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Home My WebLink AboutElevation CertificateU.S. DEPARTMENT OF HOMELAND SECU . Federal Emergency Management Agency National Flood Insurance Program -�E ELEVATION CERTIFICATE Important Fallow the instructions an pages 1-9. MB No.1660-0008 I cpiretion Date- November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, 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 Company NAIC Number. Box No. 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 118, WINDSONG MOBILE VILLAGE A4. Building Use (e.g., Residential, Non -Residential, Addition,. Accessory, etc.) SINGLE FAMILY RESIDENTIAL A5. Latitudell-ongitude: Let 27.406320 Long.-80.329390 Horizontal Datum: E] 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 AB. 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 craWspace 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 sgft- b) Number of perrnanentflood openirgs in the attached garagewithm 1 0 fcof above adjacent grade p c) Total net area of flood openings in A9.b'. 0 _ _ sq in_- . d) Engineered flood openings? (] Yes' 16?No SECTION B FLOOD INSURANCE RA *AP (FIRM) INFORMATION: Bl. NFIP Community Name 8 Community Number B2 CoLnry Name, .r ` = B3. State ST. LUCIE COUNTY 120285 ST LUGIE Florida B4. Map/Panel -B5. Suffix , B6: FIRM Index 67. FIRM Panel BS Flood Zones) 89 Base Flood Elevations) Number Date- - EffecbveV ((Zone AO, use Base Revised Date Ftodd Depth) 12111CO187 J 02116/2016 -02116/2012 - 1W •NIA B10. Indicate the source of the Base.Flood Elevatlon:(BFE) data or base flood:depth entered twitdim Bg: FIS Profile E] FIRM CommunilyDetennined. Olher!$ource B11. Indicate elevation datum used for BFE in Item 139: FTNGVO 1929 ®;NAVD 1988 Q Other/Souris:_11/q- B12. Is the building located in a, Coastal.Barder.ResourewSystem (CBRS) area or Othenvise�Protected Area:(OPA)? ❑ Yes [3aNo Designation Date: 09/18/2019 D:CBRS' Q;OPA =AAA G- I .. ^ .0 Y 11 C' ELEVATION CERTIFICATE dB 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. 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 •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.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.elevafions must be the same as that used for the BFE. ' Check the measurement used. a) Top of bottom floor (including basement, exawlspace, or enclosure floor) 21. 2 ® 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) WA, ® 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. 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 N/A. •. ❑ 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 oerti. -elevation information. I certify that the infomiallon on this Certificate represents my best ellorta to interpret the data available. I underAind that any fa/se statement maybe punishable byline orVriprfsonment tinder 18 U'S.:Code; Section 1001 Were latitude and longitude in Section A provided by alicensed land surveyort ;' ®,Yes ONo.. -E] Check here If attachments. Certriier's Name License Number MARK W. TEEPE - 4811 Title . P.S.M. Company Name CORNERSTONE SURVEYING Address 325 SW SOUTH QUICK CIRCLE - City - .State,ZIPCode:�. PORT ST. LUCIE Floilrla , ' 3%C6 , . . fV- Signatu Date 3 • , Telephone 02/14/2020.: 7724182376' Copy all pages of this Elevation Cerfiffcale and ailattachments for (1) cdmmunity official (2) Insurance agent/c.brill , "and'(3) building owner. Comments (including type of equipment and,locehon;.per C2(e)„if.applicabie) A/C UNIT This residence has a:proposed elevation 4.0'.'above crown of road =11A C--... n .0 ! U.% ELEVATION CERTIFICATE :AB No.1660-0008 ,�:nimfinn nat.-Alnvcmhnr 9n 7nia 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 (tap of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment I. servicing the building is El feet El meters El above or ❑ below the HAG. E5. Zone AO only. If no flood depth number is available, is the top of the bottom floor.elevated inaccordance with the community's floodplain management ordinance? ❑ Yes ❑, No ❑ Unknown ,Thelocal oificiel mtistcertifyais•information in Section G. SECTION F - PROPERTY.`OWNER (l)R OWNER'S REPRESENTATIVE)'CERTIFICATION The property owner or owner's authorized representative.who completes: Sections A`A3 and E fo .Zone A (without a FEMA-issued or community -issued BFE)_or Zone AO must elgn here Tho,statements.imSechons A,-B; and tare _oorrectto.the best of:mfyknowledga. ;.. . s . Property Owner or Owner's Authorized Representaf ve's Name', Address City :State ' ZIP Code " ' -' 1 'F7orida Signature . Date :Telephone= Comments ❑ Check here if attachments. ELEVATION CERTIFICATE AB No.1660-0008 -c�xniratinn Date- Novemher 3n_ 9M R 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 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: ❑ feet ❑ meters Datum Gg. BFE or (in Zone AO) depth of flooding at the building site: El feet ;❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters ,Datum Loral Official's Name --Tifle Community Name Telephone;:-.', Signature Date Comments (including type of equipmentand'1ocation per_C2(e) rf epplicable) ' ❑ Check here if attachments. ELEVATION CERTIFICATE ILDING PHOTOGRAPHS ae No.1660-0008 See Instructions for Item A6. Exeiratinn r)ate* Nnvemheran 9n1n 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. wwmare Photo One Caption 02/10/20 FRONT VIEW J. i ;Plrom Soa; 6. `' Photo Two Caption 02110 20• ,"r... --- ........ -- —.. — ELEVATION CERTIFICATE IILDING PHOTOGRAPHS Continuation Page "MB No.1660-0008 _cpiration 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 7TH. STREET Policy Number: City State ZIP Code FORT PIERCET 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. FhM am Photo One Caption Photo Two Caption FEMA Form 086-0-33 (7115) Replaces all Drevious editions. Form.Paee 6 of 6