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706 BAYWAY BLVDU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name BAYWAY HOTEL HOLDINGS, INC. Policy Number. A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 706 BAYWAY BOULEVARD Company NAIC Number: City State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 25 AND 26, BLOCK A, BAYSIDE SUBDIVISION NO. 5; PARCEL ID #17-29-15-06286-000-0010 A4. Building Use (e.g., A5. Latitude/Longitude: A6. Attach at least A7. Building Diagram A8. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of permanent c) Total net area d) Engineered Residential, Non -Residential, Addition, Accessory, etc.) Lat. 27°58'02.1" N Long. -8749'23.7" W RESIDENTIAL (CONDOMINIUM) Horizontal Datum: insurance. above • NAD 1927 adjacent grade grade 0 © NAD 1983 0 2 photographs of the building if the Number 6 Certificate is being used to obtain flood 1375.40 sq ft a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 0.00 sq in within 1.0 foot foot above adjacent in 0.00 sq ft • Yes © No garage: garage openings in the attached garage within 1.0 in A9.b 0.00 sq • Yes MI No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER; 125096 B2. County Name PINELLAS COUNTY B3. State Florida B4. Map/Panel Number 12103C0104 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 E evation(s) (Zone AO, use Base Flood Depth) 11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: • FIS Profile B11. Indicate elevation B12. Is the budding Designation p FIRM datum used located in a Date: • Community Determined for BFE in Item B9: Coastal Barrier Resources • Other/Source: 1929 (CBRS) Area (OPA)? • NGVD MI NAVD 1988 • Other/Source: area or Otherwise Protected System CBRS • Yes p No • • OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 RECEIVED BY; V.J.K APR 042018 PLANNING & DEVELOPMENT CITY OF CLE 706 BAYWAY BLVD 1 BCP2O017-04049E ELEVATION Sandpiper Cove Atlas #: 285A ?oning: ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 20 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. 706 BAYWAY BOULEVARD Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) ❑ Finished Construction AR/A1—A30, AR/AH, AR/AO. Rico only, enter meters. C1. Building elevations are based on: ❑ Construction Drawings* p Building Under 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, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Benchmark Utilized: AURAL A (PID AG0298) EL=11.82 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. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5.56 Check the measurement used. p feet • meters b) Top of the next higher floor 14.39 © feet • meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A © feet ■ meters d) Attached garage (top of slab) N/A p feet • meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 1.06 p feet ■meters f) Lowest adjacent (finished) grade next to building (LAG) 4.50 x feet • meters g) Highest adjacent (finished) grade next to building (HAG) 5.10 p feet • meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A feet ■meters ❑ x SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by 1 certify that the information on this Certificate represents my best efforts to interpret the data available. statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. law to certify elevation information. I understand that any false ❑ Check here if attachments. Were latitude and longitude in Section A provided by a licensed land surveyor? ■ Yes i3 No Certifier's Name License Number Elizabeth Kathleen Merta LS6113 Q'e'E.-C H K 4 , Title Professional Surveyor & Mapper •\9' <<",SE N/jy8 _57` `� / ,i), /moi i 113 15-6/43 STATE OF ci6 FLORIDA �9C 0¢ Company Name Deuel & Associates (WO#2017-130) Addressid, 565 South Hercules Avenue City State ZIP Code Clearwater Florida 33764 S' re Date Telephone Ext. 03-26-2018 (727)822-4151 212 op I pages of is Eleva on Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) buikiing owner. Comments (including type of equipment and location, per C2(e), if applicable) A5: Latitude and longitude were determined using Google Earth. C2a: Elevation shown is the top of the bottom stair (no floor) C2e: Elevation shown is bottom of elevator shaft FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration D 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. 706 BAYWAY BOULEVARD Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number 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. El. 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. 9 (see pages 1-2 of Instructions), E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or the next higher floor (elevation C2.b in the diagrams) of the building is • feet ■ meters • above or 0 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 0 meters ■ above or • below the HAG. with the community's certify this information in Section G. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance floodplain management ordinance? • Yes ■ No • Unknown. The local official must 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 Date Telephone Comments • Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 iration Date: November 30. 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Budding Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 706 BAYWAY BOULEVARD Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance Sections A, B, C (or E), and G of this Elevation used in Items GB -G10. In Puerto Rico only, enter to administer the community's floodplain management ordinance can complete Certificate. Complete the applicable item(s) and sign below. Check the measurement meters. from other documentation that has been signed and sealed by a licensed surveyor, by law to certify elevation information. (Indicate the source and date of the elevation E for a building located in Zone A (without a FEMA -issued or community -issued BFE) is provided for community floodplain management purposes. G1. ■ The information in Section C was taken engineer, or architect who is authorized data in the Comments area below.) G2 • A community official completed Section or Zone AO. G3. • The following information (Items G4 -G10) 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 -built lowest floor (including of the building: G9. BFE or (in Zone AO) depth of flooding at the G10. Community's design flood elevation: basement) • feet • meters Datum building site: ■ feet D feet ■ meters Datum • meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) • Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 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. 706 BAYWAY BOULEVARD Policy Number: City State ZIP Code CLEARWATER Florida 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 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. s N :..;.- } Photo One Photo One Caption FRONT VIEW (SOUTH SIDE) - PHOTO TAKEN 3-26-2018 Clear Photo One 1f !( 'tom `mac- C - `d • r 1 Photo Two Photo Two Photo Two Caption REAR VIEW (NORTH SIDE) - PHOTO TAKEN 3-26-2018 Clear FEMA Form 086-0-33 (7/15) Replaces alt previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: 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. 706 BAYWAY BOULEVARD Policy Number: City State ZIP Code CLEARWATER Florida 33767 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. _ ;tr . g Photo Three Photo Three Caption LEFT SIDE VIEW (WEST SIDE) - PHOTO TAKEN 3-26-2018 Clear Photo Three k11k 1 • t 7 Photo Four Photo Four Caption RIGHT SIDE VIEW (EAST SIDE) - PHOTO TAKEN 3-26-2018 Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6