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176 BRIGHTWATER DR #4U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFIC) Important: Follow the instructions on pages 1 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) i SECTION A — PROPERTY INFORMATION Al. Building Owner's Name BRIGHTWATER BLUE RESIDENCES, LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route Box No. 176 BRIGHTWATER DRIVE UNIT 4 City State RECEIVED BY: J.A.W. FEB 0 7 2018 PLANNING & DEVELOPMENT CITY OF CLEARWATER BCP2014-09208B ELEV CERT BRIGHTWATER BLUE VACATIC Zoning: Tourist FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 19, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0190 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, Lat. 27.9720° N. Long. Accessory, etc.) RESIDENTIAL 82.8240° W. Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 4 2 photographs of the building if the Number 7 Certificate is being used to 1014 sq ft with 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 635 sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A x Yes ❑ 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. NAP 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' 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. 176 BRIGHTWATER DRIVE UNIT 4 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* *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: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988 x Finished Construction AR/AH, AR/AO. enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 x 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) 6 . 52 the measurement used. x feet ❑ meters b) Top of the next higher floor 17 49 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 11 05 x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6 . 2 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6 . 4 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 authorized by 1 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 I understand elevation information. that any false Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No x Certifier's Name License Number GEORGE A. SHIMP III 6137 # 6137 (Not surveyor's Place Seal Here 44e3u-- Date: 1-30-2018 Title Job Number VICE PRESIDENT 140283-Q Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. Address 3301 DeSOTO BOULEVARD, SUITE D City State ZIP Code PALM HARBOR FLORIDA 34683 valid unless embossed with original raised seal) StureDate Telephone 41-30-2018 727-784-5496 Copy all pa es of this Eleva on Certificate and all attachments f r (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 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. 176 BRIGHTWATER DRIVE UNIT 4 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, Band 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 certify 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 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. 176 BRIGHTWATER DRIVE UNIT 4 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 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 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. 176 BRIGHTWATER DRIVE UNIT 4 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, 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. ., `. 1 1 III 11 S.. _____ ____ ____.=. re �I'f���l�\�f.`I�I I' __ ___ _ __ ___ ___. a Photo One Photo One Caption FRONT VIEW 1-30-2018 r u IIIBIMIII -c--- -111111111M ... 6 ft i � : OWNS OR - - _ t 11111N1 NM •■. — v 771i., as ii•ij4C5y�1 Photo Two Photo Two Caption REAR VIEW 1-30-2018 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. 176 BRIGHTWATER DRIVE UNIT 4 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 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. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State CLEARWATER FLORIDA ZIP Code 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 ❑X ENCLOSURE ❑ ATTACHED GARAGE ❑ N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS NIA 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 3 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: GARAGE, STORAGE, ENTRY, DUMBWAITER AND STAIRS IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? ❑ YES 0 NO 0 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 LOCATED ON WALL. A8.) BOTTOM FLOOR ENCLOSURE CONTAINS FINISHED (HABITABLE) AREA. Attachment Page 7 of 7 F' ♦4 13:57:26 2018 2 F.P. 533 SF VESTIBULE 170 SQ.IN. FLOOD VENT W/ INSECT SCREEN FLOOD PORT CALCULATIONS AREA SF VESTIBULE 533 SF GARAGE 440 SF ENTRY 41 SF TOTAL 1014 SF F.P. PROVIDED 632 SF 570 SF GROUND LEVEL AS -BUILT PLAN - UNIT 19 SCALE: 1/8"=1'-0". JOHN PANTAZES ARCHITECT AR#92860 176 BRIGHTWATER DR — UNIT 4 umes/Architecture/19 001 I 1 I I JOHN PANTAZES ARCHITECT 320 CAUSEWAY BLVD DUNEDIN, FLORIDA 34698 (727) 871-2042 BRIGHTWATER VACATION TOWNHOMES BRIGBT uTIM mays CLURWATRR, FLORA PROJECT NO.:14-01 DATE; U.S. DtPARTMENT 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 BRIGHTWATER BLUE RESIDENCES, LLC Policy Number: A2. BuilBuil No Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and 176 BRIGHTWATER DRIVE UNIT 4 Company NAIC Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 19, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0190 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 with a) Square footage b) Number of c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27.9720° N. Long. 82.8240° W. RESIDENTIAL Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 7 2 photographs of the building if the Number 7 Certificate is being used to 973 sq ft with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached permanent flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 1202 sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A x Yes ❑ 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 Bl. 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) 11.0' 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 p 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 spacescopy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. C2. Building elevations are based on: Construction Drawings* Building Under Construction* �� ��Finished Cunatmud on *A new Elevation Certificate will be required when construction of the building is complete. Elevations - Zones A1-A3O.AE, AH, A(with 8FE).VE, V1-V50.V(with 8FE).AR, ARIA, AR/AE.8R/A1_A3O.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: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988 Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 0Othnr/3ourco: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. Top of bottom floor (including basement, crawlspace, or enclosure floor) b. 52 0 feet [] meters a) b) Top the higher floor 17 49 0 feet 0 meters of next Bottom the lowest horizontal structural member (V Zones only) N A 0 feet []meters c) of d) Attached (top of slab) N A 0 feet 0 meters garage Lowest of machinery or equipment servicinthe building 11 05 0 feet [] meters e) elevation (Describe type of equipment and location in Comments) f) Lowest (finished) next to building (LAG) 0. 2 0 feet El meters adjacent grade Highest adjacent (finished) grade next to building (HAG) 6. 4 Di feet 0 meters g) h) Lowest at lowest elevation of deck or stairs, including N . A 0 feet 0 meters adjacent grade structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This I certify statement Were certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by that the information on this Certificate represents my best efforts to interpret the data available. may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certifyevation information. I understand that any false Check here if attachments. latitude and longitude in Section A provided by a licensed land surveyor? « Yes []Nn Certifier's Name License Number GEORGE A. SHIMP III 6137 p/°"° Seal Here � Title Job Number VICE PRESIDENT 140283-G Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. �� -- �^ w #O13r Date: 7_13_2018 Address'-�- 3301DeGOT0sOULEVARD'SV|TED City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with ounmyo�ooriginal raised seal) ture Date Telephone � 7-13-2018 727-784-5496 �� Copy all peenfthioBovabonCortifico0aanda||ettoohmomafor(1)onmmundy 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 086-0-3 (7/15) Replaces all previous editions. f � ELEVATION CERTIFICATE OMB No. 1660-0008 • 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. 176 BRIGHTWATER DRIVE UNIT 4 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 LOMA or LOMR-F request, complete Sections A, Band 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 ❑ 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 1-2 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 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. » ~ ` u1660-0008�, Expiration Date: ��Npvember�2V/o IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 4 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 GB-Gb. 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. 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. 03. [l The following information (Items GLI—G10) is provided for community floodplain management purposes. G4� PermitNumber " G�. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: [] G8 Elevationofeo'bui8floor(in�udingbaoemenV �lowest0feet of�hebui|ding� G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: New Construction [11 Substantial Improvement feet feet D meters Datum building site: [-,1 []meters Datum [] El meters Datum Local Officials Name Title Community Name Telephone Signature Date Comments (including type of . ^`--^'-~ ~�'cv/p) i'aoo\ivab|e) 176 -- --'~~~~A°=~RDR2 BCP��� ��U� �� ' �����°� ec BRIGHTWATER BLUE Zoning: Tourist Atlas #: ''n m^«17.�—�‘= ��' 12,���� - --�� ' "-��/y`). i a_y� A�� �8 IT--,:.)- +* '�"o PLANNING ,,, L}E�\/�L[JPKYENl CITY {}F ���A���T�� 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. 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. 176 BRIGHTWATER DRIVE UNIT 4 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 7-13-2018 Photo Two Photo Two Caption REAR VIEW 7-13-2018 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, 20{8 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. 176 BRIGHTWATER DRIVE UNIT 4 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 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. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 4 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 ❑x ENCLOSURE 0 ATTACHED GARAGE 0 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 5 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: GARAGE, STORAGE, ENTRY, DUMBWAITER AND STAIRS IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES I] NO 0 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 LOCATED ON WALL. A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA. A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 2 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 202 SQ. INCHES. Attachment Page 7 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY Fe1leral 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 BRIGHTWATER BLUE RESIDENCES, LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 4 Company NAIC Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 19, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0190 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. 27.9720° N. Long. Accessory, etc.) RESIDENTIAL 82.8240° W. Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 7 2 photographs of the building if the Number 7 Certificate is being used to 1014 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 1202 sq or enclosure(s) within in sq ft within 1.0 foot sq in N/A x Yes ❑ 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 B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11.0' 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 f 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. 176 BRIGHTWATER DRIVE UNIT 4 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building *A C2. Benchmark Indicate Datum a) f) elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* new Elevation Certificate will be required when construction of the building is complete. 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 specified in Item A7. In Puerto Rico Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988 x Finished Construction AR/A1—A30, AR/AH, AR/A0. only, enter meters. elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 x NAVD 1988 ❑ Other/Source: used for building elevations must be the same as that used for the BFE. Top bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52 Check the measurement used. x feet ❑ meters of Top the higher floor 17 49 x feet ❑ meters b) of next the lowest horizontal structural member (V Zones only) N A x feet ❑ meters c) Bottom of Attached of slab) N A x feet ❑ meters d) garage (top or equipment servicing the building 11 05 x feet ❑ meters e) Lowest elevation of machinery (Describe type of equipment and location in Comments) next to building (LAG) 6 . 2 x feet ❑ meters Lowest adjacent (finished) grade Highest (finished) next to building (HAG) 6 . 4 x feet ❑ meters g) adjacent grade at lowest elevation of deck or stairs, including N . A x feet ❑ meters h) Lowest adjacent grade structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This I certify statement Were certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by that the information on this Certificate represents my best efforts to interpret the data available. may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false latitude longitude in Section A provided by a licensed land surveyor? x Yes ❑ No x Check here if attachments. and Certifier's Name License Number GEORGE A. SHIMP III 6137' / ,: `seer. H@re' 71 1 Sr. , } " 2]s ;,' ' �_,...• 18 # 6137 Dttei Title Job Numberpig VICE PRESIDENT 140283-S 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 emboseed with surveyor's original raised seal) S ture Date Telephone j� , _C •`� air 7-13-2018 727-784-5496 SC(, L� Copy all pages of this EIev tion Certificate 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. 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. 176 BRIGHTWATER DRIVE UNIT 4 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, Band 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 certify 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 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 176 BRIGHTWATER DR 4 BCP2014-09228B ec BRIGHTWATER BLUE Zoning: Tourist Atlas #: 276A "REVISED" PLANS RECEIVED BY J.A.W JUL 302318 PLANNING & DEVELOPMENT CITY OF CLEARWATER ❑ 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. 176 BRIGHTWATER DRIVE UNIT 4 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 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) 176 BRIGHT IfATER DR 4 BCP2014-09228B ec BRIGHTWATER BLUE Zoning: Tourist Atlas #: 276A ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. LEVATION 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. 176 BRIGHTWATER DRIVE UNIT 4 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, 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. i,. -'" . ; 21 � ... ammo- 1 1 11 1E- • One _= — Photo Photo One Caption FRONT VIEW 7-13-2018 a a— ilull I imi .,.. ' ti I I, As 7C".... Iry 1 ' �./411101 pph1, r�i.44'W, II'I1�I�U�!lilt�, 11 ...aiillliH14,_,Ili1 Es 8 5s.V, ,, , i . * I ! '''. III r: `' t Photo Two Photo Two Caption REAR VIEW 7-13-2018 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: Nov 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. 176 BRIGHTWATER DRIVE UNIT 4 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 ti 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. 176 BRIGHTWATER DRIVE UNIT 4 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 0 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 5 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ). GARAGE, STORAGE, ENTRY, DUMBWAITER AND STAIRS IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? ❑ YES 0 NO 0 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 LOCATED ON WALL. A8.) BOTTOM FLOOR ENCLOSURE SHALL NOT BE USED AS HABITABLE AREA. A8.b) BOTTOM FLOOR ENCLOSURE CONTAINS 2 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 202 SQ. INCHES. Attachment Page 7 of 7 h z 0 0 it N WCD E,� o 103 , m 7J CI W 73 -I 1, CJ 7J V9LZ :# SeR`d 2F. P. F.P. 533 SF ENCLOSED SPACE loneacceoccoactoroziaxgrameace 437 SF ENCLOSED SPACE 170 SQ.IN. FLOOD VENT W/ INSECT SCREEN 41 SF CLOSE SPACE F.P. F.P. "REVISED" PLANS RECEIVED BY J.A.W JUL 302018 PLANNING & DEVELOPMENT CITY OF CLEARWATER FLOOD PORT CALCULATIONS AREA SF F.P. PROVIDED VESTIBULE 533 SF 632 SF GARAGE 437 SF 570 SF ENTRY 41 SF TOTAL 1011 SF GROUND LEVEL AS -BUILT PLAN - UNIT _19 SCALE: 1/8"=1'-0". JOHN PANTAZES ARCHITECT AR#92860 176 BRIGHTWATER DR - UNIT 4 umes/Architecture/14 001 I 1 I I JOHN PANTAZES ARCHITECT 320 CAUSEWAY BLVD DUNEDIN, FLORIDA 34698 (727) 871-2042 BRIGHTWATER VACATION TOWNHOMES BRIGRTWATI R DRIYi CLIARwAT!R, FLORA 1 (21GI11F\)\i I Ft (;BLUE PROJECT NO.:14-01 DATE: BUILDING DROPS A Perfect Solution in Every Drop! Certificate of Authorization: 29578 398 East Dania Beach Blvd. Suite 338 Dania Beach, FL 33004 954.399.8478 PH 954.744.4738 FX contact@buildingdrops.com July 26, 2018 Smart Vent Products, Inc. 430 Andbro Drive, Unit 1 Pitman, NJ 08071 Attn: Michael Graham 152 BRIGHTWATER DR 1 BCP2014-09101 B EC FLOOD VENTS BRIGHTWATER BLUE Zoning: Tourist Atlas #: 276A RE: FL5822 — New Product Testing and Florida Product Approval Submittal Process To whom it may concern: The purpose of this letter is to confirm that Building Drops, Inc. is in the process of updating FL5822 to incorporate new product testing performed under Blackwater Testing, Inc.'s report # BT -SVP -18-001 & BT -SVP -18-002, and to affirm that the product specifications, drawings and testing as listed on FL5582-R6 are compliant with 6th Edition FBC requirements. New product testing has been successfully performed with the Smart Vent Insulated Flood Vent Overhead Door Model #1540-524/574 installed as an integral part of an overhead door assembly to demonstrate the structural performance of the overall system. Therefore in my professional opinion the product is acceptable for installations permitted under the 6th Edition FBC for installations that meet the minimum requirements of the limitations as stated on installation drawing 1540-524 and 1540-574 and PER5792 as shown under FL5822.5-R6 and FL5822.7-R6, provided that site required ASD wind loads do not exceed the tested rating of +41/-46.3 psf. Door construction shall comply with the requirements of 1-5/16" maximum thickness, 27 gauge exterior and 29 gauge interior minimum skin thicknesses, and polyurethane foam core of minimum 1 Ib. density or approved equivalent. Note that updated documentation has been posted to the Florida Building Code Information System website reflecting testing conducted under BT -SVP -18-001, and is currently set to.a status of "Pending FBC Approval" and is subject to approval at the August 15th Florida Building Commission Meeting. Upon approval FL5822-R7 will be submitted, updating the documentation to reflect the reduced gauge thickness and other aspects of door construction as per BT -SVP -18-002. I trust that this will satisfy your needs, however feel free to call if you have any questions. ```t.1111III/ IT' Respectf1srly, 4 . ..' o I" . f •• •'�I I ec1311141,§11—'tI P • • �. 7 RECEI\a r OF 'cr it'signed by Hermes F. Norero, P.E. 0N0on: I am approving this document 71 11, ,.,'.ate: 2018.07.27 09:27:11 -04'00' Florida Registerec�'rb'fessi• onal Engineer #73778 -13 SS Hermes F. N01-r�, Certification of Independence: Please note that I do not have nor will which this report is being issued. Also, I process of the listed product(s). JUL 302018 AN JINN PLANNING & DEVELOPMENT CITY OF CI_..EARWATER I acquire a financial interest in any company manufacturing or distributing the product(s) for do not have nor will I acquire a financial interest in any other entity involved in the approval Hermes F. Norero, PE FL PE 73778 Page 1 of 1 ...a au" uuarutir` L.VUL V1111IIC dor BCIS Home Log In - User Registration Product Approval USER: Public User Page 1 Of 3 Hot Topics Submit Surcharge Stats & Facts Publications Contact Us SCIS Site Map Links Search Product Approval Manu > product or Aouiica'ion Search > Apo:iceion Lis( > Application Detail FL n Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code Product Approval Method FL5822-R5 Revision 2017 Approved 08/18/2017v. date reapply 08/23/17 Smart Vent Products, Inc. 430 Andbro Dr Unit 1 Pitman, Ni 08071 (877) 441-8368 info©smartvent.com Michael Graham info©sma rtvent.com Michael Graham 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877) 441-8368 info©smartvent.com Structural Components Products Introduced as a Result of New Technology Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Hermes F. Norero P.E. PE -73778 Architectural Testing, Inc., an Intertek Company 12/31/2020 Locke Bowden P.E. Y. Validation Checklist - Hardcopy Received FL5$22 R5 COI Smart Vent COI S5 2017-08-18 .pdf 1612.5(1)(1.2) 1708.2 Method 2 Option B https://www.tloridabuilding.org/pr/prapp_dtl.aspx?param=wGE VXQwtDgvMdF6zR4iH... 7/30/2018 . +vuuu uurlut111L l.Ulll' Unlink! Date Submitted Date Validated Date Pending FBC Approval Date Approved Date Revised Summary of Products 08/18/2017 08/24/2017 08/28/2017 10/10/2017 06/20/2018 Paoe ) or FL # Model, Number or Name Description 5822.1 SmartVent Model #1540-510 Dual Function Flood and Ventilation Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft, of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-510 SS 2017-08-23,pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - impact Requirements SS 2017- 08-23.odf Created by Independent Third Party: Yes 5822.2 SmartVent Model #1540-511 Dual Function Flood and Ventilation Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 400 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-511 SS .2017-02-28.odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 08-73.,pdf Created by Independent Third Party: Yes 5822.3 SmartVent Model #1540-514 Garage Door Dual Function Flood and Ventilation Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft, of interior space (minimum 2). Installation Instructions FL5822 R5 1I 1540-514 SS 2017-02-283 Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 08-23.pdf Created by Independent Third Party: Yes 5822.4 SmartVent Model #1540-520 Insulated Flood Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 40-521 SS 20 7-0.-23 .df Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.p/ FL5822 R5 AE SmartVent - Impact Requirements 55 2017- 08-23.pdf Created by Independent Third Party: Yes 5822.5 SmartVent Model #1540-521 Insulated Flood Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 400 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 11 1540-521 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports EL5_822 R5 _PE PER5022 SS 2017-08-23,ps1f FL5822 R5 AE SmartVe,ni - I nc[ RequirementsSS 2017_, 05-23.p If Created by Independent Third Party: Yes 5822.6 SmartVent Model #1540-524 16" Garage Door Flood Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-524 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact Requirements 5S 2017- Q8-23 df Created by Independent Third Party: Yes 5822.7 SmartVent Model #1540-570 Wood Wall Insulated Flood Vent https://www.floridabuilding.org/pr/ pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018 �. ... �..� vctL. v1111f1L Page 3 of Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-570 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 08-23,odf Created by Independent Third Party: Yes 5822.8 SmartVent Model #1540-574 14.5" Garage Door Flood Vent Limits of Use Approved for use in HVHZ: Yes Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +100/-100 Other: One vent may be used for up to 200 sq. ft. of interior space (minimum 2). Installation Instructions FL5822 R5 II 1540-574 SS 2017-02-28.pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 R5 AE PER5022 SS 2017-08-23.pdf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 08-23.pdf Created by Independent Third Party: Yes (Back' �Nextl Contact U :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Cooyrieht 2007-2013 State of Florida :: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. if you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275 (I), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click ere . Product Approval Accepts: Credit Card Safe securityuErnt+^ https://www. floridabui lding. org/pr/pr_app_dtl. aspx?param=wGE V XQwtDgvMdF6zR4 iH... 7/30/2018