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26750 US HWY 19 N #301 ELEVATION CERTIFICATE O.M.B.No3067-007- Exp�res Ma y 31, 199� FEDERAL EMERGENCY MANAGEMENT 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 only to ^�ovide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to �srmine 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. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANV USE BUILDING OWNER'S NAME POUCY NUMBEFi RYLAND HOMES ' STREET ADORESS(InGudin9 ApL.Unit,Suite and/or Bldg.Numbe�)OR P.O.ROUTE AND 80X NUMBER COMPANY NAIC NUMBER 26750 U.S. HIGHWAY 19 NORTH SUITE 301 . OTHER DESCRIPTION(Lot and Btock Numbers,etc.) � ,_� LOT 62 THE MOORINGS OF SAND KEY � �� '� ��j�L�-(,�i �� T'� STATE ZIP COOE CLEARWATER FLORIDA SECTION B FLOOD INSURANCE RATE MAP(FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.OATE OF FIRM INOEX 5.PIRM ZONE 8.BASE FLOOD Et.EVATION / � � Q�� O D / (in Ao zones.use deom) �f /= 7- z - 9z a� si� 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE}: ,(—�'NGVD'29 .[—J�Other(describe on back) 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this building site, indicate the community's BFE:t ! ! + 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 i). 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' � '1' 11 la'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� � � � � �._feet NGVD (or other FIRM datum—see Section B, Item�. ;�;. �!°M 2:.r�e A (w�t`��t 8FE;. The flccr used as the rezerence �evei from the selected diagram is ��.t_i 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 �.'._i feet above❑ or below�(checic one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowesi 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:X� NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE: If the e/evation datum used in measuring the e/evations is dilferent ihan that used on the FfRM (see Section B, ltem 7J, then convert fhe elevations!o the datum system used on the F1RM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: ❑ Yes X No (See Instructions on Page 4) 5.The reference level elevation is based on: � actual construction X2� construction drawings (NOTE: Use of construction drawings is only valid if the building does nor yet have the reference level floor in place, in which case this certificate will only be valid for fhe building during the course of construction. A post-construction Elevation Cerii�cate will be required once construction is comp/ete.) . 6. The elevation of the lowest grade immediately adjacent to the building is:� ! � I i I.�I fee � �� Section B, Item 7). � � SECTION D COMMUNITY INFORMATION OCT 19 f the community o�cial responsible for verifying building elevations specifies that the referenc le ' t i �ij��m 1 �s not the"towest floor"as defined in the community's floodplain management ordinance,the e v ��` iloor"as defined by the ordinance is: �' � ! ! �.!� feet NGVD (or other FIRM datum—see , �� WATER 2. �ate of the start of construction or substantial improvement ' FEMA Form 81-31�MAY 90 REPLACES ALl PREVIOUS EDITIONS SEE REVERSE SIDE 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 certity elevation intormation when the elevation information lor Zones At-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 inlormation, may also sign the certitication. In the case ot Zones AO and A(without a FEMA or community issued BFE), a building otficial, a property owner,or ar.� owner's representative may also sign the certilication. Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size. location of servicing equipment, area use,wall openings. or uniinished area Feature(s).then list the Feature(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 certilicale represenls my besf elforls to inferpret Ihe data available. 1 understand that any/alse statement may be punishable by line or imprisonment under 16 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER(or Aflix Seal) W%�i.4.vl .Q• ��.�o�iG F�o�2�0A f.5. �'ti>. .��ilo TITIE COMPANY NAME � /�.4?c S i DEN T �•4Ml�r.3ECL .�o.cf.�tJ�T/a.tlTS_ �.tJ G ADORESS CtTY � STATE ZIP _.��.o.L_ �!/ " _ �. C'c��,e�vore,e __ rc��,v A 3-3�'c o SIGNATURE OA7E PHONE � �D ��97 8�3) 57�-45P� Copies shoul be made of this Certlf(cate for: 1) munity ofiicial,2)insurance agent/company,and 3)building owner. COMMENTS: -- --- _ _ —._------ -------- -------- - _. . ----- -------------------- . _ ._. --------------------- --- - ------ - __ � ON WITH ON PILES. SLAB BASEMENT PIERS,OR COIUMNS A V A A V 20NES ZONES ZONES ZONES ZONES REFERENCE lEVEI FEFEREtrCE REFERENCE B�SF. LEVEL IEVEI F1000 ELEV�tqN •�.v �'�� !'•:;K ..('ri�.. EASE B�SE .. � �� AECEaENCE �'•�0 FI�D � . .. ADJA�ENT ".. �.. .:..�'.� Gi1ADE IEVEI EIEVAiIpN EIE�ATpN REFEAENCE AOUCENT � LEVEI GMOE ;ii;:- � . ' ��.�`AOJACENi:,- ' � � ::�,.�.:' GR�OE � ' . • .�� . . � . �'�� " . . _ The diagrams-above illustrate the point�..�t which the elevations should be measured in A Zones and V Zones. Elevations(or all A��ones should be measured at the top of the reterence level ftoor. � Elevations lor all V�on@s should be'measured at the bottom ot the lowest horizontal structural member. • Page 2