The URL can be used to link to this page

521 GULFVIEW BLVD SJ ¢ . oc , ,,w : .z ;_ :f7 Nate: ThQ V Zone design certificate is not a`substitute for the NFiP 1.4; Lowest Floor Elevatlon). which is required to'certify as-built elev v zox� nES�cN �� U[��I�D �' I�� ation needed or I � � �^�-- E�� _.t� PWicyNumber(Ms euilditq Address or Other Description J. c PertnRNa��I/��2.' CkY S Code �3?L7' SECT'ION I: Flood Ins�srance Rate Map (FIRM) Informadoa �g �y ��Y �� ,�, Pane1 No.�A3C�ip�uffix FlRM De�p�[¢7F�RM Zone(s? �I�� if��s�� SECTION II: Elevati�on Informatioa Used forAesig �NOTE Thb s�cKlon doeum�ats tAe elavallonr,/deptfn rs�d a ipaeMsd G� tlh desl�x = k tloa Not downkn! su�vfyrd �NwtlaN CH and b not �qu►vaNat te tJw as-6u!!t Nwadons nquNrd to b� s�bmtttsd drata� w al�r ooAStraetlon.) �. FIRM 8ass Fload E{evation (BFEj....._.. . ..........»..../�'t ��. I¢' k. �.�? �r 2. Commur�ity's Design Flood Elevation (DFE) .... ....... .... ».:�'f..�' ..f._�: ......... .. t ......__.. feet' .... .... ... . „ 3. Elevatlon of the Soaom o( lowest Fiorimnt$I Stnictural Member ».. .:'......... .. feet' 4. ElevaUon ot Lowest AdjaceM Grade.... ... .. . .. ..............»....»_».. .. ....».............».. feet' .. ............».... .. ..... .. 5. Depth ot Mlieipated Sc�ur/E�osbn used tor Foundation Desipn ::.............._.........__.......:.........................»....,,,,.,,�,_ teet 6. Embedment Depth of Pilings or Foundation 8elow Lowast Adjacent Grade ....................».......»..»»....,,..,,...,,... feet • lndicats elevation detum used in t-4: ❑ NGVD29 � NAVD88 ❑ Other ' SEC7'ION III: V Zone Design Cerdficadon Stalemeat 1 cerli(y'that (1) 1 twve developed or reviewad the slructural desi�t P�a�� and sPecNical(one for canstn�etion ot the above- relerenced bu�ding and (2) that ths deslgn and metl►ods d corutrucHon spocN'wd to be used are i� aocordance wilh socepted standards of praaica" tor meeting the iollowin9 Provisions: • Trie 6ottam of the lorvest horizontal stnrctural member o( the bwest floor (axcludkg piles and cdumns� is olavated to or ebove the BFE : • Tho pfl� and colwnn foundatio� and stnictu� akached theroto is anchored to �esist ibtation, coNapsa, and (aterai mova. mertt due to the e�ects ot the wind and water loads acting simuManeousiy on ell buildinp components. Wata� Ioading values usad are U�osa associnted with the base Nood•••, Wfnd bading values used are ihose requfred by the appNc�le State or local buildirg oode. The potentiai �► scour and etosion at tha founda6on has baen antldpated for conditions essocfated with the base (lood, including wave ecdon. SEG"TiON IV: Breakaway Wall Desigu Certification Statement MorE 7Als s.etw„ aw.t b. e.�►eHlas iy p.�rsc«ra .,,�n�.. a arefuc.et wA.n w�.aR.�qr waps w a.arp�.s ro R,w s.�rfsanc�. o� �a� tlurt 20 ps( (O.D6 WM/+�W delermltwd aslnt sUow�6M st�m d�s1�n] 1 ceAity thal: (1) 1 have devefaped or reviewed the stn�ctural deslgn. plans, and specifir.ations for construction af breakaway walis to be consirucled under the abow-roferenced bui�ing and (2) tliat ihe design and rrwthods of construdbn apectified ta be used ara in accordance with accepted standards of practke•• for meeting the toNovring provlsions: • Braakaway waN coNapse shai rosufl from e water load less than that which would aCCUr durirfp Uts base tbod•.. • The elevated portlon o( the buildkig end supporting foundadon systenn shall aol be subject b coAapse, displacement, or other atnictural damage due ta the efleds of wind and water losds acting simultaneously on aN buildl�g components (see Sectlon III). SEG"I'ION V: Certification and Sea! This certificaUon is to be algned and sealed by s registered professfonal erg&�eer or a�hNacM.aulhbi�z�ed��fi�Ia� to eertMy sUuc�ural design4. I certtly fha V Zone Design Cen�icatfon Statement (Seat�on Illy end ��, �I�,�y��p•p��y� e • CenificaGon Statement (Secdon IV, chedc N applicable). -.-� � CHOU-1MJN YONG • ; ••� • • ' ' • . O �: CeKffie�s Name License Number 61018 '' �. ` . �-� STRUCTURAL ENGINEER �� N�e GENESIS ENGiNEER1, G UP � �• C� � �� 2201 Cantu Ct, Sude 11 B • • FL . ��' Here � � Sarasota, State Zip Code �� - ,4 � * � * Siynature Oata �?J'25IZ015 Telephone �941) 444-�189� .nl �. � STATE OF : � �.� 505 S GULFVIEyy BLVD .� �� v ` �,; �i q r � `v \�` �: V ZONE DESIGN AND CONSTRQ�tb�j�-'�CATION BCP2014-11452 � HOME BUILQER'S GUIOE TO COASTAI. CONSTRUCTION cuesr HousE � GUEST HOUSE Zoning: Tourist AUas #: 2g5,q � U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood /nsurance Program �mportant: Read the instructions on pages 7 J. SECTION A - PROPERTY INFORMATION A2- Building Street Address (inciuding Apt., Unit, Suite, a�d/or Bldg_ No.) or P.O. Route and Box No. 521 SOUTH GULFVIEW BOULEVARD City CLEARWATER State FL ZIP Code 33767 OMB No. 1660-0008 Expiration Date: July 31, 2015 e�tcy nwmaer� A3. Property Description (Lot and Block Numbers, Taz Parcel Number, Legal Description, etc.) PINELLAS COUNTY PROPERTY APPRAISER PARCEL ID #17-29-15-00000-220-0200 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. 27.96784 Long. -82.82810 Horizontal Datum: ❑ NAD 1927 � NAO 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 crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or endosure(s) 21222 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 enclosure(s) within 1.0 foot above adjacent grade 0 Hrithin 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b I�A sq in d) Engineered flood openings? ❑ Yes ❑ No d E � ) ngineered flood openings . ❑ Yes ❑ No SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. Courrty Name CITY OF CLEARWATER - 125096 PINELLAS 64. Map/Pa�el Number B5. Suffix 66. FIRM Index Date 67. FIRM Panel 12103C0104 G 5/17/2005 Effective/Revised Date 9/03/2003 63. State FL 88. Flood I B9. Base Flood Elevaifon(s) (Zone Z VE s) AO, use ba i Sflood depth) 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: 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othervvise Protected Area (OPA)? ❑ Yes � No Designation Date: ❑ CBRS ❑ OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ci. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' � Fnished 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, ARlAE, 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: CLEARWATER BM "F-02" 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) $.Q � feet ❑ meters b) Top of the next higher flaor 20.0 � feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) 1�.� � feet ❑ meters d) Attached garage (top of slab) N/A. ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 8.0 � feet ❑ meters (Describe type of equipment and Iocation in Comments} � Lowest adjacent (finished) grade next to building (1�1G) 6.0 � feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.7 � feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A. ❑ feet ❑ meters SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation ' information. I ceRify that the information on this Certificate represents my best efforts to interpret the data available. �` �� c; S.(3,� ,�'�, * I understand that any false statement may be punishaWe by tine or imprisonment under 18 U.S. Code, Section f 001. \� f�� .. •-��.'; "-.:. :',� � � � Check here if commerrts are provided on back of form. Were latitude and longitude in Section A provided by a �� `'�•- '.�� ' ❑ Check here 'rf attachments. licensed land surveyor? � Yes ❑ No � '�' : � �•"' 6��5 > Jr �, � � #� Certifiers Name JONATHAN S. BRANSON Title LAND SURVEYOR Address 2419 GUN FLINT TRAIL Signature FEMA Form 086-0-33 (7/12) License Number FL PlS 6845 Company Name JONATHAN BRANSON PRF LAND SURVEYOR City PALM HARBOR State FL ZIP Code 34683 Date 12/16/2013 Telephone 813-785-1913 See reverse side for continuation. - '� _ '" ;_ i =? ST;+Tc G$ . : ,,1 � '' flC� aA � �' � •'� � \: _ ��i�,,>o � ..... . . -' � �� ` �� / SUt^, ay �ttitit�� Replaces all previous editions. �� ELEVATION IMPORTANT: In these spaces, 2 r the Corresponding information from Sectlon A. Building SVeet Address (including Apt., Unit, Suite, arxi/or Bldg. No.) or P.O. Route and Box No. Pdicy NumbeYc 521 SOUTH GU�FVIEW BOULEVARD City CLEARWATER State FL ZIP Code 33767 Compeny NAIC Number: SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTiFICATION (CONTINUED) Copy both sides of this Elevation Cert"rficate for (1) community official, (2) insurance �enUcompany, and (3) building owner. Comments BS & B9 - BUiLDING LIES iN FLOOD ZONES "AE" (EL 12) 8"VE" {EL 13, 14 & ifij C2e. ELEVATION IS MECHANICAL ROOM FOR HYORAULIC ELEVATORS (3 TOTAL). 2 CABLE ELEVATORS HAVE A MECHANICAL ROOM ON THE 9n' FLOOR. AIR CON}� 10 ING UNITS LOCATED IN WALLS FOR INDIVIDUAL HOTEL ROOMS WERE NOT LOCATED FOR THIS ELEVATION CERTIFICATE. /� 1 / � i-� / Signature Date 12/16/2013 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 Et-E5. If the Cer6ificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For ftems E1-E4, use natural grade, ff 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 {inciuding basement, crawlspace, or enclosure) is � feei ❑ meters ❑ above or � betow the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ ebove 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 equipmeni servicing the building is � feet ❑ meters ❑ above or � below the HAG. E5. Zone AO only: H no flood depth number is available, is the top of the bottom Noor elevated in accordance with the community's floodplain management ordina�e? ❑ Yes ❑ No ❑ Unknown. The local official must certify this informatio� 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 Owne�'s Authorized Representative's Name Address Signature Comments City Date State ZIP Code Telephone ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIOMAL) The local official who is authorized by law or ordinance to �minister the community's fbodplain management ordmance can complete Secuor� A, B, C(w E), and G of this Elevation Cerdficate. Complete the applicable item(s) and sign below. Check the measuremeM used in Items G8-G10. In Puerto Rico anly, e�ter mete►s. G1. ❑ The infortnation in Section C was taken from other documentation that has been signeci 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 Cert'rficate Of Compliance/Occupancy Issued G7. This pem►it has been issued for. ❑ New ConsVuctiOn ❑ Substarriiai ImprovemeM G8. Elevation of as-buift lowest floor (including basement) of the building: ❑ feei ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Communilys design flood elevation: ❑ feet ❑ meters Datum Locat Official's Name Comm�inity Namg Signature Comments rtie Telephone Date [:heck here 'rf attachments. FEMA Form 086-0-33 (7M 2) Reptaces all previous editions. ELEVATION CERTIFICATE, page 3 guilding 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 Bidg. No.) or P.O. Route and Box No. 521 SOUTH 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 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. � —�-- � ;.� �� r � n --- �s,,;. , . `µt,� � °- . FRONT VIEW – 12/16/2013 r-: • �'n,`.:�,`' 'f �� ,' � . . �;,��, , �� <:�ri� .._.. � �� I li �I : I �t i':.E !' # �li� C � , _ � � � �� , , � . � � �< .. ,�, � , � _ : 4L � ,� �h ;.. �' '.1'� �� E{ � '�l�. �' � .,. I` ��. �:. q .. �ii ", "v '3° . � �j�7 . . '€. ,�.y y „ ' - § -*.*�i, � � .�.�,-E `'� '=�� . ��{� � �� ' �� O�R � '��' p �iy � — w:a-. � �; � �" �.'1 __ . . " p � � 7�"��!$� � �.. �� , �� .�wr�+w w.s arka � �p � , . 'tiGj � .i^�' �� __ � i ,_� � �'3i AFf,�;� vaR � s� �... �, e sa_e�' s�. . nc>s�� +�d��,; . a � � �iM . ,wn + �! . � � '�'` ., ' ,rt.� 81�' �$�:' 9+�P�M RPiA Al..9 �. � �`.= . .. � �Tii Rrrrr , ,. a� ,;� r�: ,."� � ..,.� �+� ,t�#:�� `�� .a �*jrg ""°' -`�� -- . ` � ' . ,�v�Yl� 3%�s1Yen A8Ft7i aE�IR �+��11� vi�+�■ � Y�. ��:. � "4� � q� '�'� ��.`'/� �� 1 . � i� H. ily 1" �' y'""` � ' - ,w: �;, � a.a r�, �-_ �, �€ _: t.., i G: . . �- � q: c *� ' a . �.,e�x. ;� ar a \. � r�' 1� �il if �� f ii i'�1��t� #�l�i� t ill�� `�,,� 1 G�� - -�� .i _ . , � � . 4 _ .�._._�'�-° . _ � t <.. :L � i � �.3L ��. n�r ..� ._ _ m..�...�. ,.�.�...:� .��.,.,,. �• � r _x, o _ ,� , -� _ -- .� � •.. . ._..._"'"`�, . �-- �. ; � �� , } ��, �,��""�°. �' ``'H _�� REAR VIEW – 12/16/2013 :A > ` �� t: _ ; . � ,' � x„ FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 guilding Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Policy Number: 521 SOUTH GULFVIEW BOULEVARD City CLEARWATER State FL ZIP Code 33767 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs betow. 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. � �� `� , � �� •� � � � �� rM1�� :� ' � 1 �, � i ,.:�,, r�--� _ _ - - - _._ . � ___ °'��-��.: �; �� =F � ° ,. -- ;t � � 3 ��I � �� - t.i� h _��: •� ' i �-� �'� . �- � , , �, ,,�� " � �� ,3�v ��,� U�, ''"� 7s��> .. �'" _ _ a � � � , I i � ��: �t ��I i� s , -:�, �. .:`..3...�% r,; .. �H� ;.: �� "��. RIGHT SIDE VIEW — 12/16/2013 � �P,. � . ��lil� . FLORIDA CERTIFICATE Of QPERATi�N '_:i^] HCT9:. fi 5�:.-��, "; . - l.!.B"w� . _ '2 _� 33�'�'E' EuUV� tulpNG enc Vnit ..,bE ... ___ � ,� a �'_._ ,i:�.. �� NO SMQKING i�i� �r �ii�'i�� ail6150.,Jfi+ � . • .. o ., ., �._ .... . . .�rss.ax:.,yK-.cr "ma�itwe. . ELEVATOR CAt � FEMA Form 086-0-33 (7/12) Replaces all previous editions. .'`... - U.S.DEPARTMEFJT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal EmBrgency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY iNFORMATION ',��q ='�" �qqarr�s^ ;. A1. Building Owner's Name DECADE GULFCOAST HOTEL PARTNERS&J.K.GULFVIEW �';�� ,��,�� : � - y Jy 1 f ,�rek �,;'}+".L"..�+;�.Y§. M*YP'C A2. Building Street Address(including Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. ; 521 S GULFVIEW BLVD ?�� ,`� `� ° :�� Ciry CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL NUMBER 17/29/15/00000/220/0200 �.,, A4. Buiiding Use(e.g.,Residential,Non-Residen6al,Addition,Accessory,etc.)NON-RESIDENTIA � ~v� A5. Latitude/Longitude:Lat.27°58'01.7" Long.82°49'40.4" 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 6 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 74 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawispace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AS.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number 62.Counry Name B3.State CITY OF CLEARWATER, 125096 0104 PINELLAS FL B4.Map/Panel Number B5.Suffix 66.FIRM Index B7.FIRM Panel B8.Fiood B9.Base Flood Elevation(s)(Zone 12103C0104 G Date Effective/Revised Date Zone(s) AO,use base flood depth) MAY 17,2005 SEPTEMBER 3,2003 VE 14 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. Q ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) \ 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) �� B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othenrvise Protected Area(OPA)? ❑ Yes � No m Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY RE�UIRED) � C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' � Finished Construction W � '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. mpl��e i� � N below according to the building diagram specifled in Item A7. Use the same datum as the BFE. .�, !-,_;.��,...-��"'� .J 0 Benchmark Utilized D3 Vertical Datum 1988 � T'i� � � Conversion/Comments N!A �-� �� Check the measurement used. ��;' "-°°4 � �~�Y t'�` � � � N a) Top of bottom floor(including basement,crawlspace,or enclosure floor)�.2 �feet ❑meters(Puerto Rico only) `:��, :�� ..� b) Top of the next higher floor 19.7 �feet ❑meters(Puerto Rico only) `�„ u.,; N !� a c) Bottom of the lowest horizontal structural member(V Zones only) 16.4 �feet ❑meters(Puerto Rico only) ��y ;,.{ �y N V d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) ;" =;�� . � � � , � :• v� , �.. e) Lowest elevation of machinery or equipment servicing the building 6.9 �feet ❑meters(Puerto Rico only) �±-'. �;�� ; :'"�� (Describe type of equipment and location in Comments) �� ' ' ' � t � . ��r � Lowest adjacent(finished)grade next to building(LAG) 5.8 �feet ❑meters(Puerto Rico oniy) � �. iti, -.y-: 't g) Highest adjacent(finished)grade next to building(HAG) 6.3 �feet ❑meters(Puerto Rico oniy) S - : . h) Lowest adjacent grade at lowest elevation of deck or stairs,including 6.1 �feet ❑meters(Puerto Rico only) -°' structurai 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 elevatiorr ,8.,,�_ information. !certify that the information on this Certificate represents my best efforts to interpret the dafa available. •.�� "''g� l understand that any false statement may be punishable by fine or imprisonment uncfer 18 U.S. Code,Section 1001. w X •"�""��,� Q✓y.+,�� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ��` ,�; � �� ` licensed land surveyor? � Yes ❑ No �. � s,�:. .K �� Certifier's Name DANIEL D. FERRANS License Number 3885 " �. _ f ,��`- r. Titie PROJECT MANAGER Company Name POLARIS ASSOCIATES,INC. � ° ,.Z ��,�� ` ,;`". - ------ � �. . � ;��.�`� �.�� Addres 50 U.S.19 .,SUITE 500 City CLEARWATER State FL ZIP Code 33764'," j °,y m �� ,��'' �''`4"� ' j1 3 # Sign ur Date 5-20-09 Telephone 727-5246500 0° W�`'�^,:} °-• -� ' - �� FEMA -31,Mar 09 See reve�se side for continuation. Replac�all�paa�ib'us editions . .,T.. IMPORTANT: In these spaces,copy the corresponding information from Section A. ,��py� Building Street Address(inGuding Apt.,Unit,Suite,and/or Bidg.No.)or P.O.Route and Box No. � � 521 S GULFVIEW BWD ��r ��f�?�K�1,��}M*, City CLEARWATERState FL ZIP Code 33767 A $:'��h x ,+�y� . .�' � �i ,��n.w. c�.{,� �yj'� r`��{'.;kx� �� t SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. Comments 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAP,PER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED.}'*� , � . IS A TRANSFORMER PAD. � ' .� ' r Date 5-20-09 ❑ Check here if 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(inGuding basement,crawlspace,or enGosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,cravulspace,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 buiiding 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 sfatements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Addres� 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 floodplain management ordinance can compiete 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 G4G9)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-built lowest floor(inGuding 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 G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local(�fficial's Mame Title Commurity Name i Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, �Aar 09 Replaces all previous editions . ... - Building Photographs See Instructions for Item A6. For Insurance Company Use: Buiiding Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy rvumber 521 S GULFVIEW BLVD Clty CLEARWATER State FL ZIP COde 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two bui�ding 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." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. FACING SOUTH FACING SOUTHEAST ..-�-_. � � � � ! �-_. r.�! . """'".."" f ,,,�,,,� , � . ; �1 � .d r�l�� € _ �� r..,:,, �, . �� _ „ m� ° ' � o�FERr,c� �, �� ''I � `�. i�t 1 u . ��"� _ , _ _ ; ; .r' ' , , rt� " � � r� ,I� i� , . � . ��—• - - , �G....,_..� .. �-�,�."'"' ��-� „�;� .._.,_ `� --. y ��, ��C �� `.. � °�R � ° ' ; L • , KE " � � _--...._ : �� ` �. PEMS � P:1 �` " � t �ys�.� ,� -� ;� tL� � t _.____ - ;�»,r�,�'V .,r nlw��. g��' a� .w� �. .,_ . , . .! _,_� ; $ �,_� x , _ E�.'ES."�n `a�' ,t�� r ' � � � � �G ,.�.. " � �;E .. ,� . "—�'—�"'x,': �.� i� ,�� V� ,.. , � "�"�a,��'"��a�� ' � � � ° � �;�� 1 1 I I' r L'� � 1 1 �� ri. _ � e� � � ��,.,i c. � . c.� T" �i �1 , ��„! C...% _..�.'... '. ..__ _._.... . i i"i FACING NORTH -o l �,I I FACING WEST .�a.�..._�..�--�,...W� _. . � ..,�,. , .. �, I , � -... ,T,.. � '� .. �<� � . , .,� ,. - �, , �� " , ,� , ,� � r, �.�.��a• $ ' ti� �, ��,�„ '� �n ,l;i: � �._ '�" . aq i ..�, — , �� a '' � r .. « , , ,.��,�� .� � � � ��. � . � � � �" _ K "� i � y �, , _ � � . � '� , r'^� r..� ; , .., , �, ,. .mw�, ,.; ;....-. � i �� r'�„ '�. , ....� .. �".,yl ` �.. .'�rrWW v.��. . ' i 1�, A e= r �. s _ �:� �._. ,..� .. .. � �. '• .. � . - � , n.,.� � � ~ •- '• �° �i. n . U.S.DEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergericy ManagementAgency Expires March 31,2012 Nationat Flood insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION <�;�I�:�� < ' A1. Building Owner's Name DECADE GULFCOAST HOTEL PARTNERS&J.K.GULFVIEW '� � �� q � �„��x' �.t �,��.s u��.�_ A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Bbx No, 521 S GULFVIEW BLVD ��°'� � ''�'�-.��`�' City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL NUMBER 17/29/15/00000/220/0200 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL � A5. Latitude/Longitude:Lat.27°58'01.7" Long.82°49'40.4" Horizonta�atu� ❑ NAD 1927 � NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. � �/'�t� � A7. Building Diagram Number 6 A8. For a building with a crawlspace or enGosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 74 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of pertnanent flood openings in the attached garage enGosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes � No d) Engineered flood openings? ❑ Yes � No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name 8 Community Number 62.County Name 63.State CITY OF CLEARWATER, 125096 0104 PINELLAS FL 64.Map/Panel Number 65.Suffix B6.FIRM Index B7.FIRM Panel 88.Flood 69.Base Flood ElevaGon(s)(Zone 12103C0104 G Date Effective/Revised Date Zone(s) AO,use base flood depth) MAY 17,2005 SEPTEMBER 3,2003 VE 14 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) � 611. Indicate elevation datum used for BFE in Itern B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) � 612. Is the building located in a Coastal BaRier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes � No J Designation Date ❑ CBRS ❑ OPA m SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) �j C1. Buiiding elevations are based on: ❑ ConsVuction Drawings' ❑ Building Under Construction" � Finished Construction W � '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,ARIAO. Complete Items C2.a-h � N below according to the building diagram specified in Item A7. Use the same datum as the BFE. N ��._____ J Benchmark Utilized D3 Vertical Datum 1988 � ----�+�_- O [_.�.��_ � � Conversion/Comments N/A � r� "" t1� � Check the measurement used. � � ;� v � a) Top of bottom floor(inGuding basement,crawlspace,or enclosure floor)6.2 �feet ❑meters(Puerto Rico only) � � � i � N b) Top of the next higher floor 19.7 �feet ❑meters(Puerto Rico only) '�� ': '� ��: a c) Bottom of the lowest horizontal structural member(V Zones only) 16.4 �feet ❑meters(Puerto Rico only) �' "�� ^� {� � (� l .� N C d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) �� m e) Lowest elevation of machinery or equipment servicing the building 6.9 �feet ❑meters(Puerto Rico only) �T ;'..'; p ��..,� (Describe type of equipment and location in Comments) !=:' i'�; c,°o `'�° � Lowest adjacent(finished)grade next to building(LAG) 5.8 �feet ❑meters(Puerto Rico only) 5'? �:,� ��r,nl; g) Highest adjacent(finished)grade next to building(HAG) 6.3 �feet ❑meters(Puerto Rico only) , �� ,;, --_ _ _ ._, ---,? h) Lowest adjacent grade at lowest elevation of deck or stairs,including 6.1 �feet ❑meters(Puerto Rico only) . --:: �? f 3 .., structural support __ _"'. __:_:...___,: . :..:':..i 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 certiy elevation '+;�•��-•��^. � informaUon. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. a�+�' , �� ,., '. � I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. „` ' �` �"'��,,.�pr'�'�+�; ; �� .. "fy,f �.�:..J � Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �,,,�"`� licensed land surveyorT � Yes ❑ No �� ".±L�-��,�3+ � ,� .,,��'" '�' _ Certifier's Name DANIEL D.FERRANS License Number 3885 � �' .�� `. j Title PROJECT MANAGER Company Name POLARIS ASSOCIATES,INC. � w�; �,.Z �,9�;� � ' - .:�� .�t � d _._ _ --- .� .-t� -- Addres 50 U.S.19 .,SUITE 500 City CLEARWATER State FL 21P Code 33764 i ��r� .�`�ti E'a `` - Sign ur Date 5-20-09 Telephone 727-5246500 4 "��,�'`��.;- °° •�� s � �_ FEMA -31,Mar 09 See reverse side for continuation. Replaces�19�r�V'i8�s editions IMPORTANT: In these spaces,copy the corresponding information from Section A. �'��R�y�se Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. �z„ � , 521 S GULFVIEW BLVD = _,�,� �� F��«��t�;��f��';� �� , City CLEARWATERState FL ZIP Code 33767 �. � .z%��s�`��:$,F..��,�,. . 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 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. • IS A TRANSFORMER PAD. �. �, �w� Date 5-20-09 ` " ❑ Chedc here if attachments SECTION E-BU4CbfI�fG'EI. !O INFORMATION(SURVEY NOT REQUIRED)FOR 20NE 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(inGuding basement,crawlspace,or enGosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enGosure)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 platfortn of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or 0 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 infortnation 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 oflriy knowledge. Property Ovmer's or Owner's Authorized Representative's Name �`��f'°° ��Y 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 floodplain management ordinance can complete Sections A,B,C(or E), and G of this Elevation Certificate. Complete the applicabie 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 offlcial completed Section E for a building located in Zone A(without a FEMA-issued or communiry-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 Certificate 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 G10.Community's design flood elevation ❑feet ❑meters(PR)Datum Local Offici�l's�uame TiUe Comrnunity Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Po�icy tvumber 521 S GULFVIEW BLVD Clty CLEARWATER St2te FL ZIP COd2 33767 CompanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at �east two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front Viev�' and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. FACING SOUTH FACING SOUTHEAST _.�. r� ..---� �. .�"'" � �——� �; � � ,r� �----- � ; - - . a_._..� -__-'' _. c. ...._._....--.� � � , _ _.. � � � �ii i .,:, *,� r—' ..-� � �' f 333 �1 � �� • � �� s �. �i . ..:f J ..i.�... � .... �y ; .� , . ! i�. �� " `.I.:1 r r i.r; "� 4 f�.t ` _ �II i ? � � iV ' ��.''� - , i � �� V � N �_ �:.D�F�7Ef�(� ;� �� ,� . ., , _ _. : . �li . ,. .. ... :.. � ��, Q 1 r';,...:' �� '.; kc .,'�' � �� -j � � : ,< � : i r � �,, � , . �*,� � ,� .;, •-,� � �;, PEM �,� � !' � � , SIY . � . ; � :" , _ : ._ ,, �� _ I�. ... .. � z 't* . __... -� . . ..� M i r:�. _ . y . �, �.t�7�+�+4Y,� : �'' `_. .:., .. .. �5 �. r �... e t ,e„�� _. . . rY . �. � �. .�:..t....�.WYt� — �� i � ... �,;� ''� +�.��+ ' r+ ;.."� �T � .a_��.^'" .�,'"�,��... t� ��. � . �� ._�- � � ..� ��.. _ � F. � .,� 1 1 1 ' � { �p� -:� �<..` FACING NORTH FACING WEST ~- `�`,�,•� -'`"�,,, _ � � ' , � -- � ' ��i ,,,,, �� ,. � ' ,, � a "�' � _, ��a. i ;, , "� � � � , �� r � i � �"mY i ; � . i � ' � � ' •r• �� ,� � !, n P .�r••, "� ea�• '` �� " � ¢ ti }�, � . � p, �. _a._ . ., ,." �. a�ti a;.. �- . __ �� I��I � �° � - � 11'I ...:.� ' — r . �^ I"� 1 i i' =�:.. .. .- _ ' . -. -.. • . R. _._ ,. . ,�OMI . . .•�4� . �- -.. � .. � 't° .« .. .. - U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergericy Management Agency Expires March 31,2012 NationaPFlood Insurance Program important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORM�R►TION � �` '" .��.: �� A1. Building Owner's Name DECADE GULFCOAST HOTEL PARTNERS&J.K.GULFVIEW � � �g� �a� , s.-. ,: �� ..,;,,� �`�:�:��.°. A2. Building Street Address(including Apt.,Unit.Suite,and/or Bldg.No.)or P.O. Route and Box No. "� " 521 S GULFVIEW BLVD „` ` R` ; City CLEARWATER State FL ZIP Code 33767 � l A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL NUMBER 17/29N5/00000/220/0200 �O A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)NON-RESIDENT�AL A5. Latitude/Longitude:Lat.27°58'01.7" Long.82°49'40.4" Horizontai 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 6 A8. For a building with a crawlspace or enGosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enGosure(s) 74 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enGosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A 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 8 Community Number 62.County Name 63.State CITY OF CLEARWATER, 125096 0104 PINELLAS FL B4.Map/Panei Number 65.Suffix B6.FIRM index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone 12103C0104 G Date Effective/Revised Date Zone(s) A0,use base flood depth) MAY 17,2005 SEPTEMBER 3,2003 VE 14 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. Q ❑ FIS Profile � FIRM ❑ Community Determined ❑ Other(Describe) > 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 � NAVD 1988 ❑ Other(Describe) ,J 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise Protected Area(OPA)? ❑ Yes � No m Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) � LL� � C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' � Finished Construction ; r `A new Elevation Certificate will be required when construction of the building is complete. N 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 J N below according to the building diagram specified in Item A7. Use the same datum as the BFE. � � O Benchmark Utilized D3 Vertical Datum 1988 ��^ _ � r" [�'_.�: ,n 00 Conversion/Comments N/A n sn�"°"""'�""` V O Check the measurement used. "� � 0 'C� 3 � N a) Top of bottom floor(inGuding basement,crawlspace,or enGosure floor)6.2 �feet ❑meters(Puerto Rico only) �� a b) Top of the next higher floor 19.7 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 16.4 �feet ❑meters(Puerto Rico only) �"�� N U d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only) ��y'' N ��m �A :n,; N � { e) Lowest elevation of machinery or equipment servicing the building 6.9 �feet ❑meters(Puerto Rico only) � c_� oo P"`-•�` (Describe type of equipment and location in Comments) E?S cc �� Lowest ad acent finished rade next to buildin LAG 5.8 � k'` � j ( )g g( ) �feet ❑meters(Puerto Rico only) -�r_�}� �rJ1�� ► _: ' .._ , g) Highest adjacent(finished)grade next to building(HAG) 6.3 �feet ❑meters(Puerto Rico only) �y r�:'-•;•% • _. ._._.�� h) Lowest adjacent grade at lowest elevation of deck or stairs,including 6.1 �feet ❑meters(Puerto Rico only) T _ - -`�� structural su ort `' --- �" .�� SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION -. ;H- This certification is to be signed and sealed by a land surveyo�,engineer,or architect authorized by law to certiy elevation �`�'"' `'� information. 1 certify that the information on this Certificate represents my best efforts b interpret the data available. t"� �, '%�• p��'i��`�,q 'v�-• I understand that any false statement may be punishable by Bne or imprisonment under 18 U S. Code,Section 1001. �,� �' � �� y � Check here if comments are provided on back of form. Were latitude and longitude in Section A providedkby�a ti �'�r ' e licensed land surveyor? � Yes ❑ No < ` ;. o �: w Certifier's Name DANIEL D.FERRANS License Number 3885 � r+ � 3��,�s.. ' ;� � � ;� - � ��.p _ , .. . �., .: Title PROJECT MANAGER Company Name POLARIS ASSOCIATES,INC. �� ,°��`�..��,�V,� , -�- ------ ° : _ ' . r�` �,r ,�')` -�..� F Addres 50 U.S.19 .,SUITE 500 City CLEARWATER State FL ZIP Code 33764 3fi .�'�,,:'• '��- `` p _,�•-- , u�.. ° . �.. Sign ur Date 5-20-09 Telephone 727-5246500 '�p,� �K� L `�'' ds r� ��,ad�.. FEMA -31,Mar 09 See reverse side for continuation. Replaces all previous editions � 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. i �� }a= 521 S GULFVIEW BLVD �� '��-'��' :��,��;�>�� n ' City CLEARWATERState FL ZIP Code 33767 L � .�+rtY�. ,a^�- an s1��t',h�'?� 4�i,,x}Y? fi,. r 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 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYAR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS�RbAIIBITED. • �2�IS A TRANSFORMER PAD. �,: � . . t Date 5-20-09 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND 20NE 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,crawispace,or enGosure)is ❑feet ❑meters ❑above or 0 below the HAG. b)Top of bottom floor(including basement,crawlspace,or enGosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams&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 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 m ust sign here. The statements in Sections A,8,and E are carect to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name add'�'� 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 floodplain management ordinance can compiete 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.❑ 'fhe infortnation 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 communiry 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-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 G10.Community's rl�sign flood elevation ❑feet ❑meters(PR)Datum Local Officiai's Name TiUe Community�ame Telephone Signature Date Comments - ❑Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box Na Po�icy rvumber 521 S GULFVIEW BLVD City CLEARWATER Stat2 FL ZIP COde 33767 Company NAIC N�nber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. FACING SOUTH FACING SOUTHEAST �_,�-~..� � _... � .r...,�.r.+...•. .. � � �� ,��.....�.� .�� •"""'""�: � '�� .:. � � � �� DLVAL � _� . .,"* , �° p�FERENCE�ll� �,,, III � "� s ,: . - � �. . �;; .�iER .�n�� ' , _.._ , y . _ .�R� 4 ,: i��. �I�im�sn�w.. a A � .� F ��,� , � � k � ��. � .. .— '�"", p�NSxE� ��M�k , ,:,.;, �� 1 . ��.-� - ; __: . �. � , .� � _.--- , , . , ,-„ ,� � �;rt �. ... . ,. � - r. �.,�._... w� - �.��,.,; - ,.� `;`'• i�- ,; , , ,� � .. <; "�F`a� ,, .:�..-+� 'f�� !.i - —,�_��, � � �,:, ,{ .r �; �`r_ ~ '. _ �� --- �� _ . aql, m��:W�. �` .,. .. : �. -i r� „ � � � ,�.r?�R - ,.=-s+' r GI ,,. g. '� .��.�'� ;.V " 1 � �'`� � � ��f '�, 1 . � �i� i ��,�:� ^� �("� x.�"�^R. ..x?,�,e .�.� � �� ^� r C} � � '--- 0 < - . , FACING NORTH ��!' � `;�--;}�! FACING WEST ,ry�i�e 4'�'..... _ . . r.wi�la r-- . ._-�!� "'"'+, � � :��_��-.__ __-_ ° . . � � . �� ry �� .:� �. ,� ��i'�� , .: , �� ,�� .,, � , t � � ? ' ._ �.� • , � �,� ; _ z;. . � � , , �;� � ��'� �;' � ` ' ' ' "' ' ,� + � "' � �^ ' , ' � . � „ , , � , .rr X� � `�` � � " r '"n � 1� . y rM , .� ...� m � , w;�h . I " �* ` ,� . , � . ,. 4 .,..., . 4 . � � f ' �" ; �„� � �" � i ! 11' __ _ ..0 :� �, ., _ - _ . �,, , .; ` ` '- -t _.. ,.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 ederal Emergenav Management Agency Expires FebruaN 28.2009 National Fiiood Ins�rance Pro9ram Important: Read the instructions on pages 1-8. /� SECTION A-PROPERTIf INFORMATION For Insurance Company Use: A1. Building Owner's Name DECADE GULFCOAST HOTEL PARTNERS&J.K.GULFVIEW Policy Number A2. Building SVeet Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 521 S GULFVIEW BLVD City CLEARWATER State FL ZIP Code 33767 �nD��_ ��l� [ A3. Property DescnpUon(Lot and Blodc Numbers,Tax Parcel Number,Legal Descnption,etc.) �-- PARCEL NUMBER 17/29/15/00000/220/0200 �jL,(� Z 1� �-��,uV ��/(/]` ��i � /�'�.F A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) NON-RESIDENTIAL A5. Latitude/Longitude:Lat.27°58'01.7" Long.82°49'40.4" 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 6 A8. For a building with a crawl space or enGosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawi space or enclosure(s) 74 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3.State CLITY OF CLEARWATER, 125096 0104 PINELLAS FL B4.Map/Panel Number B5.Suffix B6.FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0104 G MAY 17,2005 SEPTEMBER 3,2003 VE �q 610. �ndicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile � FIRM ❑Community Determined ❑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 Othervvise 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 wili be required when construction of the buiiding 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-g below according to the building diagram specified in Item A7. Benchmark Utilized D3 Vertical Datum 1988 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ N/A. ❑feet ❑meters(Puerto Rico only) b) Top of the next higher floor 19.7 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 16.4 �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) 6.1 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.7 �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. 1 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. �,,��aQ�e ;�g�,�,JyF�� Check here if comments are provided on back of form. bu� ,A"��': � `� �°+ � � „�;°e.�."°'; �A .°° •.��' ,� Certifier's Name SCOTT K.ACKER License Number 6045 6 :�o�,�,��`�"r'�� ,o , �� 4 � �'��..,, Title PROJECT MANAGER Company Name POLARIS ASSOCIATES,INC. � • »-; ;;�;e,, ,,; ��. � ay,�, . . • ,t 'ft�. Address 18850 U.S. 19 N.SUITE 500 Ciry CLEARWATER State FL ZIP Code 33764 pp ��,��Oc� ' 4 ` ,� �,� o . Signature �./l Date 10-22-2008 Telephone 727-524-6500 �' "`• ^ ,�;T � . «� : ° eo�", �B @'�"-.,� �4µ' '� �= •;��'�'��`� u�3(>tfv�S'�_ e��`, FEMA Form 81-31, February 2006 See reverse side for continuation. Repiaces a �4�`v'�oUs edi�ons _-- _. NT: 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. Policy Number ��'�,— 521 S GULFVIEW BLVD . Ciry CLEARWATER State FL ZIP Code 33767 Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community o�cial,(2)insurance agenUcompany,and(3)building owner. Comments 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. 2. IT—��OUR(�OF 10-22-2008. Signature Date 10-22-2008 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),compiete 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 enGosure)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 Bui�ding 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 siab)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 communiry's floodpiain management ordinance? ❑Yes ❑ No ❑ Unknown. The local o�cial 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 knowledge. Property Owner's or Owner's 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 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.and G9. G1.❑ The infortnation 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 Certificate 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 ; .ri'. � /� 1` `Tv�` S�i� La:al Offir,ial's Name /�' / � ` Title,.7 Z7� r Z � 7� C ( Community iJanza Telephone /}t �� • C �'� Signature Date Cnmments ❑Check here if attachments FEMA Furrr;��-31, February 2006 Replaces all previous editions . , � � Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 521 S GULFVIEW BLVD Clty CLEARWATER State FL ZIP COdB 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. � FACING NORTH FACING NORTHWEST .��"�'' � �+v � _ �I � � .��,, . � ; . ;' , y!� . � _� , ,� , �,,,�„�� ''��,�:� .�� "�� ' M � . , .� u ,.... -. .,k *`� �F- ��"�fi] � �� ..� �� . H° �� . ....., �F � ;�.', �,,.,,, -,�r•'�' ..�.. - ,. �!' 1. s _ . �� .; �� . � �'".. � � �. , ' !: � h , '� ��, � '' ""• ,. �� • � � � `�,' �� ..� . a �.�� , ,� ��, � � a i � „ a= ,� � .'�: ;n,.u��, « ,_%: � ,�� ;� � � �� .1 _ .. , � .�..,.v... ��.,. . ; � .� - � �. ��a � � , , �� , � � . � . r � �,' ► , � /" � � ' �� . • 'S. q=�tl'v ... �T '.:� � '�" '_«�i� � U":µ.. .'�. � , . ._.. �.. � � �� 1 � Iu. . . ",�.'�Y ...._- ..L�3� � a�� ,:�'� ' w �FACING SOUTH FACING SOUTH � �� .�. ��f : ,,, _ � �� - - � �� .� � i ; �; � ; :�``'E`+.,. ` a"'=� , <._ ,.�' . �: fi; . . � - , , . � �., - . .. ,. , �� _� : ..,. ' �... ..�:. . _ �,, _. � � �.. .. , , _ ,� �� - - - - � �-_=�_._..- - . . � � � . . s _�.:_ � � — �� . � � . J` _ . , �.,� _ . . . .. . ,. .�.. � • • Building Photographs • Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 521 S GULFVIEW BLVD City CLEARWATER State FL ZIP COde 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 Viev�'and "Rear View"; and, if required, "Right Side VievW' and "Left Side View." FACING EAST FACING EAST + � I I, � I ��, � �� i � ,t , � �� p� � i ' �� I ,', . , , , _ �� I � ��p 1��;��'�r,�..»� � � � �w�: ��,� tir��`� � _;.��.,.,_....._. � � � � • �' , . - °°`^---...,___ � �._. - . _. �^*-�,. �,_' ,_..._ � , _._ �- -- _ __ � i . _ .. .... -.ms�-*"e^".—�..^�"" — ,.... ' _ . � � � __ - - _..:� � „�."- w� I�ili Xuull'p�,� ��i� , , � _.......,,�r,. �,�, � , . .._., ...__.� s y . � _,,..,,�. � � _ �..--�. - ;, _ ,z""" —m- �. � �� 1 �;�� , r ,d'?'�'' — _ �; � � � b� , - � ,' =�'.�.�" ' — -- �; � � . r �``' �` 1 I1i = # �� ,;_,, � �. .��' �.M1�: . •. S.� U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Exqires FebruaN 28.2009 Nationai Fiood insurance Pro9ram Important: Read the instructions on pages 1-8. � SECTION A-PROPERTY INFORMATION For Insurance Company Use: A1. Building Owner's Name DECADE GULFCOAST HOTEL PARTNERS&J.K.GULFVIEW Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 521 S GULFVIEW BLVD City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL NUMBER 17/29/15/00000/220/0200 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) NON-RESIDENTIAL A5. Latitude/Longitude:Lat.27°58'01.7" Long.82°49'40.4" 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 6 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) 74 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in AB.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number 62.County Name 63.State CLITY OF CLEARWATER, 125096 0104 PINELLAS FL B4.Map/Panef Number B5.Suffix B6.FIRM Index B7. FIRM Panel 68.Flood 69.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12103C0104 G MAY 17,2005 SEPTEMBER 3,2003 VE 14 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑FIS Profile �FIRM ❑Communiry Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑NAVD 1988 ❑Other(Describe) 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Othervvise 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/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized D3 Vertical Datum 1988 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(inGuding basement,crawl space,or enclosure floor)_ N/A. ❑feet ❑meters(Puerto Rico only) b) Top of the next higher floor 19.7 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 16.4 �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ❑feet e Lowest elevation of machine or ❑meters(Puerto Rico only) ) ry equipment servicing the building N/A. ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent(finished)grade(LAG) 6.1 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.7 �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 infortnaUon. I certify that the information on this Certi�cafe 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. ' p� °''��y� � � s �6n � Check here if comments are provided on back of form. ,;�°'!�-• + � • � ��'�� f � �.e r . .. '4' '��`yn '�u��? ��:�f,�Qe:��. �.� Certifier's Name SCOTT K.ACKER License Number 6045 � '° `r' �� `�` ° t �; Title PROJECT MANAGER Company Name POLARIS ASSOCIATES,INC. - :�r^ 0 0 Address 18850 U.S. 19 N.SUITE 500 City CLEARWATER State FL ZIP Code 33764 ��^ ;Q�(?,��"�qc� ° �A � �._ti .�,n '�. Signature „�y/l Date 10-22-2008 Telephone 727-524-6500 "; �° ��yf, � / � + e � . q.,� .. �,._ y. . " �Pr '">� .. 'f,ar:: FEMA Form 81-31,February 2006 See reverse side for continuation. Replaces all previous editions 4' 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. Policy Number 521 S GULFVIEW BLVD • City CLEARWATER State FL ZIP Code 33767 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 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. 2.ITEM C1A F R N T POURED S OF 10-22-2008. Signature Date 10-22-2008 ❑ Check here if 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 naturai 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,crawi 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 o�cial 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 communiry-issued BFE) or Zone AO must sign here. The statements in Sections A,8,and E are correct to the best of my knowledge. Property Owner's or Owner's 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 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.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 buiiding 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 Certificate 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: _0 feet ❑meters(PR)Datum G9.BFE or(in Z�ne AQ)depth of flooding the uildin sit � ❑fee ❑meters(PR)Datum � f.+ �P�I `� -• _� Loc�!C3fficial's Name — � � �� ry�,,,, Title .7� ,� seJ CJ� Community Name Telephone ^ lC� ^�3 - Si�nature Date Comments � ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions . . S� I Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 521 S GULFVIEW BLVD Clty CLEARWATER State FL ZIP COd2 33767 CanpanyNAICN�mber I If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front Viev�' and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FACING NORTH FACING NORTHWEST , �,�, `M C�. � y�; � ::� I „ �uq.�� ' ,�� ...� �` . ��\` '�. . � � - , ��am c� � �� - . ; m�.��. � . ., , �� - � - .,.,..�. r �, , r I � �� .�� I I� f ,�� "n � � ' ` �"� ! ,�r= � � �; � � � �1 ��' �a� �� rc', r ' _ - f: ��'�� ,,e A � r� _ ' ,, , ,� � , ,. .- , __ _ . , „ /y ,� . ..,. J ' . If � . �y � .. j� f ,- .,: . . . ` � ._� ` . ;a''�-�'�:,� N • .... :, '} � ` . .. _' +* ,Y 1 . �._ ' '�J� ,'� :r .... �- ..!�i=J" . � �.;:�. " . . r ',pr '.�!l4'. � ��:�~ � � � �FACING SOUTH FACING SOUTH � .�. ' F � ��l� ;.:. �� _ �� '� � '�" �� s ��u� � � x� , .: ...—._ - _ , _ ,.. ,,. . � ,.i-'�.�— .."��!�l'�','.. .. . . . � _ � �� _ . � . ... , . , .:.,. . , �, � , . .. . �. _, �,. r_� . ,�, . .�. , Building Photographs . • � Continuation Page I For Insurance Company Use: Buiiding Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 521 S GULFVIEW BLVD City CLEARWATER State FL ZIP COde 33767 ComparryNAlCNunber 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." FACING EAST FACING EAST .)��`�.��:,. , � � � � � �I _ ��;l� 1� ' �, ;I � � � ;. , i �� ;; � � � � � � �� :� ��.� ' �� MI�„ �� - I � � i ��II � I�� . � I � '�I�II ��,ie�. . . �� n.l� � I, � _ I , ■ �. � . , - � � __..,_ _ . ,� ' � : .�_ � ,. , . . ..._....-� j ■ � ^ � � . . . , ,. -_._.____ - -.�..�� . � . --- _ �__ _ ■ __ - � . - � _ � -�-�- . �,�.�� . �,_.._._._------._.�.�.,. __..,,�,. .. �..� ::.�� _ w�. .�r,��a� _.. . � `.�_� =�„'° �J .� --�— �.._ ._ —_ �u �,,,,..w.— . � ,+ w�,��'�Vifiudd."'u'��WuG �, —_—______.� �--i ,,,r..�. � =..,�,_,_r.� � � �. �� ,�, ""�";�,«i� �I _..._.— � e ` :. 9 d�k � y �.:Y ,a �i ! , a; < { �,a, . - � ��,iw� ,; ... w � _ _ �f� � � � � � �A. _ ��- ,�,� •� � ` , � �" �- -(�,.,�ili � i - , ;� � �. ; �I � I I I: t 4w�r � , . U.S.DEPARI'MENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB N0. 1660-0008 Federati'Emergency Management Agency Exoires FebruaN 28.2009 Nattonai Fiooa insurance Program Important: Read the instructions on pages 1-8. SECTION A-PROPERIY INFORMATION For Insurance Company Use: A1. Building Owner's Name DECADE GULFCOAST HOTEL PARTNERS 8 J.K.GULFVIEW Policy Number A2. Building SVeet Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 521 S GULFVIEW BLVD City CLEARWATER State FL ZIP Code 33767 A3. Property Description(Lot and Blodc Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL NUMBER 17/29/15/00000/220/0200 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) NON-RESIDENTIAL A5. Latitude/Longitude:Lat.27°58'01.7" Long.82°49,40•4" Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 A6. Attach at ieast 2 photographs of the building if the CerUficate is being used to obtaln flood insurance. A7. Building Diagram Number 6 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 enGosure(s) 74 sq ft a) Square footage of attached garage N/A 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 0 walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name 8 Community Number 62.Counry Name 63.State CLITY OF CLEARWATER, 125096 0104 PINELLAS FL 64.MaplPanel Number 65.Suffix 66.FIRM Index 67.FIRM Panel 68.Flood B9.Base Flood Elevatlon(s)(Zone Date Effecctive/Revised Date Zone(s) AO,use base flood depth) 12103C0104 G MAY 17,2005 SEPTEMBER 3,2003 VE 14 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile �FIRM ❑Community Determined ❑Other(Describe) B11. 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/AO. Complete Items C2.a-g below according to the bullding diagram specified in Item A7. Benchmark Utilized D� Vertical Datum 1�,�8 ConversioNComments N/A Check the measurement used. a) Top of bottom floor(inGuding basement,crawl space,or enclosure floor)_ N/A. ❑feet ❑meters(Puerto Rico only) b) Top of the next higher floor 1�.7 �feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) ,1�.4� '- �feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) �. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building �. ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) � Lowest adjacent(finished)grade(LAG) ¢.1 �feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) ¢.7 �feet ❑meters(Puerto Rico only) SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a lar�d surveyor,engineer,or architect authorized by law to certlfy elevation infortnatlon. 1 certify that the informatlon on this CertiBcate represents my best efforts to lnterpret the data avallab/e. , l understand that any false statement may be punishable by Bne or imprisonmenf under 18 U.S. Code,Section 1001, �mb� " "� e�m�e�''m �a ..� ; - .�`�,.- a� , � Check here if comments are provided on badc of form. b° r�� ••''""`•• �" �' `' 'a •��t�^, �r ��_P ,s Certifier's Name SCOTT K.ACKER License Number 6045 � �`�°+''� ;�� p '/�;• �Y� �I �, ��1�� >'. � p. � �.a :t o,:. TiUe PROJECT MANAGER Company Name POLARIS ASSOCIATES,INC. r e;1�° , ��r' " •>�,- .. . ,o, Address 18850 U.S. 19 N.SUITE 500 City CLEARWATER State FL ZIP Code 33764 �,,17,�"f�� I � ,.��. , Signature �y� Date 10-22-2008 Telephone 727-524-6500 µ'• ' '��e�� • °�f�'� a � •. , �,, s �ifl� � 'a .; d ,�f rF��fti�diPObOfl�� FEMA Form 81-31,February 2006 See reverse side for continuation. Replaces all previous editions I • ` IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Comp�ny Uso: - Building Street Address(inGuding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number " • 521 S GULFVIEW BLVD City CLEARWATER State FL ZIP Code 33767 Company NAtC 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 1.SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED. 2.ITEM C1A F R N T POUR(�OF 10-22-2008. _ �-- Signature Date 10-22-2008 ❑ Check here if 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 CerUficate 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 chedc 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 enGosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(inGuding 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 0 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)CERTIFICATtON 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 besf of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Cl 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.and G9. 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 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 communiry-issued BFE)or Zone AO. G3.❑ The foilowing information(Items G4:G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Pertnit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7.This pertnit 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/�)depth of flooding ;the buildin$sit ❑fe t ❑meters(PR) atum ��l�ltr�/ �v�'(.t�N ,G�1rP 7a� ��it9►�p�n�r9 Local Ufficial's Name ^r /''r' Q r�, � Title -7�� a � l �r! � Community Name Telephone �� Signature Date Comments ❑Check here if attachments FEMA Forrn 81-31, February 2006 Replaces all previous editions �. . . Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy rvumber 521 S GULFVIEW BLVD Clty CLEARWATER State FL ZIP COde 33767 CanpanyNAlCNumber If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page, following. FACING NORTH FACING NORTHWEST � f�''� ?„' . °I�` s , r� . � ��` �. � � . ,��m . � _.� �. � � �, . � � � , �� ,n � �. , , � � ��`� . ��. ,�� .�.... � . ' � . �� r� _ -�.•� �. �� . � , , . � � ��f,. --� ' � , } �r �� „ �� . - .� = ; � �+ ��j -«,-�= _ �� .�- � �,�� ;l � ,.,. �. �<� !'�, �'��'�. , �'. , � � :�� . � ' r----� '� � ,�� - ; ,, ., ; � ; , _ _,.., , .; , _ , . _., ,�,� J ` �: � ��_� ,'Y� �. � , ., g ' � . �. i { . . 1 . � '� i ] �. � ... .... : .�:: ...� .. .. .._ . .. . ....— ...�4�� "'l . ' � �:i' ° t. ,. ' f FACING SOUTH FACING SOUTH -�„ , ° li�i�'I � � � � �� _ �. ,�� . �� ,�� i ,i i t � ,i , ,, , I k i � � ^++1� e .W ' . , . . . � .. � ^% u1�. '. � . , 1`�h� - _ r...s.._..._� . . . . � � . ..: . � � u �1v�'" :i F � stl�. S'.' """4k�r.. � . ,.,. . wM +�. P .. . .. e fix .�ry��y . � , -�Y� 'H+"�.-. ^'�R*4'+F,�'4�. • �: .t.. `.l'n'. ';._.'�'.::P-'^ ' ' ..� � �q:.. . .., . . . ' • .'..' . � .. . . 1, ..y.., a; . � , �- _. � ,� . � i�� . . .. , , . .. ,� , . , . � , . � . .. x _ . . . , �, • � � Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Poiicy Number 521 S GULFVIEW BLVD Clty CLEARWATER State FL ZIP COd@ 33767 Company NAIC N�nber 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." FACING EAST FACING EAST � � 'I � � ; � �� „ ,�� i � , � i � � �� ;�.' ;� .��1��, ! �, � � I, � I. ■ .��M.�.� �.0 �� . . , . _.. ._�._,�. �, . �..�.�__� � _ . . � .�,..�_._ - _.� � , . _ ---- _� . , - � - � � l� -.: . _ __ . ■ _.». _.�. .� - �: --.--�-�..�... _ _ . �± , �+ � •�, , . . ,. =� -W...�, � �.�..- -- .__ �----�----_.._ -�-�► _. -- --�-�1�:---- � _______--��g .� �, �..< � � � � !�,...� � �'r�` ,�'`�r _ d��' � r - �> ,� ,�c,� _ � � ;� •�� =_y�� . , � _-�; ', � ' - '�' � ��I — r � ,. 1 II: � � ,, � r �, ` . �. , n -,, , `� �� :�� y ( • .. �t .['., .. � .�._%:� � ^