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Home My WebLink AboutElevation CertificationU.S. DEPARTMENT OF HOMELAND SECT` TY Federal Emergency Management Agency .National Flood Insurance Program "0113 No.1660-0008 T: pirafion Date: November 30,20181 2_ 0��3 ELE lEmr VATIION ow (CERTIFICATE on pages 1-9. Important: Fol Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/oompany, and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. WINDSONG MOBILE VILLAGE A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number. 3200 SOUTH 7TH. STREET City State ZIP Code FORT PIERCE Florida 34982 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 113, WINDSONG MOBILE VILLAGE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) - SINGLE FAMILY RESIDENTIAL - A5. LatitudefLongdude:. Let 27.406320 Long.-80.329390 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 5 A8. For a building with a crawlspace or endosure(sy a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s);within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b g sq in d) Engineered flood openings? ❑ Yes ®. No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq!.tt . b) Number of permanent flood openings; in the attached garagewithinl 0 foot above adjacent grade_ g c) Total net area of flood openings m.A9.b' 01 _ aq in . —�_ _. d) Engineered flood openings? ❑ Yes-' ®No'' SECTION,B 'FLOOD INSURANCE,RATE MAP (FIRM)'INFOI2MATION`• B1. NFIP Community Name 8 Community Nomber B2s Cour Name`: ` tY,. B3. "state ST. LUCIE COUNTY 120285 ST LUCIE - Florida B4. Map/Panel B5. Suffix B6: FIRM Index 87 +FIRM Panel,; Bti Flood Zones) B9 Bese Flood Elevation(s) Number Date - Effedrve/ Revised Date. = - (Zone AO; use ease . lood'Depth) 12111CO187 J %02t,1612015 OTJ16/2012 = "X° WA B10. Indicate the source of the Base Flood Elevation (BFE) data or base.flood depthentered to Item Bg.. ❑,FIS Profile ❑rFIRM , ❑;Community Determined D Other/Source 1311. Indicate elevation datum•used'for BFE in Item 89 ❑,88Z ❑, Other/Source. N/A B12. Is the building:loca(ed In.a Coastal Barrier Resources System (CBRS) area or'Otherwise Protected'A[ea (OPA)?. ❑Yes No Designation Date: 09118/2019 ❑ CBRS.,.❑ OPA , ELEVATION CERTIFICATE iB No. 1660-0008 `�iration 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. Policy Number. 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ct. 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 Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with SFE), 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 Rice only, enter meters. Benchmark Utilized: CO BM 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) 20. 8 ® feet ❑ meters b) Top of the next higher floor NIA_ . ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) WA, ❑ feet ❑ meters d) Attached garage (top of slab) N/A- ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A. ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 17. 6 ®; feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 17,'7' ®feel .❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA., ❑ feet ❑.meters structural support SECTION D - SURVEYOR,ENGINEER; OR ARCHITjtCT CERTIFICATION This certification is to be signed and sealed by a'land surveyor engineer or archdect axuthonzed by law to_ certify elevation information. I certify that the information on this Certificate. represerltsmybest et%its to mterprrret the dafa`avarlable l;understand that any false. statement may tie punishable by fine or info isonment under-iB Were latitude and longitude In Section A provided by a Ircensetl land surveyofl :' Yes ❑'No ❑ Chock here if attachments., z Certifiees-Name _ Lloense Number MARK W. TEEPE Title P.S.M. Company Name,! CORNERSTONE SURVEYING ' Address 325 SW SOUTH QUICK CIRCLE` City;State .. ZIP Code PORT ST. LUCIE Flonda 34953 Sigma r �' Date ,Telephone , ,m, 02/14/2020' 77241812 Copy all pages of this Elevation Ce cote and alfattachmerits for (1) corilFri o8iclal, (2) imsurance,,agenVcompany,, and (3) buildin8 owner. _., ..,. „_ ,e. ... Comments inciudin ( g type of equipment and location; per C2(e) rf applloable) A/C UNIT This residence has a proposed elevation 3.8' above crowo:of road - ELEVATION CERTIFICATE IB No.1660-0008 airation Date: November30.2018 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. Policy Number. 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including, basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided In Section A Items 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 ❑ 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 offi,66Hiiust cekiN. this information in Section G. SECTION F - PROPERTY OWNER (OR :OWNER'S REPRESENTATIVE) CERTIFICATION' The property owner or owners authorized'representative who'compl`etes Sections A, B and Efof Zone P (without a-FEMA-issued or community -issued BFE) orZone AO must'signhere The statements lii;Seahons :B; and Earetcerrect to;the best of myAnow.ledge. Property Owner or Owners Authorized Representative's Name ' Address City: "` � - t•,StateS, ,+ ZIP. ,Code Signature 9 Date -Telephone - Comments Check here if attachments. ELEVATION CERTIFICATE B No.1660-0008 v'iration 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. Policy Number. 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 . 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 items) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (items G4-G10) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been Issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: Q feet ❑ meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: [].,feet, ❑ meters Datum G10. Community's design flood elevation: D,feet :Q meters ; : Datum Local Officials Name -Title,;;-:' Community Name -':Telephone` Signature Date Comments(including a of equipment and location,. ef'C2 a `If a livable . r ❑ Check here if attachments. rUILDING PHOTOGRAPHS `S No. 1660000a ELEVATION CERTIFICATE _. See Instructions for Item A6.;:,ration 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. Policy Number. 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIC Number FORT PIERCE Florida 34902 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 dew" 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. Phabow Photo One Caption 02/10/20 FRONT, VIEW V. r1 W W ,nV Photo Two Caption 02110/20' BUILDING PHOTOGRAPHS Ig'No. 1660-0008 ELEVATION CERTIFICATE I Continuation Page ,oiration 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. 3200 SOUTH TTH. STREET Policy Number. City State ZIP Code FORT PIERCE T Florida 34982 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View' and "Left Side View."' When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. anon ore Photo One Caption ' Photo Two Caption FEMA Form 086-0-33 (7/15) Replaces all: vrevious.editions. 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