE COMPANY IFSE '
A1. Building Owner's Name TAUB ENTITIES, LLC aka "Finale at Sand Key' Policy N�lmber.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAtG Number:
1590 Gulf Boulevard
City Clearwater State FI ZIP Code 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PID:09-31-15-34308-002-0040
A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27deg56'22.01" N. Long. 82deg50'19.85" W. Horizontal Datum: ❑ NAD 1927 � NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 5 ,
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) 11780 sq ft a) Square footage of attached garage na 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 na within 1.0 foot above adjacent grade na
c) Total net area of flood openings in A8.b na sq in c) Total net area of flood openings in A9.b na sq in
d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) IN�ORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
City of Madeira Clearwater 125096 Pinellas FI
B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel 68. Flood 69. Base Flood Elevation(s) (Zone
12103C0104G G 8-18-09 Effective/Revised Date Zone(s) AO, use base flood depth)
9-03-03 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:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource:
612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date: na ❑ CBRS ❑ OPA
❑ Yes � N o
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. E�evations - 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: B02 City of Clearwater Vertical Datum: NAVD 88
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.
Check the measurement used.
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 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)
f) 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 deck or stairs, including structural support
18.40
na.
17.73
na.
na.
7.50
7.95
7.95
� feet ❑ meters
❑ feet ❑ meters
� feet ❑ meters
❑ feet ❑ meters
❑ feet ❑ meters
� feet ❑ meters
� feet ❑ meters
� 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 information on this Certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? � Yes ❑ No
Certifier's Name William C. Ward
Title Land Surveyor
License Number 4815
Company Name William C. Ward, PLS
Address 610 Pinellas Bayway #5201 City St. Pete State FI ZIP Code 33715
Signature ����i-�i �� Date 11-03-13 Telephone 813-817-1115
FEMA Forrn 086-0-33 (7/12) See reverse side for continuation. Replaces ali previous editions.
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IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY t
� Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
1590 Gulf Boulevard
City Clearwater State FI ZIP Code 33767 I 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 Building is under construction. Ground floor slab, electric/mechanical equipment and flood vents are not yet installed
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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 naturai grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawispace, 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 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 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—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: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building:
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Community's design flood elevation:
Local Official's Name
Community Name
Signature
Comments
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
Title
Telephone
Date
Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
l
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.
1590 Gulf Boulevard
City Clearwater State FI 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 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.
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FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 gu�lding 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. I Policy Number:
1590 Gulf Boulevard
City Clearwater State FI ZIP Code 33767 I 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.