164 BRIGHTWATER DR #3U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFIC,
Important: Follow the instructions on pages
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2'
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. Rout
Box No.
164 BRIGHTWATER DRIVE UNIT 3
City
CLEARWATER
State
RECEIVED BY: J.A.W.
FEB 072018
PLANNING & DEVELOPMENT
CITY OF CLEARWATER
BCP2014-092088
ELEV CERT
BRIGHTWATER BLUE VACATI
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 13, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0130
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,
Lat. 27.9720° N. Long.
Accessory, etc.) RESIDENTIAL
82.8245° W.
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
4
2 photographs of the building if the
Number 7
Certificate is being used to
1012 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 635
sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
N/A
x Yes ❑ No
garage:
garage N/A
openings in the attached garage
in A9.b N/A
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIP Community Name & Community Number
CITY OF CLEARWATER - 125096
B2. County Name
PINELLAS COUNTY
B3. State
FLORIDA
B4. Map/Panel
Number
12103C0102
B5. Suffix
G
B6. FIRM Index
Date
8-18-09
B7. FIRM Panel
Effective/
Revised Date
9-3-03
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11'
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 3
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl.
C2.
Indicate
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 Rico
Benchmark Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988
x Finished Construction
AR/A1—A30, AR/AH, AR/A0.
only, enter meters.
elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 x NAVD 1988 ❑ Other/Source:
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
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 . 09
x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 6 . 0
x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 6 . 4
x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N . A
x feet ❑ meters
structural support
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This
I certify
statement
Were
certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by
that the information on this Certificate represents my best efforts to interpret the data available.
may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
law
to certify elevation information.
I understand that any false
latitude 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
i.
Pl4c 'r
moi. :� , .
eAepe;,
/• a9
# 61.-37 :Oats: r'1-4-20,18.
Title Job Number
VICE PRESIDENT 140283-Q
Company Name
GEORGE A. SHIMP II & ASSOCIATES, INC.•
Address
3301 DeSOTO BOULEVARD, SUITE D
City State ZIP Code
PALM HARBOR FLORIDA 34683
(Not valid ''Unless embossed with
surveyor's original raised seal)
Sture
Date Telephone
, 1-30-2018 727-784-5496
Copy all pagesges of this Eleva ion 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 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.
164 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)
❑ 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 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.
1
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Photo One
Photo One Caption FRONT VIEW 1-30-2018
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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 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
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.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
164 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 ❑x ENCLOSURE 0 ATTACHED GARAGE 0 N/A
IF APPLICABLE, THE CRAWLSPACE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ.
FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 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 ❑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
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 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 13, BRIGHTWATER BLUE TOWNHOMES - PARCEL # 08-29-15-11491-000-0130
A4. Building Use (e.g.,
A5. Latitude/Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of permanent
c) Total net area
d) Engineered
Residential, Non -Residential, Addition,
Lat. 27.9720° N. Long.
Accessory, etc.) RESIDENTIAL
82.8245° 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
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
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 3
Policy Number:
City State ZIP Code
CLEARWATER FLORIDA 33767
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building
*A
C2.
Benchmark
Indicate
Datum
elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction*
new Elevation Certificate will be required when construction of the building is complete.
Elevations — Zones A1—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE,
Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico
Utilized: LENGEMANNS GNSS NETWORK Vertical Datum: N.A.V.D. 1988
x Finished Construction
AR/A1—A30, AR/AH, AR/AO.
only, enter meters.
elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 x NAVD 1988 ❑ Other/Source:
used for building elevations must be the same as that used for the BFE.
bottom floor basement, crawlspace, or enclosure floor) 6 . 56
Check the measurement used.
x feet ❑ meters
a) Top of (including
floor 17 52
x feet • meters
b) Top of the next higher
lowest horizontal member (V Zones only) N A
x feet ❑ meters
c) Bottom of the structural
N A
x feet ❑ meters
d) Attached garage (top of slab)
servicing the building 11 09
x feet ❑ meters
e) Lowest elevation of machinery or equipment
(Describe type of equipment and location in Comments)
next to building (LAG) 6 . 0
x feet ❑ meters
f) Lowest adjacent (finished) grade
next to building (HAG) 6 . 4
x feet ❑ meters
g) Highest adjacent (finished) 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
I certify
statement
Were
certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by
that the information on this Certificate represents my best efforts to interpret the data available.
may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
law
to certify elevation information.
I understand that any false
longitude in Section A by a licensed land surveyor? x Yes ❑ No
x Check here if attachments.
latitude and provided
Certifier's Name License Number
GEORGE A. SHIMP III 6137
r
. ` ',
"',0s.41.1r t ,.'.�
CIere fly. 1. Ii
Title Job Number`)
VICE PRESIDENT 140283-S
Company Name
GEORGE A. SHIMP II & ASSOCIATES, INC.
��:
""T!,rr,
# 6137 Date:, , '7113-2018
Address
3301 DeSOTO BOULEVARD, SUITE D
City State ZIP Code
City
PALM HARBOR FLORIDA 34683
(Not valid unless embossed with
surveyor's original raised seal)
Silriature
Date Telephone
Q1 A4 A 7-13-2018 727-784-5496
Copy
pages all a es 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.
Cnrn, Pone 9 of R
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
ELEVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
164 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, 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 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 164 BRIGHTWATER DR 3
BCP2018-09218B
ec
BRIGHTWATER BLUE RESORT LLC
Zoning: Tourist Atlas #: 276A
"REVISED" PLANS
RECEIVED BY J.A.W
JUL 30 2018
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 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)
1.64 BRIGHTWATER DR 3
BCP2018-09218B
ec
BRIGHTWATER BLUE RESORT LLC
Zoning: Tourist Atlas #: 276A
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
0
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 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.
i
Itirff:
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wait:
Photo One
Photo One Caption FRONT VIEW 7-13-2018
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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 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
ELEVATION CERTIFICATE
OMB No. 1660-0008
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.
164 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 ❑x 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 ).
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 5 ENGINEERED FLOOD OPENING(S) CERTIFIED TO
COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-520 ).
GARAGE, STORAGE, ENTRY AND STAIRS
N/A SQ.
IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS:
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
, Mon Jul 30 12:51.32 2018
evel asbuilt plans.d
0N 00PiCO�-
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2 F.P.
P.
F.P.
486 SF
ENCLOSED
SPACE
UP
>?S
384 SF
ENCLOSED
SPACE
204 SQ.IN.
FLOOD VENT W/
INSECT SCREEN
Kf4J L
F.P. F.P.
"REVISED" PLANS
RECEIVED BY J.A.W
JUL 30 2018
PLANNING & DEVELOPMENT
CITY OF CLEARWATER
FLOOD PORT CALCULATIONS
AREA SF F.P. PROVIDED
VESTIBULE 533 SF 632 SF
GARAGE 437 SF 604 SF
ENTRY 42 SF
TOTAL 1012 SF
GROUND_ LEVEL AS -BUILT PLAN - UNIT 13
SCALE: 1/8"=1'-0".
11 JOHN PANTAZES
ARCHITECT AR#92860
164 BRIGHTWATER DR - UNIT 3
umes/Architecture/14 001
I 1
1 1
JOHN PANTAZES ARCHITECT
320 CAUSEWAY BLVD
DUNEDIN, FLORIDA 34698
(727) 871-2042
BRIGHTWATER
VACATION
TOWNHOMES
BRIGRTTATIR DRIVE
CLEARWATER. FLORIDA
N RICFI-W ULF(
BLUE
PROJECT NO.:14-01
DATE;
0
BUILDING DROPS
A Perfect Solution in Every Drop!
Certificate of Authorization: 29578
July 26, 2018
Smart Vent Products, Inc.
430 Andbro Drive, Unit 1
Pitman, NJ 08071
Attn: Michael Graham
RE:
398 East Dania Beach Blvd.
Suite 338
Dania Beach, FL 33004
954.399.8478 PH
954.744.4738 FX
"R EV I S Eci,PrAgeslcg
.com
152 BRIGHWEWEIVEN J.A.W
BCP2014-09101 B
EC FLOOD VENTS JUL 3 0 2018
BRIGHTWATER BLUE
Zoning: Tourist Atlas #: 276A
PLANNING & DEVELOPMENT
FL5822 - New Product Testing and Florida Product Approval Submittal Process OF CLEARVVA ! ER
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
0011
Respect;r,
•
satisfy your needs, however feel free to call if you have any questions.
tirrrriri
rf ♦♦i Sri fi 041' I t '1
Fes- F'•n O t `Ti v r.4at,,
OF ; 0±'
IOP<v
itety signed by Hermes F. Norero, P.E.
ion: I am approving this document
Hermes F. 4ej-r, �'•. . \bate: 2018.07.2709:27:11 -04'00'
Florida Registeredi rbrfessional Engineer#73778
Certification of Independence:
Please note that I do not have nor will
which this report is being issued. Also, I
process of the listed product(s).
ama
I acquire a financial interest in any company manufacturing or distributing the product(s) for
do not have nor will I acquire a financial interest in any other entity involved in the approval
Hermes F. Norero, PE
FL PE 73778
Page 1 of 1
1,,.1uu uu11U11tb V AL V11L111C
C
Per da
Kis Home Log In - User Registration Hot Tepics Sobmit Surcharge Stats & Facts Pubhcatons
Product Approval
USER: Public User
Product AnCrovai Menu, > Product or Abolication Search > Aor cation List > Application Detail
FL # FL5822-R5
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Page 1 of
Contact Us BCIS Site Mop 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
info@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.
,/ Validation Checklist - Hardcopy Received
Certificate of Independence FL5822 R5 COI Smart Vent COI SS 2017-08-18 .pdf
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?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018
. rvrrua uLuIUt11 l Ullt Ulllifle
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
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
space (minimum 2).
interior
Installation Instructions
FL5822 R5 II 1540-510 SS 2017-08-23.odf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5S22 R5 AE PER5022 55 201.7-08-23.odf
FL5822 R5 AE SmartVent - Impact Requirements S5 2017-
08-23.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 SS 2017-02-28.Ddf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 5S 2017-08-23.pdf
FL5822 R5 AE SmartVent - Impact Requirements S5 2017-
08-23.pdf
Created by Independent Third Party: Yes
5822.3 SmartVent Model 01540-514
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 1540-514 SS 2017-02-28:ndf
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
FL5S22 R.5 AE SmartVent - Impact Requirements 5S 2017-
08-23.ndf
Created by Independent Third Party: Yes
5822.4 SmartVent Model #1540-520
Insulated Flood Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft, of interior
space (minimum 2).
Installation Instructions
FL5822 R5 II 1540-520 5S 2017-08-23,pdf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-08-23:pdf
FL5822 R5 AE SmartVent - Impact Reauirements S5 2017-
08-23.pdf
Created by Independent Third Party: Yes
5822.5 —1 SmartVent Model #1540-521
Insulated Flood Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 400 sq. ft. of interior
space (minimum 2).
Installation Instructions
FL5822 R5 II 1540-521 SS 2017-02-28.pdf
Verified By: Hermes F. Norero, P,E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5:22 R 'E PER502 5 2017-0•-23. _ f
FL5822 R5 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 R5 II 1540-524 SS 2017-02-28.odt
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5027 55 2017-08-23 pdf
FL5822 R5 AE SmartVent - Impact Requirements 55 2017-
08-23.adf
Created by Independent Third Party: Yes
5822.7
martVent Model #1540-570
Wood Wall Insulated Flood Vent
https://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iH... 7/30/2018
•
..,.....0 ...i 4141.“..41,1.6`vu4 Vlll11 IL.
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. f
space (minimum 2).
of in
erior
Page 3 of 3
Installation Instructions
FL5822 R5 II 1540-570 SS 2017-02-28.pdf
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER5022 SS 2017-013-23;pdf
FL5S22 R5 AE SmartVent - Impact Requirements SS 2017-
18"23.Ddf
Created by Independent Third Party: Yes
5822.8
SmartVent Model # 1540-574
14.5" Garage Door Flood Vent
Limits of Use
Approved for use in HVHZ: Yes
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Design Pressure: +100/-100
Other: One vent may be used for up to 200 sq. ft. of
space (minimum 2).
interior
Installation Instructions
FL5822 R5 II 1540-574 55 2017-02-28p
Verified By: Hermes F. Norero, P.E. Florida P.E. 73778
Created by Independent Third Party: Yes
Evaluation Reports
FL5822 R5 AE PER502a SS 2017-08-23.pdf
FL5822 R5 AE SmartVent - Impact Requirements SS 2017-
08-23.odf
Created by Independent Third Party: Yes
Contact Ua :: 7601 glair
[Back
Road, Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an Art/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 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
emaits 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 here_.
Product ApprovalovAccepts:
rm,g71ro
Credit Card
Safe
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