210 SAND KEY ESTATES DR� -�� n�` �!� c �5� t��' .�� ,P��? .
.. �� � �
Ei�1/ATi�N C��TIF�CAT� �.,N.�.,vo3067-G
cxo�res Mav 31, '
FEDEAAL EMEi3GEiVCY MANAGE11AEi�i' AGEidCY
NATIONAL F�OOD INSURANC� RROGRAM
ATTENTTON: Use ot this certificate ooes not prov�de a warver of the flood insurance purcnase reqwremern. This rorm Is used ornv to
oroviae eievation mtormatton necessary to ensure compfiance wrth aop6canle communrry flooctola�n management ordinances, to
tletermme the prooer insurance premium rate. and/or to support a request for a Letier of Map Ame�oment or Revision (LOMA or L�MR1.
instructions far campleting this form can be found on the following pages,
SECTION A PROPEi�'TY INFORMATION
FOF INSURANCE COMPANY USE
BUILDING OWNEfi'S NAME � POUCY NUMBEfl
STREET AODRESS (Induamg ApL. Untt. Sw[e anarar 81tlg. Nlumoerl OF P.O. ROUTE ANO BOX NUMBEfl COMP,�NY NAIC NUMBER
�/�rv !7 � y �S T+4�f� S i� r'..� v c,�
OTHER DESCAIPTION (Lot and Blocx Numoers. etc.;
L � T 5� Co T� � o n.�,.� U 5� v 2 5,�.".a ,� y � r 3 �/ o ��. i i- � 3
Cm STATE ZIP CODE
S/�+v O � `7' C.�c:.c�1+Z.:.,.t ��Ly t- �.
r-.,a�!=� /.� /1 �3 �I �
SE�TION B FLOOD 1NSURANC� RAT� MAP-(FiRNF) INFaRMATiON
Provlae the rollowmg from the prooer FiRM (See Instructions):
i t. COMMUNITY NUMBEA Z. PANEL NUMBER I 3. SUFFIX a. DATE OF FIRM INDEX I 5. FIRM ZONE I o. BASE F�OOD ELEVATION i
f in AO Zones, uso aeom) �
( 1 G���� � ac i�t- I � I �..��,-�, � I r-�� i ll
7. Indicate the elevation datum system usea on the FiRM for Base Flooa Elevanons (BFr;: !�NGVD '29 �� Other ldescnbe on bacic)
8. For Zones A or V, where no BF� is provided on the FiRM, and the commurnty nas estabiisnea a BFc for th�s buiiding site, indicate
the commurnty's BF=: .._: reet NGVO (or other F1RM datum—see Secnon B. Item 71
SECTION C BUILDING ELEVATION INFORMATION
t. Us�ng the tfevation Certificate Instrucnons. indicate the diagram numoer from the diagrams round on Pages 5 and 6 that best
descnbes the sub�ect building's reference levei �.
2(a). FiRM Zones A1-A30. AE. AH. and A(with 8t=ti. The too of the reterence level ffoor from the seieciea diagram is at an eievatron
of ! t . Z feet NGVD (or other FtRM aatum—ses Section B. Item 71.
(b1. FIRM Zones V1-V30. VE. and V(with BFci. 'he oottom of the lowest honzonta► structural member or the rererence ievel from
the selectea diagram. is at an eievanon of ._ �eet NGVD (or otner F(F�M oatum—see Sect�on B. Item 7).
(c1. r=1RM Zone A(wrthout BFc:. The fioor useo as the reterence level �rom the seiectea d�agram �s .._, reet aoove � or
beiovv _ � c�r�csc or�e) the nignest graae aaiacenr to tne ouiiding.
(d1. �1RM Zone AO. The floor used as the reterence ievzi from the seiected diagram is .._ ieet above _. or beiow _(cnectc
one► the hignest grade adjacent to tne ouilding. If no flood aeoth number is avaiiaDle. is the owlding's lowest floor (reterence
levell eievated in accoroanca wrth the commurnN's Tl0000tain management orclirtance? _ Yes _ No _ Unknown
3. Inclicate ihe eievation datum system used in determinmg the above rererence levei eievatiorts: � NGVD '29 _ Other (descrioe
�^.^.@f r'.C�� �^i^aT�� ^v� � Q3^y8 2). (lti��T�: ii i! ic c�lEVaiiu�i uaiiirTr usea ir� rneasurrng ihe erevanons rs dii�erent rnan tnat used on
the FIAM (see Secnon 8. Item � then convert :he elevatrons to the datum sVStem useU on the FlAM and show fhe conversron
equarron unaer Commenrs on Page Z. )
4. Eievatton reterence mark usad appears on F#RM: _ Yes �No (See InstrucUOns on Page 41
5. The rererence level eievaUOn is basea on: � actuai constructron _ constructton arawmgs
(NOTE: Use of consiructton oraw�ngs �s onty valid if the oudding does noi yei have the �eierencs level floor m p�ace. �n wnrcn
c�se rhrs certificate wi11 only be valid for the Duilding durrng the course ot constrUCilon. A oost-consttucfion Elevanon Cartificate
wlll be requrred onca construcrion is comA/ere.1
6. The eievation of ihe lowest graae immeaiatery adiacent to the buiid�ng is: �.� �eet NGVD (or other �1RM datum-see
Sectton B. Item 7).
SE�T10N D COMMUNITY 1NFORMATION
1. If the commurntv oftic�al resDOnsiDle tor verirvino tiwiding elevations speC�iies that the reterence level inaicatea �n Section C. Item 1
is not the "lowest floor" as denned in the commurnry's rlooaolain managemenc oroinance. che eievation or the oudding�s "lowest
ftoor" as aetineti by the oramance �s: _ rest NGVD �or otner FiRM aatum—see Sectcon 8. Item 71.
2. Date ot tne start or construcnon or suostannai �morovement
F�MA FO�m d1-31 MGV Q(1 ?CDI . r_. .. �nr�.�.��., -....,.... __C oC�iCOCC �inC �`lo n...�T�..� �,rv�.�
SECitON E CERTIFlCATION P �
This certfficauon is to be s�gned by a land surveyor, engfneer, or arct�itecf who is auihorrzed 6yr State or ioca� law to certrty elevanon
�rrformanon wnen the elevauon irttormation for Zones A1—A30. AE. AFI. A(wrth BFEj.V't—V30.VE, and V(wrth gF�} is repu�.
Commurttty afficials wi�o are author�ed by tocal law or ordmance to oro�nde fl�n management irttormanort. may alsc s�gn the
certiticaoon. In the case of Zones AO and A(without a FEMA or cammunrty issued gF�. a buiiding offiaat. a Aronerry owner, o� an
owner's reoreserttatrve may atso s�gn me certific�on.
Reference level diagrams 6. 7 and 8- Distinguishing Features—�f the certifier is unable to ce�ty to breakawaymon-orealcaway waU,
endosure s�ze, Ior,aUon ot servidng equ�pment, area use, wall opernngs, or urtfirnshed area Feawre(s), then tist t�e Feawre�s) not
induded in the certificabon under Cammerits beiow. The diagram number. Secpon C. ltem 1, must still be ernered.
I certr/y that the informaDOn irt Seciions B and C on thrs cartificate represer�s my best etlarLS fo inteipret the data avarlab/e.
l unde�stand that any ta�se s7atemertt may be punrsnabte by tine or impnsonmem under 18 U.S. Code, Secrron 1001.
�EATIFlEA'S NAME UCENSE NUMBEA lor Attix Sea��
V /11�l�� C . �$IT� � a�(o�g
� COMPANY NAME
rr.�srDE.t1r L�9n�d l��c.,�:cu �ae.�o�e,�-r, o.�
.�DDRESS CTTY STATE up
//3o F7,NE�lve _����� Q -1 u�tEDi�l GL 3�l(09$
SIGNATURE
Cop�es should bs
COMMENTS:
�
OATE
PI-IpNE
, - '73C. - I/C.(�
Carttftcate tor. 1) cammunity official, 2) insurance ageRticampany, and 3) buiidtng ownar,
ON
sue
A V
ZONES ZONES
%LOOD
=LEVAT1pN
-���:\•.�:.. �.
-�� iqADE '
.�DdACE!!f
GMDE
VV1T11
s�►s�etrr
A
�' ZONE$
3tiSE
�IOOD
ELEYAT1dV
ON PILES,
P1ER3. OR �(J�1�g
� V
ZONES ZONES
IRE�R�a�E
_EVEL � �
'� �
3A8f
:1000
EIEVATION
� �••-
. ADdACEI:i %.
.. ... ... . . . ... :.�^. 3RADE
The d�agrams above illustrate the pomts at wrnch the eievanons snould be measurea in A Zones and V Zones.
Eievanans for all A Znnes shouJd be measured at the top of the reference fevel floor.
Elevanons for all V Zones should be measured at the bottom ot the iowesi honzontal sttuc:ural memoer.
�3QB �
i- I �� �I I 3o i�C>WNSf-11P 29 ;Ul 11 f-�, RA�1(;F __15___ F n� 1�. PIfJF l_I_� �'-.�)t IN 1���, � l��.�RI(_� n
CERTIFIED TO: •
FIRST UNION NATIONAL
BANK OF FLORIDA
OLD REPUBLIC NATIONAL
ITLE INSURANCE CO
c L �, +>
�--�-� � ' ` N 3�y
W�
T • � � R
RICHARDS, GILKEY, FITE, r'`-'T,y6 S 2)0 � A T�
SLAUGHTER, PRATESI & WARD, P.A. ° Sj, E � A
LEON & LINDA WELCH � 22�. R R
MARDEN EN�I'ERPRISES, INC. � 1�� 1•e- k' \ � R
MODEVELOPME NTACORPORATION ����jN FN,�� 6c S��N,� 4�• p `
N O
2 STORY
CONC. BLOCK & WD.
FR. STUCTURE
LOWEST FINISHED
FLOOR EL=11.27' �
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PARCEL A:
UTILITIES, INGRESS,
EGRESS & RE(�RESS EASEMENT
LEGAL DESCRIPTION:
LOT 46, THE MOORINGS OF SAND KEY, ACCORDING TO THE MAP OR PLAT
THEREOF, AS RECORDED IN PLAT BOOK 110, PAGE 11 - 13, OF THE PUBLIC
RECORDS OF PINELLAS COUNTY, FLORIDA.
FIAOD ZONE'
AE, EL=11, IN ACCORDANCE WITH F.I.R.M. MAP NUMBER 125096-0014-D,
CITY OF CLEARWATER, FLORIDA. MAP REVISED 8/19/91.
BOUNDARY SURVEY
& FINAL SURVEY
"ui<v�E�� �S S�IBJECr rO A TITLF SEA.RCiI FOR MArTERS �?F
RE.COf2f) Ff�(��FCflt�lG �I��E F'ROPOERTY.
1�A��I� �f HEARIIIG �RE PLAI,-UNLESS OIHFRWISE tJOTED HFRE�0��1.
t Ir��. I ii Ir�f� RGRr)l Ir�IU IMF'ROVE MFfJ1 ; I(?(;�TEU OR SH(1WPI FIFRFII��I.
-- ._. ._------------------------- --------- - _ _ _ _ _ - __--
L E G E N D
�iR Set �r- n Rnd i 9'� I F�p'G16B OC - oint Of Commencement (Cnic) Cnir,uloted
FIR fvund Iren Rod FCM - Found Concrete Monument (R) Record
FiF' f cun�! Iron Pip� PRF.a - Perrnonent Re�erenr� tile,r�urnnnt �p� .- Oeed
I1RcU tda�l an4 Disk PC -- �oint Ot Curve ' r�S (�ncrPfe �I�b
PC8 f'oi��t Of Beq iminin� POL - Point On I. in�
r/'1�� I'�rn,anrnl (`nnir���l'�int � ��nlerline
�r!f� y
Sc.�.�-� I " = 20 "
Cjl Curb (ie �l,f/1'1)q�d,1T�(1
f� i f ence 1iP a
(�;+.) FAPa^ured
(!') Plnt
__ _ . .— ---------
94462 � Dnrt s�iRVFYEb� 6/10/94
rERnFlCArE: iF�f SURVEr REPRFSENTED HEREON DOES MEEi THE MINiMUM � (�FVISIOiJS
RFOIURFMENT OF CNAFiER BIGil - 6 F�ORIDA nDA1�NMSTRAAVE CODF �ND
1��EnF nRE NO FNrRO�CHMF.NTS FXCEPI AS SHOWN HEREtNJ. 9,�5�� — /iG /�! - %�G�9'�
--- 95F 87 7 - GinlAG - /Z /t �9 ---- =
`�,� --" ' �,� �. -- �.._._—
�
�r T E CoR�iTT, F REG.
% (NOi VAUO UNIESS EMBOSSE
i
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VfYOR No A60H "
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(�7Lf]A/I1RA/i'��LU��
0 /1
,1 �4�Tt:-71d4t1�'
,{ �
1130 PINEHURSI ROAD - SUI1E A
DUNEDIN, FLORIDA 34698
PHONE (813) 736 - 1166
FAX (813) 734 - 5212
l,li �6161�
.