620 BAYWAY BLVD UNIT 2 � ,
FEDERALEMERGENCYMANAGEMENTAGENCY O.M.B. No. 3067-0077
lj C P NATIONAL FLOOD INSURANCE PROGRANI Expires December 31, 2005
��� ELEVATION CERTIFICATE
�oo� -����
Important: Read the instructions on pages 1-7.
SECTION A-PROPERIY OWPIER tNFORMAT{ON Fo�irisurar�ce Compary Use:
BUILDING OWNER'S NAME Policy Number
MOORINGS,LLC �• Z
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,andior Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
620 BAYWAY BOULEVARD.
C��. STATE ZIP CODE
CLEARWATER FL 33763
PROPERTY DESCRIPTION(Lot and Biock Numbers,Tax Parcel Number,Legal Description,etc.}
LOTS 9&10,BLOCK"A", "BAYSIDE SUBDIVISION NO.5° (P.B.38,PGS 38-39)
BUILDWG USE(e.g.,Residential,Non-residenfiai,Addfion,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATffUDE/LONGITUDE(OPTIONAL) HORIZONTAL QATUM: SOURCE: ❑GPS(Type):
t �°_��_�.�^ a #�}#.#�#� ❑NAD 1927 ❑ NAD 1983 ❑USGS Quad Map ❑Other:
SECTlON B-FLOOD iNSURANCE RATE MAP(FIRM)INFORMATION
g1.NFIP COMMUMTY NAN1E&COMMUNITY Nl�v1BER 82.COUNTY NAME B3.STATE
� CITY Or CL�WATER 12`.x796 PINELLAS FLORIDA
B4.N1AP/�ND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER 85.SUFFIX Bo.FIRM INDEX DATE EFFECTNE/RE�JISED DATE BS.FLOOD ZONE(S) (Zo�e AQ use d�th of floodng)
125096-0007 D AUG.19;1991 AUG.19,1991 AE EL. i 1
B10.Ind�cate the source of the Base Fiood Elevation(BFE)data a base flood depth ent�xed in 69.
❑FIS Profile �FIRM ❑Canmunity Det�mined ❑Other(Describe):
B11.tn�cate the elevation dahm used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe):_
612.Is the building located in a Co�fal 8amer ResourGes Systan(CBRS)area a Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION lNFORMATION(SURVEY REQUIRED)
C 1.BuikNng elevations are based on:❑Construction Drawings` �Bui�ing Unc�r Constructiai" ❑Finished Construction
`A new Elwaticn C�tificate wi�be required when construction of the buiiding is ccxnplete.
C2.Building D�c�am Nunber 7 (Select ihe bua�ing ciac,�am most sinilar to the buildng for which this c�tifica�is being canpieted-see pages 6 and 7. !f rro riagram
axurately repres�nts the building,prwide a sketch or pi�otogaph.)
C3.Ele✓ations–Zaies A1-A30,AE,AH,A(with BF�,VE,V1 V30,V(vath BFEj,AR,AR/A,ARIAE,ARfA1-1�.30,ARIAH,ARlAO
Compiete Itar�.s C3.-a-i bdow according to the buading ciagam specified in Item C2.State the datvm used.If the datum is cifferent from the datum us�d for the BFE in
Section B,cornr�t the datum to that used for t�e BFE.Shaw field measurements and dattrn cornterion cal�lation. Use tl�e space provid�i or tl�e Corrvnenls area of
Section D or Section G,as appropriate,to docUnent the datum conversion. � �
Dahxn NGVD 1929 Garrversion�Corrn�ents WA °
— �� -�-��
Elevation reference mark used �UA Does tl�e elevation referer�e mark used appear on the FIRM? ❑Yes �No ��+�,y �� ; �r,
o a)Top oi bo�om floor(nclucFng baserr�ent or enclosure) 18. 01 ft(m) � ���• "� ,
o b)Top of nad higher floa _. _ft.{m) � � �'� '�C' c� �*�` �
<, c}Bottan of lowest horeontal structural member(V zones ony) N/A._ft.(m) ��° '� �'�" e,r � -- 't,a
o c�Attached 9ara9e�toP of slab) 7. 00 ft(m) �� � '���' �
w m, ,;{ `;ar.. '� t ,y
o e)Lowest eievation of machinery and(or e�uipment � �, -+ °
senricing the buildmg(Desaibe in a Canmenfs area} N!A._ft(mj Z �� ��°� '�%�` � �'r r �
o f�Low�st adjacent(finished)c�ade(LAG) 6.4 it(m) c � `
�� a . K'�, ".
o g)Highest ac�acent(finished}gade(HAG) 6. 8 ft(m) � ,,, ^'� "10�?���'�.'"
u�� � �
o h)No.of permanent openings(flood venisj within 1 ft.abwe ac��ent c,�ade_ � ,,
o )Total area of all permanent openings(flood venis)in C3.h_sq.in-(sq.an) ' `
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERnFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I certify thaf the informafion in Sections A,B,and C on this ce+fificate represents my best efforts to interpret fhe data available.
!undersfand that any false sfatemenf may be punishable by fine or impnsonment under 18 U.S.Code.Secfion f 00].
CERTIFIER'S NAME BRUCE A.KLEIN UCENSE NUMBER PSM 5052
TITLE PRESIDENT COMPANY NAME KLFIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE Z{P CODE
8016 OLD COUNTY ROAD 54 NEIN PORT RICHEY FL 34653
SIGNATURE DATE TELEPHONE
_ AUGUST 23,2003 (T27)834-8140
IMPORTANT: In these spaces,copy t�e corresponding infortnation from Section A. Fo�ir��rai,ce com�ary use: �
BUIIDIIVG STREET ADDRESS(Including P,pt,Unit,Suite,and/or Bld�.No.j OR P.0 ROUTE AND BOX t�0 Polic,y Number
620 BAYWAY BOULEVARD
CITY STATE ZIP CODE Comparry�NAIC PJumber
CLFARVJATER FL 33763
SECnON D-SURVEYOR,ENGI�IEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate fa(1)corrmunity offiaal,(2)irsurance agent/ccmparry,and{3)buikiing owner.
COMMENTS
N�A
❑ Check her�if attachments
SECTION E-BUILDING ELEVATION INFORMA710N(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(IMTHOUT BFE)
For Zone AO and Za�e A(without BF�,canplete Items E1 through E4. If the Elevation Certificate is intended fa u�as supporting information fa a LOMA or LOMR-F,
Section C m�st be canpleted
E1.Builcing Diac�am NUnber_(Select the buil�ng diac�am most similar to the building for which this certificate is being corr�leted—see pages 6 and 7. If no c�agram aocuratefy
repres�nts the bu�ding,prwide a sketch or phota,�aph.)
E2.The bp of the bot�m floor(u�clucing basernerrt or endosure)of the buil�ng is _ft(m)_in.(an)�abwe or ❑below(chedc one)the highest adjacent�ade. (Use
natural gade,if avail�le).
E3.For Buikling Diagams 6-8 with openings(see page 7),the next higher floor or eleva�d floor(elevation b)of the building s _ft.(m)_in.{an)above the highest adjacent
�ade. Canplete it�C3.h and C3.i on front of fam.
E4.The iop of the platfam of machinery ancVor equipment serv�ing the bu�ding is _ft(m)_in.{an)�above or ❑below(chedc one)the highest adjacent grade. (Use
natural gade,if avail�le)-
E5.Fa Zone AO ordy: If no flood depth rnanber is available,s the top of the bottan floor elevated in accordance v,�th the canmunity's flaoc$�lain management orc�nance?
❑Yes ❑No ❑Unknown. The local offiaal must certiiy this inforrna6on in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorQed reExesentative who canpletes Sectior�A,B,C Qterns C3.h and C3.i only),and E for Zone A(witl�out a FEMA-issued or canmuni�-
issued BFE�or Zone AO must sign he�e. The statemerds in Secfions A,8.C,a7d E�e corr�fo the best ofmy knowledge.
PROPERTY 01NNER'S OR OWNER'S AUTHORIZFD REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMP�IENTS
_._ ❑ Check here if attachments
SECTION G-COMMUNITY INFORMAl10N(OPTIONAL)
The Ixal of�ti�al who;�autr,o�ed��law�or ordmanoe to acinin�ter the canmunity's flooc�lain management or�nance can canplete Sections A,B,C(or E},and G of this Elevation
Certific�te. Gomplete the applicable it�n(c)and sign below.
G1.❑The infamz'�n in 5ection C v�s taken from other cioc�rnentation that has been signed and ernbossed fry a licensed s�veyor,engineer,or ar�hiiect who is authoreed by state
or i��cal law to certif�r eleva5on inforrnation. (Ir�cate the source and date of the elevation data in the Canmenis ar�below.)
G2.�A cornrnuni�official carpleted�ection E for a bu�dmg located in Zone A(�afhout a FEMA-i�sued or corrnnunityissued BFE)or Zone A0.
G3.❑The falowving infom�tion;ItG�rr G4-G9)is pranded for carmunity flooc�lain manag�nertt purposes.
G4 PERMIT NUMBEP, G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPMJCY ISSUED
G7.TFus p�mit has been issued for:0 New Consfruction ❑Substantial Improvement
G8.El�ration of as-buift lowest floor(ir�duding basernent)of the builcing's: _._ft.(m) Daiun:_
G9.BFE or(n Zone AO}d�th of flood�ng at the builcing site is: __ft(m} Datum:_
L.00AL OFFICIAL'S NAME TITLE
COMh�IUNITY NAME TELEPHONE
SIGt�IATURE DATE
COMP,AENTS
���a���
FEDERAL EMERGENCY MANAGEMENT AGENCY
..� �i NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
¢rr�
�,ao3 - oao$7 Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use.
BUILDING OWNER'S NAME � Policy Number
MOORINGS, LLC UNIT No. Z �'��---�
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)Or P.O.ROUTE AND BOX NO. Company NAIC Number
620 BAYWAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33767
PROPER7Y DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legai 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. Usr a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUP�:': SOURCE: ❑GPS(Type):_____
( ##°-##'-##.##" or ##.#####°) ❑ NAD 1927 ❑NAD��)83 ❑ USGS Quad Map ❑Other._____
SECTION B-FLOOD INSURANCE�ATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NP;'.":E B3.STATE �
City of Clearwater 125096 PINELLAS FLORIDA
B4.MAP AND PANEL E! .FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX Bn.FIRM INDEX DATE EFFE�"!VrJ'KEVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of fl�ooding)
125096-0007 G SEPTEMBER 03,2003 Scr`��MBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flood Elevafion(BFE)data or base flood depth enter;�:�in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Descnbe):_
B11.Indicate the elevation datum used for the BFE in B9:❑NGVD 1929 �NAVD 1988 ❑Other(Describe):_
B12.Is the building located in a Coastal Bamer Resources System(CBRS)area or Othen��::se Protected Area(OPA)? ❑Yes �No Designation Date_
SECTION C-BUILDING ELEVATION i���FORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings` ❑Building Und�;�Construction' �Finished Construction
'A new Elevation Certificate will be required when construction of the building is comp�ete.
C2.Building Diagram Number 7 (Select the building diagram most similar io the buiiding for which this certincate is being completed-see pages 6 and 7. If no diagram
axurately 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,AR/A,AWAE,AR/A1-A30,AR/AH,AWAO
Complete It�ms C3.-a-i below according to the building diagram specified in Item C2.5tate the tlatum 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 cronversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropnate,to document the datum conversion.
Datum N,AVD 1988 ConversionlComments N/A
Elevation reference mark used LP-15, EL.=4.191 Does the elevation reference mari;used app�ar on the FIRM? ❑Yes �No �
o a)Top of bottom floor(including basement or enclosure) __ 17.23 FT ft.(m) � �
o b)Top of ne�higher floor ___27.5 FT ft.(m) � `�! •'.ti�,•
� ��
� o cj Bo�iom o�lowest horizontal slructural memo2r(V zones only) _ iJIA FT ft.(m) �� ` �'� t �
o� �a
o d)attached garage(top of block) 6.23 FT ft.(m) �� ° "'"
W N C, �
o e)Lowest elevation of machinery and/or equipment -�; -- - _
servicing the building(ELEVATOR EQUIPMENT) 11.3 FT ft.(m) �c �-} ^ ;. 5� r�
o fl Lowest adjacent(finished)grade(LAG) _ 5.8 FT ft.(m) z� +•' �
�
o g)Highest adjacent(fnished)grade(HAG) 5.9 FT fl.(m) � ,' 07/01/p4�
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 CERTIF�CATION
This certification is to be signed and sealed by a land surveyor,engineer,or arch!tect authorized by law to certify elevation information.
1 cerfify that the information in Sections A,8, and C on this cerfificate represents my besf efforts to interpret fhe data available.
I understand that any false statement may be pur�ishable by fine or imprisonment under 1 B 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
� 07101/04 (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. For�nsurance comaany use:
BUILDING STREET ADDRESS Qnduding Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE P,ND BOX N0. Policy Number
620 BAYWAY BOULEVARD
CITY STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certifcate for(1)community official,(2)insurance aqenUcompany,and(3)building owner.
COMMENTS
N/A
❑Check here if attachments
SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NC�T REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zone AO and Zone A(without BFE),comple(e Items E1 through E4. If the Elevation Certiiicate is intended for use as supporting information 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 w,uch tnis certificate is t�ing completed—see pages 6 and 7. If no diagram accurafely
represenis 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 or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6�with openings(see page 7),the next higher floor or elevated flo�r(elevation b)of the building is _ft.(m)_in.(cm)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 only: If no flood depth number is available,is the top of the bottom floor elev 3ted in accordance with the communiry's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Sectior:G.
SECTtON F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owne�'s authonzed representative who completes Sections A,B;C(l;ems C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are cor�ecf to the besf 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 lo�al o�icial w�ho is authom_ed by law or ordinance to adminisler tne community s floodplain managemenf ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the applicable item(s)and sign below.
G1.0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor;engineer,or archilecf who is authorized by state
or local la+n�to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A communiiy official a,mpleted Section E for a building located in Zone A(without a FFMA-issued or community-issued BFE)or Zone A0
G3.❑The following informatior jltems G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMB�R G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued for. �New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest Floor(induding basement)of the building is: _._ft.(m) Datum:
G9.BFE or(in Zone AO)depth of flooding at 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 Repiaces all previous editions