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176 BRIGHTWATER DR #3U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICJ Important: Follow the instructions on pages ' Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) 1 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 3 City State FLORIDA RECEIVED BY: J.A.W. FEB 0 7 2018 PLANNING & DEVELOPMENT CITY OF CLEARWATER BCP2014-09208B ELEV CERT BRIGHTWATER BLUE VACAT 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 18, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0180 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 4 2 photographs of the building if the Certificate Number 7 is being used to 1012 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 635 sq or enclosure(s) within in ft within 1.0 foot sq in N/A sq 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' 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 Area (OPA)? 1929 x NAVD (CBRS) 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 3 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 ❑ NGVD 1929 used x for the elevations in items a) through h) below. NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52 x the measurement used. 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 . 1 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6 . 2 x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A x feet ❑ meters structural support SECTION D – SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect I certify that the information on this Certificate represents my best efforts to interpret statement may be punishable by fine or imprisonment under 18 U.S. Code, Section Were latitude and longitude in Section A provided by a licensed land surveyor? x authorized by law the data available. 1001. Yes ❑ No to I understand x certify elevation information. that any false Check here if attachments. Certifier's Name License Number GEORGE A. SHIMP III 6137 Place Seal Here Title Job Number VICE PRESIDENT 140283-Q Company Name GEORGE A. SHIMP II & ASSOCIATES, INC. �— # 6137 Date: 1-30-2018 Address 3301 DeSOTO BOULEVARD, SUITE D City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with surveyor's original raised seal) Sur&e� ,t 4 Date Telephone ��"'"(/`_ 1-30-2018 727-784-5496 Copy all pages of this Elevation 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. 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 3 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 3 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: ❑ feet ❑ feet ❑ feet ❑ meters Datum New Construction • Substantial Improvement basement) building site: ❑ meters Datum ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions.• Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. 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 3 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. .. .. r Mia- II 1..> \ IIIIIIIIt — _ -. – ��AM ��i�I�i1�% l II Photo One Photo One Caption FRONT VIEW 1-30-2018 II 'IRO HII , Vl� Photo 1 I_ i�sa F pr." l—iff-7TillirlF1141111f I AI �l�' g t • 4' 1 _■' _ II1111�,���111►II� NM ;..- •R'I! • , i 1I1I11% .. ; n!!1I II `IaI'hil Two II S ict Fls a1'b. 'J 2 ' 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 3 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Photo One Caption N/A Photo Two Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 Surveyor's Notes Attachment Page 7 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 3 FOR INSURANCE COMPANY USE 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: 0 CRAWLSPACE p 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 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? 0 YES ❑x 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 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name 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 3 Company NAIC Number City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 18, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0180 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, 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 1012 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 1236 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 EVATION 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 3 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, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988 x Finished Construction AR/A1—A30, AR/AH, AR/AO. only, 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. Top bottom floor (including basement, crawlspace, or enclosure floor) 6 . 52 Check the measurement used. x feet ❑ meters a) of higher floor 17 49 x feet ❑ meters b) Top of the next horizontal member (V Zones only) N A x feet ❑ meters c) Bottom of the lowest structural N A x feet ❑ meters d) Attached garage (top of slab) servicing the building 11 05 x feet ❑ meters e) Lowest elevation of machinery or equipment (Describe type of equipment and location in Comments) next to building (LAG) 6 . 1 x feet ❑ meters f) Lowest adjacent (finished) grade Highest (finished) next to building (HAG) 6 . 2 x feet ❑ meters g) adjacent grade lowest elevation of deck or stairs, including N . A x feet ❑ meters h) Lowest adjacent grade at 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 elevation information. 1 understand that any false longitude in Section A by a licensed land surveyor? X Yes ❑ No x Check here if attachments. Were latitude and provided Certifier's Name License Number,;... GEORGE A. SHIMP III r ;, , ., ` n _ ,° rYa Place `" . 8eHet '' S 1:i t,-,1. c/j J,, ,`:`mak •� # 6137 Date:. ` 7-13-2018 Title Job Number 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 embossed with surveyor's original raised seal) $plature Date Telephone 7-13-2018 727-784-5496 JI2,`,',,4,,, .� -- Copy all pages of this Eleva on 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. C",-.-." Doric. 7 of A FEMA Form 086-0-33 (7/15) Replaces all previous editions. E 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 3 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, 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. crawlspace, • 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 (top of slab) is ❑ feet ❑ meters garage 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 DR 3 Atlas #: 276P PLANS BY J.A.W ❑ Check here if attachments. Comments 176 BRIGHTWATER BCP2014-09227B ec BRIGHTWATER BLUE Zoning: Tourist "REVISED" RECEIVED JUL 302018 PLANNING & DEVELOPMENT CITY OF CLEARWATER FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 o 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 3 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 BRIGHTWATER DR 3 BCP2014-09227B ec BRIGHTWATER BLUE Zoning: Tourist Atlas #: 276A ❑ 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 3 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. 7 •IIfi11Lsffi6II I'i-' 7. t IR II j; 1- IIR IMMINIENI — �.:- .. Photo One Photo One Caption FRONT VIEW 7-13-2018 ® ° = %< IIIN:iirl.. " ph . i7 . _ (rr't -- - iii.---. -4-- I 41,ii /0/011',11111 ' 11; lull kIIIi --;ii y"% - _ •4. ' ' rji I fl 110:II rp.v.� stun ' : i ,Et iiri,.;i,;: Ill i.<. �< _--*-- - -------*-- f' 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, 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 3 Policy Number: City State ZIP Code CLEARWATER FLORIDA 33767 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Photo One Photo One Caption N/A Photo Two Photo Two Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 Surveyor's Notes Attachment Page 7 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 3 FOR INSURANCE COMPANY USE 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: 0 CRAWLSPACE 0 ENCLOSURE 0 ATTACHED GARAGE ❑ N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 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 GI 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 236 SQ. INCHES. Attachment Page 7 of 7 NCOc r`4 a3 ;� - m 1- r to m N I� II'I'I `d9LZ ;# seR`d i1 2 F. P. 41 SF CLOS SPACE "REVISED" PLANS RECEIVED BY J.,A.W JUL 302018 PLANNING CLEARWA ERNT CITY O FLOOD PORT CALCULATIONS AREA SF F.P. PROVIDED VESTIBULE 533 SF 632 SF GARAGE 437 SF 604 SF ENTRY 41 SF TOTAL 1011 SF GROUND LEVEL AB—BUILT PLAN — _UNIT 18 SCALE: 1/8"=1'-0". JOHN PANTAZES ARCHITECT AR#92860 176 BRIGHTWATER DR — UNIT 3 umes/Architecture/14 001 1 1 1 1 JOHN PANTAZES ARCHITECT 320 CAUSEWAY BLVD DUNEDIN, FLORIDA 34698 (727) 871-2042 BRIGHTWATER VACATION TOWNHOMES BRIGHTTAARs DIM CLLRw111s, FLORA 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 "REVISED" PLANS Zoning: Tourist RECMIFFLI BY J.A.W RE: FL5822 — New Product Testing and Florida Product Approval Submittal Process JULJ 2018 To whom it may concern: PLANNINGTT& DEVELOPMENT The purpose of this letter is to confirm that BuildingDrops, Inc. is in theprocess of upaatinng`F /2 incorp I FSR p , L5 Co Incorpora a 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. -tilttlr►���'' O 0.• o Respectf • OF • cr " Des' IpP •���� ass Hermes F. IY01r o, •'•.1 ,.sJbate: 2018.07.27 09:27:11 -04'00' Florida Registereciotfessional Engineer#73778 Certification of Independence: itzti signed by Hermes F. Norero, P.E. kOon: I am approving this document F - 'fL�t i3ti`rvtr Please note that I do not have nor will I acquire a financial interest in any company manufacturing or distributing the product(s) for which this report is being issued. Also, I do not have nor will I acquire a financial interest in any other entity involved in the approval process of the listed product(s). Hermes F. Norero, PE FL PE 73778 Page 1 of 1 a ava aut., LU11Ulllti 1.-Vll L. 'J1II111C C opr BCIS Home Log Ir User Registration Hot Topics Sabmit Surcharge Stats & Facts Publications Product Approval USER: Public User Proton -t An&royal Menu > Product or Aouiicaoion Search > Application List > Application Detail FL # FL5822-R5 Application Type Revision Code Version 2017 Application Status Approved Comments Archived Page 1 of 3 Contact Us BCIS Site Map Links Search 08/18/2017v. date reapply 08/23/17 Product Manufacturer Smart Vent Products, Inc. Address/Phone/Email 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877) 441-8368 info@smartvent.com Authorized Signature Michael Graham in fo©smartvent.com Technical Representative Michael Graham Address/Phone/Email 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877) 441-8368 info©smartvent.com Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method 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 Florida Engineer or Architect Name who developed Hermes F. Norero P.E. the Evaluation Report Florida License PE -73778 Quality Assurance Entity Architectural Testing, Inc., an Intertek Company Quality Assurance Contract Expiration Date 12/31/2020 Validated By Locke Bowden P.E. •1 Validation Checklist - Hardcopy Received Certificate of Independence FL5822 R5 COI Smart Vent COI SS, 2017-08-18 .pf Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1612.5(1)(1.2) 1708.2 Product Approval Method Method 2 Option B https://www. floridabuilding.org/pr/pr_app_dtl.aspx?paranl=wGEVXQwtDgvMdF6zR4iH... 7/30/2018 1 iviUU uu11UII L ULIC %JI111J1C 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 Page 2 of 3 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 inte space (minimum 2). or Installation Instructions FL5822 R5 II 1540-510 S5 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 S5 2017-08-23.odf FL5822 R5 AE SmartVent - Impact Requirements S5 2017- 8-73.pdf 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 55 II 1540-511 55 2017-02-28.odf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL 822 R AE PE• 1 S. 21.7-0'-2 .pdf FL5822 R5 AE SmartVent - Impact Requirements SS 201L 3•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 55 II 1540-514 5S 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.udf FL5S22 R5 AE SmartVent - Impact Requirements SS 2017- OS-23.odf 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 55 1I 1540-520 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 55 AE PER5022 SS 2017-08-23.odf FL5822 55 AE SmartVent - Impact Requirements 55 2017- 08-23.odf 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 55 11 1540-521 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 55 2017-08-23.p�lf FL5822 55 AE SmartVent - Impact Requirements SS 2017- 0S-23.pdf 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 55 II 1540-524 55 2017-02-28,pdf Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Created by Independent Third Party: Yes Evaluation Reports FL5822 55 AE PER5022 55 2017-08-23.odf FL5822 55 AE SmartVent - Imoact Requirement 55 2017 08-23.pdf Created by Independent Third Party: Yes 5822,7 SmartVent Model 41540-570 Wood Wall Insulated Flood Vent https://ww-w.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018 • .......a....ia.4aiuluE, LVu4 s/111111C 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 interio space (minimum 2). Pale 3 of 3 Installation Instructions FL5822 R5 II 1540-570 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 S5 2017-08-23.odf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 0.1:2.3-121 Created by Independent Third Party: Yes 5822.8 artVent Mode 1540-574 14.5" Garage Door Flood Vent t tmtts 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 space (minimum 2). interior Installation Instructions FL5822 R5 II 1540-574 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 S5 2017-08-23.Ddf FL5822 R5 AE SmartVent - Impact Requirements SS 2017- 08-23.oUf Created by Independent Third Party: Yes [Ba ck Contact Us :: 2601 Blair Stone Road Tallahassee FL 32399 Phone- 850-487-1024 The State of Florida H an AA/EEO employer. Coovriaht 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 (1), 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 art email address which can be made available to the public. To determine If you are a licensee under Chapter 455, F.S., please click be_. Product Approval Accepts: Credit Card Safe securityME tRics" https://www.floridabuilding.org/pr/pr_app dtl.aspx?pararn=wGEVXQwtDgvMdF6zR4iH... 7/30/2018 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3 SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name BRIGHTWATER BLUE RESIDENCES, LLC Policy Number: A2. BuilBuildin No. Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and 176 BRIGHTWATER DRIVE UNIT 3 Company NAIC Number: City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 18, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0180 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 permanent 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 971 sq ft with a crawlspace of crawlspace permanent 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 1236 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 0MB No1660'0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BRIGHTWATER DRIVE UNIT 3 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: 0Construction Drawings* 0Building Under Construction* J Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1_A3O.AE, AH, A(with BFE.VE, V1—V30, V (with BFE)AR, AR/A, AR/AEAR/A1—A30, AR/AHAR/AO. 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 0C8her/Gounm: 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 flU , 52 0 feet 0 meters b) Top of the next17 49 higher�oor0 feet 0 meters c) BottomN A of�ho|owoo1horizonte|��ructuro|mem�or(VZoneaon|y) 0 feet 0metom d) AttachedNA garage(�upofs|ab)0 feet 0 meters e) Lowest elevation of machinery or equipment servicin11 05 thehui|�ing 0 feet 0 meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade nextb1 tobui|ding<�\G) �0 feet 0 meters g) Highest adjacent (finished) grade next to building (HAG) 8. 2 0 feet []meters h) Lowest adjacent grade at lowest elevatistairs, NA inc|u�ing N. 0 feet [] meters structural support SECTION D SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed ba land suengineer, or architect authorized by law to certify elevationinfonnodon. I certify that the information on this Certificate represents my best efforts to interpret the data available, I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ID Yes []No ElCheokhereifauachmnntn. Certifier's Name License Number GEORGE A. SHIMP III 6137 lace PSeal Here � Title Job Number VICE PRESIDENT 140205'8 Company Name GEORGE A. INC. Address 3301 DeSOTO BOULEVARDSUITED v�' #O137 Date: 7'13'2018 City State ZIP Code PALM HARBOR FLORIDA 34683 (Not valid unless embossed with surveyor's original raised seal) Date Telephone A- zir 7'13'2018 727'704-5496 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. Form Page 2 of 6 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 3 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 this information in Section G. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters E3. Attached garage (top of slab) is ❑ feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify SECTION F — 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 No1080-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building StreeAddress (including Apt.Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 176 BR\GHlVVATER DRIVE UNIT 3 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. El 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 El Substantial Improvement basement) [.:1 feet feet El feet 0 meters Datum building site: [] 0meters Datum 0 meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (includina Noe of eauiornent and location. per C2(e). if applicable) '~~° DR 3 ==2014���7B ac BR/GHTVA?ERBLUE Zoning: Tourist II J m �s�����/ , ^ ���������� ������[�!l��i�� ���� / ��/ n��—����!v�~�� ��^ �� ,.-r,,,, �� AUG ? O 25A PLANNING & L)EI\/ELOP&1ENT CITY OF CLEAR \NATER 0 Check here if attachments. FEMA Form 086-0-3 (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 3 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. ii M..� IIIIIIII[InkI��. i p -- _- __ __= Photo One Photo One Caption FRONT VIEW 7-13-2018 1----1----1--__1 r—_�= �� : IIIIII 111 . til:' r t 1 .!;';ISP ' 1 ,, !IIII 1Iliill ilii; IIIIII&�`�S gnut,1\ r . i IW y: e 1 Tie: a:y S Iffii ill i lj -6 111111 Photo Two '+Aoit K. • SiIIIIIIIIIn1lBPilli) _.. _ .- � ill III1i3. Photo Two Caption REAR VIEW 7-13-2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 N 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 3 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 0 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 3 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 ❑p 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 ❑x 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 236 SQ. INCHES. Attachment Page 7 of 7