928 BAY ESPLANADE � � o.nn.e.No. ��-oon
• ELEVATION CE�TIFICATE E�'�y"'°r31,,�tr
FEDERAL EMER(3ENCY MANAaEMENT AGENCY "
. �' NATIONAL FLOOD lN3URANC6 PRO(iRAM
A ENTION: Use of this certificate doe8 not provide a wafver of the ilood insurance purchase requirem@nt. This form is used only to
H elevation fnformation necessary to ensure compliance with applicable community floodplain management ordinances,to
mine the proper insurance premium rate,and/or to support a request for a Letter Ot1Wap Amendment or Revision(�OMA or LOMR).
Instructlons fo�completing thla form can be found on ths following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
WILLIAM SANDERS , .
STREET AODRESS(Includinp Apt.,Unit,Suft�and/or B Numb�r)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
9 BAY �SPL�►NADE � ,
OTHER�E�CRIPTION(Lot and Block Numbers,�tc.)
MANDALAY SUBDIVISION, BLOCK 53, LOTS 2 AND 3, PB 14, PGS 32-35
C�ri STAFTL ZIP CODE
CLEARWATER,
SECTION 8 FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Provide the foilowing from the proper FIRM(See Instructions): .
�.COMMUNITV NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX S.FIRM 20NE 6.BASE FLOOD ELEVATION
' (In AO Zones,us�depth)
125096 0007 D 08-18-92 AE 11 '
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): �NGV�'29 ❑Other(describe on back)
e. For Zones A or V,where no BFE ia p[ovided on the FIRM,and the community has established a BFE for thfs building site, indicate
the community's BFE:L.�J.0 teet NGVD (or other FIRM datum—see Section B, Item 7),
SECTION C BUILDIN(3 ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions,Indjcate the diagram number from the dfagrams found on Pages 5 and 6 that best
�9scribes the subject buitding's retere�ce IeveF '
FIRM Zones A1-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation
of� I I I I 61.I?I feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1-V30,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level irom
the selected diagram,is at an elevation oi�U.LJ feet NaVD(or other FIRM datum—see Section B, Item 7).
(c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is W.0 feet above❑ or
below� (check one) the highest grade adjacent to the building. , ,
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is �l.0 feet above❑ or below� (check
one)the highest grade adjacent to the building. If no flood depth nurtiber is available,is the building's lowest floor(reterence
level)elevated in accordance with the community's floodplain manayement ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determininy the abpve reference level elevatfons:�' NGVD'29 ❑ Other(describe
under Comments on Page 2). (NOTE: If the elevatlon datum used!n measuiing the elevations is diflerent than that used on
the FIRM (sae Section B, Item 7J,then convert the elevatlons to the datum system used on the FIRM�nd show the conversion
equation under Comments on Paye 2.)
a. Elevation reference mark used appears on FIRM: ❑ Yes �No (See InstrucUons on Page 4)
5.The reference level elevation is based on: � actua)constructlon ❑ constructlon drawings
- (NOTE: Use ol consfruction drawln�s ls only valid!/the bulldin�doea nof yet have the re(erence/evel lloor in place, in which
case this certilicate will only be velld for the bullding during the couise ol construction. A post-construction Elevation Certificate
will be required once constructJon Js complete.) •
6. The elevation of the lowest grade immedfately adjacent to the buiiding is:�J.U.feet NGVD (or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
�If the community official responsible for verifylnp buildinfl elevatlons specifies that the reference level indicated in Section C, Item 1
.not the"lowest floor"as defined in the community's floodplain manaflement ordfnance,the elevation oi the building's"lowest
rioor"as defined b'y the ordinance is: ��,U fset NGVD(or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantlal Improvement , .
FEMA Form e l•31,MAY 93 REPlACES All PREVIOUS EDIT10N5 SEE REVERSE SIDE FOR CONTINUATION
SECTION E. CER7�FlCATION
,�
This certitication is to be siflned by a land's�rvayor�en�inear,or arohitaot who Is authoriz�d by stata o�local law to certity elevatbn
intormation when the elevarion informatbn tor Zones A1—�i30,AE,AH,A(with BFE),V1-V30,VE,and V(with BFE)is required. �
Community oNiciais who are autho�ized by local law or otdinance to provide floodplain manaqement InformaUon,may also sign the
certitication. In the case of Zones AO and A(without a FEMA or community Issued BFE),a build(n9 officfal,a property owner,or an .
owner's representative may aiso sipn the certiflCatlon. �
Reterence levei diagrams¢,7 and 8-Distinyulshinp Features—If the cenifler is unable to certify to breakaway/non-breakaway wall,
enclosure size,location of servicing equfpment,area use,wall openings,or unfin(shed area Feature(s),then Iist the Feature(s)not
included in the certification under Comments below. The diaqram number,Section C, Item 1,must stili be entered.
!certily that the in/ormation!n Sections B and C on thls cerN/Jcate represents my best eHorts to lnterpret the data avallable.
1 understand that any/alse statement may be punlshable by/!ne or lmprlsonment under 18 U.S. Code, Sectlon 1001.
_�
C�ATU�tNN�EPENNY UCEN3E NUMBER(or AfNx S�al) #4931 ,i53°":'"'S"' .
,6 '
T�L�ND SURVEYOR �MP�Y�€.R. PENNY & ASSOCIATES, INC.. ;:. .
`�`��3�� 102 AVBNUfi N.
cmr SEMINOLE F�.� ,�37�"�' ... ziP ,r,
SIGNATURE D
�4��2-99 7 27-398N4350 �
Copies should bs mads of this Grtliicat�for: community offlclal�2)Insuranq��s�Ucompany�and 3)bullding qwn�r. �
COMMENTS: � �
BASIS OF BENCHMARK: PINELLAS COUNTY DISK—AURAL RM 3, MAP #152
ELEVATION: 6 . 19 ' .
•
NOTE: GARAGE EL. 6 .00
tti
°N � oN v�s, �
SLAB lAEEIAENT PIER8,OR COIUlAN3 �� ,
A V A A V
ZONES 20NES ZONEB . ZONEB ZONE8
i�rei�nCt
AEFERENGE .� � �Eq�.�
LEVEI
Rp�p IEVEI
A
:,a���y • i
.�E � �,, �,�r,, ;.i • >k,� .,,,� .
s�000 : ti:: • •,. .'AqNCEN► ;• M►lMNCf
ELEV�TION �fE��E !LlVATION �
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.lEVEI OMOE � , , .
i�� j' �y '
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i .Thii r.:.J...i . �i). 'r..•� 4�:.
� L'�qlt �tj�.r • frY' �.�. .Y;. {•..�..
ry��S� .,r�.y:ji;ii3��'ti�l:iijl��'� .�ji:��'`•• .
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The diagrams above Ulustrate the pofnts at which the elevaUona shouW be meaaured in A Zones and V Zones.
Elevations for all A Zoneg should be measured at the top of the reference level floor.
Elevations tor all V 2onea should b�m�asund at th�bottom o}th�lowsst horizontal structural membeP. �
Pape 2