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682 BAYWAY BLVD FEDERAL EMERGENCY MANAGEMENT AGENCY - � NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 a��� . c�aoq-t ELEVATION CERTIFICATE Important: Read the instructions on pages 1•7. SECTION A-PROPERTY OWNER INFORMATION Fa Insurance Canpany Use: BUILDING OWNER'S NAME PolicyNumber ROGERS BEACH DEVELOPMENT, INC UNIT No.5 BUILDING STREET ADDRESS(Induding ApL,Unit,Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 682 BAYWAY BOULEVARD C�N STATE ZIP CODE CLEARWATER FLORIDA 33767 PROPERTY DESCRIPTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 5,MOORINGS TOWNHOMES II P.B.126,PGS.78-79 BUILDING USE(e.g.,Residential,Non-residential,Addition,A�sory,etc. Use a Comments area,'rf necessary.) RESIDENTIAL 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 B1.NFIP CONYvRJNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE Ciiy of Clearwater 125096 PINELLAS FLORIDA 64.MAP AND PANEL 67.FIRM PANEL 69.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Lone A0,use depth of Aooding) 125096-0007 D AUGUST 19,1991 JULY 2,1992 AE EL11.0 610.Indicate the source af the Base Flood Eleva6on(BFE)data or base flood depth entered in 69. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe): 611.Indicate the elevation datum used for the BFE in B9:�NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_ 612.Is the bu�dng located in a Coastal Bartier 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' ❑Building Under Construction* �Finished Construction . *A new Elevation Certificate will be required when construction of the building is complete. C2.Buikiing Diagr�n Number 7 (Select the buildng diagram most similar to the buiiding for which this certificate is being compieted-see pages 6 and 7. If no diagram aa;urately represents ihe building,provide a sketch or photograph.) C3.Elevafiions—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AWA1-A30,AR/AH,AR/AO Canplete Items C3:a-i below according to the building diagram speafied 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 caicula6on. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion, �-�„�,� Datum NAVD 1929 CornersionlComments N/A �"-"�-"� " ;����,r� .•,; Elevation reference m�k used 1P-15, EL.=4.981 Does the eleva6on reference mark used appear on the FIRM? ❑Yes �No��� �,,�:;� o a)Top of bottom floor(induding basement or endosure) 6.83 . FT ft.(m) � �'� ,;" .m. "` `� o b)Top of next higher floor 16.3 Ft ft.(m) � ; �; '*! �` ' ' / o c)Bottom of lowest horizontal structural member(V zones only) WA . FT ft.(m) � `� � ' . o d)attached gar a g e(to p of block) 6.83 . FT ft.(m) �, % �'� �. ;� �;� ' � � o e)Lowest elevation�machinery and/or equipment W�; '" , , serviang the buildng(ELEVATOR EQUIPMENT) 11.3 . FT ft.(m) �� �` � � ,� �.; � o fl Lowest adjacent(finished)grade(LAG) 6.6 . FT ft.(m) z'N�', "� �,{° i �,'.,� ' 0 9)Highest adjacent(finished)grade(HAG) 6J . FT ft.(m) � +� '"�'� o h)No.�perm�ent openings(flood vents)within 1 ft.above adjacent grade 14 � '°��� ��; , � :�'� o i)Total area of all perm�ent openings(flood vents)in C3.h 1280 sq.in. �;,�3= , ° �` SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CERTIFICATION This certification is to be signed and sealed bya land surveyor,engineer,or architect authorized by law to certify elevation information. 1 certify that the information in Sections A,B,and G on this cerfificate represents my besf efforts to interpref the data available. 1 understand that any false statemenf 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 �d ' � KLEIN&STAUB SURVEYING,INC. ADDRESS � CITY STATE ZIP CODE 8016 Old County New Port Richey FL 34653 SIGNATURE - DATE TELEPHONE � � 12J09ro4 (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 company use: BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,andlor Bldg.No.)OR P.O.ROUTE AND BOX N0. Policy Number ,,, 682 BAYWAY BOULEVARD UNIT No.5 CI'iY STATE ZIP CODE Canpany NAIC Number CLEARWATER FLORIDA 33767 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) • Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insurance agenUcompany,and(3)building owner. COMMENTS AIC UNITS ON THE TOP OF THE ROOF ❑Chedc here if attachments SECTION E•BUILDING ELEVATION tNFORMATION(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 ElevaGon Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be c�mpleted. E1.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being canpleted—see pages 6 and 7. If no diagram accurately represents 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(chedc one)the highest adjac:ent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(an)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the pla�orm of machinery and/or equipment servidng the buildng is _ft.(m)_in.(cm)❑above or ❑below(chec:k 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 boriom floor elevated in acoordance with the community's floodplain mana�ement ordinance? ❑Yes ❑No ❑Unknown. The local offici�must cerfify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who canpletes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or community- issued BFE)or Zone AO must sign here. The statements in Secfions A,8,C,and E are correcf to the besf of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME • ADDRESS CITY STATE ZJP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTtONAL) The IoeaPofficiaf who is authonzed 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 Certificate. Complete Uw applicable it�n(s}�sign below. G1.❑The iwfformatign in SecGon,C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authonzed by state or local law to cer�y elevation information. (Indicate the source and date of the eleva�on data in the Comments area below.) G2.�A t�immunity offiaa4 ca(n�l�ted Secfion E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A0. G3.❑The fdlowhig informafion(ItemS G4-G9)is provided for community 800dplain management purposes. G4.PERMIT N MBER - . 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 bui�ding is: _._ft.(m) Datum:_ G9.BFE or(in ZoneAO)depth of flooding at the building site is: ._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE I SIGNATURE DATE DEC� 1 0 2004 • COMMENTS PLAN " P T SUCS � e ere i FEMA Form 81-31,January 2003 Replaces all previous editions FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 �,��3 • na o�-� ELEVATION CERTIFICATE i,. Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Cariparry Use: � BUILDINGOWNER'SNAME PolicyNumber ROGERS BEACH DEVELOPMENT, INC UNIT No.5 BUILDING STREET ADDRESS(Induding Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 682 BAYWAY BOULEVARD CITY STATE ZIP CADE CLEARWATER FLORIDA 33767 PROPERTY DESCR�PTION(Lot and Blodc Numbers,Tax Parcel Number,Legal Desaiption,etc.) Lot 5,MOORINGS TOWNHOMES II P.B.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): ( ##°-##'-##.##" or ##.#####°) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑01her: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP CAMMUNfTY NAME&COMMUNITY NUMBER B2 COUNTY NAME 83.STATE City of Clearwater 125096 PINELIAS FLORIDA 64.MAP AND PANEL 67.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE BS.F100D ZONE(S) (Zone A0,use depih of flood�g) 125096-0007 D AUGUST 16�J94'� Jlit'R;'T9�'1"" AE EL11 A B10.Indicate the source of the Base Flood EJevation(BFE)data or base 800d depth entered in 9. ❑FIS Profile �FIRM ❑Community Determined ❑Other(Desaibe):_ B11.indcate the elevation datum used for the BFE in 69:�NGVD 1929 ❑NAVD 1988 ❑Other(Desaibe):_ 612 Is the buil�ing located in a Coast�Bartier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No Designatlon Date_ __ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Buildng eleva6ons are based on:�Construc6on Drawings' ❑Building Under Construction' �Fnished Construction � "A new devation Certificate will be required when construction of the buildng is complete. }C2.Building Diagram Number 7 (Seled the buildng diagram most similarto the building for which this cer6ficate is being compieted-see pages 6 and 7. If no dagram accurately represents the buildng,provide a sketch or photograph.) C3.Elevations—Zones A1,A30,AE,AH,A(with BF�,VE,V1-V30,V(w�h BF�,AR,AR/A,ARIAE,ARIA1-A30,ARIAH,ARlAO Complete Items C3.-a-i bebw accord'ing to the buildng�agram speafied in item C2.State the datum used.If the datum is d'rfferent from the datum used for fhe BFE in Secfion B,convert the datum to that used for the BFE.ShrnN field measurements and datum conversion calculation. Use the space provided or the Comments area of �ection D cu Sedion-6,asaPPropriate.to document!he datum conversio�. -- ` ` ,����� -- Datum NAVD 1929 ConversionlCanments N/A �� Elevation referenoe mark used IP-15. EL.=4.981 Does the elevation reference mark used appear on the FIRM? ❑Yes �No; { v� ,.� r . 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) � '� � � �`� � '9 * � o c)Bottom of lowest horizont�structural member(V zones only) WA . FT ft.(m) o�jt � .� '� �;,d o d)attached 9arage(top of block) 6.83 . FT ft.(m) E;� ��, � o e)Lowest elevation of machinery andlor equipment W` '� servicin g the buildn g(ELEVATOR EQUIPME N� 11.3 . FT fL(m) �� � 1' .„��� , o fl La�vest adjac•znt(finished)grade(LAG) 6.6 . FT ft.(m) ��,'�`, �' ' :.� ' r• �'� :� � 0 9)Highest adjacent(finishe�grade(HAG) 6J . FT ft.(m) � : r 4��� � ' �` ��°��� o h)No.�perm�ent openings(flood vents)within 1 fl.above adjacent gracie 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 cert�cation is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. 1 cerfify that the information in Sections A,B,and G on this certificate represents my besf efforfs fo inferpret the dafa available. I understand fhat any false stafement 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 Ro New Port Ric;hey FL 34653 SIGNATURE - DATE TELEPHONE ,! � 12�09A�4 (727)834-8140 FEMA Form 81-39,January 2003 See reverse side for continuation. Repiaces ail previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For�nsurance com�any use: BUILDING STREET ADDRESS(Induding Apt,Uni�Suite,andlor Bidg.No.)OR P.O.ROUTE AND BOX N0. Poficy Number 682 BAYWAY BOULEVARD UNIT No.5 . �� STATE ZIP CODE Company NAIC Number � CLEARWATER FLORIDA 33787 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) � r Copy both sides of this Elevation Certificate for(1)community offiaal,(2)insur�ce agenUcompany,and(3)building owner. � COMMENTS A/C UNITS ON THE TOP OF THE ROOF ❑Chedc here if attachments SECTION E-BUILDING ELE1/ATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),compiete flems E1 through E4. If the Elevation Certificate is intended fa use as supporting informaBon for a LOMA or LOMR-F, Section C must be canpleted. E1.Buildng Diagram Number_(Select the building diagram rnost similar to the building for which this cerfificate is being canpleted—see pages 6 and 7. If no diagram accurately represents the buii�ing,provide a sketch or photograph.) . EZ.The top of the bottom floa(indudng basement or endosure)of the buildng is _ft.(m)_in.(cm)�above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Buildng Diagrams 6-8 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 adacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platfam of machinery and/or equipment serviang the buiidng is _ft.(m)_in.(cm)0 above or ❑below(chedc 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 bottan 800r elevated in a000rdance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unlmown. The bcal off�i�must certify this informa6on in Sedion G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESEtVTATNE)CERTIFICATION The property owner a owner's authaized representative who cornpletes Sections A,B,C(it�ns C3.h and C3.i only),andf for Zone A(without a FEMA-issued or community- issued BF�or Zone AO must sign here. The statemenfs in Secfions A,8,C,and E are correct to fhe 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 loc�i offiaaf who is authorized by law cr ordinance to administe�the communit�s floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Cerfificate. Complete the applicabie it��(s)�sign below. G1.0 The ia�ormaticm in$ection,C was take�fran other documentation that has been signed and embossed by a licensed surveyor,engineer,or arChitect who is authorized by state or local law.to cec�y�evatio�information. (Indcate the source and date of the elevation data in the Comments area below.) G2.�A«�mmmunity off�ia!co�nplE3ed Seciion E for a bulding located in Zone A(wifhout a FEMA-issued or community�ssued BFE)or Zone A0. G3.0 The fdlo�nmig informationl(Iter,�s G4-G9)is provided fa communi�floodpiain management purposes. G4.PERMIT NtJNIBER .. G5. DATE PERMtT ISSUED G6.DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This pennit has been issued for.❑New ConstnKtion ❑Substantiai Improvement G8.Elevation of as-buift lowest floor{induding basement)of the bui�ing is. _._ft,(m) Datum: G9.BFE or(n ZoneAO)depth of flooding at the building site is: ._ft.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE ! COMMUNITI'NAME TELEPHONE SIGNATURE � DATE DEC 1 O ZOO4 • COMMENTS PLAN ' �' NT SVCS` � e ere FEMA Form 81-31,January 2003 Replaces all previous editions . • . �'� • $�a��c� ITY OF CLEARWATER � �I, � `-' � � � � , , r =-� p DEVELOPMENT &NEIGHBORHOOD SERVICES DEPARTMENT 9� � � POST OFFICE BOX 4�]4H� CLEARWATER� FLO�Dn 33758-4748 "�I�E � IVIUNICIPAL SERVICES BUILDING, 100 Sou1'x MYxx'ri.E AvErruE,CLEARWATER,FLO�uDn 33756 TE�rxorrs(72�562-4567 Fnx(72� 562-4576 MEMO OF REVIEW FOR CORRECTNESS 8� COMPLETION in accordance with participation in the NFIP/CRS program,all elevation certificates are required to be reviewed for correctness and completion prior to acceptance by the community. This complete form shall be attached to all elevation ceRificates maintained on file and provide with requested copies of elevation certificates. The attached elevation certificate requires corrections by the surveyor of section(s) prior to acceptance by the community The attached elevation certificate is complete and correct X Minor corrections have been made in the below marked sections by Community Official SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1.BUILDING OWNER'S NAME Policy Number A2.BUILDING STREET ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number CITY STATE ZIP CODE A3. PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) A4. BUILDING USE(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) A5. LATITUDE/LONGITUDE(OPTIONAL): HORIZONTAL DATUM: SOURCE:❑GPS(Type): ��°_��_�.�° or �.�°) ❑ NAD 1927 ❑ NAD 1983 ❑USGS Quad Map�Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION .NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE 64.MAP AND PANEL 87.FIRM PANEL 89.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B$•FLOOD ZONE(S) �Zone AO,use depth of flooding) 8-18-1992 8-19-91 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile ❑FIRM ❑Community Detertnined ❑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 Otherv�rise Protected Area OPA? ❑Yes ❑No Desi nation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction' ❑Finished Construction `A new Elevation CeRificate 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)1ft.above adjencent grade i) Total area of all peRnanent openings(flood vents)in C3.h sq.in.(sq.cm) Comments: Date of Review: Community Official: ��ation certificates shall be maintained by the community and copies with the attachedmemo made available by request Fwwx Hisanxn,MAYOR GEORGE N.CRE7'EKOS,COUNCILMEMBER JOIIN DORAN,COUNCIIMEMBER PAUL F.GIBSON,COUNCILMEMAER � CARLEN A.PETERSEN,COUNCILMEMBER ��EQUAL EMPLOYMENT AND AFFIRMATIVE ACTION EMPLOYER��