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309 CORONADO STU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1 -9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) i OMB No. 1660 -0008 Expiration Date: November 30, 2018 build SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name CLEARPOINT LODGING LLP, A FLORIDA PARTNERSHIP Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 309 CORONADO DRIVE Company NAIL Number: City State ZIP Code CLEARWATER Florida 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 08- 29 -15- 17604 - 000 -0020, 08- 29 -15- 17604 - 000 -0010, 08- 29 -15- 17586 - 001 -0010, 08- 29 -15- 17586 - 001 -0040, 08- 29- 15- 17604- 000 -003 A4. Building Use (e.g., A5. Latitude /Longitude: A6. Attach at least A7. Building Diagram A8. For a building a) Square footage b) Number of c) Total net area d) Engineered A9. For a building with a) Square footage b) Number of c) Total net area d) Engineered Residential, Non - Residential, Addition, Accessory, etc.) Lat. 27 °58'23.5" Long. 82 °49'41.7" RESIDENTIAL Horizontal Datum: obtain flood insurance. 1.0 foot above adjacent above adjacent grade ❑ NAD 1927 grade x NAD 1983 0 2 photographs of the building if the Number 1A Certificate is being used to 0 sq ft with a crawlspace of crawlspace permanent flood of flood openings flood openings? an attached of attached permanent flood of flood openings flood openings? or enclosure(s): or enclosure(s) openings in the crawlspace in A8.b 0 sq or enclosure(s) within in sq ft within 1.0 foot sq in 0 ❑ Yes x No garage: garage 0 openings in the attached garage in A9.b 0 ❑ Yes x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number CITY OF CLEARWATER/ 125096 B2. County Name PINELLAS B3. State Florida B4. Map /Panel Number 12103C0102 B5. Suffix G B6. FIRM Index Date 08/18/2009 B7. FIRM Panel Effective/ Revised Date 09/03/2003 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 11 B10. Indicate the source ❑ FIS Profile B11. Indicate elevation B12. Is the building Designation Date: of the Base Flood Elevation (BFE) ❑ Community Determined for BFE in Item B9: Coastal Barrier Resources ❑ CBRS data ❑ NGVD System or base flood depth entered in Item B9: ❑ Other /Source: x FIRM datum used located in a 1988 ❑ Other /Source: or Otherwise Protected "REVISE.'' 1929 x NAVD (CBRS) area ❑ OPA Area (OPA)? ❑ Yes x No D PI AM FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. RECEIVED BY: B.V.F AUG 28201 PLANNtrw ft ru tit s ... ELEVATION CERTIFICATE OMB No. 1660 -0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 309 CORONADO DRIVE Policy Number: City State ZIP Code CLEARWATER Florida 33767 Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—A30, AE, AH, A (with BFE), VE, V1 —V30, V (with BFE), AR, AR /A, AR /AE, AR /A1 —A30, AR /AH, AR/AO. Complete Items C2.a —h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: TIDAL BM ELEV. 3.84' Vertical Datum: NAVD 1988 Indicate elevation • datum used NGVD 1929 p for the elevations in items a) through h) below. NAVD 1988 ❑ Other /Source: Datum used for building elevations must be the same as that used for the BFE. Check a) Top of bottom floor (including basement, crawlspace, or enclosure o ) 6. 0 the measurement used. x feet ❑ meters x feet ❑ meters x feet ❑ meters x feet ❑ meters x feet ❑ meters x feet ❑ meters x feet ❑ meters x feet ❑ meters b) Top of the next higher floor C-2.-° d Level pa_r -k..: ,nub) V 26 0 , c) Bottom of the lowest horizontal structural member (V Zones only) N/A d) Attached garage (top of slab) N/A e) Lowest elevation of machinery or equipment servicing the building 12 1 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4. 6 g) Highest adjacent (finished) grade next to building (HAG) 5. 7 h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA. structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? x Yes ❑ No ❑ Check here if attachments. Certifier's Name GUY D. HALE PLS 4626 License Number �``.A.g, l JO I r y r / ,r } 4,J *t..... 'ry i , Z ACC* .t,- A" ' > .. • ' ..' i .- ,r- r - era : • ®/� �� ", r *,� y'` /2/,� ; ((N \N Title PROFESSIONAL LAND SURVEYOR Company Name GUY HALE, LAND SURVEYING Address 1166 KAPP DRIVE City State ZIP Code CLEARWATER Florida 33765�� Signature Date Telephone ¢r 07/13/2017 (727) 734 -4266 Copy all pages of this Elevation ertificate and I attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) THIS IS AN SEVEN STORY BUILDING THAT HAS FLOOD PROOFING ON THE FIRST LEVEL ENCLOSURES AT AN ELEVATION OF 12.63' NAVD 1988. THE 1st LEVEL HAS RETAIL SPACE. THE 1st, 2nd AND 3rd LEVEL IS USE FOR PARKING. THE 4th, 5th, 6th AND 7th LEVEL IS HOTEL LIVING SPACE. C2 -A IS FIRST LEVEL RETAIL. C2 -B IS 2ND LEVEL PARKING. C2 -E IS MAIN ELECTRIC AND MECHANICAL ROOM. THE FIRST LEVEL LIVING AREA IS AT ELEVATION 40.5. FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No 1660 -0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 309 CORONADO DRIVE Policy Number: City CLEARWATER State Florida ZIP Code 33767 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear Vie■"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption FRONT (WEST SIDE) TAKEN 07/13/2017 Ina Wail; Photo Two Photo Two Caption REAR (EAST SIDE) TAKEN 07/13/2017 FEMA Form 086 -0 -33 (7/15) Replaces all previous editions. Form Page 5 of 6 U.S. DEPARTMENT OF I-IOMELAND 5ECURI7Y Federal Emergency Management A�ency National Flood insurance Program ELEVATIC)N CERTIFICATE (mportant: Foliow the instructions on pages 1-9. �MB No. 1660-0008 Expiration date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachme�ts for (1} community o�cial, (2) insurance agenUcompany, and (3) building owner. SECTION A— PROPERTY INFORMATION F�R I►JSURANCE COMPANY USE A1_ Building Owner's Name Policy Number: CLEARPOIN7 LODGING, LLP A2. Buikling 5treet Address {including Ap#., Unit, Suite, and(or Bidg_ No_) or P_O. Route and Box No. Company NAIC Number� 309 CORONADO STREET City State ZIP Code CLEARWATER Florida � 33767-2433 A3. Property Description (Lot and Slack Numbers, Tax Parcel Number, Legal Description, etc.) �OTS 1-4 AND 1A-4A, COLUM8IA SUBDIVISION NO. 3: AND LOTS 1-4. BLOCK A, COLUMBIA SUB. NO. 2 AA. Building Use (e.g., Residential, Non-Residential, Addition, Accessary, eta) HOTEL/PARKWG GARAGE A5. �atitude/Longitude: Lat. 27°58'23.9"N Long. 82°49'40.2"W Horizontal Datum: � NAD 1927 �x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s}: a) Square fiootage of crawlspace or enclosure(s) N�q sq ft b) Nurnber of permanent fbod openings in the crawlspace or enclosure(s} within �.0 #oot above adjacent grade N!A c) To#al net area of flood openings in A8.b N/q sq in d) Engineered flaod openings? ❑ Yes � No A9. For a building with an attached garage: a) Square footage of attached garage N/A s� ft b) Number of permanent flood openings in the attached garage within 1 A foot abave adjacent grade �/q c) 7o#al net area of flaod openings in A9.b N/q sq in d) Engineered flood openings? � Yss 0 No SECTION B— FLOOD INSUFtANCE RA7E MAP (FIRM) INFOf{MAT10N B1. NFIP Communiry Name & Community Number B2. County PJame B3. State CITY OF CLEARWATER; 125096 PINELLAS Florida �. 84. Map/Panel B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Fload Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12103C0102G G 8/18/2009 H/312003 AE 11 810. Indieate #he saurce of the Base Flood Elevation (8FE) data or base flood depth entered in Item B9: ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11, lndiCate elevation datum used for BFE in Item B9: � NGVD 1929 0 NAVD 1988 � ptherlSource: 812. Is the building located in a Coasfal Barrier Resources System (CBRS} area or Othenvise Protected Area (OPA)? � Yes � No Designation Date� N/A � CBRS ❑ OPA FEMA Form 086-0-33 (7l15) Replaces all previous editions. Farm Page 1 af 6 ELEVATION CERTIF{CATE OMB No. 1660-0008 FYniratinn f'1�to• AlnvomF,n. 1n 7n1 Q IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (induding Apt., Unit, Suite, and/or Bidg. No,) or P.O. Route and Box No. Policy Number: 309 CORONADO STREET City State ZIP Code Company NAIC Number CLEARWATER FLORIDA � 33767-2433 SECTION C— BUILDIMG ELEVATION INFORMATIDN (SURVEY REQUiRED) C1. BuikJing elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* � Finished Construction "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zanes A1 A30, AE, AH, A(with BFE}, VE, !/1—V30, V(wiih �3FE). AR, AR/A, AR/AE, AWA1 A30, AR/AH, AWAO. Complete Items C2,a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter mekers. Benchmark Utilized: TIDAL BM Vertical Datum: NAVD 1988 (ndicate elevation datum used for the etevations in items a) khrough h) below. � NGVD 1929 � NAVD 1988 � OtherlSource: Datum used for building elevations must be lhe same as that used for the BFE. Check the measurement used. a} Top of bottom floor (including basemenf, crawlspace, or enclosure flaor) 5. 31 � feet � meters b) Top of fhe next higher floof 14 , 93 x� feet � meters c) Bottom of the bwest horizontal structural member (V Zones onty) ��A. x❑ feet � mete�s d) Aitached garage (top of slab) N/A . � feeY � meters e) Lowest elevation oi macFiinery or equipment servicing ihe building N�� . � feet � meters (Describe type oi equipment and location in Commentsj f) Lowest adjacent (finished} grade next to building {LAG} 4. 1 � feet � meters g} Highesi adjacent (finishedj grade next to building {HAG) S. 1 � feet � meters fi) Lowest adjacent grade at lowest elevation of deck or stairs, including NlA. � feet � meters structural support SECTION D— SURVEYOR, ENGINEER, OR ARCHII'ECT CERTIFICA710N 7his certification is to be signed and sealed by a land surveyor, engineer, or archifect authorized by law to certify elevation information. ! certify fhat the information on this Certificate represents my besf efforts to interpref the dafa avaitable. t understand that any false sfateme��t may be punisfiable by fine or imprisonment under 18 U. S. Code, Section i 001. Were letitude and longitude in Section A provided by a Gcensed land suaveyor? ❑ Yes 0 No ❑ Check here if attachments. Certifier's Name License Number EUZABETH KATNLEEN MERTA LS6113 Title PROFESSIONAL SURVEYOR AND MAPPER i Company Name �� � f� EMME LANQ SURVEYING, LLC G� // ��� '%�,p� Address 1054 KAPP D�21VE C��Y Sfate ZIP Code CLEARWATER FLORiDA � 33765 9/23/16 Signat�r� Date Telephone / a .. :: ;, ___.. -- y��;���_ �' ��,�` 9/23l2Q16 (727) 474-3751 Copy al� pages of this Elevatio� Certificate and a1 attachments for (1) community official, (2) insurance agenUcompany, and (3} building owner. Comments (including rype ofi equipment a�d locatipn, per C2(ej, if ap�licable) ELEVATIONS ARE BASED ON BENCHMAf2K "TIC}AL BM" HAVWG AN ELEVATION OF 3.84 FE�°C' (AbJUSTED) t-tft�iA Form 086-0-33 ;7/15) F2eplaces al) previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Ex�iratio� Date� NnvamhPr 3tt �n1R IMPORTANT: In these spaces, copy the corresponding information firom Section A. FOR WSURANCE COMPANY USE Building Streei Address (including Api., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 309 CORONADO STREET City State ZIP Code Company NAIC Number CLEARWATER FLORIDA � 33767-2433 SECTION E— BUILDING ELEVATIdN INFORMATION (SllRVEY MOT REQiJIRED) FOR ZONE AO AND ZOWE A(WITHOUT BFE) For Zones AO and R(wi#hout BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, ii available. Check the measurement used, In Puerto Rico only, enter meters. E1, Provide elevation information for the following and check the appropriate boxes to show wheiher the elevation is above or below the highest adjacent grade (HAG} and the lowest adjacent grade (�AG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above o� ❑ belaw the HAG. b) Top o# bottom floor {including basement, crawlspace, or endosure) is . ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Buiiding Diagrams 6-9 with permanent flood openings provided in Section A ttems 8 and/or 9(see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . ❑ feet ❑ meters ❑ abowe or ❑ below the HAG. E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ above ar ❑ below the HAG. E4. Top a# platform of machinery and/or equipment servicing the building is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO o�ty: If no flood depth �umber is availab4e, is the top of the bottom floor elsvated in accordance with the communitys floodplain management ordinance? � Yes ❑ No � Unknown. The local o�cial must certify this information in Section G. SECTION F— PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CEi2TIFICATl018 The property owner or owner's authorized representative who compleYes Sections A, B, and E for Zone A(wiihout a FEMA-issued or community-issusd BFE} or Zone AO must sign here. The statements in Sections A. B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code � Signature Date Telephone Comments ❑ Check here i( attachments. :�.�., r ����� �oU-u-oo �,r ��� r<epiaces an previcus editions. Form Page 3 of �� ELEVATION CERTIFICATE OMB No. 1660-0408 Frniratinn (lato- Rlnvnmhnt �n 7n� fl IMPORTANT: In these spaces, copy #he corresponding information from Section A. FOft INSURANCE COMPANY USE 8uilding Street Address (induding Apt„ Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. Palicy Number: 309 CORONADO STREET Ciiy State ZIP Code Company NAIC Number CLEARWATER FLORIDA � 33767-2433 SECTION G — COMMUNITY INFORMA710N (OPTIONA�} The bcal official who is authonzed by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(dr E}, and G of this Elevation Certificate. Complete the appiicable item(s) and sign below_ Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was faken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. {Indicate the source and date af the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or communityassued BFE) or Zone AO. �3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes, G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction � 5ubstantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building: . ❑ teet ❑ meters patum G9. BFE or (in Zone AO} depth of flooding at the building site: _ ❑#eet � meters Datum G10. Community's design flood elevation: _ ❑ feet � meters patum Local O�cial's Name Title Community Name 7elephone Signature Date Comments (including type of equipmeni and location, �er C2(e), if applicable) ❑ Check here if attachments. r��wri rurrn Vao-V-SA (I! iD) Keplaces all previous editions. Form Page 4 of 6 BUILDING PH4TOGRAPHS OMB Na. 1660-0008 ELEVATION CERTIFICATE See Instruc6ons for item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buiiding Street Address {including Apt., Unit, Suite, and/or Bldg. No.) or P_O. Route and Box No_ Policy Number: 309 CORONADO STREET City 5tate ZIP Code Cornpany NAIC Number CLEARWATER FLORIDA � 33767-2433 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify a8 photographs with date taken; "FronC View" and "Rear View"; and, if required, "Right Side View" and "Left Side View:' When applic�ble, photographs must show the foundation wi#h representative examples of the flaod openings or vents, as indicated in Secfion A8. If submitting more phoiographs fhan will fit nn this page, use the Continuation Page. - � �`° �� � � � za ��' � � �� ,� �` �' � �. PhWo One FRONT VIEW - PHOTO TAKEN 9/23/2016 � � �� �� � � � � �'�� ra �� �� l'�� �:. � � ��� � �� �� � � '� _���� �� � �� ��� ��� ����� �� ����� �� � � �� ��� � � ~''�; a� �"` r.a:� � ` ;� � y � a � � � k . . E �. � b�..t-�` �,1� . �, � ,✓ :�* �, � a� r � �' a°�; ��.�'. x.—�-rs r g 4'::f- #'� ,) } i z°4§ ,#. , . x...� _. . .: __ � �� * � fl -�.i � , , �..... ' � y� -x � . - � fn jji+ �+,� i 3a'.; ... f, 7="-z • #� Y � I F.rW.a ti� Y : � � J s � SI. � � =s: � r. 'c, t-'r2i. .::? a`'n'�..' ... �.. •?�i.�i, ... . _ ✓_ ,. , . _ .. ..,..,,�g ' .,� �. 6 ��. �� r � ��� fIiX�W���l � � ��I� I�� � ������������ ����'`��t� ��,h�r ,� � ���I!�I,91�u� � I�'� �' _;� _� _ �r�. �,�.r�., �;, 4 l ,, , .� --------- ------ ------------------ ---_ _-------------- REAR VIEW - PHOTU TAKEN 9123l2016 �EMA Form 086-Q-33 {7/15) Replaces all previnus editions. Form Paye 5 af 6 BUILDtNG PHUTOGRAPHS OM8 No. 1660-b008 ELEVATION CERTIFICATE Continuation Page Expiratibn Date: November 3D, 2018 IMPORTANT: In these spaces, copy the correspondir�g information from Section A. FOR INSURANCE GOMRRNY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No_) or P.O_ Route and Box No_ Policy Number; 309 CORONADO STREET C��Y 5tate ZIP Code Company NAIC Number CLEARWATER FLORIDA Q 33767-2433 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View: When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Sectian A8. Piwto One Phtrio Two FEP,AA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6