620 BAYWAY BLVD UNIT 3 FEDERALEMERGENCY MANAGEMENT AGENCY
' � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-007;
,�C�� � ELEVATION CERTIFICATE Expires December 31, �a5
, ,e� �,��
�/ Important. Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATiON
BUILDING OWNER'S NAME ForinsuranceComparryU;e
MOORINGS, LLC U�j �.T � Policy Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O_ROUTE AND BQX NO.
620 BAYWAY BOULEVARD. Company NAIC Number
CITY
CLEARWATER STATE ZIP CODE
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 33763
LOTS 9&10,BLOCK"A", "BAYSIDE SUBDIVISION N0.3' (P.B.38,pGS 38-39)
BUILDING USE{e.g.,Residential,Non-residen6al,Addition,Accessory�etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATffUDE/LONGfTUDE(OPTIONAL) HORIZONTAL DATUM:
t ��-�'-�� °f �.�� ❑NAD 1927 ❑NAD 1983 SOURCE: ❑GPS(Type):_—
❑USGS Quad Map ❑Other:
SECiION B-FLOOD INSURANCE RqTE MAP(FIRM)INFORMATION
Bt.NFIP COMMUN�TY NAtv1E&COMMUfJITY NUMBER
CiTY OF CLF�IRWATER 125t?96 B2.COUNTY NAME 63.STATE
PINELLAS FLORIDA
B4.(v1APAND PANEL
NUMBER B7.FIRM PANEL B9.BASE FL000 ELEVATIqV(S)
B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREV�SED DATE 98.FLOOD ZGNE S
�2�-�� � AUG.19,1991 ( ) (Zone A0,use depth of flooding)
AUG.19,1991 AE EL. i 1
B i 0.Inckate the sour�e of the Base Flood Elc�ration(BF��}�a�ry���t��in B9.
❑FIS Profile �FlRM ❑Canmunity Det�mined
311.Ind�cate the elc�,ration dahm used for the BFE in B9:�NGVD 1929 ���������
B 12.Is the building located in a Coaslal$amef Resources S ❑��1988 ❑Ot��(D�ibe):_
ystan(CBRS)area a pthe�ise protected qre��OPA)? ❑Yes �No Designation Date____
SECTlON C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED}
C1.Buik6ng elevations are based on:[]Construction Drawings"` �Bui�ing Under Conshvdion*
*A new Eiwation Certificate wip be�uired when catstruction of the buildin �s c ❑Finished Construction
C2.Buikiin D� 9 anplete.
g c�am N�rnber 7 (Select fhe bul�ng ciac�am most senilar to the builc�ng for which this certi���;�ing�Qt�_�,��6 and 7. !f no ciagram
accuratefy represen}s the building,pro,nde a ske(�h a photoc�aph.)
C3.ElevaSons-Zones A1-A30,AE,AH,A(with BFE),VE,Vt-V30,V(with BFE),AR ARIA,ARIAE,AWA1-A30,AR/AH,ARlAO
Complete ft�ns C3.-a-i below according to the bu�ding cfagam specifiec{in Item C2.State the datum used.If the datum is ddFerent from the datum used fa ihe BFE in
Section B,convert the daium to tl�at used for the gFE.Show field rneasurernents and datUr7 cornr�rsion cal�lation. tke the space�i���e��enis area of
Section D or Section G,as apprqxiate,to doc�ar�ent the datum conv�sion
Datum NGVD 1929 CornrersioNCarunents ryA
Elevation reference mark used NIA Dces tt�e eievation referer�e mark used appear on the FIRM? ❑Y� ,
� ._.
o a)Top of bo�om floor(ncluc3ng basernent or encbsure) T8. 01 ft m �No _ i. i '.;� .;��c �
o b)Top of next high�floor _ � ) � �✓ , ." , , �
o c)Bottan of low�st hor¢ontal structural member(V zones on —� —ft(m) �n �
o Attached � N) WA._ft.(m) �� ,. 4:� ."'�" C� c,,. • ,
� 9�9e(�P of siab � "`�-=-
7. OOft(m) �o;: � ."�� °a ^., c�
o e)Lowest elevation of machinery andlor equipment
w �'� -''r' u� z` • � .
servicing the buildmg(Desaibe in a Canmenis ar�) N/A. ft m � �' "T� ° �::��
o Lowest -- � ) .�.'V,. � � ��
� adjacent(finished)gade(Lq�� 6.4 R(m) _ _ '
o g)Highest ar�acent(finished)9rade(Hq�) ��°-' °�����? �� �`���`'r `�
o h No.of � �� 6. 8 it(m) �`� _�." .• ����
) permanent ni flood venls)wifhin 1 ft.abwe ac�acent gade_ � ` ;`' ",�py���,!�
o )Total area of all p�rmanent openings(flood venis)in C3.h_sq.in.(sq.cm) �' * `
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATfON
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
l cerfily that the information in Secfions A,B,and C on this cerlificate represents my best efforts to inferpret the data available.
I understand that any false sfafemenf may be punishable by fine or imprisonment under 18 U,S.Code,Section 10Q 1.
CERTIFIER'S NAME BRUCEA.KLFIN
LICENSE NUMBER PSM 5052
TITLE PRESIDENT
COMPANY NqME KLEIN&STAUB SURVEYING,INC.
ADDRESS
8016 OLD COUNTY ROAD 54 ��N STATE ZIP CODE
SIGNATURE NEW PORT RICHEY FL ��
DATE TELEPHONE —
- AUGUST 23,2003 (127)834-8140
IMPORTANL• ���e spaces,copy fhe corcesponding information from Section A For ir�urai,ce com;�-y use �
BUIII;ItVG STRF�ADDRESS(Including l�ot.:Und,5uite,ancUor BId3.No.j OR P.O.ROUTE AND BOX(JO Policy Number � ,
620 BAlM.;Y BOULEVARD
CITY STATE ZIP CODE Comparry PJAIC Number`
CLEARVJAT�l FL 33763
SECTION D-SURVEYOR,ENGI�IEER,OR ARCHITECT CERTtFICATiON(CONTINUED)
Copy bc�sides of this Elevation Certificate for(1)cornmun�y official,(2)insurance agent/comparry,and(3)buikiing owner.
COMP�ENTS
N�A
❑ Check her�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),canplete Iterr�s E1 through E4. If the Elevation C�tificate is intended fa u�as supporting infamation fa a LOMA a LOMR-F,
Section C m�st be canpieted
E1.Suildng Diac�am NUnber_(Select the builc�ng diac,.gam most similar to the building for which this certiFicate is being corr�{eted—see pages 6 and 7. If no c�ac,�am accuratety
reExe9en�the bu�dng,pravide a sketch or photograph.)
E2.The top of the bot�rn floor(nciudng basernerrt or endosure)of t�e buiic�ng is _ft.(m)_in.(an)�ai�✓e or ❑below(chedc one}the highest adjacent�ade. (Use
natural gade,if avai{�le).
E3.For BuikGng D�gams 6-8 with openings(see page 7),the next higher floor or elevated floor{elevation b}of the building s _ft(m)_in.(an)abwe the highest adjacent
�ade. Canplete iterr�C3.h and C3.i on iront of fam.
E4.The top of the pla�am of machinery and�or equipment s�vicing the bu�ding is _ft(m)�in.(an)�above or ❑below(chedc one}the highest adjacent c�ade. (Use
natural gade,if avail�le)-
E5.For Zone AO onfy: If no flood depth rnanber is available,is the top of the bottan floor ele�rated in accorcf�nce witl�the canmuniiy's flaoc�lain managem�t orc5nance?
❑Yes ❑No ❑Unknowm. The local o�iaa!must certify this infamation in Section G.
SECTtON F-PROPERTY OWNER(OR OWNER'S REPRESENTAIIVE)CERTIFICATION
The properiy owner or owner's autha�ed representative who canpietes Sectior�A,B,C{iterr�s C3.h and C3.i only),and E fa Zone A(wittiout a FEMA-issued a canmunity-
issued BFE)or Z�e AO musf sign h�e. The stafemer�s in SecGbns A.B,C,and E�e corre�fo fhe besf ofmy knowledge,
PROPERTY OUVNER'S OR OWNER'S AUTHORIZFD REPRESENTATNE'S NAME
,�DQRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COF�IP�ENTS
❑Check her�if aftachments
� SECTION G-COMMUNITY INFORMATtON(OPTIONAL)
The icxal off�;�l who��auttsu�Qed�•;iaw•x ordinanoe to adninister the canmunity's flooc�lain manag�nent ordnance can r,anplete Sections A,B,C(or E},and G of this Elevation
Certii�te. Compiete the Foahcable iiern(s)an�i sign below.
G1.❑Th��nfam�.��n in Section C��as�2ken fran other doarner�tation that has been signed and embossed by a licersed surveyor,engineer,or ar�hiiect who is authorQed by state
or loc�l lawto cerc��elevauan ini�mation. (Indicate the source and date of the el�ation data in the Canmen�s ar�below.}
G2.❑A c�mn iunily offiaal c:xr�plete�Section E for a builc�ng located in Zone A(without a FEMA-issued or corrnnunity-issued BF�a Zone A0.
G3.�The f�ov�ing inf�tion!!t�rns G4-G9)is provided for carrnunity floa�lain managernent pu�poses.
G4.PERMIT NUMBER ! G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEJOCCUP/UMJCY ISSUED
G7_Ttus p�mit has been issued for:�New Cor�truction ❑Substantial Improvem�t
G8.Ei�ration of�-built lowest floor(induding�t)of tlie builcing s: _._ft(m) Datun:_
G9.BFE or{n Zone AO)depth�f floaing at the buiic3ng site is: _._ft(m) Dahan:_
LOCAL OFFICIAL'S NAME TITLE
GOMPAUNITY t�IAME TELEPHONE
SIGNATURE DA�E
COMMEI�fTS
_ _ 6 �-� Q,�Y�✓'QY
' �� %� ���� �.�DERAL EMERGENCY MANAGEMENT AGENCY
� � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
� '� •" Expires December 31, 2005
���� �� � ELEVATION C�RTIFICATE
G�"�� Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION ForinsuranceCompany Use:
BUILDING OWNER'S NAME R Policy Number
MOORINGS, LLC UNIT No. �j �'�{�--�-�
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
620 BAYWAY 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 DATUR'�: SOURCE: ❑GPS(Type): _ _
( ##°-##'-##.##" or ##.�#k°) ❑ NAD 1927 ❑NAD!;83 ❑ USGS Quad Map ❑Other__.
SECTION B-FLOOD INSURANCE?ATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NA!:"E B3.STATE
City of Clearwater 125096 PINELLAS FLORIDA
64.MAP AND PANEL B .FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFEC�N�EVISED DATE B8.FLOOD ZONE{S) (Zone A0,use depth of Booding)
125096-0007 G SEPTEMBER 03,2003 SE�-_MBER 03,2003 AE EL.11.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth enterc.i in B9.
❑FIS Profile �FIRM ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in B9:0 NGVD 1929 �NAVD 1988 ❑Other(Describe):_
B12.Is the building located in a Coastal Barner Resources System(CBRS)area or Othen,vse Protected Area(OPA)? ❑Yes �No Designation Date
SECTION C-BUILDING ELEVATION I�t=ORMATiON(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings" ❑Building Under Construction' �Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 7 (Select the building diagram most similar to the buiiding for which this certi6cate 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,AR/A1-A30,AWAH,AWAO
Complete Items C3.-a-i below according to the building diagram specified 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 feld 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 NIA
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) � �ti x= •
o b)Top of next higher floor _ 27.5 FT ft.(m) �' �� �
n , r
a: c� ,: �,,I ,�> '.:
o c)Bottom of lowest horzontal siructural member(V zones only) hd�A FT fl.(m) o p� � � �
o d)attached garage(top of block) _6.23 FT ft.(m) �� `� '"
o e)Lowest elevation of machinery and/or equipment w� � � �-
�, � . .
servicing the building(ELEVATOR EQUIPMENT) 11.3 FT ft.(m) �� ' , � �
o �Lowest adjacent(finished)grade(LAG) _ 5.8 FT ft.(m) z.m � °`'• `"' E��
�,�n •"�l
o g)Highest adjacent(finished)grade(HAG) _ 5.9 FT ft.(m) � ,�., . 07/01/04 „
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 14 � � ' �
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 archiiect authorized by law to certify elevation information.
I certify that fhe informafion in Sections A,B,and C on this certificate represents my besf efforfs to interpret fhe data available.
I understand that any false sfatement 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 Roa 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. Fo�insurance Company Use:
BUILDING STREET ADDRESS(Induding Apt.,Unrt,Suite,andlor Bldg.No.)OR P.O.ROUTE AND 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 aoenUcompany 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)
ror Zone AO and Zone A(without BFE);complete Items E1 through E4 If the Elevation Certi icate is intended for use as supporting 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 wnich this certifcate is being compleietl—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 enclosure)of the building is _ft.(m)__in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
naturai grade,if available).
E3 For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevaled flc�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(che:;k one)the highest adjacent arade. (Use
natural grade,if available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor ele�ated in accordance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local off cial must certify this information in Sectio;!G.
SECTION F-PROPERTY OWNER(OR OWNEfr'S REPRESENTATIVE)CERTIFICATION
The property owner or owne�s authonzed representative who completes Sections A,B;C(Items 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 Se�tions A;8,C,and E are corTect fo the best ofmy 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 offcial wno is authonzed by I�w�or ordinance to adminisfer the community's floodplain managemeni ordinance can complete Sections A,B,C(or E),and G of this Elevation
Cerfificaie. Complet�the appiicable item(s)and sign below.
G1 �The informaiion in cection C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or archite;;t who is authonzed by state
or local law to certify elevation information. (Indicate the source and date of the elevalion data in the Comments area below.)
G2.❑A cornmunity official compl2ted Section E for a building locaied in Zone A(without a FEMA-issued or community-issued Br=E)or Zone A0.
G3.❑The following informatio��(Items G4-G9)is provided for community floodplain management purposes.
� G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED �
G7.This�rmit has been issued for: �New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(inciuding 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 altachments
FEMA Form 81-31,January 2003 Replaces all previous editions