1551 CHATEAU WOOD DRworm PROGRAM
ELEVATION CERTIFICATE
IExpires December 31, 200E
SECTION A • PROPERTY OWNER INFORMATION
For Insurance Company Use:
DO K E. LIMSA STANGANFHH 1
EULDNIG S a rtt I ADDRESS ambling Art tfr t Sute and. Bit. No.) OR P.O. ROUTE AND BOX NO.
1551 CHATEAU WOOD DRIVE
Policy Number
Company NAIC Number
CITY
CLEARWATER
STATE
FLORIDA
ZIP CODE
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 5 CHATEAU WOOD PB 84 PG 26
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, et:. Use a Comments area. if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL)
(## ° -##' - ##.##" or ## #####) D NAD 1927 `; MAD 1983
HORIZONTAL DATUM SOURCE: 0 GPS (Type):
0 USGS Quad Map D Other:
SECTION B • FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
51 NF?P CC►, ?.i ? i NA ".€ 3 Ci).4s. INTTY MJIMER
°1".E .AS'2R% .,..'ARt'iATER 12`056
52 G!-1'.- "'(A& E
aAE i�S
B3. STATE
FLORIDA
54 MAP A.1E_
1V.t R 85. SU'FFiX E6 FR!.1 NDEX DATE
121030 0128 G 9-3-03
89. BASE FLOOD ELEVATION(S)
?TECT",'EP0 SED D47E I 38 F'iCOD ZONES) I (Zone AO use depth of flooding)
9-3-03 AE 9.0
B10. irldcale the sazce et the Base Food Elevation (BFE) data or base flood depti dept entered In 39.
❑ FIS ProFde ® FIRM ❑ Community Determined 0 Other (Describe): —
811. Indicate the elevation datum used for the BFE in 89: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe):
812. Is the building located in a Costal Barrier Resources System (CBRS) area or Otherwise Protected Area f 0PA)? ❑ Yes ® No Designation Date
SECTION C • BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
3- !,,d-o eev; crs are based rn: D Construction Drawings' ❑ Building Under Construction' ® Finished Construction
-er _e acr ;.� trar- wiJ r 2ir eo A' m's' n c'f the b,;.?ing Complete.
_ -r -. cuidrr. -rs srua- r. e 'with-it ig,vtt:d-I this certificate is bang completed - see pages 6 and 7. If no diagram
." -rim?■ laCre9.'?5 Dr a_ritarr. T+M 3 9P L-- f arK traT
wfl" .32 .. ErE, ,AK AR , ARAE, ARA -AKI ARAN AR'AO
:..-crl -_ -x- moat a . r..sr, t re _, atrc r r S. e -e dm use ° the datum is different from the datum used for the BFE in
Saacr E =t1e! to 3.r r to is t€ Z.-Nr■ fen. -e u-er-errs at r 3Y .ors cr Use the space provided or the Comments area of
Jd3' - 7 Sa.117 as V. . t ZC-r-err re me r ;Lr.escr.
Dar.; 19% cr tcn1C7 r
-
Berationn reference r, sak used LOCAL Does the e9cra cn reference mak used appea m the FIRM? ❑ Yes ® No
o a) Top of bottom floor (mdudnng basement or ertdosure) 10.92 FEET
o b) Top of next higher floor NA
o c) Bottom of lowest horizontal structural member (V zones only) NA
o d) Attached garage (top of slab) 10.41 FEET
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area) BASE OF OUTSIDE AC UNIT 10.00
o f) Lowest adjacent (finished) grade (LAG) 9.7 FEET
o g) Highest adjacent (finished) grade (HAG) 10.50 FEET
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NONE
o i) Total area of all permanent openings (flood vents) in C3.h NONE sq, in. (sq. cm)
E c
w m
z .�
J
SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT 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 in Sections A B. and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CER'!F ER S "; -! "E BILL HYATT LICENSE NUMBER 4636
Cl.'PAt4'r "_ ".ME fi`.v'i1' IT n .'/
..� , ,� NOV I, INC,.
ADDRESS CITY STATE ZIP CODE
(Mk1L) 1497 MAIN ST #+321 DUNEDIN FL 34698
SIGNATURE DATE TELEPHONE
/off - ` ` 7- 72M 777 415 8105.1tCEI 1 727 641 2:725)
FEMA Form 81 -31, January 2003
See reverse side for continuation. Replaces all previous editions
1551 CHATEAU WOOD 2018 -09017 OD DR
OGAGA oF�ke
Zoning: Low Density Residential Atlas #: 317A
"'It VI 1.i"
RECEIVED PLANS
BY- M.,1,
SEP 11 2018
PLANNING & DEVELOPMENT
OF CLEARWATER
iwPcsr aT: in tow *IOW =fry the corresponding information from Section A.
For Insurance Company Use
3.. ,riC- iti i • sc113 txsix+r ict. .rY a rrra CR c 0 ROUTE AND BOX NO
..117..k. irrKC
7'" STATE ZIP CODE
FL
SECTION D - SURVEYOR, ENGII IIIEER. OR ARCHITECT CERTIFICATION (CONTINUED)
Policy Number
Company NAIC Number
:coo .ac xm at t°rs oa r i7 ' r-r u-i• i orrca ,4 tante agent/company, and (3) building owner.
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
Fa Zane AO and Zone A ( without BFE), compete Items El through E4. If the Elevation Certificate is intended for use as supporting infomiation for a LOMA or LOMR -F,
Section C must be completed.
E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or endosure) of the building is ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(am) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade. if available).
E5 For Zone AO ash. tf no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑ yes ❑ Nc ❑ 1:1*.ro n The focal ofFFaa must certify flits information in Section G.
SECTON F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property miner a owner's authorized representative who completes Sections A, B, C (ftems C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, 8, C, and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
BILL HYATT- SURVEYOR - KNOW IT NOW INC
ADDRESS CITY STATE ZIP CODE
1497 MAIN ST #321 DUNEDIN FL 34698
SIGNATURE DATE TELEPHONE
7 -22 -05 727-415-8305
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
e o a`r-a uric s a:."-'yx- : b.. to ti• CY o j-.aice to adrn;nister the community's fl ocpl ^in management ordinance can complete Sections A, B, C (or E), and G of this Elevation
:*+2e �.rc+e ., s • arc so- toy,
r ra r oar r car ` > jra; term cite doarientabcn that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
s G a + t s°fl , eei cr rtichaai ( Indicate the source and date of the elevation data in the Comments area below.)
xrr ifiry c ca arcrostso Section E for a building located in Zone A (without a FEMA- issued or community- issued BFE) or Zone AO.
acr ners G4-G9) is provided fa community floodpan management purposes.
3,1 x-.±.A- ■F,A.taE
G5. DATE PERMIT ISSUED
S' This perry: has teal ssEred for ❑ New Construction ❑ Substantial Improvement
G8 Elevation d as -tkstt kaHest !Ica (including basement) of the building is _. _ft.(m) Datum:
G9. BFE a (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum:
G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
LOCAL OFFICIALS NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
FEMA Form 81 -31, January 2003 Replaces all previous editions
SErr y TOWNSHIP 29 sou 7, RANGE_ 16 FAST,
P I NELLAS COUNTY, FLORIDA
2 STY. C.B.S.
RES. # 1551
20' UERRIIT & DRAINA EAS£iENE
ARCHWO)O SUB.
PB. 49, P6. 42
LEGAL DESCRIPTION:
LOT 5. CHATEAU WOOD. ACCORDING TO THE MAP OR FLAT
THEREOF, AS RECORDED IN PLAT BOOK 84. PAGE 26, OF THE
PUBLIC RECORDS OF PINELLAS COUNTY. FLORIDA.
BOUNDARY SURVEY
SURVEY IS SUBJECT TO A TITLE SEARCH FOR MATTERS OF
RECORD EFFECTING THE PROPERTY.
BASIS OF BEARING ARE PLAT, UNLESS OTHERWISE NOTED HEREON.
NO UNDERGROUND IMPROVEMENTS LOCATED OR SHOWN HEREON.
CERTIFIED TO:
DOMINICKSK STANGANELLI
CITY OF CLEARWATER