674 BAYWAY BLVD FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
. , .
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SECTION A-PROPERTY OWNER INFORMATION Forinsurance Canpany Use:
BUILDING OWNER'S NAME Policy Number
ROGERS BEACH DEVELOPMENT, INC UNIT No. 1
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROIJTE AND BOX NO. Company NAIC Number
674 BAYWAY BOULEVARD
STATE ZIP CODE
C�TM FLORIDA 33�67
CLEARWATER {
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) �
Lot 1,MOORINGS TOWNHOMES II P.6.126,PGS.7&79
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,rf necessary.) _
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): O��
� �o_��_��� o� ��°� ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 62.COUNTY NAME 63.STATE
City of Clearwater 125096 PiNEU1+s FLORIDA
B4.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVFJREVISED DATE 68.FLOOD ZONE(S) (Zone A0,use depth of floodmg)
12�_0007 D AUGUST19,1991 JULY2,1992 AE EL11.0
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.Indicaie the eleva6on 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 Otherwise Protected Area(OPA)? ❑Yes �No Designation Date_
• SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:�Construction Drawings' ❑Buildng Under Construction` �Finished Construction
`A new Elevation Certificate will be required when construction of the buildng is complete.
C2.Building Diagram Number 7 (Select the building diagram most similar to the building for which this cert�cate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or phoiograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AWA,ARIAE,ARIA1-A30,ARIAH,ARIAO
Complete Items C3.-a-i below accor�ing to the building diagram speci6ed 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.Shrnv field measurements and datum conversion calculaUon. Use the space provided or the Comments area of
Section D or Secfion G,as appropriate,to document the datum conversion.
Datum NAVD 1929 ConversionlComments NIA �
Elevation reference mark used LP-15, EL.=4.981 Does the el�vation reference marlc used appear on the FIRNi? ❑Yes �No �" ;�, � � , :,
o a)Top of bottom floor(induding basement or endosure) 6.83 . FT ft.(m) �
o b)Top of next higher floor 16.3 . FT ft.(m) � �;`( - ;,,,�
o c)Bottom of lowest honzontal structural member(V zones only) NIA . FT ft.(m) o oy: I. v- �.
o d)att�hed garage(top of block) 6.83 . FT ft.(m) W� -
o e)Lowest elevation of machinery and/or equipment '• �
a� �
serviang the building(ELEVATOR EQUIPMENT) 11.3 . FT ft.(m) ��,;, . �
o �Lowest adjacent(finished)grade(LAG) 6.6 . FT ft.(m) z �'- '!�
�� �•r �� :�2��9��4-,
0 9)Highest adjacent(finished)grade(HAG) 6.7 . Ff ft.(m) U . �., ;.�,'` ���.,
o h)No.of permanent openings(flood vents)within 1 ft.above adacent grade 14 � +4 �'
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.
1 certify fhaf the informafion in Secfions A,B,and C on fhis certificate represenfs my besf efforfs to interpret the data available.
. 1 understand fhat any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
CERTIFlER'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 Ro ! New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
f i `�. . nmm�ne l7�71RQARIAl1 ;
--�-=,- ,_ . _
IMPORTANT: In these spaces,copy the corresponding information from Section A.
BUILDING STREET ADDRESS(Induding Apt,Unfl,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX N0. For Insurance Company Use:
674 BAYWAY BOULEVARD UNIT No.1 PolicyNumber
CIIY
CLEARWATER STATE ZIP CODE Company NAIC Number
FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � �
Copy both sides of this Elevation Cerfific�te for(1)community official,(2)insurance agent/company,and(3)building owner. •
� COMMENTS
! AIC UNITS ON THE TOP OF THE ROOF �
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE�C(THOUTrBFE)��ments
For Zone AO and Zone A(without BFE),complete Items E 1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(Seiect the building diagram most similar to the building for which this certificate is being completed–see pages 6 and 7. If no diagram accurately
represenis the building,provide a sketch or phofograph.)
E2.The top of the bottom floor(indudng basement or endosure)of the building is _ft.(m)_in.(cm)0 above or ❑be�rnn�(check one)the highest adacent grade. (Use
naturai grade,if available).
E3.For Building Diagrams 6-g with openings(see page 7),the next higher floor or elevated floor(elevaGon 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�dior equipment serviang the building is _ft.(m)_in.(cm)[]above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottan floor elevated in accordance with ihe communitys floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Sechons A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or oommunity-
issued BFE)or Zone AO must sign here. The statemenfs in Secfrons A,8,C,and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTAT�VE'S NAME
ADDRESS CITY •
STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
COMMENTS
SECTION G-COMMUNITY INFORMATION(OPTIONAL) �Check here if attachments
The local official who is authorized by law nr ordinance to administer fhe community s floodplain management 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 w2s taken from other documenta6on that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state
or local I�v to cert�fy elevation information. (Indicate the sourCe and date of the elevation data in the Comments area below.)
G2.0 A c�mmi mity o�iCal com�Veted S�tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.0 The following information(Items C4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMB�S2 I G5. DATE PERMfi ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permif has been issued for:0 New Construction ❑Substantial Improvement
G8.Eleva6on of as-built lowest floor(induding basement)of the building is:
G9.BFE or(in Zone AO)depth of flooding at the building site is: —'—ft'�m� Datum:_
—•—ft;�� Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME I }
TELEPHONE ''
SIGNATURE �
DATE (
COMMENTS �
� �
! G{1'Y CF CLEARWqT S �
FEMA Form 81-31,January 2003 ❑Check here ifattachments
Replaces all previous editions
FEDERAL EMERGENCY M�NAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL F1.00D INSURANCE PROGRAM Expires December 31, 2005
' ' ELEVATION CERTIFICATE
� . ,
� a�3 _ �a�� I�1�IC�111� ��)�If�Cf�GCIO�S 0���S 1 �,
SECTION A•PROPERTY OWNER INFORMATION Fa����:
BUILDING OWNER'S NAME Pd�cy Nunbe� i
ROGERS BEACH DEVELOPMENT, INC UNIT No. 1
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Comparry NAIC Number
674 BAYWAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA �767
PROPERTY DESCRIPTION(Lot and Blodc Numt�ers,Tax Parcel Number,Legai Desaiption,etc.)
Lot 1,MOORINGS TOWNHOMES II P.6.126,PGS.78-79
BUILDING USE(e.g.,Residential,Non-resider�tial,Addition,Aocessory,etc. Use a CommeMs area,'rf necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):
� �-#�-##.�ar o� �.#�°> ❑►vao�s2� ❑r�a,��ses ❑USGS Quad Map ❑o�,�:
SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMIUNt1Y NAA�&COMvIUNITY NUN�R 62.COUNTY NANE B3.STATE
City of Clearwater 125Q96 P�S ��
84.MAP AND PAI�i. J� 67.FIRM PANEL B9.BASE FLOOD ELE1/ATION(S)
NInV�ER 65.SUFFDC B6.FIRM 9JDEX DATE EFFEC n�TN�E��DATE BB.FLOOD ZONE(S) Qone A0.use d2plh o(Aood'n9)
125Q96-0007 D AUGUST-3�•J,-4991� _-=•-. --- AE EL11A
610.Ind�cate the source of the Base Fbod Elevation(BF�d�a a base flood depth entered in 69.
p Fis�� �Fiw� ❑co�,n�y oeter��d ❑o�,er(o�n�):
�11.ind'�cate the elevation datum used for the BFE in 89:�NGVD 1929 ❑NAVD 1986 ❑Other(Desaibe).
'i G is ute bunang wc�ea in a i.�ia oaTi'ei n�au�i�i,w�r�a���W)a�"�r�o a�eoaa l t 1 Pq)?> �y� �No D e s i g na�ion D2ae
�' SECTION C-BUILDIMG ELEVATION INFORMATION(SURVEY REQUIRED)
c1.BuBdng elevatiais ae based on:O ca�tia►Drawirx,�s• ❑a�dng under c«sauctia,• �Fmished Ca�stru��on
'A new Elev�iai C�tificate witl be required wh�consUuction d the buildng is compleie.
C2.Buildng Diagr�n Number 7 (Select the buil�ng diagr�n most simi1ar to the build'mg for which this cerfificate is being c�rr�pleted-see pages 6 and 7. If no dagram
accur�ely represents tlie bui�ing,provide a sk�tch or photograph.)
C3.Elevations-Zones A1-A30,AE,AH,A(wifh BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARlAO
Canplete flems C3:a-+below accading to the buil�ng�iagram speafied�n ft�n C2 State the datum used.Pf the datum is drfferent irom the datum used fa the BFE in
Section B,convert the datum to that used fa the BFE.Show field measurerr�ents and datum conversion c�CUlafion. Use the space provi�d a the Commenis area of
Sectia�D or Section G,as appropriate,to document the datum conversion.
Datum NAVD 1929 ConversionlCanments WA
Elevation refererxe maric used LP-15, EL=4.981 Does the elevaGon reference mark used appear on the FIRM? ❑Yes �No _
o a)Top of bottan floor(indudng basement a endosure) 6.83 . FT ft.(m) �
�
o b)Top d next higher floor 16.3 . FT ft.(m) � �,,_
o c)Bottom of lowest hwizontal structural member(V zones only) N/A . FT ft.(m) o o ...
o d)attached garage(top of blodc) 6.83 . FT ft.(m) W'� :
o e)Lowest elevaation af mac:hinery and/or equipment -m � _
servicing the build�ng(ELEVATOR EQUIPMEN� 11.3 _ FT ft.(m) E W
o �Lawest a d Jacent(finist�ed)grade(L AG) 6.6 . FT ft.(m) z y .
o g)Hi g h e st a�acent(fin i s h e d)grade(HAG) 6.7 . FT ft.(m) � 12/09/04
o h)No.of perrnanent openings(flood vents)witftin 1 ft.above ad'�ent grade 14 � �' ,
o i)Total area of all permanent openings(flood�nts)in C3.h 1280 sq.in.
SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to cerfrfy elevation information,
�certify fhaf the information in Sections A,B,and C on fhis certificate represents my best e/forts to interpret fhe data availeble.
nderstand fhat any false statement may be punrshable by fine or imprisonment under 18 U,S.Code,Section 1001.
CERTIFIEaS NAME �CENSE NUMBER
BRUCE A.KLEIN PLS 5052
J�� COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CIN STATE ZIP CODE
8016 Old County � New Pat Richey R 34653
;
SIGNATURE DATE TELEPHONE
- • _- _ ;1 . . _ � __ _ _ __ _ _ __ _- -- - - _ _
. ��ar,�.
'� ,��,, � C ITY OF C LEARWATER
� �
� =- O DEVELOPMENT & NEIGHBORHOOD SERVICES DEPARTMENT
91p � � POST OFFICE BOX 1474H� CLFARWATER� F�o�Dn 33758-4748
��E ` MUNICIPAL$ERVICES BUILDING, 100 Sou�Mxx�AvErruE,CLEARWATER,FLO�uDn 33756
TE�rxorrE(72� 562-4567 Fnx(72�562-4576
MEMO OF REVIEW FOR CORRECTNESS S COMPLETION
In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shall be attached to all elevation certificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Communiry Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Ai. BUILDING OWNER'S NAME Poliey Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. ' COmparly NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCR�PTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:0 GPS(Type):
(##°-##'-##.##" or ##.#Jk###°) ❑NAD 1927 ❑ NAD 1983 ❑USGS Quad Map�Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME 63.STATE
64.MAP AND PANEL 87.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding)
8-18-1992 8-19-91
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
612. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ❑No Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REf1UIRED)
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 (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,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
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 field measurements and datum conversion calculation. Use the space provided or the Comments
area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1 ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm)
Comments:
Date of Review: Community OfficiaL
� (evation certificates shall be maintained by the crommunity and copies with the attached memo made availab/e by request
•
Fww[c H►R�xn,MAYOR
GEORGE N.CRE'1'EKOS,Cour�c�u���Ex Jo��N Doww,COUNCILMEMBER
Pnu�F.G�asoN,COUNCILMEMBER � CARLEN A.PE1'ERSEN,COUNCIIIv1EMBER
��EQUAL EMNLOYMENT AND AFFIWNATIVE ACTION EMPLOYER��
—, -.-?- �-- _ . __ _ � -�._. _,...
—.,,,m-�_ _ �-_ _ _._ _,�..,s-
.1
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONALFL00DINSURANCEPR0�R,4M O.M.B. No. 3067-0077
" Expires December 31, 2005
ELEVATION CERTIFfCATE
', m '
�C�t �03 .. �a�3� IIIIpQ�U�I� ��ad t��i�S��uG�io�s o�pag�5�"I� '��+ o�- '�1 crrr�.'�`
� SECTION A-PROPERTY OWNER INFORNlATION Forinsurance Company Use:
BUILDING OWNER'S NAME Policy Number
ROGERS BEACH DEVELOPMENT, INC UNIT No. 1
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
674 BAYWAY BOULEVARD _
C��. ; STATE ZIP CODE
f GLEARWATER FLORIDA 33767
� PP.OPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1,MOORINGS TOWNHOMES II P.B.126,PGS.7&79 __ __�__`___` `_
�BUILDING USE(e.g.,Residentiai,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):_� _
( ,n°-�'-##.�" or ##.##�'°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other...___.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUN7Y NAME B3.STATE �
� City of Ciearwater 125096 PINELtAS ! FLORIDA
BQ.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUNIBER 65.SUFFIX IRM INDEX DATE E �I1V�f2 VI E NE(S) (Zone A ing)
125096-0007 D AU�UST 19,1991 JULY 2,1992 AE EL11.0
B10.Indcate the source of the Base Flood Eleva6on(BFE) a depth enter .
❑FIS Profile �FIRM ❑Communiiy Determined ❑Other(Describe):
� Indcate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Othe�(Describe):
ls the building located in a Coastal Bartier Resources System(CBRS)area or Othervvise Protected Area(OPA}? ❑Yes �No Designation Date�
SECTION C-BUILDING ELEVATION INFORMA710N(SURVEY REQUIRED)
C1.Building elevations are based on:�Conswction Drawings' ❑Buil�ing Under ConsWc�on` �Fnished Construction
*A new Elevation Certificate will be required when constn�ction of the buildng is compiete.
C2.Building Diagram NumM�r 7 (Select the building diagram most similar to the building for which this certficale is being compleied-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,AR/A,ARIAE,AR/A1-A30,ARIAH,P,RlAO '
� Complete Items C3:a-i bslow according to the building diagram specmed in Item C2.Stale the datum used.If the dalum is different from the datum used for the BFE in
Secuon B,conver the datum to that usetl for the BFE.Show field measurements and datum conversion calculation. Use the space provitled or lhe Comments area oi
SecUon D or Secfion G,2s appropnate,to document the datum conversion.
Datum NAVD 1929 ConversionfComments N/A
Elevaiion referencz marlc used 1P-15. EL.=4.981 D�.,s the elevaiion reserence mart;used appear on the FIR�? ❑Yes []No
o a)Top of botlom floor(induding basement or endosure) 6.83 . Ff ft.(m) � , � �
o b)Top of next higherfloa 16.3 . FT ft.(m) `� '
c�i a��:' . � .i
o c)Boitom of lowesi horizontal swctural member(V zones only) N!A . FT ft.(m) �.°,. (
o d)attached garage(top of block) 6.83 . FT ft.(m) E� _
o e)Lowest elevation of machinery andlor equipment �j �
servicing the building(ELEVATOR EQUIPMEN� 11.3 . FT ft.(m) �;� ?j-� 'i
o fl Lowesi adjacent(finished)grade(lAG) 6.6 . FT ft.(m) z'�> . ;
�
o g)Highest adjacent(finished)grade(HAG) 6.7 . Fi ft.(m) � ''= 12/09/04
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 suroeyor,engineer,or architect authorized by►aw to certify elevation information.
cerfify that the information in Secfions A,8,and C on this certificate represents my besf efforts fo interpret fhe data available.
nderstand that any false statement may be punrshable by fine orimprisonment under 18 U.S. Code,Section J00?, _ �
ERTIFIER'S NAME LICENSE NUMBER
BRUCE A.KLEW PLS 5052
TITLE COMPANY NAME � -i.V _—
PRESIDENT 14.EIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE � � ZIP CODE ��
8016 Old County Ro�4 New Port Richey FL u 34653_ �
SIGNATURE ; "� `� ' DATE TELEPHONE
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•
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
ELEVATION CERTIFICATE
�'�C`P 2��03 _ �ac�€3�S III IpQ���� 114ti�u II►�I I�I U�W01IS 01I pUgl►���I�
SECTION A-PROPERTY OWNER INFORMATION Fa i����y�:
BUILDING OWNER'S NAME Policy Number
ROGERS BEACH DEVELOPMENT, INC UNIT No. 1
BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,arxl/or Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAtC Number
674 BAYWAY BOULEVARD
CITY STATE ZIP CODE
CLEARWATER FLORIDA 33�67
PROPERN DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1,MOORINGS TOWNHOMES II P.B.126,PGS.7&79
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-#t#'-##.##" or ##.�) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNffY NAME 8 COMMUNIN NUMBER 62.COUNTY NAME 63.STATE
City of Clearwater 125096 PiNEw+s FLORIDA
B4,MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFUC B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B6.FLOOD ZONE(S) (Zaie A0,use deptti of floodirg)
125096-0007 D AUGUST 19,1991 JULY2,1992 AE EL11.0
B10,Indicate the source of ihe Base Flood EJevation(BFE)data or base flood depth entered in 69.
❑FIS Profile �FIRM �Community Determined ❑Other(Describe):
611.Indicate the elevation datum used for the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_
612 Is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Proteded Area(OPA)? ❑Yes �No Designation Date_
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building eleva6ons are based on,0 Construction Drawings"` ❑Building Under Construc�on' �Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 7 (Select the buildng diagram most similar to the building for which this certficate 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,AR/A,ARIAE,AR/A1-A30,AR/AH,ARIAO
Complete Items C3:a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is dfferent 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 appropriaie,to document the datum conversion.
-� � Y�;:Y...
Datum NAVD 1929 ConversionlCanments N/A `�;���t!.
Elevation referenoe mark used LP-15. EL.=4.981 Does the elevation reference mark used appear on the FIRM? ❑Yes �No�� e;� �,�;�, ; .
o a)Top of boriom floor(induding basement or enclosure) 6.83 , FT ft.(m) � °�,. .a*'"�� L��'��'
�, �`r;'��' +�'� l�+ .
o b)Top of next higher floor 16.3 . FT ft.(m) •�� � � °
o c)Boflom of lowest horizontal structural member(V zones only) NIA . FT ft.(m) y��„ :q,� ws ��ri I YI �µ�°'
o d)attached garage(top of block) 6.83 , FT ft.(m) ,�� a �,. ��; - .,•'
o e)Lowest elevation of machinery and/or equipment `t'� ''-* r �
serviang the building(ELEVATOR EQUIPMEN� 11.3 . FT ft.(m) � �� �► �� .�
o fl Lowest adjacent(finished)grade(LAG) 6.6 . FT ft.(m) ��, w��Y E ;��;' jti
o g)Highest adjacent(finishe�grade(HAG) 6.7 . FT ft.(m) � �ya �i a ,���2#�1,�4 �;
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. " ��;4`�,
SECTION D-SURVEYOR,�NGINEER,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.
1 cerfrfy that the information in Secfions A,B,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any#alse statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001.
� CERTIFIER'S NAME UCENSE NUMBER
BRUCE A.KLEIN PLS 5052
TITLE COMPANY NAME
PRESIDENT KLEIN&STAUB SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
8016 Old County Ro New Port Richey FL 34653
SIGNATURE DATE TELEPHONE
Y ' 12/09/04 (727)834-8140
IMPORTANT: In these spaces,copy the corresponding information from Section A. For insurance Company use:
BUILDING STREET ADDRESS(Induding Apt,Unit,Suife,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number
674 BAYWAY BOULEVARD UNIT No.1
��n' STATE ZIP CODE Company NAIC Number
CLEARWATER FLORIDA 33767
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) �
Copy both sides of this Elevation Certific�te for(1)community official,(2)insurance agenUcompany,and(3)building owner.
COMMENTS
A/C UNITS ON THE TOP OF THE ROOF
❑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 Certificate 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 which this certificate is being completed—see pages 6 and 7. If no diagram accurately
represents the buildng,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,'rf available).
E3.For Building Diagrams 6�with openings(see page 7),the ne�higher floor or elevated floor(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 plaiform of machinery andlor equipment seroiang the building is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use
natural grade,'rf available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accvrdance with the oommunit�s floodplain management ordinance?
❑Yes ❑No ❑Unknown. The la:ai official must certify this information in Section G,
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Sedions 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 stafements in Sections A,B,C,and E are correct to the best of my knowledge.
PROPERIY 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 authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certi6cate. Complete the appiicable iterrt(s)and sign below.
G1.�The inform�ion in Section C w�s tal�en ftom other documentation that has been signed and embossed by a licensed surveyor,engineer,or archftect who is authorized by state
or local I°:v to cert;fiy elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.�A community offic�al com�leted Se^tion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0.
G3.�The fdlowing information(Items�4-G9)is provided for community floodplain management purposes.
_� .
G4.PERMIT NUMBER G5. DATE PERMR 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.�� Datum:
LOCAL OFFICIAL'S NAME TITLE !
,
COMMUNITY NAME TELEPHONE {
SIGNATURE DATE I �
COMMENTS
� SP
_ ! CITY Ci=CLEARWqTE
❑Check here if attachments
FEMA Form 81-31,January 2003 Replaces ail previous editions
�$���� � CITY OF CLEARWATER
� v ,�li, �
� � � DEVELOPMENT & NEIGHBORHOdD SERVICES DEPARTMENT
� PosT O�,cE Box 4748� CLEARWATER� FLO�DA 33758-4748
9�"A�E � MUNICIPAL SERVICES BUILDING, 100 Sou'rx MYtt'ri.E AvEt�ruE,CLEARWATER,FLOx�nn 33756
TFa.EPxocvE(72� 562-4567 Fnx(72� 562-4576
MEMO OF REVIEW FOR CORRECTNESS� COMPLETION
In accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to
acceptance by the community. This complete form shail be attached to all elevation ceRificates maintained on file and provide with requested copies of
elevation certificates.
The attached elevation cert�cate requires corrections by the surveyor of sedion(s) prior to acceptance by the community
The attached elevation certificate is complete and correct
X Minor corrections have been made in the below marked sections by Community Official
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
A1. BUILDING OWNER'S NAME Policy Number
A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
CITY STATE ZIP CODE
A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)
A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type):
(##°-##'-##•##" or ##.#####°) ❑NAD 1927 ❑ NAD 1983 ❑USGS Quad Map❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
.NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 83.STATE
64.MAP ANO PANEL 87.FIRM PANEL 69.BASE FLOOD ELEVATION(S)
NUMBER 65.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding)
8-18-1992 g-19-91
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69.
❑ FIS Profile ❑FIRM ❑Community Determined ❑Other(Describe)
611. Indicate elevation datum used for BFE in 69:❑NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
812. Is the buildin located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA? ❑Yes ❑No Desi nation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings' ❑Buiiding Under Construction" ❑Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number (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,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.
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 8,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 appropriate,to document the datum conversion.
Datum ConversioNComments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
e) Lowest elevation of machinery or equipment servicing the building(Describe in Comments area) ft.(m)
h) No.of permanent openings(flood vents)1 ft.above adjencent grade
i) Total area of all permanent openings(flood vents)in C3.h sq.in.(sq.cm) �
Comments: � /�
Date of Review: �� �� Community Official:
�vation certificates shall be maintained by the community and copies with the attached memo made available by request
Fentax H�Rt�,MAYOR
GEORGE N.CRE7'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCILMEMBER
PAUL F.GIASON,COUNCILMEMBER � CARLEN A.PE7'ERSEN,COUNC[LMEMBER
�BQUAL EMPI.OYMENT AND AFFIftMAT1VE ACTiON EMPLOYER°