1603 SAND KEY ESTATES CT EL�VA�iON CER�IF�CAT� O.M.B.No306:-QO
Exprres May 31, 19�
FEDEAAL EMEAGENCY MANAGE3NENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used oniy to
. provide etevation 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).
Instructions for completing this form ca� be found on the following pages.
SECTION A PROPEATY INFORMATION FOq INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
RYLAND HOMES
STREET ADOfiESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND 80X NUMBEA COMPANY NAIC NUMBER
� N� � c C ci/L
OTHEA DESCRIPTION(Lot and Block Nu ers,etc.)
LOT,2�I THE MOORINGS OF SAND KEY
��TY STATE ZIP CODE
CLEARWATER FLORIDA
SECTION B FLOOD INSURANCE RATE MAP(FiRM) INFORMATION
Provide the following from the proper F1RM (See Instructions):
1.COMMUNITY NUMBEF 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM IN�EX 5.F1RM ZONE B.BASE F1.000 ELEYATICN
(in AO Zanes.use depth)
125096 0014 E 7/2/92 AE 11'
7. Indicate the elevation datum system used on the F1RM for Base Flood Elevations (BFE):�'NGVD'29 ❑Other(describe on bacic)
8. For Zones A or V,where no BFE is provided on the F1RM, and the communiry has established a BFE for this building site, indicate
the community's BFE:� ! � � � I,i�feet NGVD (or other FIRM datum—see 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 subjeci building's reference level 1
• 2(a). F1RM 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� � ! �1�11.�21 feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). F1RM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal struc;ural member of the reference level from
the selected diagram, is at an elevation of' I I i i !,!�fest NGVD (or other F1RM datum—see Section 8, Item 7).
(c). FiRM Zone A (without BFEj. The floor used as the reference level from the selecTed diagram is �.L!feet above❑ or
below❑ (check one) the highest grade adjacent to the building.
(d). F1RM Zone AO. The floor used as the reference level from the selected diagram is ��.0 feet above❑ or below� (checic
one) the highest grade adjacent to the building. If no fleod depth nurrber is availab;e, is;he building's lowest hoor(refererc2
level) elevated in accordance with the community's ftoodplain 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[he e/evation datum used in measuring the elevations is diNerenf af used ort
the FJRM (see Section B, ltem 7J, then converi the elevafions to the dafum system used on the FIRM e canversion
equaiion under Comments on Page 2.) ���`.,�'�1,
.�` V
4. Elevation reference mark used appears on F1RM: ❑ Yes � No (See Instructions on P� ��
5.The reference level elevation is basad on: ❑ actual construciion � constructi 9�
(NOTE: Use of construction drawings is only va/id if the building does not yet hav� ence/e�e�lfloor in p� in which
case this certificate wiU only be valid fo�the building during the course of consiruci�o ost��truction��"� ��Certificate
will be required once consfruction is comp/eie.) �,� pE �P
p,r.. �p,R
6. The elevation of the lowest grade immediately adjacent to the building is:' � ! � ' �.;_,! f�et�1�1�� �o�other F1RM datum-see
Section B, Item 7). ,.,� �
SECTION D COMMUNITY INFaRMAT10N
• 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "lowest floor"as defined in the community's floodplain management ordinance, the elevation.of tt�e building's"lowest
floor" as defined by the ordinance is: � ' � � I I.�' feet NGVD (or other F1RM datum—see Section 8, Item 7).
2. Date of the start of construcTion or substantial improvement
FEMA Form 81-31�MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOA CONTINUATiON
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by siate or local law to certify elevation
information when the elevation information for Zones A1-A30, AE, AH, A (with BFE),V1-V30,VE, and V(with BFE) is required.
Community oNicials who are authorized by local law or ordinance to provide tloodplain 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 certifier is unable to certify to breakaway/non-breakaway wali.
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
1 certily that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
1 understand that any fa/se statement may be punrshable by fine or imprrsonment under 18 U.S. Code, Section 1001.
CERTIFIER'S IJAME LICENSE NUMBER(or AHix Seal)
--- ,WI�E*T��°R. DELONG FL. P.S. & M. �`3616 __
T TITLE"��r� ' bN�J�r'��✓ " , COMPANY NAME
,�, �`PRES�I�NT°� r CAMPBELL CONSULTANTS, INC.
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A��EE.SS.. �,1�i # CITY ---- — -STATE ZIP
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,,� �� ` O1 '�r161'I��A�NUE NORTH CLEARWATER______.__ _ ___FLORIDA _ 33760
91�Nk�'Ft1F1� ,3" ' DATE PHONE
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Gp{�ies�.�,h d be m��ie��`f�this Certfiicate . 1)community offi ' , 2) insurance agent/company, and 3) building owner.
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Con�n��`���"� �, __ �_
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ON WITH ON PILES,
SLAB BASEMENT PIERS,OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
. REFERENCE
aEFEAENCE BnSE � LEVEL REFEAENCE
� � LEVEL FLOOD IEVEL
EIEVATION
t
5� .�:'v ..;i..:
'" BASE
BASE . .. � ADJACEN7 . FEFERENCE FI.OpD
F���� � GRADE IEVEI EIEVAiION
ELEVAiION REFERENCE A0.IACENT
' �- LEVEL GRADE
�>ADJACENT.:�.
.�:'����. .. :�.._�.��:..'�. GRA�E �.
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.�
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