1635 SAND KEY ESTATES DR ELFVATIO�I CER�iF�CAT� O.M.3.NO3067-00,
Expires May 37, l9�
F�DERAL EIVIERGENCY MANAGEMENT AGEiVCY
NATIONAL FLOOD INSURANCE PROGRAM
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 community ftoodplain 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 can be found on the following pages.
SE�TION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBEA
RYLAND HOMES
STREET ADDRESS(Including Apt.,Unit,Suite and/or 81dg.Number)OR P.O.ROUTE AND BOX NUMBEA COMPANY NAIC NUMBEA
� � I�S�T
OTHER DESCRIPTION(Lot and Block Numbers,etc.)
LOT 1$ THE MOORINGS OF SAND KEY
CITY STATE ZIP CODE
CLEARWATER FLORIDA
�
SECTION B Fi.00D INSURANCE RATE MAP(FIRM) INFORMATION
Provide the following from the proper FIRM (See Instractions):
1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.F1RM ZONE 6.BASE F�OOD ELEVATION
(in AO Zonas.use depth)
125096 0021 D 8/19/91 AE 11'
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):�X'NGVD'29 ❑Other(describe on back)
8. For Zones A or V, where no BFE is provided on the F1RM, and the communiry has established a BFE far this building site, indicate
the community's BFE:� � � ! I 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 subject building's reference level 1
• 2(a). F1RM Zones A1-A30,AE, AH,ard A(with BFE). The top of the reference level ffoor from the selecied diagram is at an elevation
of� � �1 I ll,�2f feet NGVD (or other FIRM datum—see Section 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 selected diagram, is at an elevation of' � I � � !,�".j feet NGVD (or other F1RM datum—see Section B, Item 7).
(c). riRM Zone A �without SFc). The floor used as the reference level from the selected diagram is �.�,_(fest abo�e❑ or
below❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference Ievel from the selected diagram is ��.0 feet above❑ or below�(checfc
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference
level) elevated in accordance with the community's floodplain 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: !f ihe elevation datum used in measuring the elevations is di#erent than ihat used on
the FIRM �see Secfion B, Item 7J, then convert the e%vations to fhe datum system used on the FIRM and show the conversron
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes [X'i No (See Instructions on Page 4)
5. The reference level elevation is based on: ❑ actuaf construction � construction drawings � � -+a
(NOTE: Use of construciion drawings is only valid if the building does not yet have fhe�ef r�p�g,fRv�!�foor� p%ac�, r�r�l��ct� ,'�
. case this certificate wi11 only be valid for the building during the.course of consiruciion. A p �-t�`���atil!'°n C+�tfcate+
wiU be required once construction is complete.J �`'�
1�1�l�� '�;,,:::i
6. The elevation of the lowest grade immediately adjacent to the buildin is:I I I I I f ! � �`"��'� �q�'�S
9 ine�aiV�I��ot�e�F14�YC1 datum-se
Section B, Item 7). 1 ,
L p�M;=:t��1�1�G
SECTION D COMMUNITY INFOFiMAT10N �-�rf (J� ��'=`�' ' �
•1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the "towest floor"as defined in the community's floodplain management ordinance, the elevation of the building's"lowest
floor" as defined by the ordinance is ! � I ' I �.';_,� feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construciion or substantial improvement .
PEMA Form 81-31�MAY 90 REPIACES ALL PREVIOUS EDITIONS SEE REVERSE SIOE FOR CONTINUATION
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
information when the elevation intormation for Zones A1—A30, AE, AH, A (with BFE),V1—V30,VE, and V(with BFE) is required.
Community officials who are authorized by locai law or ordinance to provide floodpiain management information, may also sign the •
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a buiiding official, 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 Iist the Featura(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
i certify that the informafion in Sections B and C on this certificate represents my best e/forts tv interpret the data available.
1 understand that any la/se statement may be punishable by line or imprisonment under 18 U.S. Code, Sectron 1001.
CERTIFIER'S NAME LICENSE NUMBER(or AHix Seal)
_ WII;LIAM R. DELONG FL. P.S. & M. �3616
TITLE ;, . ,,.,. COMPANV NAME
_ "Q� s�R��ti�`F�N������___� CAMPBELL CONSULTANTS, INC. �
�ti
A��� , .. „r,� � �._ . . CITY---------- STATE ZIP
I'r'
�:�,• 5601 '�-� Ti��`AVENUE NORTH CLEARWATER__ _____ __ _ _ FLORIDA 33760
f 6�GN.��+�E � . DATE PHONE
't i' ^�
/ �y� , � � �
; �6'p�s�o d�$ rt�de of this Certi(icate . 1) community offi ' , 2) insurance agent/company, and 3) building owner.
� p ,�y
, fi� ���7 y��.y� �P ..
,r/� �9 T
C�,����$: �_ -- --- - s --
._. ��t� %�':� i ��.� . • .
----- ---- —�--- -� --•
ON WITH ON PILES,
SLAB BASEMENT PIERS,OR COIUMNS
A V A A V
ZONES ZONES • ZONES ZONES ZONES
REFE��ENCE
PE�EREtiCE BA�E LEVE.L REFEAENCE
IEVEL p�ppp LEVEL
EIEVATION
t
s"1}4 :f .,v
L�':
ense ' ense
�IOOD � " �' � ADJACENT REFEAENCE FIOOD
ELEVATION � REFERENCE AOJACENT GRADE LEVEI ELEVATION
LEVEI GRADE
� � ` �"�. ��:.
� � m `.SADJACENT;.
' RS/1:�r� ��:�IT7`I:�.-�'� GRA�E �
The diagrams above iliustrate 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 floor.
Elevations tor all V Zones should be measured at the bottom of the lowest horizontal structural rnember. �
Page 2