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706 BAYWAY BLVD (2)U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 Important: Follow the instructions on pages 1 -9. 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. -82 °49'23.7" W RESIDENTIAL (CONDOMINIUM) Horizontal Datum: ❑ NAD 1927 insurance. 706 BAYWAY BCP2017- 04049E ELEVATION CERTIFICATE SANDPIPER'S COVE Zoning: Tourist x NAD 1983 BLVD 1 Atlas #: 2I 2 photographs Number a crawlspace of crawlspace flood of flood openings flood openings? an attached of attached flood of flood openings flood openings? of the building if the 6 Certificate is being used to obtain flood 1373.11 sq ft or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b or enclosure(s) 0.00 sq in within 1.0 foot above in 0.00 sq ft • Yes ❑ No garage. garage openings in the attached garage within 1.0 in A9.b 0.00 sq ❑ 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 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 ❑ FIS Profile 811. Indicate elevation B12. Is the building Designation of the Base Flood Elevation ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources (BFE) data ❑ NGVD System CBRS or base flood ❑ Other /Source: 1929 (CBRS) depth entered in Item B9: x FIRM datum used located in a Date: ❑ Other Protected /Source: x NAVD 1988 area or Otherwise Area (OPA)? ❑ Yes x No • • OPA FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 1 of 6 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. 706 BAYWAY BOULEVARD Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl . Building elevations are based on: ❑ Construction Drawings* ❑ 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 x Finished Construction AR /A1 —A30, AR /AH, AR /AO. Rico only, enter meters. Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 x 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) Check the measurement used. 5.06 x feet ❑ meters b) Top of the next higher floor 15.08 x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x feet ❑ meters d) Attached garage (top of slab) N/A x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 1.06 (Describe type of equipment and location in Comments) ®feet ❑meters f) Lowest adjacent (finished) grade next to building (LAG) 5.00 x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.10 LI feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A x 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 I 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 Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes x No x Check here if attachments. Certifiers Name License Number Elizabeth Kathleen Merta LS6113 ^% ��H K. /r�Jfi ` 4'SE. tit t6, , + ' :C� Alr A. I J' 1 ,` - ! W 40/13 'L' fl S TATE FLORIDA r , /2. � /,,., �, J Title Professional Surveyor & Mapper Company Name Deuel & Associates (WO #2017 -130) Address 565 South Hercules Avenue City State ZIP Code Clearwater Florida 33764 Sig Date Telephone Ext. 12 -11 -2018 (727) 822 -4151 210 Copy p g this leva on irate and all 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) A5: Latitude and longitude were determined using Google Earth. A8a: Enclosures consist of an elevator shaft, stairwells and storage areas. C2a: Elevation shown is the finish floor of the parking area; C2e: Elevation shown is bottom of elevator shaft Date shown is the date of the field work. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 2 of 6 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. 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 El—E5. If the Certificate is intended to support a complete Sections A, Band C For Items El—E4, use natural grade, if available. Check the measurement enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters LOMA or LOMR -F request, used. In Puerto Rico only, the elevation is above or below ❑ above or ❑ below the HAG. ❑ above or ❑ below the LAG. 9 (see pages 1 -2 of Instructions), ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters 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 E3. Attached garage (top of slab) is ❑ feet ❑ meters I above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet al 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? I/ 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 Expiration Date: November 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 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: ❑ 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: New Construction ❑ Substantial Improvement basement) ❑ feet feet ❑ feet ❑ meters Datum building site: [j ❑ 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. 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 0 Route and Box No 706 BAYVVAY 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 . li fl s Tit Photo One Photo One Caption FRONT VIEW (SOUTH SIDE) - PHOTO TAKEN 12 -11 -2018 Clear Photo One ---........ ft III Photo Two° , r _ Photo Two Caption REAR VIEW (NORTH SIDE) - PHOTO TAKEN 12 -11 -2018 Clear Photo Two FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page 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 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. Oa 1Ii \ ,, .1 s Photo Three Photo Three Caption LEFT SIDE VIEW (WEST SIDE) - PHOTO TAKEN 12 -11 -2018 Clear Photo Three } Photo Four Photo Four Caption SOUTH SIDE OF NORTH WALL - PHOTO TAKEN 01 -04 -2019 Clear Photo Four FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 6 of 6