The URL can be used to link to this page

Home My WebLink AboutElevation CertificateU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2022 National Flood Insurance Program IELEVA f'ON CERTIFICATE Important: Follow the instructions on pages 1-9. Cory all races of this Elevation Certificate and all attachmnnts for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Willie Roaf A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Company NAIL Number. Box No. 7683 Pelican Point Drive City State ZIP Code St. Lucie County Florida 34990 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 9, Pelican Point West recorded in Plat Book 40 Page 35, Public Records of St. Lucie County, FL A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27D 19M 27.99S N Long. 80D 13M 46.34S W Horizontal Datum: ❑ NAD 1927 0 NAD 1983 AB. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1B_ A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosures) o.o0 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 0.00 sq in d) Engineered flood openings? ❑ Yes 9 No A9. For a building with an attached garage: a) Square footage of attached garage 1571.00 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 0.00 sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION 0 — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State St. Lucie County 120285 St. Lucie County Florida B4. Map/Panel 85. Suffix 136. FIRM Index Date 67. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevations) (Zone AD, use Base food Depth) Number Revised Date 12111 C0303 K 02-19-2020 02-19-2020 AE & X 4.5 B10. Indicate the source of the Base Flood Elevation (8FE) data or base flood depth entered In Item Bg: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B71. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑X No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Policy Number. 7683 Pelican Point Drive City Stale ZIP Code Company NAIC Number St. Lucie County Florida 34990 SECTION C •-• BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑x COnstR'ctlon 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, Ali, A (with BFE), VE, V1—V30, V (with BFE), AR, ARIA, ARIAE, 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: SLC SM "IRISH" Elev 1.93' _ _ Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 [l NA`✓D 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, cra,vlspace, or enclosure floor) 6.5 0 feet ❑ meters b) Top of the next higher Iloor 16.7 0 feet ❑ meters c) Bottom of the lowest horizontal structural member N Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 0.0 ❑ feet ❑ meters e) Lowest elevation of machinery or equipment sewicing the building N/A ❑ feet ❑ meters (Describe type of equipment and location in Comments) t) Lowest adjacent (finished) grade next to building (LAG) 6.3 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.4 ffg 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 serried 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 ender 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a iicansed land surveyor? ❑x Yes ❑ No ❑ Check here If attachments. ; .,r . . rui r?; Certifier's Name License Number Robert Kemerson 6285 Title Professional Surveyor & Mapper Company Name Velcon Engineering & Surveying, LLC ;`✓.�%) lit �i��i Address 590 NW Peacock Blvd, Suite 8 ,'.��^ City — -- State ZIP Code' Port St Lucie Florida 34986 Signature Date Telephone 03-10-2020 879-0477 Ext. - V F' (772) Copy all pages o this Elevation Certificate and all attachments for (1) community official, (2) Insurance agent/company, and (3) building owner. Comments (including type of equipment and location, par C2(e), if applicable) C2(b) -Third Story FFE 28.79 FEMA Form 086-0-33 (12119) Replaces all previous editions. t•orm Page 2 or 5 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 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: 7683 Pelican Point Drive City Stale ZIP Code Company NAIC Number St. Lucie County Florida 34990 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Itsms E1—f6. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—Ed, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and cl eck 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 nnrnDer 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 owners authorizer) representalive 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 Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12119) Replaces all previous editions. corm rage a or o ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy thE= corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including) Apt., (;nit, SUN!, and/c, Bldg. No.) or P.O. Route and Box No. Policy Number: 7683 Pelican Point Drive 1 City i Sh:To ZIP Code Company NAIC Number St. Lucie County i Florida 34990 SECTION G '— CC:IWUIUNITY 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 GB—GIO. In Puerto Rico only, enter m Ieters. 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 bylaw to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) it G2 ❑ A community official completer 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—G-IO) 118 provided for community floodplain management purposes. G4. Permit Number S.I Delp Permit Issued 36. Date Certificate of r Compliance/Occupancy Issued G7. This has been issued for. Me !'Coistruction ❑ Substantial Improvement permit ❑ G8. Elevation of as-bullt lowest floor (including basement) of the building: I ❑ feet ❑ meters Datum I G9. BFE or (in Zone AO) depth of floodi ,ig at the but site: _ E]feet ❑ meters Datum 310. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name j Title i Community Name j Telephone Signature I Date i S Comments (including type of equipment and location; per C2(e), if applicable) 3 I I i f ❑ Check here if attachments. FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE I BUILUING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy tht: corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., L nit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 7683 Pelican Point Drive City _ IIf St*te ZIP Code Company NAIC Number St. Lucie County 3 Florida 34990 If using the Elevation Certificate to e'utain NFIPtfloed 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 Ali. If submitting more photographs than will fit on this page, use the Continuation Page. r I 1 i+ i I i Photo One I i k I r , PhoiaGm Photo One Caption { `;Clear Photo One:T fS 9 { i t j Photo Two t i� I I i Phow Two Photo Two Caption .{ '=' Gfeaf Phot6,TN+6.; FEMA Form 086-0-33 (12119) I Rep'aces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy th corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/cr Bldg. No.) or P.O. Route and Box No. Policy Number. 7683 Pelican Point Drive City ;Stale ZIP Code Company NAIC Number St Lucie County Florida 34990 If submitting more photographs than well 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 AB. i i t Photo Three 1 i t , I / 9 I Photo Thms Photo Three Caption Clear i h4to Tfiree I , I t Photo Four A Photo Four Photo Four Caption i "Clear`Plipto�ou)'';` t ' FEMA Form 086-0-33 (12/19) ,Replaces all previous editions. Form Page 6 of 6 i 9 t