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430 GULFVIEW BLVD S\l 2��- ` '�� DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION CERTIFICATE IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number: 1660-0008 opy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) uiPding owner.0/2018 SECTION A- PROPERTY INFORMATION FORM INSURANCE COMPANY USE A1. Building Owner's Name Clearmar LLC Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Company NAIC 430 Gulfview Boulevard Number: City Clearwater State Florida Zip Code 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 07-29-15-52380-000-0330 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Hotel - Main tower only (pool and tiki deck not included) A5. Latitude/Longitude: Lat. 2�°ss'10.69��N Long. 8z°as�as.�6��w Horizontal Datum: C�` NAD 1927 (x 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 6 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 33,899 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the b) Number of permanent flood openings crawispace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade Z above adjacent grade N/A c) Total net area of flood openings in A8.b See Section D comments sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? i Yes {z No d) Engineered flood openings? C1 Yes {z No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Clearwater 125096 Pinellas Florida B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) Bg. Base Flood Elevation(s) Revised Date (Zone AO, use base flood 12103C0102 G August 18, 2009 September 3, 2003 VE depth 14' � 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: C` FIS Profile (x` FIRM (' Community Determined {i` Other/Source: B11. Indicate elevation datum used for BFE in Item 69: (" NGVD 1929 � NAVD 1988 {' Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othenvise Protected Area (OPA)? (� Yes � No Designation Date: N/A (' CBRS (' OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: t'�' Construction Drawings* (' Building Under Construction* (z Finished Construction 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/AO. Complete Items C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized: LP 10 1 FLHD, PID AG7197 Vertical Datum: North American Verticai Datum of 1988 (NAVD 88) Indicate elevation datum used for the elevations in items a) through h) below. ("` NGVD 1929 (z NAVD 1988 C` Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 4•0 - {x feet (' meters b) Top of the next higher floor 16.7 � � � feet (` meters c) Bottom of the lowest horizontal structural member (V Zones only) 16.0 - � feet (�' meters d) Attached garage (top of slab) N/A - � feet (' meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 16'7 C feet (' meters f) Lowest adjacent (finished) grade next to building (LAG) 4.6 - Cx feet C meters g) Highest adjacent (finished) grade next to building (HAG) 13.5 - {x feet C' meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 5.1 - �ii feet (° meters FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE OMB Control Number: 1660-0008 Expiration: 11 /30/2018 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. ! certify that the informafion on this Certificate represents my besf efforts to inferpret the data available. ! understand that any fa/se statement may be punishab/e by fine or imprisonment under 18 U. S. Code, Section 1001. 02/26/2016 ='' LS 6257 Were latitude and longitude in Section A f, ;<� "° x� Check here if attachments. provided by a licensed land surveyor? j' ;,,�� e ��.. {x Yes i No r ''� Certifier's Name License Number `;� � ; ;�;;•5� .�" ,, Catherine A. Bosco LS 6257 �, r�� {?� L Title Professional Surveyor and Mapper Address 299 Dr. Martin Luther King Jr. Street North Company Name George F. Young, Inc. City State Zip Code St. Petersburg FL 33701 Date Telephone February 26, 2016 (727) 822-4317 _ ' � �� <C.i � s'� ." � �,� �,' �.. ; rr — � ti )r +� �_ � �� ;"_ � F 3 `� � � r.°e�^ .. - � w.�. � . �.�:��.��-� ��- �opy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equipment and location , per C2(e), if applicable)" See Attached Signature �J��,n�� `�� Date February 26 2016 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 3ections A, B,and C. For Items E1 -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. 1. 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, crawlspace, or enclosure) is - C` feet (" meters ❑ above or � below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is - C� feet (` meters ❑ above or � below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andlor 9(see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is - i 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 " i` 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, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name: Address City State ZIP Code Signature Comments FEMA Form 086-0-33 (7/15) Date Telephone Replaces all previous editions. ❑ Check here if attachments. Page 4 of 15 OMB Control Number: 1660-0008 Expiration: 11 /30/2018 FEMA Form 086-0-33 (7l15) Replaces all previous editions. Page 5 of 15 t=)�)lIL L—J+11�� tJ �� e instruciions for Item A6 OMCi Confrol Number: 1660-0008 Expiration: 11 /30/2018 IMPORTAiVT: In 4hese spaces, copy the corresponding information frorra Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 430 Gulfview Boulevard City State Zip Code Company NAIC Clearwater Florida 33767 Numbel': Ifi usinc� fihe Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; °'Front view" and R�ar view"; and, if required, °'Right Side View" and "Left Side View." When applicabie, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more pho4ographs than will fit on this page, use the Continuation Page. � , �„ �.: S� �i` "?�' A�� ,.k,... � „�,;.: � . . . . ,�..a" aaS":: . �k �� . � .�; . .�t$C'�,� r �``", ,J��'` "' � w �� ~ � �3 �•:. krt � ... § ... .. , ':, � . . . . � ' v ;J�,`a�g.,^a., . � ?^;?! . 1` ';.�.IM.Mn�.. . . � "� �s i w,°` '�.,.� � �. y�. .. . ..�. �. � �„ "_.:.. . . . ' . �'E(ViF� �or�� Q a6-0�•,?,3 (7/ � 5) ;?et�la��s �II ��rc��icus cdiii��1�. f'age 6 ofi 15 ��99��1�� PIiO°�OfaRAPFiS Continuation Page iMPORTNN"�: In these spaces, copy the corresponding informatlon frorri Section A. Building Strest Adclr�ss (including Apt., Unit,Suite, andior Bldg. No.) or P.O.Route and Box No. OMB Control Number: 1660-0008 Expiration: 11 /30/2018 URANCE COMPANY USE Policy Number: 430 Gulfview Boulevard G��Y State Zip Code Company NAIC Number: Clearwater Florida 33767 i submitting more photographs than will fit on the preceding page, affix the additional phoiographs below. Identify all photographs with: date aken; "Front View" and "Rear View"' and, if required, "Right Side View" and °'Left Side View." When applicable, photographs must show the 'oundation with representative examples of the flood openings or vents, as indicated in Section A8. � -� � I'"- �� . . _...�.�ri �, ; � �q'� � � , a„ i � �, � �f' '�� . „� �; � . .. . ... � ..a.:�,�. . . _: ._. t:� _. ... ....._ . --�.._.�..... _ . . _ _ .. E��I��d/\ R=oi°m OEF-0=33 (�/'B5) k��nlace� �II �re��iQU� edi4ion�. Page 7 of �5 SECTION D — Comments Clearmar LLC 430 Guifview Boulevard Clearwater, FL 33767 Pa rcel 1 D: 07-29-15-52380-000-0330 Date: February 26, 2016 A5. Lat & Long obtained from Google Earth. A8.a) As per McCarthy and Associates, Inc. structural plan 51-001, other than sheer walls and enclosed egress areas, all walls are breakaway. A8.c) Area of openings is as follows: Open area of garage entrances within one (1) foot above adjacent grade = 6,005 square inches (sq. in.) Total open area of garage entrances (includes above one (1) foot of adjacent grade) = 54,288 sq. in. 69. Building lies within multiple zones: Zone VE, coastal flood with Velocity Hazard (wave action), with a Base Flood Elevation (BFE) of 13' & 14' (NAVD 88) and Zone AE with a BFE of 12' (NAVD 88). C2. Benchmark Used: "LP 10 1 FLHD" (NGS Data Sheet, PID AG7197) located in the top of the SW end of sea wall around Clwr. Harbor along Coronado Drive, having a published adjusted elevation of 3.84' (NAVD 88). C2.a) Bottom of Parking Garage C2.b) Fire command room C2.c) Elevation of the bottom of horizontal structural member of the fire command room, storage room, fire pump/domestic water room, SE elevator machine room, NW elevator machine room, generator room, NE pool equipment room and SW pool equipment room = 16.0'. Elevation of the bottom of horizontal structural member of the P2 parking level/lower lobby level = 9.1'. As per Brian Hsi, P.E., Vice President, McCarthy and Associates, Inc. on 5/20/15, the P2 parking level post-tensioned concrete slab is designed to support standard passenger vehicle parking loads per FBC in addition to resisting hydrodynamic forces of water flowing against and around it from high velocity floodwaters and wave forces. C2.e) Elevator machine room. Equipment on floor. Life safety lights (hanging from parking garage ceiling) lowest elevation = 11.9' GFY Job # 14006700SS U.S. DEP,.ARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 ' NationalFloodlnsuranceProgram Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION � "'""°"' . .E�� A1. Building Owner's Name Cleartnar LLC °� �°°�!�� „� � r + ,�. � „;y x : i`,� �r � ... ^. ��,w.. � rU�t'�ti,v+:� u�. .�xt. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. " �� " 430 Gulfview Boulevard �F;` �`"��°k�-� a°�„��' =?�: ��y f k�; City Clearwater State FL ZIP Code 33767 A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.) 07-29-15-52380-000-0330 A4. Building Use (e.g., Residential, NomResidential, Addihon, Ftccessory, etc.) Residential - Hotel - main buildina oniv. Pool deck not included A5. Latitude/Longitude: Lat. 27'S8'10.69"N Long. 82'49'46.76"W Horizontal Datum: ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurence. A7. Building Diagram Number 6 A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enciosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foof above adjacent grade 0 c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood ope�ings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 8� Community Number I 62. County Name Clearwater 125096 Pinellas B4. Map/Panel Number B5. Suffix B6. FIRM index Date 67. FIRM Panel 12103C0102G G OS-18-09 Effeetive/Revised Date 09-03-03 B3. State FL 68. Flood I 89. Base Flood Eievation(s) (Zone Zone(s) AO, use base flood depth) VE 14' B10. Indicate the source of the Base Fiood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Detertnined ❑ OtherlSource: B17. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ OtherlSource: B12. is the building located in a Coastal Barrier Resources System (CBRS) area or Othervvise Protected Area (OPA)? Designation Date: N/A ❑ CBRS ❑ OPA ❑ Yes � No SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' � Building Under Construction" ❑ Finished Construction *A new Elevation Certificate wiii be required when canstruc6on of the building is complete. C2. ElevaHons - Zones A1-A30, AE, AH, A(with BFE), VE, V1-V3Q, V(with BFE), AR, ARJA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LP 10 1 FLDH Verticai Datum: NAVD 1988 indicate elevation datum used for the elevations in items a) through h} below. ❑ NGVD 1929 � NAVD 1988 O Other/Source: Datum used for building elevations must be the same as that used for the BFE. • Check the measurement used. a) Top of bottom floor (inGuding basement, crawlspace, or enclosure floor} b) Top of the next higher floor c) Bottom of the lowest horizontai structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to buiiding (lAG} g) Highest adjacent (finished) grade next to buifding (HAG) h} Lowest adjacent grade at lowest elevation of dedc or stairs, including structural support 4.6 16.7 16.0 N(A N/A 3.9 5.4 N!A � feet ❑ meters � feet ❑ meters � feet � meters ❑ feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters 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. ! certify that the informafion on this Certiffcate represents my best efforts to inEerpret the data available. i understand that any false statement may be purtishable by frne or imprisronmenf under 18 U. S. Code, Section 1001. � Check here if comments are provided on back of fortn. Were latitude and longitude in Section A provided by a,.' ❑ Check here if attachments. licensed land surveyor? � Yes ❑ No Certifier's Name Catherine A. Bosco License Number 6257 ', "A ___ -. � Titie PSM Address 299 Dr. MLK Jr. Street N Signature Company Name George F. Young, inc. City St Petersburg State FL ZIP Code 33701 Date 06-22-15 Telephone 727-822-4317 s r, . �v,+- • fr , '� v �3�', `�``, • ^� �.. c� � � � t o. tiy� •.'r� y:1 4�' � r a i:i ' . _�`� �� Job # 12016001SGR2 � FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding informatfon from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 430 Gulfi+iew Boulevard City Clearwater State FL ZIP Code 33767 SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) buiidi�g owner. Comments This is an active constructioo site. A5. Lat 8 Long obtained from Google Earth. B9. Building lies within multiple zo�es: Zone VE, coastal flood with Velocity Hazard (wave action), with a Base Flood ElevaBon (BFEj of 13' &14' (NAVD 88) and Zone AE with a BFE of 12' (NAVD 88). C2. Benchmark Used: "LP 10 1 FLHD" (NGS Data Sheet, PID AG7197) Ixated in the top of the SW end of sea wall around Clwr. Harbor along Coronado Drive, having a pubiished adjusted elevation of 3.84' (NAVD 88). C2a) Trash enciosure (break-away wails per email from Joseph Stewart, AIA, Conswction Administrator on May 21, 207 5) C2.6) Fire command room enclosure. C2.c) Elevation of the bottom of horizontal structural member of the 8re command room, storage room, fire pump/domestic water room, SE elevator machine room, NW elevator machine room, generator room, NE pool equipment room and SW pool equipment room = 16.0'. Elevation of the bottom of horizontal structural member of the P2 parking �evelllower lobby level = 9.1'. As per Brian Hsi, P.E., Vice President, McCarthy and Associates, Inc. on 5/20/15, the P2 parking level post-tensioned concrete siab is designed to support standard passenger vehicle parking loads er FBC in additlon to resistin h rod �amic forces of water flowin a ainst and around it from hi h veioci floodwaters and wave forces. C2.e E ui ment not installed Signature - _�J` �� Date 06-22-15 �57' SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REtIUIRED) 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, compiete 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 af bottom floor (indudi�g basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or � below the HAG. b) Top of bottom floor (including basement, crawlspace, or endosure) is . ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A items 8 andlor 9(see pages 8-9 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 siab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platfortn of machinery andlor equipment serviang the building is . ❑ feet ❑ meters ❑ above or � below the HAG. E5. Zone AO oniy: 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 offiaal must certify this information in Section G. SECTION F- PROPERTY OWNER (OR OWNER'S REPRESENTATIVE} CERTIFICATION The properly 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, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments City Date State Telephone ZIP Code Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is autlwrized by law or ordinance to administer the communiry's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(sj and sign below. Chedc the measurement used in Items G8-G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sea�ed 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 Zo�e A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The foilowing information (Items G4-G10) is provided for community floodplain management purposes. G4. Pertnit Numbe� G5. Date Permit issued G6. Date Certificate Of Compiiance/Occupancy Issued G7. Th�s j�errr;it ha5 been issued for. ❑ New Construction ❑ Substantial Improvement C?3. ��6evatior'� ot �3-built iawest floor (including basement) of the building: ❑ feet ❑ meters G:?. BFE os (in.7_one AG} deF.th of flooding at the building site: ❑ feet ❑ meters G10. �ommaanity's desigrr flood elevation: ❑ feet ❑ meters Local Official's Name Community Name Signature J�+ Corrments TiUe Telephone Date Datum Datum Datum Check here if attachments. FEMA Form 086-0-33 (7/12) F2eplaces all previous editions. ♦ ELEVATION CERiIFIGAiE, �ag� � �uilding Photographs See instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Buiiding Street Address (includi�g Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 430 Gulfview Boulevard City Clearwater State FL ZIP Code 33767 FOR INSURANCE COMPAtJY USE Policy Number: Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. �;� �«<a, ,c: . .. m , c�� - ;; :r"' . ^� �� . - ; � .._ _ _ ..� �� ; _� m. � c � . - 'i. •... 9tr � _,_�:,,�=a.:. � °- ��.'.: �>�,' �: �' ,.�. . FRONT YIEW 02-25-3 5 FEMA Form 086-0-33 (7l12) Replaces ali previous ediiions ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 430 Gulfview Boulevard City Clearwater State FL ZIP Code 33767 FOR INSURRNCE COMPANY USE Policy Number: Company NAIC Number. If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify ali photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative exampies of the flood openings or vents, as indicated in Section A8. FEMA Form 086-0-33 (7/12) Replaces ali previous editions. U.S.��EPARTMENT OF HOMELAND SECURITY FEDERAL'EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program r A1. Building Owner's Name Clearmar LLC ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION A2. Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 430 Gulfview Boulevard City Clearvvater State FL ZIP Code 33767 OMB No. 1660-0008 Expiration Date: July 31, 2015 A3. Property Description (Lot and Biock Numbers, Tax Parcel Number, legal Description, etc.) 07-29-15-52380-000-0330 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) Residentiai - Hotel A5. Latitude/Longitude: Lat. 27°58'10.69"N Long. 82°49'48.76"W 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 5 A8. For a building with a cxawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of cxawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of pertnanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b N/A sq in c) Totat net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Communiry Name & Community Number I 62. County Name Clearwater 125096 Pinellas B4. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel 12103C0102G G 0&18-09 Effective/Revised Date 09-03-03 B3. State FL B8. Flood B9. Base Flood Elevation(s) (Zone Zone(s) AO, use base flood depth) AE,VE See Section D 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 � NAVD 1988 ❑ OthedSource: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: N/A ❑ CBRS ❑ OPA ❑ Yes � No SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building e�evations 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/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Uti�ized: LP 10 1 FLDH Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. � Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) � Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 3.8 13.1 See Section D N/A. -1.0 3.9 5.4 N/A. � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters ❑ feet ❑ meters � feet ❑ meters � feet ❑ meters � feet ❑ meters ❑ feet ❑ meters 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 Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. �icensed land surveyor? � Yes ❑ No Certifiers Name Catherine A. Bosco Title PSM License Number 6257 Company Name George F. Young, Inc. Address 299 Dr. MLK Jr. Street N. City St. Petersburg State FL ZIP Code 33701 Signatur �L �%� � Date 04-20-15 Telephone 727-822-4317 4/�'l/2015' � � t`SG2�7 � , ,�o=>t: � d(j��, � ,• � � �1 C�.. �� ,'�•� . �S��i�`. � , � "�': a �M 7�'"� rr :(�� s ,k b'r b..5�� F '.�:. ��"" �;�` > .� e . 'fy . f,� � e 4 � a :. ?' `�� 6' �. �. r, , 4j` .. : :�. Job # 12016001 SC-R1 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 430 Gulfview Boulevard City Clearvvater State FL ZIP Code 33767 PvP�r Wt�r�ber: �. �:.. 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 This is an active consVuction site. A5. Lat & Long obtained from Google Earth. A7. Currently Diagram 5. If enclosures constructed at a later date, this will change. 69. Zone VE, coastal flood with Velocity Hazard (wave action), with a Base Flood Elevation (BFE) of 13' &14' (NAVD 88) and Zone AE with a BFE of 12' (NAVD 88). C2. Benchmark Used: "LP 10 1 FLHD" (NGS Data Sheet, PID AG7197) located in the top of the SW end of sea wall around Clwr. Harbor along Coronado Drive, having a published adjusted elevation of 3.84' (NAVD 88). C2.a) Parking level 1(dirt) C2.b) Parking level2; Elevation of living area = 26.1'. C2.c) Elevation of the bottom of horizontal structural member of the fire command room, storage room, fire pump/domestic water room, SE elevator machine room, NW elevator machine room, generator room, NE pool equipment room and SW pool equipment room = 16.0'. Elevation of the bottom of horizontal structural member of the P2 parking level/lower lobby level = 9.1'. As per Brian Hsi, P.E., Vice President, McCarthy and Associates, Inc. on 5/21/15, the P2 parking level post-tensioned concrete slab is designed to support standard passenger vehicle parking loads per FBC in addition to resisting h drod amic fo es of water flowin a ainst and around it from hi h velocit floodwaters and wave forces. C2.e Bottom of elevator it no e ui . installed . Signature ,� � Date 04-20-15 c_ - _ 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 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 Iocai officiai 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, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address Signature Comments City Date State ZIP Code Telephone p Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain 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—G10. In Puerto Rico only, enter meters. 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—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial improvement G8. Elevation of as-buiit lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Communiry Name Signature Comments Title Telephone Date Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. .J ELEVATION CERTIFICATE, page 3 � Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 430 Gulfview Boulevard City Clearwater State FL ZIP Code 33767 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear Viev�'; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. ��_� � �� r,�� .J �Nnlr A� � F�'� �ti � '��-... r. ��" � 1 � a�,.�,.'S .�:�� _ a � �� ,-~� �;._ �„�' ��;�: �`��r�� . �� ;r..s ., _.. .�.� . . �IR: !Mr B� i� 53c:- i. rt• w�a.l..�.a,o:. . "�°'."� � „,u,:` . � . . � .,.. i�t� �Y •� . _ W : : � y�. 7 � 11s��• �� — . �#. . ' �� .�� ' �� s �' ` `" : � �- _ <_ �, _ R�`i�rR1l1 EW a� � , , . '�,,...` . ,`�� _. .__ . . .. _ -. � _. 'a _ -.,..:-------_� FEMA Form 086-0-33 (7/12) FRONT VIEW 02-25-15 Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 430 Gulfview Boulevard City Clearwater State FL ZIP Code 33767 �< 0 FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View°; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. FEMA Form 086-0-33 (7/12) �3a s Gu�FV��w a�vQ c BCP2014-01425 OPAL SANDS Zoning: Tounst Atlas #: RECEIVEL� MAYZ62015 PLANNING & DEVELOPMENT DEPT. CITY OF CLEARWATER Replaces all previous editions.