158 SAND KEY ESTATES DR � "��2°"
E�.EVATIO�I C��TiF�CAT� O.M.8.NO3067-00
�� Exprres May 31, 19
��� FEDEAAL EMEAGEIVCY MANAGEMENT AGEIVCY
NATIONAL FLOOD INSURANCE PROGAAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
• provide elevation information necessary to ensure compliance with applicable communiry floodplain management ordinances,to
determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instruciions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBEA
RYLAND HOMES
STREcT ADDRESS(Inctuding Apt.,Unit,Suite and/or 81dg.Number)OR P.O.ROUTE AND BOX NUMBEA COMPANY NAIC NUMBER
i s �N r� rf T,��
OTHER OESCAIPTION(Lot and Block Numbers,etC.)
LOT 5 q THE MOORINGS OF SAND KEY
CITY STATE 21P CODE
CLEARWATER FLORIDA
SECTION B FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
Provide the following from the proper F1RM (See Instructions):
1.COMMUNITY NUMBER 2.PANEL NUMBEA 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE Fl_000 ELEVAi ION
(In AO Zones.use depM)
125096 0014 E 7/2/92 AE 11'
7. Indicate the elevation datum system used on the F1RM for Base Fiood Elevations (BFE):XX;NGVD '29 �Other(describe on bacfc)
8. For Zones A or V, where no BFE is provided on the F1RM, and the community has established a BFE for this building site, indicate
the community's BFE:� ' � I I I.i I feet NGVD {or other FIRM datum—ses Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level 1
2{a). FIRM Zones A1-A30,AE,AH,and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of� � i il I 11,�feet NGVD (or other FIRM datum—see Sec;ion B, Item 7).
(b). FIRM Zones V1-V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the seiected diagram, is at an elevation of� � � � � �.�feet NGVD (or other FiRM datum—see Section B, Item 7).
(c). FiRM Zone A (without Brcj. i ne floor usec as the reference level from the selected diagram is (._L.i.0 feet above L( or
below� (check one) the highest grade adjacent to the buifding.
(d). F1RM Zone AO. The floor used as the reference levei from the selected diagram is ��.0 feet above❑ or below� (checic
ene) the!�:ighest grade adjacent to the buiiding. !f no tic;,d depth number is availabie, is,he buiicing's�owest hoor(referanc�
level) elevated in accordance with the community's ffoodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations:� NGVD'29 ❑ Other(describe
under Comments on Page 2). (NOTE: If ihe elevation datum used in measurrng ihe elevations is differenf than fhai used on
the FIRM (see Sectron B, Item �, then converi the elevations to the datum system used on the FIRM and show the c 'on
equation under Comments on Page 2.) �
4. Elevation reference mark used appears on F1RM: ❑ Yes � No (See Instructions on Page 4) � �``'���
5. The reference level elevation is based om ❑ actual construction ',� construction drawing �'� ,,.�'
(NOTE: Use of consiruction drawings is only valid if the building does not yet have ihe refere �floor in Q1 c2���vhich
. case this ceriificate wi!l only be valid for the burlding during the course of construciron. A post-c ruclr���e�11a�n C`��;�e � �
will be required once construction is complete.) � M ���
6. The elevation of the lowest grade immediately adjacent to the building is:' � � I ! �,i! feet NGVD.( 3ft��'�F�p.��P���
Section 8, Item 7). ��fi1 F �,� um-see
v��.� 0
SECTION D COMMUNITY INFORMATION
��. If the community official responsibie for verifying building elevations specifies that the reference level indicated in Seciion C, Item 1
is not the "lowest floor"as defined in the communiry's floodplain management ordinance,the elevation of the building's"lowest
floor"as defined by the ordinance is: � '• ! � �.�..,I feet NGVD (or other FIRM datum—see Section B, item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31�MAY 90 REPIACES A�L PREVIOUS EDITIONS SEE REVEASE SIDE FOR CONTiNUATiCN
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certi(y elevation
informaiion when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community oflicials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A(without a FEMA or community issued BFE), a building ofiicial, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certilier is unable to certify to breakaway/non-breakaway wall.
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Featura(s) not
included in the certitication under Comments below. The diagram number, Section C, Item t, must still be entered.
I certily that the information in Sections B and C on this certificate represents my best eflorts to interpret the data available.
1 understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001.
CE,RTIFIER'Sl�{AME LICENSE NUMBER(or AHix Seal)
$- � 4I`�R. DELONG FL. P.S. & M. �3616
^Tll�l�� ., ,. COMPANY NAME
, .l�: ti«. � �... ..
.� � -___��T���iT CAMPBELL CONSULTANTS, INC.
r'� ••ADDF7E ��' CITY STATE ZIP
? • � '�'� �`�s� �
.� � ��r� __�g56!�1 �3�16�1i AVENUE NORTH CLEARWATER FLORIDA 33760
,� `��15(�C�41A,,T4t�tE��'— f �-- , — --DATE PHONE — - —
��'; .� � �,;;M ^`�'�
t, �� '��,pi��5�ho d b�rt�ade of this Certificate . 1)community offi ' , 2) insurance agent/company, and 3) building owner.
��7 ;� � ,
° l ° �°I'�� ,; 't�`;{:t� �� _
'GOMM�ITS:__-;__ —---- ° -
— -- ----- •
ON W�TH ON PIIES,
SLAB BASEMENT PIERS,OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFEFIENCE
AEFEAENCE BASE IEVEL REFERENCE
LEVEI p��p LEVEL
ELEVIITION
1
t'��._yi .-�i�:
BASE EASE
' -�'� ADJACEN7 :' �EFERENCE FIOOD
F���� GRADE � IEVEL EIEVATION
El�VA710N - , REPERENCE ADJACENT
� � � �� '� �� LEVBL " GRADE
��.::ADJACENT�;.
_ '�' � � .. ... � �.`:�, GRADE .
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level tloor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. �
Page 2