The URL can be used to link to this page

Home My WebLink AboutElevation CertificateU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program l—�nt (T 2aoz. -old ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. �Old•_ 7660-0008 piration Date: November30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official (2) insurance agent/company and (3) buildin 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 3498E A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 30, WINDSONG MOBILE VILLAGE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) SINGLE FAMILY RESIDENTIAL A5. Latitude/Longitude: Lat. 27.406320 Long.-80.329390 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Aftach 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 enclosure(s): 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 0 sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage 0 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY 120285 ST. LUCIE Florida B4. Map/Panel Number B5. Suffix -Be. FIRM Index Date ST FIRM Panel Effective/ 88. Flood Zone(s) B9. Base Flood Elevations) Revised Date (Zone AD, use Base Flood Depth) 12111CO187 J 02/16/2015 02/16/2012 "X" NIA 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source; B71. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: N/A B12. Is the building located in a Coastal Barier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: og/18/2019 ❑ CBRS ❑ OPA FCIIAA M...... roc n ^— ".". ..v Wa I" 1 �) Kepl8ces all previous editions. Farm Pace 1 of 6 ELEVATION CERTIFICATE Y OME' 1660-0008 IMPORTANT: In these spaces, copy the corresponding information from Section A ry�n....vn vow.,\V�YIIIV61 YY, GV IU Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. FOR INSURANCE COMPANY USE Policy Number. 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIL Number FORT PIERCE Florida 34982 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 Al—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.afi below according to the building diagram specified in Item A7. In Puerto Rico 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) 21. 1 ® feet ❑ meters b) Top of the next higher floor N/A, ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A, ❑ feet , ❑ meters d) Attached garage (top of slab) N/A, ® feet ❑ meters e) Lowest elevation of machinery of 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. 7 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 18. 1 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA, ❑ feet ❑meters 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? ® Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number MARK W. TEEPE 4811 Title P.S.M. Company Name CORNERSTONE SURVEYING l Address 325 SW SOUTH QUICK CIRCLE �� City State ,ZIP Code PORT ST. LUCIE Florida 34953 JF Signature Date Telephone 02/14/2020 7724182376" Copy all pages of this Elevation Certlficdte and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) A/C UNIT Thia reaidence has a proposed elevation 5.0' above Crown of mad Ervin Form 086-0-3.3 (rio) I Replaces all previous editions. _ Form Page 2 of 6 ELEVATION CERTIFICATE OMB'., j660-0008 Fvnir :m. aole•\l...m,., -on onoo 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 E7—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—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, 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 [Ifeet Elmeters Elabove or E]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 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 Florida Signature Date Telephone Comments ❑ Check here if attachments. CEM F A orm D86-033 (7/15) Replaces all previous editions. Form Paae 3 of 6 ELEVATION CERTIFICATE OMB'1660.0008 IMPORTANT: In these spaces, copy the corresponding information from Section A. VAFI,GYIlII u0m. IYUVulnuerdu, Zulu 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 item(s) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters. Gt. ❑ 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 Zane A (without a FEMA-issued or community -Issued BFE) or Zone AO. G3. ❑ The following information (Items G4-GI0) is provided for community floodplain management purposes. 04. 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here If attachments. FEMA Form 086.0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BOIL- "'GPHOTOGRAPHS ss0000e ELEVATION CERTIFICATE S1 OMBr,, structions for Item As. 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. Policy, Number. 3200 SOUTH 7TH. STREET city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 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. i Photo one Photo One Caption 02/10120 FRONT VIEW Photo Two Photo Two Caption o2/1o/20 FEMA Form 08640-33 (7/15) Replaces all previous editions. Form Paqe 5 of 6 BUII 'JiIG PHOTOGRAPHS r ' OME. 1660-0008 ELEVATION CERTIFICATE _. Iontinuation Page Explruson Date: November 30, 2018 IMPbRTANT: 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 T Florida ' 34982 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 'Vew.' When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo ON Photo One Caption Phft TWO Photo Two Caption FEMA Form 086.M3 (7/15) Replaces all previous editions. Form Page 6 of 6