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2729 VIA MURANO BLDG 400 _ _ _ _ __ _ _ _ FEDERAL EMERGEAICY MAN�►GEAAEN'�AGEAlGY , . NATiONAL FLOOD INSUR�►iVCE�ROGRANI O.M.B. No. 3067-0(?77 � ��.��/14�,0�� C��$�SF�CA,�� ExPires Juiy 31, 2002 Importan� R�d the instrvctlor�s cn a es 1 -T. SECTION A-PROPE�ZTY OWNER INFORMATtON E'or�nsurance Corr�any Llse; BUILDING OWNER'S NAME . poliry Number ING STREET ADDRESS(Induding Apk,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number Venezia at Ba atch - Building #400 - 2723 Via Murano - CI'tY ' �� 33764E Clearwater, :�. PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) Tax Folio No. 29/29/16/00000/220/0200 BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessary,eta Use Commerrts sedton if nexssary.) Residential IATITUDFJLONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE ❑GPS(Type):_____ ( �#'-##'-##.#�' or ##.�°) 0 NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.----- SECTiON B-FLOOD INSURANCE RATE MAP(FiRM)INFORMATION B1.NFiP COMMUNITY NAME�COMMUNITY NUMBER BZ.COUNTY NAME B3.STATE Pinellas Count FL Unincor . 125139 Pinellas Florida � B4.MAP AND PANEL 65.SUFFIX B6.FiRM INDDC B7.FiRM PANEL 88.FLOOD B9.BASE FLOOD ELEVATION(5 ( NUMBER DATE EFFECTNE/REVISED DATE ZONE(S) (Zone AO,use depth of Roodi�;• � 0128 D 8 18 92 8 19 91 AE 10 B10.Indicate the source of the Base Flood Eievation(BF�da�or base flood depth entered in B9. ❑ FIS Profile �FiRM ❑Community Determined ❑Other(Describe):_____ B11.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):____ 612.Is the buiiding located in a Coastal Barrier Resourc�s System(CBRS)area or Othervirise Proteded Area(OPA)? ❑Yes � No � Designation Date_____ SECTION C-BUILDlNG ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building eievations are based on:�Construdion Drawings' Q Buiiding Under Construcfion" ❑Finished ConsVuction 'A new El�ation Certlficate wiU be required when construction of the building is complete. � C ilding Diagram Number 1 (Seled the buiiding diagram most sim'lar to the buiiding for which this certficate is being completed-see es 6 and 7. If no diagram accuratety represents the.building.provide a sketch or photograph.) C3. levatlons-Zones A1-A30,AE,AH,A(with BFE�,VE,V1-V30,V(with BF�,AR,AR/A,AR/AE,AR/A1 A30,AR/AH,AR/AO Complete Items C3a-i below according to the buiiding diagram speafied in Item C2:State the datum used. If the datum is dififerertt from the datum used for the BFE in Sedion B,corn�ert the datum to that used for the BFE. Show field measurements and datum conversion calcul Use the space provided or the Comments area of Sedion D or Section G,as appropriate,to docume�t3kt�datum cornersrr_ Datum�� ConversioNComments NJA_ .� � ;..:;� _ ��' . � ,.- Elevation reference mark used Does the elevation reference mark used appear on the F1RM�?' �`]Yes� �o�''�"�_>;;�� " ❑ a)Top of bottom ftoor(nduding basement or endosure) 10 . 2 R(m) a ° - °� � , Y`: � �� .�: . 0 b)Top of next higher floo� n/a , g.(m) � � 1 �, �,,�� ,� ,� � �-� r 0 c) Bottcm of lowest horizontal structural member(V zones only) n/a . ft.(m) �� aL.R:,�'�:� ��''t s " ��., ��; O �Attac��ed garage(top of stab) n/a.ft.(m) �g '., � ° �� c�" ,v,, ,� �� , .� 0 e)Lowest elevation of machinery and/o�equipment W m ��, � ° }> � '�' ,`d � ' � servicing the building n�a -_$•(m) �� ',a� ; g �a �.--�-�� .' ❑ fl Lowest adjacent grade{LAG) n/a . g,(m) � z� �,� �r a �,��..-."�� ❑ g) Highest adjacent grade(HAG) n/a._ft.(m) � °`�, ,,'�.fi��'�� 0 h) No.of pertnanent openings(flood vents)within 1 ft above adjacerrt grade_n/a � ❑ )Tatal area of all permanent openings(flood.verrts)in C3h � sq.in. (sq.cm) - . _ �� .. SECTION D-S.URVEYOR,ENGiNEER,OR ARCHITECT CERTIFiCAT10N This cerbfication is to be signed and sealed by a land surveyor,engineer,or archited authorized by law to certify elevation infortnatian.. 1 cerfify that the infonna�on in Sections A, B, and C on this certificate represents my best efl`orts to inte�pret the data avaAable. 1 unde�stand that any false statement may be punishab/e by flne or imprisonmeht under 18 U S Code Secbion 1001 CERTIFlER'S NA�ME L1CF��$,�,NUMBER Al 1 an F_ (�s 1 ind, PGM �ti T� COMPANY NAME �rofessional Surveyor and Mapper Kina Enaineerin Associates, Inc � --' CRY STATE ZIP CODE 4921 ria Ste. 300 Tam a FL 33634 SI R DATE TELEPHONE - � 23 Ol 8 3-88 -888 ' FEMA Form 81-31,AUG 99 SEE REVERSE S1DE FOR CONTINUATION REPLACES ALL PREVIOUS EDfTlCataS 9MP�RTi�A1T: 1n these spac.�s, ��Oy�e corres9�onding infom�atlon�rom Section.a►. „Far insurancs Campany U� ;; �UILDING STRE�T.�DDRESS(tnduding Apt,Unit,Sui�,and/or Bldg.No.)OR P.O.ROUTE AND 80X NO. Po Number:: __ Venezia at Baywatch - Building #400 - 2729 Via Murano "- �` ' ' ` ` � C�TM �AT� Z!P CODE Company NAIC Nianber Clearwater FL 33764 SECTiON D-SURVEYOR,ENGiNEEft,OR ARC9iITECT CERTIFiCAT10N(CONTINUED) Copy both sides of this Elevation Certificate for(1)community officiai,(2)insurance age�Ucampany, and{3)building awner. COMMEAITS Check here if attact�mer�s SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zane AO and Zone A(without BFE�,complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be comp/eteaf. E1.Buiiding Diagram Number_(Select the buiiding diagram most similar to the building for which this cer6ficate is being compieted—see pages 6 and 7. If no diagram accvrately represents the building;provide a sketch or photograph.) E2.The top of the bottom floor(induding basement or endosure)of the building is _ft.(m)_in.(cm)�above o� ❑below(checic one) - the highest adjacerrt grade. E3.For Buiiding Diagrams 6-8 with openings(see pag,e�,the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacerrt grade. E4.Fo�Zone AO only: ff no flood depth number is ava�7able,is the top of the bottom floor elevated in accordance with the communii�s ' _ floodplain management ordinance?Q Yes ❑No ❑ Unknown The local offiaal must cerMy this infortnadon in Sedion G SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATNE)CERTIFlCATION The property owner or owners authorized representative who completes Sedions A,B,and E for Zone A(without a FEMA-issued or community-issued BF�or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNE'S NAME �� C� STATE ZIP CODE 51GNATURE . DATE TELEPyONE COMMENTS ❑Check here if attachmer� SECTION G-COMMUNITY INFORMATION(OPTIONAL� � The local offiaa!who is auth�rized by law or ordinance to administer the community's floodplain management ordinance can complete Secbons A, B,C(or Ej,and G a;this Elevatlon Certificate. Complete the applicable item(s)and sign beiow. G1.�The infoima�ion in Sedion C was taken from other documeMation that has been signed and embossed by a licensed surveyor, engineer, or�rchited!who is authorized by state or locai law to certify elevation infortnation. (In�cate the source and date of the elevation data in the�omments area below.) 32. 0 A community official�m�i¢:ted Sedion E for a building located in Zone A(without a FEMA-issued or community-issued 8F�or Zone AO. 33. ❑The faltowing informatidn(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT�SSUED G6. DATE CERTIFtCA7E OF COMPLIANCElOCCUPANCY , ISSUED 37.This permit has been issued for. ❑New Construction 0 Substantial lmprovement 38. Elevation of as-built towest floor(induding basement)af the building is: ft.(m) Datum: 39. k�FE or(in Zone AO)depth of flooding at the building site is: _ft.(m) Datum:_____ LOCAL OFFlCWL'S NAME n� COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Checic here if attachmer�s 'EMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS