309 CORONADO STU.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1 -9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) i
OMB No. 1660 -0008
Expiration Date: November 30, 2018
build
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
CLEARPOINT LODGING LLP, A FLORIDA PARTNERSHIP
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and
Box No.
309 CORONADO DRIVE
Company NAIL Number:
City State ZIP Code
CLEARWATER Florida 33767
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
08- 29 -15- 17604 - 000 -0020, 08- 29 -15- 17604 - 000 -0010, 08- 29 -15- 17586 - 001 -0010, 08- 29 -15- 17586 - 001 -0040, 08- 29- 15- 17604- 000 -003
A4. Building Use (e.g.,
A5. Latitude /Longitude:
A6. Attach at least
A7. Building Diagram
A8. For a building
a) Square footage
b) Number of
c) Total net area
d) Engineered
A9. For a building with
a) Square footage
b) Number of
c) Total net area
d) Engineered
Residential, Non - Residential, Addition, Accessory, etc.)
Lat. 27 °58'23.5" Long. 82 °49'41.7"
RESIDENTIAL
Horizontal Datum:
obtain flood insurance.
1.0 foot above adjacent
above adjacent grade
❑ NAD 1927
grade
x NAD 1983
0
2 photographs of the building if the
Number 1A
Certificate is being used to
0 sq ft
with a crawlspace
of crawlspace
permanent flood
of flood openings
flood openings?
an attached
of attached
permanent flood
of flood openings
flood openings?
or enclosure(s):
or enclosure(s)
openings in the crawlspace
in A8.b 0
sq
or enclosure(s) within
in
sq ft
within 1.0 foot
sq in
0
❑ Yes x No
garage:
garage 0
openings in the attached garage
in A9.b 0
❑ Yes x No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CITY OF CLEARWATER/ 125096
B2. County Name
PINELLAS
B3. State
Florida
B4. Map /Panel
Number
12103C0102
B5. Suffix
G
B6. FIRM Index
Date
08/18/2009
B7. FIRM Panel
Effective/
Revised Date
09/03/2003
B8. Flood Zone(s)
AE
B9. Base Flood Elevation(s)
(Zone AO, use Base
Flood Depth)
11
B10. Indicate the source
❑ FIS Profile
B11. Indicate elevation
B12. Is the building
Designation Date:
of the Base
Flood Elevation (BFE)
❑ Community Determined
for BFE in Item B9:
Coastal Barrier Resources
❑ CBRS
data
❑ NGVD
System
or base flood depth entered in Item B9:
❑ Other /Source:
x FIRM
datum used
located in a
1988 ❑ Other /Source:
or Otherwise Protected
"REVISE.''
1929 x NAVD
(CBRS) area
❑ OPA
Area (OPA)?
❑ Yes x No
D PI AM
FEMA Form 086 -0 -33 (7/15)
Replaces all previous editions.
RECEIVED BY: B.V.F
AUG 28201
PLANNtrw ft ru tit s ...
ELEVATION CERTIFICATE
OMB No. 1660 -0008
Expiration Date: November 30, 2018
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 No.
309 CORONADO DRIVE
Policy Number:
City State ZIP Code
CLEARWATER Florida 33767
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* x 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 Utilized: TIDAL BM ELEV. 3.84' Vertical Datum: NAVD 1988
Indicate elevation
•
datum used
NGVD 1929 p
for the elevations in items a) through h) below.
NAVD 1988 ❑ Other /Source:
Datum used for building elevations must be the same as that used for the BFE.
Check
a) Top of bottom floor (including basement, crawlspace, or enclosure o ) 6. 0
the measurement used.
x feet ❑ meters
x feet ❑ meters
x feet ❑ meters
x feet ❑ meters
x feet ❑ meters
x feet ❑ meters
x feet ❑ meters
x feet ❑ meters
b) Top of the next higher floor C-2.-° d Level pa_r -k..: ,nub) V 26 0
,
c) Bottom of the lowest horizontal structural member (V Zones only) N/A
d) Attached garage (top of slab) N/A
e) Lowest elevation of machinery or equipment servicing the building 12 1
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 4. 6
g) Highest adjacent (finished) grade next to building (HAG) 5. 7
h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA.
structural support
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.
Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No ❑ Check here if attachments.
Certifier's Name GUY D. HALE PLS 4626 License Number
�``.A.g, l JO I r y r / ,r }
4,J *t..... 'ry i
, Z ACC* .t,- A" ' > ..
• ' ..' i
.- ,r- r - era : •
®/� �� ", r *,� y'`
/2/,� ; ((N \N
Title
PROFESSIONAL LAND SURVEYOR
Company Name
GUY HALE, LAND SURVEYING
Address
1166 KAPP DRIVE
City State ZIP Code
CLEARWATER Florida 33765��
Signature Date Telephone ¢r
07/13/2017 (727) 734 -4266
Copy all pages of this Elevation ertificate and I attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
THIS IS AN SEVEN STORY BUILDING THAT HAS FLOOD PROOFING ON THE FIRST LEVEL ENCLOSURES AT AN ELEVATION
OF 12.63' NAVD 1988. THE 1st LEVEL HAS RETAIL SPACE. THE 1st, 2nd AND 3rd LEVEL IS USE FOR PARKING. THE 4th, 5th, 6th
AND 7th LEVEL IS HOTEL LIVING SPACE. C2 -A IS FIRST LEVEL RETAIL. C2 -B IS 2ND LEVEL PARKING. C2 -E IS MAIN ELECTRIC
AND MECHANICAL ROOM. THE FIRST LEVEL LIVING AREA IS AT ELEVATION 40.5.
FEMA Form 086 -0 -33 (7/15)
Replaces all previous editions.
Form Page 2 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
OMB No 1660 -0008
Expiration Date: November 30, 2018
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 No.
309 CORONADO DRIVE
Policy Number:
City
CLEARWATER
State
Florida
ZIP Code
33767
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 Vie■"; 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.
Photo One
Photo One Caption FRONT (WEST SIDE) TAKEN 07/13/2017
Ina Wail;
Photo Two
Photo Two Caption REAR (EAST SIDE) TAKEN 07/13/2017
FEMA Form 086 -0 -33 (7/15)
Replaces all previous editions.
Form Page 5 of 6
U.S. DEPARTMENT OF I-IOMELAND 5ECURI7Y
Federal Emergency Management A�ency
National Flood insurance Program
ELEVATIC)N CERTIFICATE
(mportant: Foliow the instructions on pages 1-9.
�MB No. 1660-0008
Expiration date: November 30, 2018
Copy all pages of this Elevation Certificate and all attachme�ts for (1} community o�cial, (2) insurance agenUcompany, and (3) building owner.
SECTION A— PROPERTY INFORMATION F�R I►JSURANCE COMPANY USE
A1_ Building Owner's Name Policy Number:
CLEARPOIN7 LODGING, LLP
A2. Buikling 5treet Address {including Ap#., Unit, Suite, and(or Bidg_ No_) or P_O. Route and
Box No. Company NAIC Number�
309 CORONADO STREET
City State ZIP Code
CLEARWATER Florida � 33767-2433
A3. Property Description (Lot and Slack Numbers, Tax Parcel Number, Legal Description, etc.)
�OTS 1-4 AND 1A-4A, COLUM8IA SUBDIVISION NO. 3: AND LOTS 1-4. BLOCK A, COLUMBIA SUB. NO. 2
AA. Building Use (e.g., Residential, Non-Residential, Addition, Accessary, eta) HOTEL/PARKWG GARAGE
A5. �atitude/Longitude: Lat. 27°58'23.9"N Long. 82°49'40.2"W Horizontal Datum: � 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 1A
A8. For a building with a crawlspace or enclosure(s}:
a) Square fiootage of crawlspace or enclosure(s) N�q sq ft
b) Nurnber of permanent fbod openings in the crawlspace or enclosure(s} within �.0 #oot above adjacent grade N!A
c) To#al net area of flood openings in A8.b N/q sq in
d) Engineered flaod openings? ❑ Yes � No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A s� ft
b) Number of permanent flood openings in the attached garage within 1 A foot abave adjacent grade �/q
c) 7o#al net area of flaod openings in A9.b N/q sq in
d) Engineered flood openings? � Yss 0 No
SECTION B— FLOOD INSUFtANCE RA7E MAP (FIRM) INFOf{MAT10N
B1. NFIP Communiry Name & Community Number B2. County PJame B3. State
CITY OF CLEARWATER; 125096 PINELLAS Florida �.
84. Map/Panel B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Fload Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
Revised Date Flood Depth)
12103C0102G G 8/18/2009 H/312003 AE 11
810. Indieate #he saurce of the Base Flood Elevation (8FE) data or base flood depth entered in Item B9:
❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source:
B11, lndiCate elevation datum used for BFE in Item B9: � NGVD 1929 0 NAVD 1988 � ptherlSource:
812. Is the building located in a Coasfal Barrier Resources System (CBRS} area or Othenvise Protected Area (OPA)? � Yes � No
Designation Date� N/A � CBRS ❑ OPA
FEMA Form 086-0-33 (7l15) Replaces all previous editions. Farm Page 1 af 6
ELEVATION CERTIF{CATE
OMB No. 1660-0008
FYniratinn f'1�to• AlnvomF,n. 1n 7n1 Q
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (induding Apt., Unit, Suite, and/or Bidg. No,) or P.O. Route and Box No. Policy Number:
309 CORONADO STREET
City State ZIP Code Company NAIC Number
CLEARWATER FLORIDA � 33767-2433
SECTION C— BUILDIMG ELEVATION INFORMATIDN (SURVEY REQUiRED)
C1. BuikJing elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* � Finished Construction
"A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zanes A1 A30, AE, AH, A(with BFE}, VE, !/1—V30, V(wiih �3FE). AR, AR/A, AR/AE, AWA1 A30, AR/AH, AWAO.
Complete Items C2,a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter mekers.
Benchmark Utilized: TIDAL BM Vertical Datum: NAVD 1988
(ndicate elevation datum used for the etevations in items a) khrough h) below.
� NGVD 1929 � NAVD 1988 � OtherlSource:
Datum used for building elevations must be lhe same as that used for the BFE.
Check the measurement used.
a} Top of bottom floor (including basemenf, crawlspace, or enclosure flaor) 5. 31 � feet � meters
b) Top of fhe next higher floof 14 , 93 x� feet � meters
c) Bottom of the bwest horizontal structural member (V Zones onty) ��A. x❑ feet � mete�s
d) Aitached garage (top of slab) N/A . � feeY � meters
e) Lowest elevation oi macFiinery or equipment servicing ihe building N�� . � feet � meters
(Describe type oi equipment and location in Commentsj
f) Lowest adjacent (finished} grade next to building {LAG} 4. 1 � feet � meters
g} Highesi adjacent (finishedj grade next to building {HAG) S. 1 � feet � meters
fi) Lowest adjacent grade at lowest elevation of deck or stairs, including NlA. � feet � meters
structural support
SECTION D— SURVEYOR, ENGINEER, OR ARCHII'ECT CERTIFICA710N
7his certification is to be signed and sealed by a land surveyor, engineer, or archifect authorized by law to certify elevation information.
! certify fhat the information on this Certificate represents my besf efforts to interpref the dafa avaitable. t understand that any false
sfateme��t may be punisfiable by fine or imprisonment under 18 U. S. Code, Section i 001.
Were letitude and longitude in Section A provided by a Gcensed land suaveyor? ❑ Yes 0 No ❑ Check here if attachments.
Certifier's Name License Number
EUZABETH KATNLEEN MERTA LS6113
Title
PROFESSIONAL SURVEYOR AND MAPPER
i
Company Name �� � f�
EMME LANQ SURVEYING, LLC G� // ��� '%�,p�
Address
1054 KAPP D�21VE
C��Y Sfate ZIP Code
CLEARWATER FLORiDA � 33765 9/23/16
Signat�r� Date Telephone
/ a .. :: ;,
___.. --
y��;���_ �' ��,�` 9/23l2Q16 (727) 474-3751
Copy al� pages of this Elevatio� Certificate and a1 attachments for (1) community official, (2) insurance agenUcompany, and (3} building owner.
Comments (including rype ofi equipment a�d locatipn, per C2(ej, if ap�licable)
ELEVATIONS ARE BASED ON BENCHMAf2K "TIC}AL BM" HAVWG AN ELEVATION OF 3.84 FE�°C' (AbJUSTED)
t-tft�iA Form 086-0-33 ;7/15) F2eplaces al) previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE OMB No. 1660-0008
Ex�iratio� Date� NnvamhPr 3tt �n1R
IMPORTANT: In these spaces, copy the corresponding information firom Section A. FOR WSURANCE COMPANY USE
Building Streei Address (including Api., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number.
309 CORONADO STREET
City State ZIP Code Company NAIC Number
CLEARWATER FLORIDA � 33767-2433
SECTION E— BUILDING ELEVATIdN INFORMATION (SllRVEY MOT REQiJIRED)
FOR ZONE AO AND ZOWE A(WITHOUT BFE)
For Zones AO and R(wi#hout 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, ii 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 wheiher the elevation is above or below
the highest adjacent grade (HAG} and the lowest adjacent grade (�AG).
a) Top of bottom floor (including basement,
crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above o� ❑ belaw the HAG.
b) Top o# bottom floor {including basement,
crawlspace, or endosure) is
. ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For Buiiding Diagrams 6-9 with permanent flood openings provided in Section A ttems 8 and/or 9(see pages 1-2 of Instructions),
the next higher floor (elevation C2.b in
the diagrams) of the building is . ❑ feet ❑ meters ❑ abowe or ❑ below the HAG.
E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ above ar ❑ below the HAG.
E4. Top a# platform of machinery and/or equipment
servicing the building is . ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. Zone AO o�ty: If no flood depth �umber is availab4e, is the top of the bottom floor elsvated in accordance with the communitys
floodplain management ordinance? � Yes ❑ No � Unknown. The local o�cial must certify this information in Section G.
SECTION F— PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CEi2TIFICATl018
The property owner or owner's authorized representative who compleYes Sections A, B, and E for Zone A(wiihout a FEMA-issued or
community-issusd 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 Date Telephone
Comments
❑ Check here i( attachments.
:�.�., r ����� �oU-u-oo �,r ��� r<epiaces an previcus editions. Form Page 3 of
��
ELEVATION CERTIFICATE
OMB No. 1660-0408
Frniratinn (lato- Rlnvnmhnt �n 7n� fl
IMPORTANT: In these spaces, copy #he corresponding information from Section A. FOft INSURANCE COMPANY USE
8uilding Street Address (induding Apt„ Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Palicy Number:
309 CORONADO STREET
Ciiy State ZIP Code Company NAIC Number
CLEARWATER FLORIDA � 33767-2433
SECTION G — COMMUNITY INFORMA710N (OPTIONA�}
The bcal official who is authonzed by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C(dr E}, and G of this Elevation Certificate. Complete the appiicable 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 faken 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 af 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 communityassued BFE)
or Zone AO.
�3. ❑ 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 � 5ubstantial Improvement
G8. Elevation of as-built lowest floor (including basement)
of the building: . ❑ teet ❑ meters patum
G9. BFE or (in Zone AO} depth of flooding at the building site: _ ❑#eet � meters Datum
G10. Community's design flood elevation: _ ❑ feet � meters patum
Local O�cial's Name Title
Community Name 7elephone
Signature Date
Comments (including type of equipmeni and location, �er C2(e), if applicable)
❑ Check here if attachments.
r��wri rurrn Vao-V-SA (I! iD)
Keplaces all previous editions.
Form Page 4 of 6
BUILDING PH4TOGRAPHS OMB Na. 1660-0008
ELEVATION CERTIFICATE See Instruc6ons for item A6. Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Buiiding Street Address {including Apt., Unit, Suite, and/or Bldg. No.) or P_O. Route and Box No_ Policy Number:
309 CORONADO STREET
City 5tate ZIP Code Cornpany NAIC Number
CLEARWATER FLORIDA � 33767-2433
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 a8 photographs with date taken; "FronC View" and "Rear View"; and, if required, "Right Side View" and
"Left Side View:' When applic�ble, photographs must show the foundation wi#h representative examples of the flaod openings or
vents, as indicated in Secfion A8. If submitting more phoiographs fhan will fit nn this page, use the Continuation Page.
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REAR VIEW - PHOTU TAKEN 9123l2016
�EMA Form 086-Q-33 {7/15) Replaces all previnus editions. Form Paye 5 af 6
BUILDtNG PHUTOGRAPHS OM8 No. 1660-b008
ELEVATION CERTIFICATE Continuation Page Expiratibn Date: November 3D, 2018
IMPORTANT: In these spaces, copy the correspondir�g information from Section A. FOR INSURANCE GOMRRNY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No_) or P.O_ Route and Box No_ Policy Number;
309 CORONADO STREET
C��Y 5tate ZIP Code Company NAIC Number
CLEARWATER FLORIDA Q 33767-2433
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 Sectian A8.
Piwto One
Phtrio Two
FEP,AA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6