164 BRIGHTWATER DR #1a
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICA-
Important: Follow the instructions on pages 1—g
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) ins
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 ani
Box No.
164 BRIGHTWATER DRIVE UNIT 1
City
CLEARWATER
State
FLORIDA
RECEIVED BY: J.A.W.
FEB 072018
PLANNING & DEVELOPMENT
CITY OF CLEARWATER
BCP2014-09208B
ELEV CERT
BRIGHTWATER BLUE VACAL
Zoning: Tourist
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 11, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0110
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
82.8247° W.
Horizontal Datum: ❑
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
NAD 1927
grade
x NAD 1983
3
2 photographs of the building if the Certificate
Number 7
is being used to
1257 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 600 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.
164 BRIGHTWATER DRIVE UNIT 1
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*
*A 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
Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988
Construction
AR/AO.
x Finished
AR/A1—A30, AR/AH,
Rico 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.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 56
Check the measurement used.
x feet
NI meters
❑ meters
❑ meters
❑ meters
❑ meters
❑ meters
❑ meters
❑ meters
b) Top of the next higher floor 17 52
x feet
c) Bottom of the lowest horizontal structural member (V Zones only) N A
x feet
d) Attached garage (top of slab) N A
x feet
e) Lowest elevation of machinery or equipment servicing the building 11 , 09
x feet
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 6 . 0
x feet
g) Highest adjacent (finished) grade next to building (HAG) 6 . 3
x feet
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A
x feet
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
I understand that
information.
any false
attachments.
latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No
x Check here if
Certifier's Name License Number
GEORGE A. SHIMP III 6137
t ,
'�tac�.. •'
, Ngo Ni;!;
�i�rn/�/•
' ,
# 6137 Daj,—: •`
` .
s,
3 a ;
r.;
• t-,l0t2O18
Title Job Number
VICE PRESIDENT 140283-0
Company Name
GEORGE A. SHIMP II & ASSOCIATES, INC.
AddressV,
3301 DeSOTO BOULEVARD, SUITED
City State ZIP Code
PALM HARBOR FLORIDA 34683
unless -embossed
(Not valid unless-emsed with
surveyor's original raised seal)
Sjiln
keAA.V—
ture_ Date Telephone
74 ar 1-30-2018 727-784-5496
Copy all all pages of this Elevat n 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.
164 BRIGHTWATER DRIVE UNIT 1
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.
•
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or
the next higher floor (elevation C2.b in
the diagrams) of the building is ❑ feet ❑ meters
E3. Attached garage (top of slab) is ❑ feet ❑ meters
❑ above or • below the HAG.
❑ above or ❑ below the HAG.
with the community's
certify this information in Section G.
E4. Top of platform of machinery and/or equipment
servicing the building is ❑ feet ❑ meters
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must
SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA -issued or
community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
•
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 3 of 6
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
164 BRIGHTWATER DRIVE UNIT 1
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
❑ feet
❑ feet
❑ feet
❑ meters Datum
G7. This permit has been issued for: U New Construction • Substantial Improvement
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:
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.
164 BRIGHTWATER DRIVE UNIT 1
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
4
p$(. y
1'Y P
1,
1
II
Photo One
Photo One Caption FRONT VIEW 1-30-2018
€
A.
�, G®
'MP MI
,� "
IP, 9
prj,
Ya9�
"'ft?"
t ' 1"
•,
!ii ,,. III
��i(IVllp 11 .11110111101 ni
5 III ! i
'i - iTF wig 1 IIIii j:'
1
11
C
---,\ Ill ,
i
.144'Ire-
f
4
'I v NgV
--,.
.;."SiY%
gum,.
lsAtIll tg 1. ,illi
t ,M4.6 MvA I ll,�
A. .7 Af '!
Photo Two
iIAIIat,
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.
164 BRIGHTWATER DRIVE UNIT 1
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.
164 BRIGHTWATER DRIVE UNIT 1
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: 0 CRAWLSPACE El 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 AND STAIRS
IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 YES I 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 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
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.
164 BRIGHTWATER DRIVE UNIT 1
Company NAIC Number
City State ZIP Code
CLEARWATER FLORIDA 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 11, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0110
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
82.8247° W.
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
8
2 photographs of the building if the
Number 7
Certificate is being used to
1257 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 1601 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
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.
164 BRIGHTWATER DRIVE UNIT 1
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.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 . 56
Check the measurement used.
x feet ❑ meters
b) Top of the next higher floor 17 52
x feet ❑ meters
Bottom of the lowest horizontal structural member (V Zones only) N A
x feet ❑ meters
c)
d) Attached (top of slab) N A
x feet ❑ meters
garage
Lowest elevation of machinery or equipment servicing the building 11 . 09
x feet ❑ meters
e)
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 6 . 0
x feet ❑ meters
Highest adjacent (finished) grade next to building (HAG) 6 . 3
x feet ❑ meters
g)
h) Lowest adjacent at lowest elevation of deck or stairs, including N . A
x feet ❑ meters
grade
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
I certify that the information on this Certificate represents my best efforts to interpret the data available.
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
law
to certify elevation information.
I understand that any false
Were latitude and longitude in Section A provided by a licensed land surveyor? X Yes ❑ No
x Check here if attachments.
Certifier's Name License Number
GEORGE A. SHIMP III 6137
�
c. , ,`' ��'"�'°.
=�': "`
•1#0re ,, ?
3
j ,.,.
1
Title Job Number
VICE PRESIDENT 140283-S),s4,41
Company Name
GEORGE A. SHIMP II & ASSOCIATES, INC.
�. j.
, . r
.......7.13-2018
# 6137 ,date:
Address
3301 DeSOTO BOULEVARD, SUITE D
City State ZIP Code
PALM HARBOR FLORIDA 34683
(Not valid unless embossed with
surveyor's original raised seal)
SiMture
2 Date Telephone
7(1V/IaAeft 7-13-2018 727-784-5496
Copy all pages of this Ele ation 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.
orm Page 2 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.
164 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a
complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement
enter meters.
El. Provide elevation information for the following and check the appropriate boxes to show whether
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters
LOMA or LOMR-F request,
used. In Puerto Rico only,
the elevation is above or below
❑ above or ❑ below the HAG.
❑ above or ❑ below the LAG.
9 (see pages 1-2 of Instructions),
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
❑ above or ❑ below the HAG.
with the community's
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 owners 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
164 BRIGHTVVATER DR 1
BCP2014-09214B
ec
BRIGHTWATER BLUE RESORT LLC
Zoning: Tourist Atlas #: 276A
"REVISED" PLANS
RECEIVED BY J.A.W
JUL 302018
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.
164 BRIGHTWATER DRIVE UNIT 1
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)
164 BRIGHTWATER ATER DR 1
BCP2014-09214B
ec
BRIGHTWATER BLUE RESORT LLC
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.
164 BRIGHTWATER DRIVE UNIT 1
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
y-a.I
`1�
11!
r
„T
c-.
Photo One
Photo One Caption FRONT VIEW 7-13-2018
f
1
■1
ii
11
' MB el , ems.:-, III
ir 11 r%IIPii%/11!, iui�l�i �
/m.I nogll I i IVIIIIII �I,� P
ii
'� Ir. ` we�Ilun ' .it \ iii,, . `... j
IL yam- yip% 7 _
9
_ /I Mi',arii,
`"*tR''RI►rtfr Ir.. y e,. , -- z
�" Rt�1r�!lR:
'..: axe': .. ;.........,.
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.
164 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable,
photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
Photo One
Photo One
Photo One Caption N/A
Photo Two
Photo Two
Photo Two Caption N/A
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 6 of 6
Surveyor's Notes
Attachment Page 7
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
164 BRIGHTWATER DRIVE UNIT 1
Policy Number:
City State
CLEARWATER FLORIDA
ZIP Code
33767
Company NAIC Number
SECTION D — SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2)
Al.) THS 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 0 N/A
IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER
FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A
).
N/A SQ.
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 7 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 AND STAIRS
IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK -AWAY WALLS? 0 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 1 NON -ENGINEERED FLOOD OPENING(S) WITH A NET AREA OF 201 SQ. INCHES.
Attachment Page 7 of 7
ro
5 0
_ ,
_-1 - Ca
�
m 0. —
03 toI
C
fV
m r.
(,)
Oo CO >
�
Arl
r IM
Ci
N
•
•
•
•
•
•
•
•
194 SF
ENCLOSED
SPACE
.,*41*
44
F.P. F.P.
.44v APol
14 /.
503 SF
ENCLOSED
SPACE
ti
•
UP
4
F.P.
492 SF
ENCLOSED
SPACE
201 SQ.IN.
FLOOD VENT W/
INSECT SCREEN
492 SF
ENCLOSED
SPACE
F.P.
F.P.
F.P.
F.P.
"REVISED" PLANS
RECEIVED BY J.A.W
JUL 3 0 2018
PLANNING & DEVELOPMENT
CITY OF CLEARWATER
FLOOD PORT CALCULATIONS
AREA SF F.P. PROVIDED
VESTIBULE 503 SF 600 SF
GARAGE 492 SF 1001 SF
ENTRY 63 SF
REAR PATIO 194 SF
TOTAL 1252 SF
GROUND LEVEL AS -BUILT PLAN - UNIT 11
SCALE: 1/8"=1'-0".
JOHN PANTAZES
ARCHITECT AR#92860
164 BRIGHTWATER DR — UNIT 1
/Volumes/Architecture/14_001
I I
1 1
JOHN PANTAZES ARCHITECT
320 CAUSEWAY BLVD
DUNEDIN, FLORIDA 34698
(727) 871-2042
BRIGHTWATER
VACATION
TOWNIMME'S
BEIGHTW&TXR DRIVE
CLEARWATER, FLORIDA
t 1I F\s,crrR
BLUE
PROJECT NO.:14-01
DATE;
/\ BUILDING DROPS
July 26, 2018
A Perfect Solution in Every Drop!
Certificate of Authorization: 29578
Smart Vent Products, Inc.
430 Andbro Drive, Unit 1
Pitman, NJ 08071
Attn: Michael Graham
152 BRIG
BCP2014-0
EC FLOOD VENTS
BRIGHTWATER BLUE
Zoning: Tourist
398 East Dania Beach Blvd.
Suite 338
Dania Beach, FL 33004
954.399.8478 PH
954.744.4738 FX
contact@buildingdrops.com
"PLANS
1Y J.A.W
JUL 30 2018
Atlas #: 276A
PLANNING & DEVELOPMENT
RE: FL5822 — New Product Testing and Florida Product Approval Submittal ! i is OF C LEAR WATE R
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.
````��t111ittfl/��'
Respect; r•` i E O '''.•
•
•
•0
N• 7 •
*
13
a �
D,c, ��.ipP/44/
igitz4Ity signed by Hermes F. Norero, P.E.
ion: I am approving this document
Hermes F. lflmj- r , �,.J�
%ate: zo18.o7.z7 09:27:11 -04'00'
Florida Registered Prbifessional Engineer #73778
Certification of Independence:
�4 ! 1r111 1
fog- Au- (14101 `Tic, q\l" Nera, 4ti` f•;
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
..... ..+u uuuuttt�, ' UUL VIIIJIIC
Uo
V r
Page 1 of
BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Pubncat ons Contact Us
Product Approval
USER: Public User
Product Ancroyai Manu > Product or Application Search > Application List > Application Detail
FL #
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
O8/18/2017v, 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@smartvent.com
Michael Graham
430 Andbro Dr Unit 1
Pitman, Ni 08071
(877) 441-8368
info@smartvent.com
BCIS Site Map Links Search
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.
Validation Checklist - Hardcopy Received
FL5822 R5 COI SmarLVent COI SS 2017-08-13 .pdf
1612.5(1)(1.2)
1708.2
Method 2 Option B
https.floridabuilding.org/pr/pr_app_dtl.aspx?param=«-GEVXQwtDgvMdF6zR4iH.,. 7/30/2018
i LUUC VIl11iIC
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
)Oatre 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 interior
space (minimum 2).
Installation Instructions
FL5822 R5 11 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
FL5$22 R5 AE PER5022 SS 2017-08-23.pdf
FL5822 R5 AE SmartVent - Impact Requirements SS 2017-
0$=23.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 R5 11 1540-511 S5 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 2017-08-23.0f
E15822 R5 AE SmartVent - Impact Requirements SS 2017-
08-23.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 II 1540-54 55 2017-02-28.Rdf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
115822 RS AE PER5022 SS 2017-08-23.pdf
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 R5 11 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 R5 AE PER5022 SS 2017-08-23.pdf
FL5822 R5 AE Smar V n - lm>ac e 'semen s SS 2017-
08-23.pdf
Created by Independent Third Party: Yes
5822.5
martVent Model #1540-521
nsulated 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
X822 R5 II 1540-521 S5 2017-02-28.pdf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5$22 R5 AE PER5022 SS 2017-08-23 pdf
FL5822 R5 AE SrnartVent - Impact Reat!irements SS 2017-
n8-23.pdf
Created by Independent Third Party: Yes
5822.6
SmartVent Model #1540-524
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).
16" Garage Door Flood Vent
Installation Instructions
FL5822 R5 11 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 2017-08-223,pdf
FL5822 R5 AE SrnartVent -- Impact Requirements S5 2017-
08-2.3
Created by Independent Third Party: Yes
822.7
SmartVent Model #1540-570
Wood Wall Insulated Flood Vent
https://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQvaDgvMdF6zR4iH... 7/30/2018
. “Aa .vu ✓ualu 4llt;, L\1114. 1JIIIILtl.
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).
Pale 3ot'3
Installation Instructions
FL5822 R5 II 1540-570 55 2017-02-28.06
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
FL5S22 R5 AE SmartVent - Impact Requirements SS 2017-
O8-23.1201
Created by Independent Third Party: Yes
5822.8
SmartVent Model 1540-574 14.5" Garage Door Flood Ven
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 55 2017-02-28.pdf
Verified By: Hermes F. Norero, P.E. Horida 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 S5 2017-
08-23.odf
Created by Independent Third Party: Yes
[Next'
Contact Us :: )501 Blair Stone Road, Tallahassee FL 12.399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Copyright 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 1n 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 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 het„.
Product Approval Accepts:
9 Le.tzLII
Credit Card
Safe
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018