19029 US HWY 19 N BLDG 35FEDERAL EMERGENCY MANAGEMENT AGE
NATIONAL FLOOD INSURANCE PROGRA
ELEVATION CERTIFICAT
Important; Read the instructions on pages 1
SECTION A - PROPERTY OWNER INFORM
Building Owner's Name
Imperial Cove XIII Condominium Association (Order No. 2005 -
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND
19020 U.S. Highway 19 North
CITY
Clearwater
STATE
FL
PROPERTY DESCRIPTION (Lot and Stock Numbers, Tax Parcel Number, Legal Description, etc.)
Btayding 55
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, i
Residential
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):
( ##' - ## - ##.##" or ##.#t'##')
"REVISED" PLANS
RECEIVED BY: K.D.
AUG 2 9 2019
PLANNING & DEVELOPMENT
CITY OF CI FARWA/ATFP
19029 US HIGHWAY 19, BI
BCP2019-080518
RTC
MCGARRY RESIDENCE
Zoning: Medium Density
Atlas #: 318A
NAD 1927 ❑ NAD 1983 0 USGS Quad Map
Q Other:
SECTION G - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFP COMMUNITY NAME &COMMUNITY NUMBER --
82. CO -0141Y NAPE
Clearwater 125096 Piffles
B3. STATE
Florida
84. MPANDPANEL B7.FRMPANEL
NUM9142 B5. SUFFIX 86. FIRM INDEX DATE EF-ECTIVE,REVISEO DATE
1210300128 0 S'3/03 9/3!03
I 89. BASE FLOOD ELEVATIONS)
88. FLOOD ZONE(S) i (Zone AO, use depth of flooding)
AE 9.0
B10. Indicate the SOURI3 of the Base Rood Elevathn (BFE) data or base flood depth entered In 89.
FIS Profle i FIRM ❑ Community Determined ❑ Dther (Describe):
811. Indicate the elevation datum used for the BFE in B9: ❑ NGVD 1929 NAVD 1988 ❑ Other (Describe):
B12, Is the building located in a Coastal Ranier Resources System (CBRS)area orOtiherwise Protected Area (OPA)? 0 Yes 0 No Designation Date-,„
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. finding eievalbns are based on: ❑ Cons iuclkon Drawings' ❑ Bukibg Under Construction" (gf Finished Construction
`A new Elevation Ceitlfica4e will be required when construction of the building Is complete.
C2, Riding Diagram Number 1 (Select the huiding diagram most similar to the building forwhk;h this certificate is being completed - see pays 6 and7. If no diagram accurately
represents the bukfing, provide a sketch or photograph.)
C3. Elevations —Z_onesAl-A30, AE, AH, A (with BFE), VE, VI -V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete items G"1. -a I below acro ding b the building diagram specified in Item C2, State the datum used. If the datum is dltiersnt from the datum used for tthe BFE in
Section 13, convert the datum b that used for the BFE, Show field measurements and datum conversion caloi(alion, Use the space provl'ed or the Comments area of
Secibn D or Secibn G, as appropriate, to docurrhent the datum oonvorsion,
Datum Conversorv'Ccrrrments
Bevalion reference mark used nla Does the elevation reference mark used appear on the FIRM? 0 Yes ®No
❑ a) Top of bottom floor (irdudkhg basement orenctosure)
IJ b) Top of next higher floor
Gk c) Bottom of west horizontal structural member (V zones only)
U d) Attached garage (bp of slab)
0 e) Lawes/ ::vation of machinery andbrequipmenl
servir. ng the bidding (Descnbe in a Comments area) 14.31t(m)
0 f) Lowest adjacent (finished) grade (LAG) 8.8 ft(m)
Q g) Highest adjacent (finished) grade (HAG) 9. 6 t(m)
h) No. of permanent openings (flood vents) witting 1 ft. above adjacent grade 0
Li 1) Total awe( all permanent openings (flood vents) in 03.h n/a sq. in. (sq, an)
10. 0 ft(m)
Na . _ft.(m)
Da. _ft,(m)
ria. _ft.(m)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This ceritflcalion is to be signed and sealed by a Rand surveyor, engineer, or architect authorized by law to certify elevation information.
1 certify that the information in Sections A, 6, and C on this certificate represents my best efforts to interpret (he data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME C. Fred Detre( LICENSE NUMBER827
11TLEProfesshnai Surveyor and Mapper COMPANY NAME C. Fred Deuel & Assodates, Inc.
ADDRESS
1620 First Avenue North
SIGNATURE
CITY
SL Petersburg
DATE
8/18/[76
STATE
FL
ZIP CODE
33713
TELEPHONE
727-871.4151
IMPORTANT: M tihese spaces, cop ►lute conisponring kifcr rtationfivm Section A.
BUIL TNG S&Rff1ADORRIS (IniasfigApt, tkrt 3t63, aM r prig. No.) OR P.O. ROMANO BOX NO.
19029 U.S. t Ighw y 19 Nath, _135
CITY
Clearwater
FalauenoeCompany Use:
Poky Neter
STATE ZIP CODE
Ft. 33764
SECTION i} - SURVEYOR, ENGINEER, ORARCHITECT CER11F1CATION (CONTINUEO)
(*pray NAIL Number
Copy both skies of this Elevation Ce ift:x a for (1) community official, (2) insurance a enVoompany, and (3) building owner.
COMMENTS
BASIS OF BENCHMARK:
Designation:
BC -14
Elevation:
14.915
NAVD 1968 DATUM
Check here if attachments
SECTION E BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED) FOR ZONE AO AND ZONEA THOUT BFE
For Zone AO and one A (without BFE), complete Items El through E4. If the Elevation Cerebella Is intended forum as supporting fnforrnatbn fora LOMA or LOMB -F,
Section C must be completed.
El . Guiding Diagram Number_(Select Iia bulling diagram most studtar to the bonding for which this corrode is beteg completed —saes pages6 and 7. If no diagram a :curd
represents the building, provide a sketch or photograph.)
E2. The bp of the bottom floor (Indudfng base mentorendoeute) of the bung is _ ft(m) jn.(cm) 0 stove or 0 below (check one) the highest adocent grade, (Use
natural grade, d avatabie).
E3. For Building Diagrams 8-8 with openings (see page 7), the next higher flooror elevated floor (elevatbn b) of the twlding is ` fl.(m)kt.(cm) above the highest adjacent
grade. Complete kens C3.h and C3.1 on trontof form.
E4. The tap of the platform of machinery andiarequlpment eon/king the building is _ ft(m) in.(cm) 0 abwvear ❑ below (chedt one) the highest adjacent grade. (Use
natural grade, If available).
E5. For Zone AO only: If no flood depth number Is available, is the top of the bottom floorelevated In accordance nth the community's floodplain management ordinance?
0 Yea 0 No 0 Unknown, The tool ofliaat must eerily this Information In Seaton G.
SECTION F - PROPERTY OWNER OR OWNER'S REPRESENTA • CERTIFICATION
The properly owner or owner's authorized representative who oarnpteles Sections A, 8 C (Items C3.h and C3,l only), and E for Zone A (Aleuts FEMA -issued or community -
Issued BFE) or Zone AO must sign hero. The *cements In SecionsA, 6, C, and Ecorrectto doe beat of my knowledge.
PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATNE'S NAME
ADDRESS
CITY
STATE ZIP CODE
SKGIATUIT£
DATE
TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The toast official who is authorized by law or ordinance to administer the oommuniyrs floodplain management ordinance can complete Sections A, B, C (or E), and G of thls Uevatba
Certificate. Complete the applicable Item(s) and sign below.
G1. ❑ The Madan in Section C was taken from other documentation that has been signed and embossed by a ♦k>ensed surveyor, engineer, eremitical who is authorized by stab
or focal law to certify elevation hfomtaiion. (Indicate the woe and dated the elevation data In the Comments area beim)
G2, 0A community °Nal completed Sedan E iota buidbg located in Zone A (without a FEMA -issued or communtfy-issued BFE) or zonoAO,
G3. Q The blb Ming Information (Meme G4 -G9) is Provided kir community floodplain management purposes
Got- PERMIT' Nith63FR G5. DATE PERMT ISSUED G6. DATE C RTIFfG,4TE OF CONPLIANCE/OCGl1PANCY ISSUED
G7. This perms has been Issued for. 0 New Construdian 0 Substantial Impmverned
GB. Elevation of awbuif lowest tbor (including basement) of the holding Is: ft(m) Datum:
G9. BFE or (h Zone AO) depth of flooding at the tutting site is _ ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
OOMMENTS