51 BAY ESPLANADE f� ''-,�
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EL�V�r 10l�t CERTIFi .^,A. _ �.M.E. No. �c��-oc»-
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FEDERAL EMERGENCY MANAGEMENT AGENCY �xpires)ufy 31, '999
����`� NATIONAL FLOOD INSURANCE PROCRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement.This form is used only to pro-
vide elevation information necessary to ensure compliance w►th applicable community floodplain management ordinances, to determine
� �he proper insurance oremium rate, and/or to support a request for a Latter of Map Amendment or Revision (LOMA or LOMR).You are not
�equired to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form.
Instructions for completing this form can be found on the following pages.
� SECTION A PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME
Citv of Clearwater Department of Parks & Recreation POUCYNUMBER
STREET ADDRESS(Includino PQ!., unc Swte ancLOr Bldg.Number�OR PO.ROU?E AND DOX NUMBER
_J1 BaY ESjJIdI1dCIC COMPANVNAICNUMBER
CTHER DESCRIPTION ILot ana Biock Numoers.etc.) .�_
CITY }
Clearwater Beach FiATE 33767Z�PCOOE
SECTION Ei FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
Prov�de !he following from the proper FIRM (See Instructions):
'.COMtv?UNITY NUMBEF 2 PANEL NUMBER 3.SUPFIX c ci
4`D�AT_pF, q WDE .. 5.FIRM ZpNE � B.9.4S�F�p,^�p E!cVi.TIUN I
"����~� i in Nu LoneS.use CRpth;
125096 0007 D � . N� ( 8/19/91 � AE 11 . 0
� ind;cate the elevation datum sysiem used on the FIRM for Base Flood clevauons �BFE : X NGVD '29 _:Other iqescribe on back!
8. �or Zones�A or V, where no 8F� is provided on the FlRM, and the commurnty has estac�l�sned a BFE for this ounaing srte, indicate
the commurnty's BFE:__�,g, peet NGVD (or other FIRM datum—see Section 3, Item 7)
SECTION C BUILDING ELEVATION INFORMATtON
�. Using the Elevation Certificate Instructions, indicate the diagram number fro�^ the�+an�.,ms feund on Pages 5 and 6 that best
describes the sub�ect building's reference level_]„_ . -
;a;. FIRM Zones A1-A30.AE, AH, and A (with BFE). The top of the�eference level floor�rom the selected diagram is at an elevation
of V �,� feet NGVD {cr other FIRM datum—see Section B. Item �}.
Ib1. FIRM Zones V1-V30. VE, and V (with BFE). The bottom of the lowest horizontai structural member of the reference ievei from
�he selected diagram, is at an elevation of _ feet NGVD (or other FIflA1 datum—see Section B. Item '1.
�ci =!RM Zone A (without BFEj. The floor used as the reference ievel from the selected diagram is _ feet above._. or
�elow_ �check one) the highest grade adjacent to the building.
;d;. �iRM Zone AO. The floor used as the reference level from the selected diagram ;s _, feet above� or below_ (check
onel the highest grade adjacent to the buildinq. If no flood depth �umber is available. is the building's lowest"oo�ireferenc�
ave�� eieva�ecl m accordance with the community's floodplain management ordinance? _ Yes No Unknown
'. Indicate the elevation datum system used in determirnng the above reference level e!evations: � NGVD '29 _ Other (describe
unaer Comments on Page 2). /NOTE: lf the e/evatron datum used in measuring the elevaf�ons is drfferent than that used on
the FIRM (see Secfion B, Ifem,7J, then convert the elevations to the datum system,�sed on the FIRM and show the conversion
eauat�on under Comments on Page 2.�
�. �ievation reference mark used appears on FIRM: � `res ._ No (See instructions on Page 4)
5. The reference level elevation is based on: _. actuai construction X; construction drawmgs
(NOTE: Use of constructron drawings rs only valid if the buildino does not yet have!.tie r�fer°nC°level Noc;;,�p;a�E, rr, whreh
case thrs certrficate will only be valid for the building during the course of construction. A Aost-construction E/evatron Certificate
wil%oe required once construction-rs comp/ete.j
6. The elevation of the lowest grade immediately adjacent to the buildin is: F
Se�t�on B, i,em 7). 9 Z.0 _ feet NGVD (or other FIRM datum-see
. SECTION D COMMUNITY INFORMATION
7e community official responsible for verifying building elevations specifies that the reference level indicated m Section C, Item 1
not the "lowest floor" as defined in the commurnty's floodplain management ordinance, the eievation of the building's "lowest
floor°as defined by the ordinance is: . 7,_0 feet NGVD �or other FIRM datum—see Section B. Item ;}
=. Date of the start of construction or substanfiai improvement _
11/ag
`�M� �orm 81-31, AUG 96 REPLACES ALL PREVIOUS EDITIONS
SEE REVERS�SID�=��2 C^NTINUATION
S�CTION E CERTIFiCATiON
.. �n,� ;;e.~,�r��auon �s to be s�anea by a �and survey�r �ngineer. or arcnicec;wnc ;s autnonzed bv state or iocal law to cenrfy elevation
��rormat�or wnen ;ne eievauon mtormanon tor Zones A�-A30. AE. AH. A iwim BF� .'J�-�'3G.VE. and V iwit�� BFE) is reau�red.
';emmun�tv officiais who are au;r.orzec �y ieca' �a�•, or ordinance tc orov�ae tioodqiain management inrormauor. mav a�so s�qn the �
:,ert�1�caror. !o tn- �ase c� �ones %.O ::nd A ��r��;he.:; a rE�AA or community issued 6F��. a nwiding o��iciai. a ,�rooeity ov�ner. or ar
_ owner - �earesentauve may aise s�an me cernf�cauon
Reiere^.ce �evei diaarams �. ^ �nd 8 - ��stirgu�s��na �eatures-If the certifier is unable to cer;ify to breaFcawav�ron-breaKawav wali.
enciosure size. iocation o' serv�cmg equipmer� are:. use. wall open�ngs. or unfinishetl area �eatureis:. ;nen iist :ne r=eature�s) not
mcivaea n tne certitication unaer Comments tieiov, The diagram numaer. Secuon C. Item �. must stiil �e entered.
�cerr. ma;rne rniormatron rn Sect�ons B ar,c C �� t,�rs cerh,frcate represents my besi efforts .'o;nterpre:rne aat��avaiiao�e
� unoerstar,d fhat anv farse siatement may '�e�un:�napie bv fine or�mprisonment under 18 U.S �.oae. �ec:ron ?00'.
„� =_R 5 NAM� �ICENSE NUMBER�o�Atfix�epn
�cc_
Stephen R. Fowler AR0005441
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' Architect Fowl r Associates , Architects , Inc .
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142? Co t - Suite D, Clearwater, FL 33756
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\ _,ti__q- --- ----- -----DATE pH0'.F
- - - 2/21/00 ( 727 ) 449-20'Z'_ _,._
C�r�es snoul be mae+^ �f this Certificate for: t� community officiaL 2) insurance aaent�compaiiy. and 31 �uildinq cwner.
COMrrtEr�TS: _ BUILJING OPENIN��___�RE_.EL_4472P_R49�ED—ZQ__EL�l�IQ�- ' ? ._9-------- _
FRGM FINISH rL00R__�r_�_��0 � ' VD --- --- ---- -
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j ?ne aiaarams above illustrate the pomts at which the eievations snoutd be measured in A Zones and V Zones.
'; ��evauons ror all A Zones sr�ould be measured at the toD of the reterence ievel floor. •
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�ievauons for all V Zones snould be measured at the bottom of;he iowest horizontal structurai memner. I
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