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Home My WebLink AboutElevation Certificate' U.9. DEPARTMENT OF HOMELAND SECT' Y Federal Emergency Management Agency National Flood Insurance Program r)MB No.1660-0008 expiration Date: November 30, 2018 f�" t7-*1,wz-o14q 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) insurance acenNmmnanv- and rat hnudinn n�ar SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners 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 50, WINDSONG MOBILE VILLAGE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) SINGLE FAMILY RESIDENTIAL A5. Latitude/Longitude: Let 27.408320 Long.-80.329390 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the buiding 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 crawispace or enclosure(s) 0 sq It b) Number of permanent flood openings in the'cravAspace or enclosures) 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;withm 1 0 foot,aboveedia6aritgiade ; .. p c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes (0 No SECT(ON.B — FLOOD;INSURANCE RATE MAP (FIRM) INFORtIA/►T10N; 61. NFIP Community.Name $ Comrnunily Number B2 Codnty Name B3: Stater` ST. LUCIE COUNTY 120285 ST LU,CIE ; Florida. 134. Map/Panel Number $S: Suffix B6: FIRM,Index B7:°FIRM Panel ` 88 Flood Zones) 89 $ase Flood ElevaOon(s) Date -`,Effective)=- r (Zone AO, use Base Revised Date Flood Depth) i_' 12111CO187 J 02/16/2015: 02f16/2012'.1 N/A. B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in -Item ❑ FIS Profile ❑FIRM .❑ Community Determined,❑Other/Source 611. Indicate elevation datum used for BFE irmlterrB9:�0,NGVD 1929_ ®NAND 1988 ❑ OtherlSource" N/A 812, is the building,loceted in a Coastal Barrie, 1ouroes 8ys!em.(bB' R area of,Othenrnse Protected Area_(OPA)? [].,Yes [2 No Designation Date: 09118/2019 ❑, CBRS ❑ OPA :: ELEVATION CERTIFICATE 'iM6 No. 1660-0008 rxpirdfion 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) C1. Building elevations are based on: ❑ Construction Drawings' ® Building Under Construction* ❑ Finished Construction *Anew 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, ARIA, 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: 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, crawlspaoe, or enclosure floor) 21. 9 ® feet ❑ meters b) Top of the next higher floor NIA, ❑ 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 or equipment servicing the building NIA. ® feet ❑ meters" (Describe type of equipment and location In Comments) ' f) Lowest adjacent (finished) grade next to building (LAG) 17. 2 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 17, 3 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,includrng , NIA. ❑ feet ❑meters structural Support SECTION 0-SURVEYOR,<-ENCIINEER'ORARCHITECTCERTIF1 A-T10N This certification is to be signed and sealed bya land surveyor engineer, or architect authonzed'tiy law to`certtiy elevation information. I certify that the information on this Certificale7epresentsiny best,effods to interpret the date available. I understand that ®ny false statement maybe punishable by fine orimprisonmentunderlBUStCode SegGo»1001.. =' Were latitude and longitude in Section A.piovided by a l gensed land surveyoi? ` -Y6e QNo ❑ Check here if attachments. Certifier's Name . License Number ., MARK W. TEEPE -' 4811 Title P.S.M. Company Name CORNERSTONE SURVEYING " Address 325 SW SOUTH QUICK CIRCLE. ., _ ._... -.., 1 �\ � ,. State ' ,` 7113Code city PORT ST. LUCIE ::Florida :34953 �N" Sig na`%ure. Date Telephone a//rlAW,n ,G- LJ 02/14/2020 7724182376' 1, „. 8 Copy all pages of this Elevation Certifl, to and ap:atiachments for (1)Aconinundy official, (2) insurance agenUcompany,;and.(3) bulldog owner: .'ti ,.ir �,... Comments (including type of equipment and location pert C2(e), dapplicable),'• s ,' A/C UNIT This residence has"a proposed elevation 4,T above crown,of road =RAA U.n ac go:rnec% ELEVATION CERTIFICATE iM13 No. 1660-0008 - L)coiration Date: Novamhar 3n_ 201R 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 NAIL 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 E1-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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ bbove or ❑ below the HAG. b) Top of bottom floor (including basement, crawls ace, or enclosure is P ) � ❑feet ❑meters ❑above or ❑below the IAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 4 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. ' Thia local official must certify this information in Section G. SECTION, F, — PROPERTY OWNER t(OR OWNERS REPRESENTATIVE);CERTIFICATION; The property owner or owner's authorized representative who compietes'Sections A, B and E forEZone A (without a FEMA issued or community -issued BFE) or Zone AO must sign i'ere The statements m Secbons A B° antl E are cerred tQ the best of my knouviedge. Property Owner or Owner's Authorized Representative's Name Address City ;,; State ` ZIP.Gada Plonda; Signature D,te `.. Telephone Comments. Check here if attachments. ELEVATION CERTIFICATE MB No. 1660-0008 ,zxpiraflon 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 item(s) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters. G1. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The fallowing information (Items G4-G10) is provided for communityfloodplain 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 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 Ttie- Community Name -Telephone ' Signature Date Comments (including p ( ) ( g type of equipment and'iooetion; Der C2 e , if applicable).`` } ❑ Check hereifattachments. c-r=see r...... roc n �o "auci __ — �IILDING.PHOTOGRAPHS �sso-0oos o N. ELEVATION CERTIFICATE See Instructions for Item A6. ,cplr MB No. Data: 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. Phohi one: Photo One Ca lion P 02/10/20 FRONT VIEW Photo 7Nv��'-..'s2 _. .. Photo Two Caption '02110120 FFslG 17. nRRJL99 M44% UILDING PHOTOGRAPHS MB No. 1660-0008 :EVATION CERTIFICATE Continuation Paoe n..t�an., n.fo• nn or IMPORTANT: In these spares, 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 View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section As. Pharr One . "` • "•••• ��`^�� 1�• �`7 mepiaces an,orevlous eciaons. Fnvn Pnnn a n1