620 BAYWAY BLVD UNIT 1 . � � zD gY FEDERALEMERGENCYMANAGEMENTAGENCY O.M.B. No. 3067-0077
,„ /J�QD�3 �"D NATfOlVAL FLOOD INSURANCE PROGRAM
���- Expires December 31, 2005
ELEVATION CERTIFICATE
Importartt: Read the instructions on pages 1-7.
SEC110N A-PROPERIY OWNER INFORMATION Fo�insurar�ce ComparN Use:
BUILDING OWNER'S NAME Policy Number'
MOORINGS, LLC ��9 iT Z
BUILDING STREET ADDRESS{Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BQY.NO. Company NAIC Number
620 BAYWAY BOULEVARD.
C�7�y STATE ZIP CODE
CLEARWATER FL 33763
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 9&10,BLOCK"A", "BAYSIDE SUBDiVISION NO.S' (P.B_38,PGS 38-39)
BUILDWG USE(e.g.,Residential,Non-residential,Addfion,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATffUDE/LONG(TUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#t�f� ❑NAD 1927 ❑ NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM}INFORMATION
B1 NEIP COMMUNiTY NAME&COMiNUt�1�TY NUMBER B2.COUNTY NAME B3.STATE
� CITY OF CLEr'�RWATER 12rx�96 PINELLAS FLORIDA
84.�v1AP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5,SUFFIX 66.FIRM INDEX DATE EFFECTIVFJREVISED DATE &3.FLOOD ZGNE(S} (Zone A0,use dzpth of flooding}
125Q96-0007 D AUG.19,1991 AUG.19,1991 AE EL. 11
B1 Q Incicate the source of the Base Fiood Elevation(BF��ta or base flood depth ent�ed in B9.
❑FIS Profile �FIRM ❑Cammunily Determined ❑Otha(Describe):_
611.Indcate the elevation dahm used fa�the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(D�saibe}:
B12.is the bulc�ng located in a Coaslai 8amer Resour�es System(CBRS)area or Otherwise Protected Area{OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDiNG ELEVATION INFORMATION{SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawingsi` �Buildng Unc�r Construction* ❑Finished Construction
*A new Elwation Ceatif�ate wi�be required when construction of the buiiding is ccxnplete.
C2.Buikiing D�c�am Nirnber 7 (Select t�e buacGng ciagam most scnilar to the buiking fior which this c�tifieafie s being canpleted-see pages 6 and 7. !f rm ciagram
accuratety represenis the building,provide a sketch a phota�aph.)
C3.Elevatior�-Zones A1-A30,AE,AH,A{with BF�,VE,Vi V30,V(u�th BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete ltems C3.-a-i bdow accading ta the bu�ding cfagam specified in Item C2.State the datum used.If the datum is ciffe�ent from the datum used for i�e BFE in
S�tion B,cormert the datum to that used fa the BFE.Shaw field rr�surements and dahan conv�ion cal�fation. Use ihe space provided or the Corrmenls area of
Section D or Section G,as appropriate,to docianent the datum cornr�s+on.
Datum NGVD 1929 Corrv�sior�Carmients t�UA .. t' ")i�,?�
��. ��.: ,�,y
Elevation reference mar�used N!A Does the elevation reference mark used appear on the FIRM? ❑Yes �No , " �• � :t�
ti ,,
o a)Top oi boi#om floor(ncfudng basernent or enc(osure) 18. 01 ft(m} � . � r �_
o b)Top�f next higher floor _. _ft.(m) � �;��� '��� � � �_�....,�
o c)Bottan of Iowest ha�ontal structural memb�(V zones only) N/A._ft.(m) N �c. Jnc ,�� �s –,
N -�
o c9G � ,..,,� : y.,. ., . i._�
� d�a��n�d��(�of��� ?. oo��m� �� ,� � ..t
o e)Low�est ele,ration of machinery and�or equipment w "`� { '"`� � � � ��
servicin the buildm Desaibe in a Canmenis ar� N!A. ft m � � � � @ �� �~ ��
.
9 9� ) — � ) � �t ..� � �� .>a
� � � ' �"�.�
o f�Lowest adjacent(finished)�ade(LAG) 6.4 ft(m) z� °� ' ., .n . �;=.�°'
o g)Highest ac��ent(finishe�c�-ade(HAG) 6. 8 ft(m) �� �a�t '�/2�Q3
o h)No.of permanent openings(flood venLs)v�fhin 1 ft.above ac��ent gade____ � ``'�t>:r, .
o )Tofal area of all permanent openings(flood venls)in C3.h_sq.in.(sq.cm)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERIIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
1 cerfify fhat the information in Secfions A;B, and C on this certificate represenfs my best efforts to infetpret the dafa available.
1 understand that any false stafemenf may be punishable by fine or imprisonment under 18 U.S,Code,Secfion 1001.
CERTIFIER'S NAME BRUCE A.KLEW LICENSE NUMBER PSM 5052
TITLE PRESlDENT COMPANY NAME KLEIN&STAUB SURVEYING,INC.
ADDRESS CIIY STATE ZIP CODE
8016 OLD COUNTY ROAD 54 NEW PORT RICHEY FL 34653
SIGNATURE DATE TELEPHONE
AUGUST 23,20Q3 (12�834-8140
IMPORTANT: In H�ese spaces,copy tl�e coResponding information from Section A For Insurance Compary�use �
BUIIDIfVG STREET ADDRESS(Including Apt.,Unfl,Suite,ancYa Blc� No.j OR P.0 ROIJfE AfJD BOX f�0. Poliry Numbc�
620 BAYWAY BdULEVARD
CITY STATE ZIPCODE Comparry NA1C PJumber
CLEARNlATER F� ���
SECTION D-SURVEYOR,ENGI�IEER,OR ARCH(TECT CERTiFICATiON(CONTINUED)
Copy both sides of this Eledation Certificate for(1)canmun�y offiaal,(2)insurance agent/canparry,and(3}buikiing owner.
COMMENTS
�YA
❑Check here if attachments
SECTtON E-BUILDING ELEVA710N INFORMATtON(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A NUITHOUT BFE)
For Zone AO and Zone A(without BF�,canplete Items E1 through E4. If the Elevation C�tificate is intended fa use as supporting information for a LOMA a LOMR-F,
Sectian C m�st be corrpleted
E1.Builcing Diac�-am N�rnber_(Select the builc�ng dia�am most�milar to the building for which this certificate is being corr�leted—see pages o and 7. If na c§agram accuratel�r
repre9ent�the bu�d�ng,prwide a sketch or photograph.)
E2.The bp af the bot�m floa(mclucing baserner�or endosure)of the builc3ng is _ft(m)_in.(an)�abwe or ❑below(chedc one)tlie highest adjacent c�ade. (Use
natural g�ade,ii avaii�le).
E3.For Buikling D�gams 6-8 rrith openings(see page 7),the ne�higher fl�r or elevated floor(el�ation b)of the building i� _f�(m)_in.(an}above the highest ad�acent
gade. Canplete it�C3.h and C3.i on front of fam.
E4.The top of the platf�orm of machinery ancYor equipment serv�ing the bu�dmg is _ft(m)_in.(an)❑above or ❑below(chedc one)the highest adjacent c,�ade. (Use
natural gade,rf avaii�le).
E5.For Zone AO oNy: If no flood depth nianber is availa6le,is the tc�p of the battan floor elevated in accordanrz with the canmundy's floac�lain manag�n�t orc6nance?
❑Yes ❑No ❑Unknown. The local afiaai must certify this infarnation in Section G.
SECTtON F-PROPERTY OWNER(QR OWNER'S REPRESENTATIVE)CERTIFICATION
The prope�iy own�or owner's autl�aQed reExe.sentative who canpietes Sections A,B,C Q�ms C3.h and C3.i only),and E fa Zone A(without a FEMA-issued a canmunity-
i�BFE�or Zone AO must sign h�e. The sfatemerds in Secfions A,8,C,aod E are corr�t to the best ofmy knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZFD REPRESENTATNE'S NAME
ADQRESS CITY STATE ZIP CODE
SIGt�IATURE DATE TEiFPHONE
COMMENTS
❑Check here if attachments
e SECTION G-COMMUNITY INFORMAl10N(OPTtONAL)
The local off��ial who is autha-�ed b;�!�w cx ordinance to acininister the canmunity's fl�lain management orc�nar�e can canplete Sections A,B,C(or E),and G of this Elevation
Ce�ii�ate. Com�lete U�e��ic�bfe i,�n(s�and sign below.
G1,�The informa�n in Section C�nas talcen irnm other doctmerrtation that has been signed and embossed by a licer�ed s�veyor,engineer,or ar�hitect who is aulhorQed by state
or!oca;law io cer�iy el�vacon ir.faT;ation. (Indicate the sour�e and date of the elevation data in the Canmenis area below.)
G2.�A community official c�ripleted S�iion E for a buikting la:ated in Zone A(vwfhout a FEMA-isstied or car�nunity-issued BF�or Zone A0:
G3.�The folio�qn�inforrratiar�(I±�G4-G9)is prwided for canmumiy floo�lain manage�nent purposes.
G4.PERMIT NUIviBEP, G5. DATE PERMIT ISSUED C�£i. DATE CERTIFICATE OF COMPLIANCE/OCCUPMJCY ISSUED
G7.Th�.s p�mit has been issued for:�New Corstruction ❑Subsiantial Im�xwement
G8.El�ration of as-buift lowest floor(induding basement)of t�e buildng�: _=it(m) Dahm:--
G9.BFE or(n Zone AO)d�th of floaing at the buiicing�te is: __tt(m) Dahan:_
LOCAL OFFICIAL'S NAME TITLE
COMh,�UNITY NAME TELEPHONE
SIGNATURE DATE
COMP,�ENTS
- - - -
_ __
�a.°�,4.y w'4Y
• FEDERAL EMERGENCY MANAGEMENT AGENCY
• NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
• ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7. �C��–�3'" d�'Q d /
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME �, � Policy Number
MOORINGS, LLC UNIT No. ( ��E�--'
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
620 BAYINAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lots 9&10,BLOCK"A" Bayway Subdivision No.5 P.B.38,PGS.38-39
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: 50URCE: ❑GPS(Type):_____
( ##°-##'-##.##" or ##.#t#�#°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.___.
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
I City of Clearwater 125096 I PINELLAS FLORIDA
64.INAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zcne A0,use depth of flooding)
125096-0007 G SEPTEMBER 03,2003 SEPTEMBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data 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(Descnbe):_
B12.Is the building locaied in a Coastal Bamer Resources System(CBRS)area or Othenvise Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction' �Finished Construction
'A new Elevation Certifcate will be required when construction of the building is complete.
C2.Building Diagram Number 7 (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.)
C3.Elevations–Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,AWAE,AWA1-A30,AWAH,AWAO
Complete Items C3.-a-i below according to the building diagram specifed in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of ,
Section D or Section G,as appropnate,to do;;ument the datum conversion. .
Datum NAVD 1988 Conversion/Comments N/A
Elevation reference mark used LP-15. EL.=4.191 Does the elevation reference mark used appear on the FIRM? ❑Yes �No
o a)Top of bottom floor(including basement or enclosure) 17.23 FT ft.(m) �
�,Y
o b)Top of next higher floor 27.5 FT ft.(m) �' ' ,
— � �' _ .
� � � ,�
o cj Bo<iom oi lowesi horzontal structural mem�er(V zones oniy) f��A FT P�.jmj o q� � � ���
o d)attached garage(top of block) 6.23 FT ft.(m) ��' ,� a '� �' ,
o e)Lowesf elevation of machinery andlor equipment w� � � � �' '
«. ,
servicing the building(ELEVATOR EQUIPMENT) 11.3 FT ft.(m) �� °`•� `
t_.
o fl Lowest adjacent(finished)grade(LAG) 5.8 FT ft.(m) z m l �>; ���
�
o g)Highest adjacent(fnished)grade(HAG) 5.9 FT ft.(m) � r, ���07/01/04�
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 �;` j �, ,
o i)Total area of all permanent openings(flood vents)in C3.h 1280 sq.in. "
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 fhat the informafion in Sections A,8, and C on fhis cerfificate represents my best efforts to inferpret fhe data available.
1 understand fhaf any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County Road 54 New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
.� . 07/01/04 (727)834�140
�
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. Forinsuran�Company use -
BUILDING STREET ADDRESS(In�uding Apt.,Unit,Suite,andlor Bldg No)OR P.0 ROUTE AND BOX N0 Policy Number
620 BAYWAY BOULEVARD
CIIY STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner
COMMENTS
NIA
❑ Check here if attachments
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certifcate is intended for use as supporling informafion 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 certifcate is being completed—see pages 6 and 7. If no diagram accuralely
represenis the building,provide a sketch or photograph.)
E2.The top of the bottom floor(including basement or enclosure)of the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjaceni grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjaceni
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)0 above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E5.For 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 o�cial must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authonzetl representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or communiry-
issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,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 authonzed by la.v or ordinance io administer[ne community s floodplain managemenl ordinance can complele S�;tions A,B,C(or E),and G of tnis Elevation
Certificate. Complete the applicable i!em(s)and sign below.
G1.�The iniormafion in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or archit�l who is authonzed by staie
or local law to certi�y elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.0 A community officiai comp!�ted Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.❑The following informatior,(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
I
G7.This permit has been issued for: �New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum:_
G9.BFE or(in Zone AO)depth of flooding al the building site is: _._ft.(m) Datum.
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces all previous editions