21799 US HWY 19 N (2) , ` OMB No. 1660-0008
U.S.DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE Exoires Februarv 28.2009
Federal Emergency Management Agency
Nakional Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Company Use: '
A1. Buiiding Owner's Name Clearwater Toyota Sonic Development,LLC Policy Number
A2. Building Street Address(inciuding Apt.,Unit,Suite,and/or Bidg.No.)or P.O. Route and Box No. Company NAIC Number
21799 U.S.Highway 19 North '
City Clearwater State FI ZIP Code 33765
,�t'� A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Tax Parcel Number 08/29/16/00000/330/0200 �,ji-L>�d B j,� .,�
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) Non-Residential-Car Wash
A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No.of permanent flood openings in the crawl space or b) No.of pertnanent flood openings in the attached garage
enclosure(s)walis within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in AS.b sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP Community Name 8�Community Number 62.County Name 63.State
Pinellas Co.of Florida and Unincorporated Areas Pinelias Florida
B4.Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12103C126 G 09/03l03 09/03/03 AE 21
610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile � FIRM ❑Community DeteRnined ❑Other(Describe)
611. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 �NAVD 1988 ❑Other(Describe)_
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes �No
Designation Date ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings' ❑Building Under Construction* � Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/A0. Comolete Items C2.a-o
below according to the building diagram specified in Item A7. 2� 7 g g U S H I G H WAY 19 N
Benchmark Utilized Site TBM#1 Vertical Datum 1929
Conversion/Comments 1929to1988Datum-0.88. BCPZOO6-05532
.,nacn�ne measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 24.6 �feet ❑meters(Puerto Rico only)
b) Top of the next higher floor N.A ❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) N.A ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building N.A ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
� Lowest adjacent(finished)grade(LAG) 24.5 �feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 24.8 �feet ❑meters(Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation """''
information. I certify that the information on this Cert�cate represents my best efforts to interpret the data available. . �� �
I understand that any false statement may be punishable by fine or impnsonment under 18 U.S. Code, Section 1001. •� �,,��i��`'; ,;', �'�'�fr ;
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❑ Check here if comments are provided on back of fortn. k � �^ � , , ������ �
.:.: = ���'�� 1
Certifier's Name Michael A.Guiler License Number 5107 ` M ly����t;'� �
Title President Company Name Leftcoast Surveyors, Inc. ,�; ��t� �� E,�r 1'
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Address 2363 15 Avenue North City St.Petersburg State FI ZIP Code 33713 , ��� ,p� , , �;`
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Signature ,n � Date 10/01/08 Telephone 727-576-2877 '•����C� �:� "� �t. �
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FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previouS editions
J `
IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use:
Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box Na Policy Number
21799 U.S.Hightway 19 North
City Clearvvater State FI ZIP Code 33765 Company NAIC Number
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUcompany,and(3)building owner.
Comments
Signature Date
❑ Check here ff attachments
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,
and C. For items E1-E4,use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade(HAG)and the lowest adjacent grade(LAG).
a)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG.
b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor
(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG.
E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my know/edge.
Property Owner's or OwnePs Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodptain management ordinance can complete Sections A,B,C(or E),
and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9.
G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO.
G3.❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes.
G4.Permit Number G5. Date Permit Issued G6. Date Cert�cate Of Compliance/Occupancy Issued
G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building: _❑feet ❑meters(PR)Datum
G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum
Local O�cial's Name Title
Community Name Telephone
Signature Date
Comments
❑Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
EL�VA.TION CERTiFiCATE O.n�.B.No3067-0077
Expires May 31, 7993
• FEDERAL EMERGENCY MANAGEMENT AGENCY
� NATIONAL FLOOD INSUF(ANCE PROGRAM
A'i?TENTION: 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 floodplain management ordinances,to
��rmine 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 COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBEA
RYLAND HOMES •
STREET ADDRESS(Including Apt.,Unit.Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBEA COMPANY NAIC NUMBER
26750 U.S. HIGHWAY 19 NORTH SUITE 301 . �
OTHER DESCRIPTION(Lot and Block Numbers,etc.) � ,
LOT o1 THE MOORINGS OF SAND KEY ,�y—,=L-C�' �% � cr ,e� /� /�G
C�N STATE ZIP DE
CLEARWATER FLORIDA
SECTION B FLOOD INSURANCE RATE MAP(F1RM) INFORMATION
Provide the following from the proper FIRM (See Instructions): �
1.COMMUNITY NUMBER 2.PANEL NUMBEA 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION
(in AO Zones,use depth)
125096 �Q /� � �N�, /8J /9yZ � 11'
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): �NGVD '29 ❑Other(�escribe 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:! � ! ! 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
�FIRM Zones A1-A30, AE, AH, and A (with BFE). The top of the reference level ffoor from the selected diagram is at an elevation
of' � !1 I 11 I�!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 I �._feet NGVD (or other FIRM datum—see Section B, Item 7).
(c;. FIt�M Zone A (without BFE). The floor used as the reference level from the selected dia5ram is ! � �.!_!fest above r' or
below� (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is �J.J feet above❑ or below❑ (check
one)the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference
levei) 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 Ievel elevations:X� NGVD'29 ❑ Other(describe
under Comments on Page 2). (NOTE: lf ihe elevation datum used in measuring fhe elevations is different fhan that used on
the F/RM (see Secfion B, Item 7J, then convert the e/evations io the datum system used on the FlRM 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 X� construction drawings
(NOTE: Use of construction drawings is on/y va/id if the building does not yet have the reference level floor in place, in which
case this certificate will only be va/id for the building during the course of construction. A post-construction E/evation Certificate
will be�equired once construction is comp/ete.)
6.The elevation of the lowest grade immediately adjacent to the building is:i ' ! I � I.�! feet NGVD (or other FIRM datuRm-see
Section B, Item 7). !
,�. .,� ;,�n .
SECTION D COMMUNITY INFORMATION � °' • '
,.,,.. -
� f the community official responsible for verifying building elevations specifies that the referen vel i�e�ip�n ��It��n 1
nat the "lowest floor"as defined in the community's ftoodplain management ordinance,the ��tion bui(ding's "lo est �
loor"as defined by the ordinance is: � ' �.!� feet NGVD (or other FIRM datum—see ecti�n B, It�1za ��, -� C, ;
2. Date of the start of construction or substa�tial improvement �-°^�;` cit ' � ' ;:'rt �,_ .+'
• Gk.� r,r � �,..=-'a
FEMA Form 81-31�MAY 90 REPLACES ALL PREVIOUS EDITIONS REVERSE SIDE FOR CONTINUATION
SECTION E CERIIFICAIION
lhis cerlilication is lo be signed by a tand surveyor, enyineer, or architect wlio is authorized by slate or local law lo cerlity elevation '
intormation when the elevalion inf,Qrmalion for Zones A1-A30, AE, AH, A (with F3f-E:),V1-V30,VE', and V (wilh BFE) is required. .
Communily of(icials who are authorized by local law or ordinance to provide tloodpl�in nianagenienl information, may also sign Ilie
certificatior� In the case of Zones AO and A (without a FEMA or community issued BFE), a building otticial, a property owner, or an �
owner's repiesentati•ie may also sign the certi(icalion.
Reference level diagrams 6, 7 and 8 - Disiinguishing Features-I(the cerli(ier is unahle to cerlity lo breakaway/non breakaway wall,
anclosure size, loca4ion oi servicing equipment, area use, w�ll openings. or untinished area Fealure(s), then lisl tl�e Fealure(s) not
included in the certitication under Comments below. Tlie diagrarn number, Section C, Item 1, must still be enlered.
I certi�y that Nre information in Secfions B and C on�his certilicafe�epresents rny best el�orls lo inferp�et the data available.
!understand that any lalse statement may be punishable by line or imprisonnienl under 18 U.S. Code, Section 1001.
CFRIIFIEF�'S NAME LICFNSF NUMBFR(or/1Hix Seal�
WILLIAM R. -D�LONG , P.S. & M. 83616
_ , _._ __ __._ __
TITLE -,t»+•° w*�,�;�.— -- COMPAPJV NAME
PRESiD�N�`T�q.��?� ��' �"�f� �` �� CAMPBFLL CONSUL'TAN'CS, INC.
ADDFlESS ,.'��'1r'� •"'«� �� !r- Cliv SIAiF ZIP
560� �'6:EH AY.�1�U�,°�tV'OI��i4«_... CLEARWATER FLORIDA 33760
� �. . _
_ .
SIGNATUHE � �� ,' ; � .', ��r,y '''� � C�AI F PHONE
__2_3-�z 813-573-4586
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Copies sF�t�ul�fb',e%�iad' cri th4�'C�'ntiNcate for:�.t)'communily of(icial, 2) instn ar►ce agenUcompany,and 3) building owner.
f5 a��^ �,,.�1 � Ap3 1�.�.� f:�1 'f .. �...1 .r � ��
� � ��f w_��'i y�. , � a i�ir �Jr,�.� Y ., .
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COMMENTS' _`� '�•� -
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ON � . WITH ON PILES,
SLAB BASEMENi PIERS,OR COLUMNS
11 V A !1 V
ZONFS ZONES 70NFS ZONES 20NES
� nFrFRE�i�:F
— LEVEI Hf�N�ENCF
nprr-qEplcF -- �^'�[ LEVEL
LEVEI �U inD '
ELEVAtIDN — —
��. . �- ��. �-�-�.� i✓�.��.,.ti. �.._ .,+.. =� -n_.�. �=�
1 BA51.
I?n;F. � .,.. -1 .. .�� 11F�f.lililr.l � ��.i)r)I�
'Ir)�JI) AD.�n(.INI �-� EIEvAII()N
ElE':AI1pN 11Eff'_HENCf AOJACENI GqAUf � LLVFL �
IEVEI GRADE �
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�{ ��'�D.IACFtJt_.
h1/�:.�:' ��I1(`���`�� GHADE �.
The diagrams above illusUate the points at which lhe elevalions should he nie�isured in A Zones and V Zones.
Elevations for all E1 Zones should be measured at the top ol the relerence level (loor. •
Ele��ations lor all V Zones should be measured at tl�e bottorn ol the lowesl lu�iizon��l s�rucluial nieinlx�r.
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