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101, 105 CORONADO DR i ,: . . . U.S.DEPARTMENTOF NOMEIATfD SECURITY ELEVATION CERTIFICATE OMB No. 1680-OOq8 Federal Emercaency ManagementAgency Expires March 31,2012 National Flooa Insurance Program 117ipol'tant: R@ad the iftstruct[ons an p3ges 1-9. ', � $ECTION A-PROPERTIf INFORMATION =r •.� . _ �•� � � , ,�...,. . ......... A1. Building Uwner's Name Decade Companies Income Properties ° �'k �.�M A2. Building Street Address(including Apt.,Unit,Suike,and/or Bidg.No.)or P.�.Route and 8ox No. z'' ` •��'i�,� �: - ': � 101 8 105 Coronado Drive � .��'��....�..�.__..�,��-: City Ciearwater State F� ZIP Code 33767 � A3. Property Oescription(Lot and 81ock Numbers,Tax Parcel Number,Legal Description,etc.) Par�l ID:08/29/15/OOOD0/320/0200 and 08/29/15/15606/OOd/0141 A4. Building Use(e.g.,Residen6al,Non-Residen6al,Addition,Acce�sory,etc,)Won-residential ' A5. Latitude/Longitude:Lat.27°58'31.5" Long.82°49'40.5"Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is befng used to obtain flood insurance. A7. Building Diagram Number F � A8. For a building wRh a crawlspaCe or endosure(s}: A9. For a buitding with an attached garage: a) Square footage of crawlspace or encfosure{s) 1330 sq ft ' a} Square footage of attache�i garage N/A sq ft b) No.of permanent flood openings in fhe crawlspace or b) No.of permanen4 flood op nings in tne attached garage enclosure(s)wfthin 1.0 foot above adjacent grade 14 within 7.0 foot above adjac�ent grade � c) Tota!net area of flood openings in AB.b 1400 sq in c) Total net area of tlood opehings in A9.b J� sq in d} Engineered flood openings? � Y�s ❑ No d) Engineered flood openings? � Yes ❑ No SECTit?N B-F��OD INSURANCE RATE MAP(FIRM)INFORMATION i 61.NFIP Community Name&Community Number B2.County Name B3.'State Pinelias Coun#y&Incorporated Areas 12103C Pinellas County FL' 64.MaplPanel Number B5.Suffix B6.FIRM tndex 87.FIRM Panel B8:Flood B9.Base Flood ElevaBon(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) ', AO,use base fEood depth) 8/18/09 9/3l03 AE ' 12,11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ' ❑ FIS Profile � FIRM ❑ Community Determined � Other(Describe) ', 811. indicate efevation datum used for BFE in ttem B9: ❑ NGVD 9929 � NAVD 1988 ❑ Other(Descri6e)._;.....,,_ 812. Is the building located in a Coasfal Barrier Resources Sysfem{CBRS)area or Otherwise Proteded Area(OPA}? ', ❑ Yes � M1!o Designation Date WA . ❑ CBRS ❑ QPA SEC710N C-BUILDING ELEVATION INFORMATlON{$URVEY REQUIRED C1. Building eleva6ons are based on: ❑ Construction Drawings' ❑ Building Under Construction` �fG� �i'i��ik ��truction 'A new Elevation Certificate will be required when consUuctian af the building is complete. � �, C2. Elevations-Zones A1-A30,AE,AH,A{with BFE,VE,V1-V30,V{with SFE},AR,ARlA,AR/AE,AR/P� AI�-,�P mplete Items C2.a=h below according fo the building diagram specified�in item A7. Use the same datum as the BFE. ��V�''��;'G ��s ' Benchmark Utiiized No.267A VerGcal Datum � ��j��,�1��y�� '" ConversioNCommeMS Yes �. �,,; �� , ,,� 'r . :�r��=�� i`�� errt use a) Top of botiom floor(inciuding basement,crawispace,or enclosure floor) '�a� �t rs Pu o ' anly) b) Top of the ne�higher floor ` ��,�fee e ' Rico onty) c) Botto�n of the IowesE horizontal structura E mem ber(5!Zones on ly) � O f ee E � m rt o i c o o n i y) d) Attached garage(top of slab) .�y�y O�,fe�f� ete (Pue o Rico only) _.._ ... _ __. e) Lowest eievation of machinery or equipment servicing the building ` 12.2�` -''�feet ^,r-• t�rs(Puerto Rico only)' (Describe type of equipment and location in Comments} ,,�" , � Lowest adjecent{finished}grade next to building(tAG) � _�.�-��,�i�feet ❑meters(PueRo R(co only) g) Highest adjacent(flnfshed}grade next to buifding(HAG) �.1Q-" �feet ❑meters(Puerto Rico only} h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.65 �feet ❑meters(PuerYo Rico only) structural support SECTION Q-SURVEYOR,ENGINEER,OR ARCHITECT CER7IFICATFON i This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation ; information. !certi�y fhat the information on this Certificate represents my best eSoMs to interpret!he data available.! understand that any fatse statement may be punishable by fine or imprisonment under 18 U.S.Code,Section i001.� Check here if comments are provided on back of form. Were latitude and iongitude in Section A provided by a ' - licensed fand surveyor? � Yes ❑ No, ' '��a�`-` 1 � ( Certifiers Name Lawrence E.Mills License Number PE No.22324 ' •• Title Professional Engineer Company Name Mills and Associates,1nc. , F ,r ^ � �•�-f� Address 3242 Henderson Boulevard Cify Tampa State FL ZIP Code 33609 �� I ' Signature Date 7.27.12 Telephone 813.876.5869 i . ' FEMA orm 81-31,Mar 09 See reverse side for continua#ion. Replaces all previous editions .... ..;kz� ...:::.�...£i'c'mn....__ .,.:cai.%w,r3t . IMPOt2TANT: In ttrese spaces,co�y the corresponding informatian from Section A. .,� ��"�`� : � . _.... r... _ �::�_�..� ._ ..�.�.... ,.. , Bui(dEng Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P,O.Route and Box No. �� a"""°"";.� 107 &105 Coronado Drive - `-`• �""��' _.:�.. �° �;�x: ;.. City Clearwater State FL ZIP Code 33767 x`` ~^• �_,.�� "°"'' - _--�z�..T:s�°��,`_—.-.....,.��`�"�-�"-.-.; SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATlOI�{CtaNTIWUED) ` Copy both sides of this Elevation Cert�cate for(1)community official,{2)insurance agenUcompany,and(3)�building owner. � Gomments Benchmark:Clearwater Benchmark No.267A located at the Clearwater Post Office,Elev,=b.7495 NAVD'88. latittade/Longitude scaled per NAD 1983. C2e-diesal ietel fank filler 8�vents at SE side of building.C2h-conerete step at west entrance. t . Signature Date 727.12 ❑ Check here'rf aftachments SECTIOiV E-BtJILDlNG ELEVATION INFORMAT(ON(SURVEY NOT REQU112�D}FOR Z�NE AO ANR'ZONE A(WtTHOUT BFE) For Zones AO and A(without BFE),complete Items Ei-E5. If#he CertiBcate is intended fo support a LOMA or LOMft-F request,cAmpiete Sections A,B, and C. Far Items E1-E4,use natural grade,if avaifable. Check the measurement used. In Puerto Rico only,enter meters. , E1. Provide elevafion information for the following and check the appropriate baxes to show wheiher the elevation is above or below fhe highest ad}'acent grdde(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor{inciuding basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or�below the HRG. b)Top of bottom�oor(including basement,crawlspace,ar endosure)is ❑feet ❑meters ❑above or❑ below Ehe LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Sectio.n A Items 8 and/or 9(see pages 8-9 of ln5tructions),the next higher floor (elevatiart C2b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below Ehe htAG. E3_ Attached garage(top of slab}is . ❑feet �meters ❑above or ❑beEow the HAG. .E4. Top of ptatform of machinery andJor equipment senricing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO on1y� ]f no flood depth number is available,is the top of the bottom floor elevated in accordance with the oommuniry's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this inforrnaUon in Section G. SECTt(}N F-PROPERTY OWN�R(OR OWNER'S REPRESENTATIVE)GERTiFICA1TION The property owner or owner's authorized representative who compleEes Sections A,B,and E for Zone A(withou#a FEMA-issued or cammunity-issued BFE) or Zone AO must sign here. The stafements in Sections A,B,and E ara correci to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name Address ^ � �^ City ~ State ZIP Code Signature Date Telephane ' Comments ❑Check here if attachments SECTION G-COMMUNITY 1NFORMATION(OPTIOWAL) The locat official who is authorized by iaw ar ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or E}, and G of this Elevatfon Certificate. Complete ihe applicable item(s)and sign trelow. Check the measurement used in ftems G8 and G9. G1.❑ The Information in Section C was taken from other documentation that has been signed and sealed by a Iicensed surveyor,engineer,or arcfiitect who is autharized by law to certify elevatian inforrnafion. (IndiCate the source and date of the elevaUon data in the Comrnents area befow.} G2.❑ A community officiai 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 Qtems G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certifocate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑5ubstantial lmprovement " G8. Elevation of as-buift lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO}depth of flooding at4he building si#e: ❑feet ❑meters(PR}Datum G't0.Communi#y's design flood elevation �]feet [j,meYers(PR}Dafum loca!Officia!'s Name Title Community Name Tefephone � ' Signature Date Comments ❑Check here#attachments I _ FEMA Form 81-31,Mar 09 Replaces all previous editions � • � � • • � . • • • • . . .. • � -- '�� - • � ` • - • • : •� � • ' • '� - r :• • '• •- 1 1 � • ..� � ' ■ •�' • •. � •- ■ s - • - � •• . ` •�• - - • • � s • • •� .• �- • • • • • � • '• •- • • •• .� �_ • • - � -� -• ' • •- - � •- - � s • ^ • � •• �� • •.�- - � • .�- x F Fs'�� r ...�i'�=F ..' : ��`� �1 .,�,p•,1e,�}�7� ��7}�r��' Y�(�s�d�1`�A'� ��.��'�rty ^"-`�9S�� F '�"'�-� (+Y.,��tr ;�(�(. si{�� `"n �, ,'�.'�E �`�q. � 3w��ey� ��t ��' z..�,..s�- ��,��r �t� 4� }�f�'�i �tk�2� &- ti�.fx� �P� r��Pwi 5�� L�' ",�. 'A.»'Ya� .: � . �"• �1 e ,�+��i s �'4' y'�.SC,x. '��,*SrSf �' cl� C!}"�"r.�z � -.t o c.�. y� UY3� ,3ir- . s .�a�ki. +4"'�t +:t �{R '� ''� �. 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K�� ' . ..._ -y-«��s" 9ss � .;a.�.w4r^T».-"�5��. - �-�`xy:,`7�:s-i�:.a..." .�'-sr.`�ya"?,.-.,-r-^r�'�c�+u s.�.�:�� t �y,+ 3�,;>,�c��v{ar,�.. ;Su�y'a. _ „�'�..c. �= � A x;,�r� c _ � ��-.e� ��'✓�y� �� ^ � � {�� q� s�: t� r �� ; " r �`u^� y '33 .�. y' z.`,,, r. � r� s .+_ .� S� �- +�•.�. �e, .. t, • � ' � • • � • • � � e Z Preparation of the Floodproofing Certificate for Non-Residential Buildings The Floodproofing Certificate is required for all non-residential buildings to be floodproofed and is to be completed by the design professional. The first part of the Certificate contains informat- ion concerning the location and ownership of the building. FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-007 ' NATIONAL FLOOD INSURANCE PROGRAM FLOODPROOFING CERTIFICATE FOR NON-RESIDENTIAL STRUCTURES The floodproofing of non-residential buildings maybe permitted as an alfernative to elevating to or above the Base Flood Elevation;. however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residenfial building does not alter a cummunity's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. Decade Companies Income Properties ` FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER 101 & 105 Coronado Drive STREET ADDRESS (including Apt., Unit,Suite and/or Bldg. Number)OR P.0 ROUTE AND BOX NUMBER COMPANY NAIC NUMBER Parcel#08-29-15-15606-000-0141 & 08-29-15-15606-000-0141 OTHER DESCRIPTION(Lot and Block Numbers,etc.) • Clearwater Florida 33767 CITY STATE ZIP CODE Building location and Ownership information Section I of the Certificate is the Flood Insurance Rate Map (FIRM) information, including the BFE used in designing the floodproofing system. Copies of the FIRM should be available through the community's floodplain administrator. SECTION I FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: . COMMUNITY NUMBER PANEL NUMBER SUFFIX DATE OF FIRM INDEX FIRM ZONE �BASE FLOOD ELEVATION (in AO Zones use depth) 12103C 12103C0102 G 09/03/03 AE 11, 12 Section I ��`�' �'~' �� l� Q 101 CORONADO DR � ��-� � ��QU2 BCP2011-02294� 10 flood proofing 0 �� -'--°°-� PIER HOUSE 60 HOTEL Zoning:Tourist Atlas#:267A &'LAf�Ni�IG��EVEIOPAAENT DEPT CITY CJF�L�ARWATER 1 Section II requests information regarding the floodproofing design. The first item is the eleva- tion, referenced to the datum of the FIRM (generally the National Geodetic Vertical Datum of 1929), to which the building is floodproofed. This elevation must be equal to or greater than the BFE. It is important to note that for insurance rating purposes, the floodproofing design must provide protection to 1 foot above the BFE to receive rating credit. If the building is floodproofed only to the BFE, then the building's insurance rating will result in a higher pre- mium. Before a decision is made to floodproof to less�than 1 foot above the BFE, insurance implications should be carefully considered. The second item is the height of the floodproofing above the lowest adjacent grade. This infor- mation is intended to be used by community building officials, FEMA, and NFIP insurance underwriters to analyze the level of safety that the floodproofing design will provide. Since floodwaters exert greater pressure on the floodproofed building as the height of the flooding increases (see Figure 1), floodproofing that exceeds 3 feet in height represents a greater risk and may result in insurance rates that reflect this increased risk. SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: /� � Building is floodproofed to an elevation of 12_feet NGVD. Elevation d tum used must be the same as that on the FIRM.) � X � � 6.75 ,,,. ��"� Height of floodproofing on the building above the lowest adjacent grade is feet. (NOTE:for insurance rating purposes, the building's floodproofed design elevation must be at/east one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then fhe building's insurance rating will result in a higher premium.) Section II Section III is the actual certification of the floodproofing design as required in Section 60.3(c)(4) of the NFIP regulations. It is important to note that design professionals signing this form are certifying that they have developed and/or reviewed the design plans and specifications and find them in compliance with accepted standards of practice for dry floodproofing. This certification is based on the floodproofing design, not the as-built condition of the building. The person signing this form must be a registered professional engineer or architect within the state or territory where the building will be constructed or substantially improved. 11 SECTION III CERTIFICATION (By a Registered Professional Engineer or Architect) Non-Residential Floodproofed Construction Certification: 1 certify fhat based upon development and/or review of structural design, specifications, and plans for construction that the design and methods of construction are in accordance with accepted standards of practice for meeting the following provisions: The structure,together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy,and anticipated debris impact forces. I certify that the information on this cerfificate represents my best effort to interpret the dafa available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Secfion 1001. Joseph W. Belt, P.E. FL#45147 CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) CEO& Structual En ineer TITLE ' COMPANY NAME 5 Ave, Suite C Tampa Florida 33624 � CITY STATE ZIP 1� ,��"""'••.'� �i� 10.16.12 813 961-3075 � � E � � � DATE PHONE i � �� .. i �: � :'� � +.. � �c r� � Co�� Id e ma of tt�%c�t�ate for: 1)community official,2)insurance agent/company,3)building owner. � •,, �,,•�y�� /�✓✓s,�� r�� O ``\ I� `` � Section III The NFIP The NFIP was created by Congress in 1968 to provide federally backed flood insurance cover- age, because flood insurance was generally unavailable from private insurance companies. The NFIP is also intended to reduce future flood losses by identifying floodprone areas and ensuring that new development in these areas is adequately protected from flood damage. The NFIP is based on an agreement between the federal government and participating communities that have been identified as being floodprone. FEMA, through the Federal Insurance Administration (FIA), rnakes flood insurance available to the residents of a participating community provided that the community adopts and enforces adequate floodplain management regulations that meet the minimuin NFIP requirements. The NFIP encourages communities to adopt floodplain man- agement ordinances that exceed the minimum NFIP criteria. Included in the NFIP requirements, found under Title 44 of the U.S. Code of Federal Regulations, are minimum building design and 12 i ,' . ' � U.S.c�EPARTMENTQ�HOMELAND 5ECURITY ELEVATION CERTIFICATE OMB No. 1680-0008 � Federal Emergency ManagementAgency Expires Match 31,2012 Nationai Flood Insurance Program Irrlpo�tant: Read tile iRStructions an p8ges 1-9. � $ECTION A-PROPERTY INFORMATION _ � .,� ° _ � ��.�_^,�� • - A1. Buifding Owner's Name Decade Companies lncame Properties . � r� �. _ A2. Building Street Address{including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and 8ox No. � ;� ; w u ;,„, 101 &1d5 Coronado Drive 3"" y�'• 7�-�� s�; �: -� .�. City Clearvvaier State FL ZIP Code 33767 A3. Property Description(Lot and 81ock Numbers,Taz Parcef Number,Legal Description,etc.) . ParcQl ID:08/29115/000001320/0200 and 08/29/15/15608/004/0141 A4. Building Use{e.g.,Residential,Non-Residential,Addition,Acce�sary,etc.)Non-residential A5. Latitude/Longitude:Lat.27°58'31.5" Long.82°49'40.5"Horizontal Datum: ❑ NAd 1927 � NAD 1983 A6. Attach at least 2 phofographs of the buildiog'rf the Certificate is being used to obtain flood insurance. A7. Building Diagram Number f � A8. For a building with a crawlspacs or enclosure(s): A9. For a building with an attached garage: a) Square faotage of crawlspace or endosure(s) 1330 sc�ft ' a} Square footage of attach�d garage N/A sG ft b) No.of permanent Rood openings in the aawispace or b) No.of permanenf fload o enings in the attached garage enclosure(s)within 1 A foot above adjacent grade � within 1.0 foof above adj�cent grade �V(4 c) To#al nef area oi flood openings in AB.b 1400 sq in c) Total net area of flood oppnings in A9.b �VJA. sq in d) Engineered Flood openings? � Y�s � No d) Engineered flood openings? ❑ Yes ❑ No 5ECTIQN B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION ', B1.NFIP Community Name&Community Number 62.County Name B3.State Pinelfas County&lncorporated Areas 12103C Pinellas County FL 64.MapJPanel Number B5.Suffix 66.FIRM Endex B7.FIRM Panel 68:Fload '; 89.Base Flood Eleva6on(s)(Zone 129 D3C0102 G Date Effecfive/Revised Date Zone(s) AO,use base flood depth) � 8/18/69 9/3/03 AE 12,11 610. Indicate the source of the Base Flood Elevation(BFE)data or base#lood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Cammunity Determined ❑ Other(Describe) B11. Indicate eleva4on datum used for BFE in ltem B9: ❑ NGVD 1929 � NAVD t 988 ❑ Other(Describe) ' B12. Is the building located in a Coastal Barrier Resources System{CBRS)area or C?fhenvise Protected Area(OPA)? , ❑ Yes � Wo Designation Date WA ❑ CBRS ❑ OPA SEC710N C-BUILDINlG ELEVATION INFORMATI�N(SURVEY'REQUIRE�) ' C1. Building elevations are based on: ❑ Construc�ion'Drawings' ❑ Building Under Canstr�dian* � Finished Construction *A new Elevation Certificate will be requirec(when construction of the building is complete. ' C2. Elevations-Zoaes At-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A7-A30,AR/AH,,bWAO. Complete Items C2.a=h below according to the building diagram specified in Ifem A7..Use the same datum as the BFE_ Benchmark Utilized tVo.267A Vertical Datum AVD,88 Conversion/CommeMs Yes ' Check the measurement used. a) Top of bottom Floor(3ncluding basement,crawtspace,or enclosure floor)�.�_ I�feet ❑mefers(Puerto Rico anly) b) Top of the next higher floor �.57 �feet ❑mekers(Puerto Rico only} c) Sottom of the lowest horizontal structural member(V Zones only} �feet ❑meters(Puerto Rico only) d Ariached ara e to of slab . ❑feet ❑mekers(Puerto Rico only) ) 9 9 t P ) __ _ __ . _ __ e) Lowest elevation of machinery or equipmerrt servicing the building , 12.2Q___ �feet ❑meters(Puerto Rico only)� (Describe type of equipment and location in Commentsj ', � Lowest adjacent(frnished)grade next to building(LAG) � _�.� �feet ❑mekers(Puerto Rico only) g) Highest adjacent(finfshed)grade next to buitding(HAG) �.1� �feet ❑meters(Puerto Rlco only) h} Lawest adjacent grade at lowest elevation of deck or stairs,including 4.�_ �feet �meters(Pue�to Rica only) strudural support SECTlON Q-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION; This certification is to be signed and sealed by a land surveyor,engineer,or architec#authorized by law to certify elevationi information. !certify that fhe information on this Ca�cate represents my best e/forts to intarpret fhe data available.l ' understand that any fatse statement may be punishable by frne or imprrsonment under 18 U.S. Code,Secdon 1009.� ' Check here if comments are provided on back of form. Were latitede and longitude in Section A provided by a ' '� � •.' �;��t � ficensed land surveyor? � Yes � No ' Y�� Certifier's Name Cawrence E.Mills License Number PE No.22324 ', � 'l/ � t� r { 7itle Prafessional Engineer Company Name Mills and Associates,Inc. i �a f � 1� i Address 3242 Hendetson Boulevard Cify Tampa State FL ZIP Code 33609 i Signature Date 7.27.12 Telephone 813.876.5869 , � ; � , . j. FEMA orm 81-31,Mar 09 See reverse side for eontinua#ion. Replaces all previous editions • IMPpRTANT: In these spaces,coPy the corresponding inforznation from Section A. �� . ��,��.'�_�?a..-�„�''�',� , Building Street Address{including Apt.,Unit,Suite,andior Bldg.No.)or P,O.Route and Box Na. : �=� °"'°�°"��M� ' _._,�'��,�-��a •��'� 101 8�905 Coronado Drive ' ~ _ �`� _ ..a...,._�- �� Giry Clearwater State FL ZIP Code 33767 ' . `�� rc""•�^a '�"�� r��snan+.�%....a�:: ... • .e; � c�-...^_z"^-T ^-^�csa_'�...'-a�.°rE_.. SEC710N D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATIOM(CONTINUED) � Copy both sides of this Elevation Certificate for(1)community official,{2}insurance agenUcompany,and(3}'buitding ownec Comments Benchmark:Clearwater Benchmark No.267A located at the Clearwater Post Office,Elev.=4.7495 NAVD'88! Latitude/Longitude scaled per NAD 1983. C2e-diesal iuel tank filler 8�vents at SE side of building.C2h-concrete step at west entrance. Signature Date 7.27.12 ❑ Check here if attachments SECTION E-BtJILDENG ELEVATION INFORMATiON(SURVEY NOT REQUIt2ED}FOR ZONE AO ANb ZOHE A(WITHOUT BFE) For Zones AO and A(without BFE),complefe Items Ei-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For kems E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico onfy,enter meters. , E1. Provide elevation information for the following aod check the approprfate baxes to show whether the elevation is above or below fhe highest adjacent grade(HAG)and ihe lowest adjacent grade(LAG). a)7op of bottom floor{including basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or endosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 ot lnstructions},the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑a6ove or ❑below the FiAG. E3. Attached garage(top of slab)is . ❑feeT �meters ❑above or ❑beEow the HAG. ; .E4. Top of platform of mact�inery and/or equipment senricing the building is ❑Eeet ❑meters ❑aboveior�below the HAG. E5. Zone AO only� lf no flood depth number is available,is the top of the bottam floor elevated in accordance with the canmunity's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial must certify this information in Section G. ' 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 FEMAlissued or community-issued SFE) or Zone AO must sign here. The statements in Secctions A,B,and E are carrect fo#he best of my knowledge, Property Owners or Owner's Authorized Representative's Name Address �` � City Sfate ZIP Code Signature Date Telephone Comments ' ❑ChecEc here if aftachmenis SECTlON G-COMMUNITY iNFORMATION(�PTlONAL) ! The Iocal official who is authorized by�aw ar orciinance to administer the community's floodplain management ordinance can!complete Sections A,B,C(or E}, and G of this Elevation Certificate. Complete the applicab�e item{s)and sign below. Check the measurement used in Items G8 and G9. G1.❑ The(nformation in SecElon C was taken from ather documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by Eaw to certify elevation information_ (IndiCate fhe sourCe and date of the eleva6on data in the Cortlments area below.} G2.� A community ofFicial completed Section E for a building located in Zone A{without a FEMA-issued or community-i�sued BFE}or Zone AO. G3.❑ The followirtg informafion(ftems G4-G9)is provided for community flaodplain managemenf purposes. G4.Permit Number G5. Date Permit Issued G6_ Data Certifxate Of Complia�ce/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Emprovement ' G8. Elevation oP as-buiit iowest floor(incfuding basement)of the building: ❑feet ❑meters{PR)Datum ' G9. BFE or(in Zone AO)depth of flooding at the building sRe: ❑feef ❑meters(PR)Datum G40.Community's design flood efevation ❑feet Q meters(PR}Datum Local Officia!'s Name Title Community Name Tetephone ' Signature . Date : Comments ❑Check here if aEtachments FEMA Form 81-31,Mar 09 Replaces all previous editions i i � � • • i . � • ♦ • . . .. • • -- '�� ' • • • • — � • C •� � • ' • '• — • :• e "• � •- / 1 � � .�� ■ •�' � •. �■ a • - • •• . " ��• - - • • • � • • •� .• �- • • � • • - • • `• •- • • •• �• �. ' • � � -� '• ' • •' � •' � s • • • •• �� • •��' • • '.�' � M � �n _�.I Y�� y� ��.,� M Y �� . . sY{ t�y lt�� u� ,r.�� F »�r;}�s�u�i� �„�'�.A� � � ..�'A {{r`�,�rr. ni}�. � �{i� ti ��i ��cY.� �s t�`�'� ��+�$4#i . q„3,£. ��s��i�� H�x�e9. {F� L-�..� �U �� " � . �; � z}t'+a i �� i�2 �}'�'71A�,' K�.,iL�.:�'w' ^n��hh�.xPE� .q �.�.'�'�r• 13 y K �+` �`%'�. ..F.t s I f i .+. � t';. 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'�"''" c �--': •. ��,g'""n�t��'', s 'a� a�`',�„'`'a''ut�.�C��..�ras ��``�s"�r"r �ss.��-+�„,'�...... "�C.,...�-. "''Z �y ,^� ; ��^a 2aG ;;'tda � �:`�` x "'' �„�. -��str� � �. 'Y=4 a,"`�i�.C�v ,'�-'""' �w ,��.Y'.a��+;;y�,�, t'�v�^ .�3`*��,,.a�,'hrT�, �'�.� �"z��r' *�`.�x;�-a'��'p�"'^�� ; � '� : ,3�'�. ��.,w�..,��'"�'��'�rYa_, a' �yz"(5�.��a�� ,;�^}�,y��i`-'a^��e�,�2;.�o�.,�+�,T.( -�. `�°� ,� °Q •a ; '„ 5 �:.,�4�'.�'.��.�-.��,.�5�� „��.�,"�'�'...�'"�kFF '�r`�* �,t�`. ,,y��r a< '�a`�Y� ��'ih 1g ' 3 � i .�L�w� ,..^iY� b .l�ta ��`�..)x�r�'�`a.Y�.S�`�'K a��*r„�;��. �_ +.'y�,.� ..�o.:a.- �""�-. K..,-. R • ♦ ' � • • � ♦ • • • � � r � ' U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency ManagementAgency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. � SECTION A-PROPERTY INFORMATION �� uiraCl� ;� s_s�� :��...;--• A1. Building Owner's Name Decade Companies Income Properties .` G��C�#�i' ' � , � ��;�_�: Y �, ��\'i"Y.�''Y� ,',. �. �. ��;t,a,:: ��3 ,,,,,;�#�,��:�. A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box Na • � � N/Al�!� "� � " 101 &105 Coronado Drive � ��` �� ' �� `.�e;... ��,�'�g��,.._:_ s��; _, _ , .__ � City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel ID:08/29/15/00000/320l0200 and 08/29/15/15606/000/0141 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Non-residential A5. Latitude/Longitude:Lat.27°58'31.5" Long.82°49'40.5"Horizontai Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Cert�cate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1330 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 14 within 1.0 foot above adjacent grade N!A c) Total net area of flood openings in A8.b 1400 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? � Yes ❑ No dj Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State Pineilas County&Incorporated Areas 12103C Pinellas County FL 64.Map/Panel Number 65.Su�x 66.FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) S/18/09 9/3/03 AE 12, 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) m 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction' � Finished Construction *A new Elevation Certificate wili 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,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized No.267A Vertical Datum NAVD,88 Conversion/Comments Yes Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 5.22 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 14.57 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.2� �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) _�.90 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) _�.10 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.�� feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHtTECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available.l . understand that any fa/se statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.� �`' �'�t�.�,.�° F t��'- Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a .� �'w, • ' �. � ,, #'"` °� licensed land surveyor? � Yes ❑ No -" � �,��- " �",:t y�'1 Cyy�� '��' ;i<�s . Certifier's Name Lawrence E.Mills License Number PE No.22324 � � r.� ' � ;��,� �, � .'� Title Professional Engineer Company Name Mills and Associates, Inc. " � °T�.°� , �� -� � ..�� Address 3242 Henderson Boulevard City Tampa State FL ZIP Code 33609 ': �: �:�- � ��.r' Signature Date 7.27.12 Telephone 813.876.5869 ";:'�� "w� y � � . , FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: in these spaces,copy the corresponding information from Section A. �� Building Street Address(inGuding Apt.,Unit,Sufte,and/or Bldg.No.)or P.O. Route and Box No. ��►��' � ,� � � 101 &105 Coronado Drive ��`�� ;�'�� ^' � � � : City Clearwater State FL ZIP Code 33767 ��tR nY NP�1C c��b�i �� `; : �.., ^' a�= ��r � SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. Comments Benchmark:Clearwater Benchmark No.267A located at the Clearwater Post Office,Elev.=4.7495 NAVD'88. Latitude/Longitude scaled per NAD 1983. C2e-diesal fuel tank filler&vents at SE side of building.C2h-concrete step at west entrance. Signature Date 7.27.12 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the fotlowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or 0 below the HAG. b)Top of bottom floor(including basement,craw.lspace,or enclosure)is . ❑feet ❑meters ❑above or❑ below the LAG. E2. For Buiiding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor. (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is . ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The locai official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments 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 and G9. 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 infortnation. (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-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Oate Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local O�cial's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � ' . Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 101 &105 Coronado Drive Clty Clearwater StBte FL ZIP COdG' 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify ali photographs with: date taken; "Front View° and "Rear View"; and, if required, "Right Side View" and "Left Side View." 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Y E ��`".�' i �: Completed Construction June 27, 2012 —West Face of Building Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bidg. No.)or P.O. Route and Box No. Porcy Number 101 & 105 Coronado Drive Clty Clearwater State FL ZI P COd@ 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." � ;�.Y,, ., � � � � � , - �� '�� ez>_ � � �� i � r < . .�+ }, � ° a� � 1 , :'�. :� . � � . . �� .. a� ��r� � � i a.a � ' �- .�� - " �.. �� ; � � �.:� �� ` x ` u � ° P�,„� �, :.�, `' • ' � �I�� w 4 ' -� �.� �� a x. 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" , �' "�°�..�a�.�_ ""," '_,� ,v`f,_',. �a.�,s�<,._ .ra...r��..3 ,.<,,.....,c >...,K�'�a� ,� �,.m..<.„�a,�m„ . . „.„,�., n-+��e..,�- �. >. . -,_ . , - �..�'�. .k4,k si _ �� °� �� 'ra-� - �^rzx _a � < � . ., . , - a a,. ,. Completed Construction June 27, 2012 -West 8� South Face of Building U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood msurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION ,�'p�'�� y,�s+�.�^'��"' �� .�.��.� A1. Building Owner's Name Decade Companies Income Properties P4iiC��(`t�ii ��;� �' �� f ,� ,��. A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. '�ptTt�2Clj��tA1��k1E�" ��"��.; r�z;' 101 &105 Coronado Drive , F;��;��, ,��, ,�•E��_, .:., City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ParceIID:08/29/15l00000/320/0200 and 08/29/15/15606/000/0141 A4. Building Use(e.g.,Residentiai,Non-Residential,Addition,Accessory,etc.)Non-residential A5. Latitude/Longitude:Lat.27°58'31.5" Long.82°49'40.5"Horizontai Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1330 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 14 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 1400 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? � Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Communiry Name&Community Number 62.County Name B3.State Pinellas County 8 Incorporated Areas 12103C Pinellas County FL B4.Map/Panel Number B5.Suffix 66.FIRM Index B7.FIRM Panel B8.Fiood 69.Base Fiood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 8/18/09 9/3/03 AE 12, 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* � Building Under Construction" ❑ Finished 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,AR/AH,AR/AO. Complete Items C2.a-h below according to the buiiding diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized No.267A Vertical Datum NAVD'88 Conversion/Comments Yes Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 5.22 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 14.57 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones oniy) ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.20 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 3.90 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 5.10 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,inciuding 4.65 �feet ❑meters(Puerto Rico only) _,; structural support " ` �� ; SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION �� ,,� ,,y This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevatiory�`�'�`'r `�' ' information. I certify that the information on this Certificate represents my best efforts to interpret the data available I ;�' < �:•`�� ,-�%-�� :,,,: understand that any fa/se statement may be punishab/e by fine or imprisonment under 18 U.S. Code,Section 1001� �r � � 4�y � � �,: Check here if comments are provided on back of form. Were latitude and longitude in Section A provided b�Ca 3�'',�• tc-'': .�' `�'.�' '�/'•;"'rr� �� , ° licensed land surveyor? � Yes ❑ Nor �-_ .�:; K� ,�i� -M ,: � � � � �c, . �� '��,�� . � ;� c��_, Certifier's Name Lawrence E.Mills License Number PE No 22324't '" + # �" � • ;,�ti. x„ .�;� » � `al• � �1�• ' �� ` Title Professional Engineer Company Name Mills and Associates,Inc. 'F� �;,�1 .r ��,� �; , i. �,�L r"7 a y', � �.. ' i Address 3242 Henderson Boulevard City Tampa State FL ZIP Code 33609°'�. � �''••,. ` '�° �v ,�� & ,� , �` }.� S i n a t u r e . D a t e 6.2 9.1 2 Te le hone 8 1 3.8 7 6.5 869 ",br f�++.'�t � �(}`" 9 ��n .�-��!�� P ��e� �rt�[ � . FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions S na}oA` IMPORTANT: in these spaces, copy the corresponding information from Section A. Fvclnsui�r►c,��p�ny,l�s�.� ,,,,,�; Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. ,�tt��lumber � 101 &105 Coronado Drive » ` � ��. ��4 ,�. City Clearwater State FL ZIP Code 33767 ��p�ny�lAtC,N,t,�mbe� � �: � , ��::` SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. Comments Benchmark:Clearwater Benchmark No.267A located at the Clearwater Post Office,Elev.=4.7495 NAVD'88. Latitude/Longitude scaled per NAD 1983. C2e-diesal fuel tank filier&vents at SE side of building.C2h-concrete step at west entrance. ;_..✓''�r J i�� Signature Date 6.29.12 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. � E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enGosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑ below the HAG. E3. Attached garage(top of slab)is . ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or�below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local o�cial who is authorized by law or ordinance to administer the communitys 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 and G9. G1.❑ The information in SecGon 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 compieted Section E for a buiiding located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G9)is provided for community floodpiain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Communiry's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 101 & 105 Coronado Drive City Clearwater State FL ZIP Code 3s�s� CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. �.� >,,�'�:; . _ ...� . � s K ��. ...� s � '� �, . t�' � $A'i fr =�,v � � � � . . � �,... �3�� ' ��, w� � !,�''�' ^ � y f t,:: � ��, r ° . u_; ..,_.� . .- , � � �.� � ys :�F _ e� -� .`` �: ` :� .. ..�..� .: r ;v �. � ; I� � � 4�'; �� r' � � "� j 13 i. g� PN �� f:� i `1{ �V Y - w � ,_ , : ._ � � i � � � € : ��. � ��` �: L� � ��. ( �.,� ��;. � ' � � f�.. �� j . � �� , t� �$Y.,i Y S' . �i :�. � �� . �� E. �� :� ... ',., �.: jir',�"�� . I ��.� �: ��, � � �: .'..«..." 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A n.,� A._ w� _ s---- � � � ��r '� � - a�s# - . . . c��, ._: �. _ �' "� �x e i {� � �'x "_� f�';, y7� �t.�•��.y�gwL'�ro°°°'m' _ Completed Construction June 27, 2012 —West Face of Building Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 101 &105 Coronado Drive Clty Clearwater StBte FL ZIP COde 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." �„��:�rix . a�=�,�_ � �� _ .,� , �._ - � ' � � -. I w h�µ � ♦ ' r'k ys ^ •y� � �, � � '� q� � lM: ¢";.� . � �` ` Sz &; J� �f� ? . � ( � � :� _. 3�i ➢+: � £` F ',° � £ :,!,; � � ��.. . � 3 2 .... 4 �. �.' 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'. - . ._, . ,. „ .: , , ° _ _ .�-.-�.„w�.v„� ' ' . °+�5 � �� m"%rt'�rm.�r��'., �_ . '�"""-^^�....�6 �v�m��^ . �,;e,.,,�.�q , nz� � .� . , . . '. " m ,�,%sa �� - '"�Y .��.,, �wsak°'°F`�"'^ �a.,5.� 'sW ,.3K�, �'t_�ry �;✓� � �; � :� .' ,,. �' ., .p . . .,-. <..., ..na. �-..,- . . . �., , ..-_ ., .�...,_ , ,_....mS.".., .�,�'+k�..�a� d .. ,.Y._-..,.,w.✓.... ^��,L..h'.'.;�r„W�'�.P.nw .._ � Completed Construction June 27, 2012 - West & South Face of Building U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency ManagementAgency Expires MarCh 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION ` '" � � � ��1"�.s "��a�� f� A1. Building Owner's Name Decade Companies Income Properties �'�1i��1�� '�� ' �. €. r�yF��ys�'i�y,,,,,;; %y,,,, ' .r�� .,,�:�' ��F � �� A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. ��1p�t��#+IutTlk��i" � � �� _ 101 &105 Coronado Drive ;,` ,��..�,,,_'r,, w�:: �� "�� ;' City Clearwater State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ParceIID:08/29/15l00000/320/0200 and 08/29/15/15606/000/0141 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Non-residential A5. Latitude/Longitude:Lat.27°58'31.5" Long.82°49'40.5"Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1330 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawispace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 14 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 1400 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? � Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State Pinellas County&Incorporated Areas 12103C Pinellas County FL B4. Map/Panel Number 65.Su�x B6.FIRM Index B7.FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone 12103C0102 G Date Effective/Revised Date Zone(s) AO,use base flood depth) 8/18/09 9/3/03 AE 12, 11 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) 611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designation Date N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building eleva6ons are based on: ❑ Construction Drawings' � Building Under Construction' ❑ Finished 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,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in item A7. Use the same datum as the BFE. Benchmark Utilized No.267A Vertical Datum NAVD'88 Conversion/Comments Yes Check the measurement used. a) Top of bottom floor(inGuding basement,crawlspace,or enclosure floor) 5.22 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 14.57 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 12.20 �feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) � Lowest adjacent(finished)grade next to building(LAG) 3.90 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 5.10 �feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.65 �feet ❑meters(Puerto Rico only) structural support *,,��rt�,,,, SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION „�`' ,.c c.�n=�, ��''�, - This certification is to be signed and sealed by a land'surveyor,engineer,or architect authorized by law to certify elevation 4�" � ' °•'°� ' *�' , ' information. I certify that the information on this Certificate represents my best efforts to interpret the data available.l �`�� '�;•' ,,,�°.i d'• �x r understand that any false statement may be punishab/e by fine or imprisonment under 18 U.S.Code,Section 1001.� `� • •'�; ,,, '/� �. J Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by�;,;"� ° ;� r` Y = licensed land surveyor? � Yes ❑ No '� �-'�L�kC�� :c ;n_- ;'' .��SEqL't:; . � _ � Certifier's Name Lawrence E.Milis License Number PE No.22324 r.�t�\�� Title Professional Engineer Company Name Mills and Associates,Inc. r�;, � �:F3 , ' Address 3242 Henderson Boulevard City Tampa State FL ZIP Code 33609 -;* �.;�� , . .• f,�`!/ Signature Date 6.29.12 Telephone 813.876.5869 � � ''�� ,,i�+'`(` FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. ��?�,1r1s�.Fr�€�"t�`�amp�r►y:Cks�„ ., :'''` ' Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. �+Nt�k�l' �N, ��` � 101 8�105 Coronado Drive ''� ��-�� f� ' .� ��' ,�� v �'� City Clearwater State FL ZIP Code 33767 - t��A � � ��-� �: =r>_� , . _.,;: SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Benchmark:Clearwater Benchmark No.267A located at the Clearwater Post Office,Elev.=4.7495 NAVD'88. Labtude/Longitude scaled per NAD 1983. C2e-diesal fuel tank filler&vents at SE side of building.C2h-concrete step at west entrance. Signature Date 6.29.12 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the foilowing and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). • a)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet ❑meters ❑above or�below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑ below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments 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. Compiete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. 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-G9)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: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Official's Name Title Communiry Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number �, 101 & 105 Coronado Drive I Clty Clearwater Stat2 FL ZIP COde 33767 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. � � �, �._ � ...,... � �� ._� � �y; '� � - r- �°, � ��'� � � � � �, �� ; t �� z� � � r ` r �'�.._..._.` ry �, c �:� � I. . _ � � ,: � a_ f a ; :. d � ' >;� �..- � ...,�: � _ � i . _ ' 8` -��s � 1' '' ° , .. , �-d o r_�.. „ ; �� ^� ,� �� I � �• . , . ��:; �a :.; .,. 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Completed Construction June 27, 2012 —West Face of Building � � - Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 101 & 105 Coronado Drive Clty Clearwater StBte FL ZIP COde 33767 Company NAIC Number If submittin more hoto ra hs than will fit on the recedin a e, affix the additional photographs below. 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'""�`"�� ' .. �� - � � � .,' a�- -�„. _ � :,' '. � ,;. - � i.,y6 „ r.. - r,:+un : , f . �- � "Rr+ex�w,.wd'�.�mr� : �.r ? . , _ ..., ,,. „A.��_W_..-��c�.S�..Aa°�.�,�,,.,, , .. , „ _:. , s,<,`,; .». ...xa.x«� ,.�,.��...�±a,...._�u.,_�p a��.,,.� P.�..» .,.__ , . y ' d'^`�"^* . __ ,_y..,,, . � Completed Construction June 27, 2012 - West & South Face of Building �'I � i3�'P- vZv r! - o� 29� ` U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008 Federai Emergency Martagement Agency Expires March 31,2012 NaGOnal Flood Insurance Program Important: Read the instructions on pages 1-9. ' SECTION A-PROPERTY INFORMA770N _ ; A1. Buiiding Owners►d�ne Decade Companies Income Properties A2. Buiiding SVeet Address(including ApC,Unit,Suite,andlor Bidg.No.)or PA.Route and Box No. _ 101&105 Coronado Drive City Clearwater State FL ZIP Code 3376T A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Descrip�on,etc.) ParcellD:08J29l15/00000/320/0200 and 08�29/15115606/000/0141 � A4. Building Use(e.g.,Residential,Non-Residential,Addition,Acaessory,etc.)Non-residerrtial A5. LatltudelLor►gitude:Lat 27°58'31.5` Long.82°4540.5"Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of ihe building ff the Certificate is Deing used to obhain flood insurance. A7. Building Diagram Number 6 A8. For a building wifh a cxawlspace or erx�osure{s): A9. For a buiiding with an attached garage: ; a) Squ�e footage of crawlspace or endosure(s) sq ft a) Square footage of attached garage I�A sq ft b) No.of pertnanerd flood openinc�s 3n the cxawlspace or b) No_ot pertnanent flood openings ln the attached garage enGosure(s)within 1.0 foot above adJacent grade within 1.0 fooi above adjacent grade � c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b �/ sq in " d) Engfneered fiood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Communiry Name�Community Number B2.Counry Name 63.State Pineltas Counry 8lncorporated Areas 12103C Pinellas County FL 64.Map/Panel Number B5.Suffix B6.FIRM Index 67.FIRM Panel 68.Flood 69.Base Flood Elevatlon(s)(Zone 12103C0102 G Date Eifective/Revised Date Zone(s) AO,use base depth) 8/18/09 9/3/03 AE 12.11 810. Indicate the source of ihe Base Fbod Etevafron(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Ofher(Describe} B11. Indicate elevalion datum used for BFE in Item 69: [� NGVD 1929 � NAVD 1988 ❑ Olher(Descxibe) B12. Is the buildir►g located in a Coastai Barcier Resources System CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No Designadon Date NLA � CBRS ❑ OPA SECTION C-BUILDING EIEVATION INFORMATION(SURVEY REQUIRED) Ci. Building elevaGons are based on: ❑ Construdion Drawings' � Building Under Construction• 0 Finished Constn�cdon 'A new Elevatlon CertiflCate wAI be required when cons6uction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with-3FE),VE,V1-V30,V(with BFE),AR,AR1A,AR/AE.AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h bebw aocording to ihe building diagram specified in Item A7. Use the same datum as the BFE. Benchmack Util'¢ed No.267A Vertical Datsim NAVD'88 ConversiaUComm�ts yg� Chedc the measurement used. a) Top of bottom floor(inGuding basement,crawlspace,or endosure floor)_�. 2 �feet ❑meters(Puerto Rico only) b) Top of the next higher floor 14.57 �feet ❑meters(Pue.rto Rico only) c) Bottom of the bwest horizontal structural member(V Zones only) ❑feet ❑meters(Puerto Rico oNy) d) Attached garage(bp of slab) ❑feet ❑meters(Puerto Rioo oNy) e) Lowest elevation d machinery or equipment servicing the building �fee! ❑meters(Puerto Rico only) (Desc�ibe rype of equipment and bqtion in Comments) fl Lowest adjacent(finished)grade next to building(LAG} r,�.9�_ �feet ❑meters(Pueno Rico only) g) Highest adjaoent(finished)grade next to building(HAG} _�.� �feet ❑meters(Puerto Rico oniy) h) Lowest adjacent grade at lowest elevaUon of dedc or stairs,including �teet ❑meters(Puerto Rioo only) struCturdl support ' SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION „ ,,,,,,,;;;;;;;;,, , This certification is to be signed and seale�by a land surveyor,engineer,or architect authorized by law to certlfy elevation �--��;- informaGon. !ceKify that the fnfamatlon on this Cer(ii'icalie�pwesents my best etiorts to inter�xet 8re data availableJ � a.' ��+,- understand fhat arry/alse statement may be punishabJe by fir►e a impisonment under 18 U.S.Code,Section 100f.� I, � � ;: � Check here ii Commerits are provided on badc of form. Were latitude and tongitude in Sectlon A provided by a � ,� ,�`�" ts . licensed land surveyor? � Yes ❑ No ;,,`;';,1`�p�CE•; �., SEAL,. Certifier's Name Lawrence E.Milis Lkense Number PE No.22324 ,j,'' ") �R % � ) ; `, �' . Title Professional Engineer Company Name Mills and Assodates,Inc. r.°.;,�:°� , Address 3242 Henderson Boulevard City Tampa State FL ZIP Code 33809 '? 1� � , �, � ` Signature Date 4.03.i2 Telephone 813.876.5869 �:;`,�:'�� '�� -�� , ; FEMA Form 81-31,Mar 09 See reverse slde for continuation. Replaces al{previous editions � � ` � .iM IIIAPORTANT: In these spaces,copy the corresponding infonnatton irom Section A I Building Sbeet Address('including Apt,Un�,S�te,and/or 81dg.No.)or P.O.Route and Box Mo. 101&105 Coranado DrNe City Clearvwater State FL ZIP Code 33767 � � SECTION D-SURYEYOR,ENGINEER.OR ARCHITECT CERTIFICATlON(CONTINUED} Copy both sides of tbis Elevation Csrtificate for(1)cammunily oificial,(2)insurance agentloompany,and{3)bupd'ing owner. Comments Bendxnark:Clearvwater Senchmark No.267A located at ihe Cl�rvvater Post O�ice,Etev.=4.7495 NAVD'88. LaStudelL�gitude scaled per NAD 1983. A8 8 C2e not available-bu�di�g und�construc�ion. � �� Date 4.63.12 ��,� ❑ Chedc h�e tf attachmerrts SECTION E-BUILDING ELEVATION iNFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(1NITFiOUT SFE) For Zones AO and A(without 8FE),oomplete liems E1-E5. If the Certficate is lnter�ded m support a LOMA or LONfft-F request,compiete Sections�1,B, and C. For Items E1-E4,use natural grade,if available. Chedc the measuraneM used. In Puerto Rico only,enter meters. E1. Provide elerratlon tr�matlon for tlie folbvNng and d�eck the appropriate boxes to show whefher the elevation is above or below the I�ghest ac�aceM grade(HAG)and the lowest adjacent grade(WG). a)Top of bottom floor(nduding basemerit,cra�Mspace,or endosure)fs ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom fl�r pnGuding basemerrt,crawlspace�or endosure)is . ❑fset ❑mebers ❑above or❑ below ihe LAG. E2. For Buflding Diagtams 6-9 with pertn�ent nood open�gs provided in Section A Items 8 and/or 9(see�9 es&9 ot Inshudions),the ne�d higher floor (elevatlon C2.b in the diagrams)ot the bullding is 0 teet ❑met�s ❑above or p below the HAG. E3. Attached ga�age(bp of slab)is . ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of madiinery and/w equipment servicing the buildinp is ❑feet ❑meters �above or�bebw the HAG. E5. Zone AO oniy: If no flood depih n�unber ia available,is the top of the bottom floor elevated in a000rdance with the community's floodplain managernerrt ordinance? ❑Yes ❑ No ❑ Unknown. The tocal oil'iaal must certify this informaUon In Section G. SECTION F-PROPERTY OWNER{OR OWNER'3 REPRESENTATIVE)CERTIFlCATION The propei#y ovm�or om�er's authorized represerKaUve who comP�etes Sec�fons A,B,and E for Zone A(without a FEMA�ssued w oommur�ity-issued BFE) or Zone AO must sign here. The statements in Sec6ons A,B,and E�s carect to the best of my knowledge. Properiy Owner's or Owner's Authorized Represerrtative's Name qddress City State ZIP Code Signetuf8 D2te Telephone Commer� ❑Check here If a�chmenLa SEC170N G-COMMUNITY INFORMATION(OPTIONAL) The local oflldal who is authai�d by law or oNinance to administer the communiiy's floodplain managemerrt adk►ance can complete Sectlons A,B,C(or E), and G of thts ElevaUon Cert111cate. Compiete the applicable Item(s)and sign below. Chedc the measuremeM used N�Items GS and G9. G1.❑ The infamaatiion in Sed'an C was taken irom other doaurnentaUon that has been signed arxl sealed by a Iic�ed surveyor,engineer,or architect who is autho�ized by law to certiy etevation ir�formatiori. (In�cate the source and date of ths elevation dsta in the CommeMs area belaiv.) G2.❑ A oomm�ity o(fldal oompleted Sectlon E for a buil�ng located in Za�e A(witlwut a FEMA-issued or oommunity-issued BFE)a Zone AO. G3.O The followir�g i�on(It�ns G4t;9)Es provided for communily floodplain mar�agement p�poses. G4.Permit Number C35. Da�e Permit Issued (36. Date Certifirate Of Cflmplianoe/Ocoupancy Issued G7. This permit has been issued for. ❑New Constructlon ❑Substantial Impfovement GS. Elevation of as-Mult lowest floor(indudng b�sement)of the building: ❑feet ❑meters(PR)Datum C39. BFE or(in Zone AO)depth of flooding at tt�e bu�d'ing site: �feet ❑meters(PR)Datum G10.Community's desgn flood elevatlon ❑feet ❑meters{PR)Dat�mt Local Officia!'s Name TUe Community Name Te1eP�� . Signah�re �ate Comments ❑Chedc here ff attachments FEMA Form.81-31,Mar 09 Replac�s atl previous editions . r Building Photographs See Instructions fo�Item A6. For Ir►swar►ce CompanY Use: ! Bu�ding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)a P.O.Route and Box No. Poiicy r�umber ; 101&105 Coronado Drive ! City C�earwater State FL ZIP Code 337s7 ��C�`� !f using the Elevation Ce�tificate to obtain NFIP flood insurance, affix at least finro building photographs bebw aocording to the instructions for Item A6. Identify all photographs with:date taken; "Front View" and"Rear View"; and, if required, "Right Side �ew" and "Left Side View.' If submitting more photographs than will fit on this page, use the Continuation Page, following. ; m If'�... � . ' � :_ _ .. a_' . _ .. .. � :. .::.� . .r, .:��: . • �a.�:� c:.:.:�'�- .._:: ..,;',. . " . Z '�.�,'�e. . . ��'� .`�'w. � . ' .. ��,.,�� ': ..n v.':_�:_�r� �...h �....u_.. ::�_� . .., ,� ��LY.:: �• - y ' ::��:y:�::. :::.�. .. .�y �-�'��'� -�s._ ?�•., a.� ::-�`�= �::.' :- �.- _:-�r " _'�� =iT-4'' � ''rv. - �� . —. . .,�K ..�. pC�.i2 ��«"dl Under Construction July 21, 2019 ,