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HomeMy WebLinkAboutElevation Cert U.S. DEPARTMENT.OF:NOMELANTi SECURITY OMB No 1660-0008 Federal Emergency.Management Agency Expiration Date November'30,'2018 National Flood-Insurance Program - 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 agent/company,and(3)building owner. SECTION.A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: ARLENE LOWERY - - A2. Building Street Address(including Apt., Unit, Suite;and/or Bldg. No.)or P.O. Route and Company'NAIC Number: Box No. 30 AQUA RA DRIVE City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) PORT. LOT 3, BLOCK A,WINDMILL VILLAGE BY THE SEA UNIT.2,PB 16,.PG.31, PARCEL#4511-811-0004-000-9 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: . Lat.27 15'55" N Long.80 12'15"W Horizontal Datum:. ❑ NAD 19.27 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.. AT Building biagram.Number 1A A8. For.a building with a crawlspace or.enclosure(s): a) Square footage of crawlspace or enclosure(s) 432 sq ft. b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8:b.. 210 sq in . d) Engineered flood o enin s? .f?- . 9 ❑_Yes ❑ No, A9. For a building with an attached garage: a) Square footage of attached garage sq fl'. b)'Number of permanent flood openings in the attached garage within 1.0 foot.above adjacent grade .: c) Total net area of flood openings in A9.b sq i.n d) Engineered flood openings? ..❑Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORIV iATION. -. •" , - :' -. B1. NFIP Community Name&Community Number B2.County Name. B3:.State :...• .. . UNINCORPORATED. 120285 : - - ST.LUCIE -. Florida B4. Map/Panel B5. Suffix 56. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base'Flood Elevation(s) Number Date Effective/ (Zone'AO;use"Base Revised Date: Flood Depth) 12111 C0314 J 02/16/2012 02/12/2012 AE 6.0 1310.. Indicate the source of the Base Flood.Elevation_(BFE)_data,orb flood-depth.entered-in Item,B9:. FIS Profile' x FIRM Community Determined°' Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929--X-NAVD-1988. ❑- OtfieHSouree:>• 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(7/15) Replaces all previous editions. Form Page 1 of 6 r OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 30 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x 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,Vl—V30, V(with BFE),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 Rico only, enter meters. Benchmark Utilized: TURTLE-1 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x 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) 5 52 ❑x feet ❑ meters b) Top of the next higher floor NSA. feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) NIA. feet ❑meters d) Attached garage(top of slab) NSA. feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5. 22 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building (LAG) 5 2 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 5 22 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA 0 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. 1 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? ❑X Yes ❑No Check here if attachments. Certifier's Name License Number CRAIG D.WATSON 5647 Title PRESIDENT/CO-OWNER Company Name —_ Place WATSON I KILLANE SURVEYING AND MAPPING, INC. Seal- — Address - 2240 NORTHEAST DIXIE HIGHWAY City State ZIP Code JENSEN BEACH onda 34957 Signature Date Telephone 12/7/2017 (772)334-0868 Co pages of 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, per C2(e), if applicable) A/C IS LOCATED ON THE RIGHT SIDE OF THE BLDG. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 OMB No 1660-0008 ELEVA l IOiti.CERTIFICi4`TE: Expiration Dete:`November 30,2018 IMPORTANT In these spaces,copy the corresponding,information from,Section A.. ,,. FOR;INSURANCE:COMPANY USE.. Building Street Ad. ress.(includiniii,gApt;.Unit Suite, and/or-Bldg No.)or P.O:Route and Box No. Polioy.Number j 30 AQUA RA DRIVE i -City ;:State_. ZIR,.Code Company NAIL Number JENSEN BEACH Florida- 34957:. r SECTION'E-BUILDING:ELEVATION INFORMATION•(SUR!!EYHOT 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.LO,MR F,request'. complete Sections A, B,arid"C: For Items E1—E4,use natural gra41 'de, if available. Check the.measu�pment used. In Puerto Rico only, enter meters. El. Provide._elevation information for th.e.following,.and check the app�4priate.boxes to.show whether the elevation,is above.or below the highest adjace.nt: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 El feet ❑meters ❑above or E]below the LAG. E2. For Building Diagrams 6-9 with'permanent flood openings provided in Section'A Items 8 and/or 9(see pages-l-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building-is : , ❑feet. El 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 thiebuilding is ❑feet ❑meters ' ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is av ailable, is fhe top of th`e bottom floor elevated in accordance with the comm•unity'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 K(with6uti 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 f ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous.editions. : Form Page 3 of 6 i OMB No 1660,0008, ELEVATION CERTIFICATE_ Expiration bate November 30,2018 _. IMPORTANT:In these spaces,copy_the correspondmg'inf9rmatwn from Section A FOR.:LN$U.RANCE COMPANY .USE: ti Building Street Address(including Apt';Unit, Suite;and/or-Bldg. No'.)'or P:O Route and Box No. Policy Number. 30 AQUA RA DRIVE i City " : : State` ZIP'Code Company NAIC Number L .JENSEN BEACH Florida 34957 3ECTIOM G COMMUNITY INFORMATION(OPTIONAL) ;The local official who is:authorized by lawbr ordinance to.administer the,community's floodplam management ordinance can complete Sections A, B, (f(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: i :G1. ❑ The information in.Section C was taken from other documentation that h-as been signed and sealed by a.Iicensed surveyor, engineer,or architect who is authorized by to certify elevation information: (Indicate the source'and date'of the elevation -data in the Comments area below.) I G2 ❑ A community official completed Section E fora building located in Zone A(without a,FEMA-issued or community-issued BFE) or Zone AO.. M. ❑, The following information(Items G4-G10)is provided-for-communty floo.dplain management purposes. iG4 Permit Number G5 'Date Permit Issued G6. Date Certificate cf Compliance/Occupancy.Issued G7. This permit has been issued for: ❑ New Construction.❑ Substa.n.tial Improvement. G8. Elevation`of as=built lowest flbor-includir g base.'ment) - .- .. ofthebuilding: . ❑x feet ❑.meters., Datum .. .. ,. . G9. BFE_or(in Zone AO)depth of flooding at the building.site.. ❑x"feet ❑meters . Datum G10 Community's design flood_elevation:. . .. .. _. ❑x 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' BUILDING PHOTOGRAPNSO OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 30 AQUA RA DRIVE i City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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. r t1 ' 111�t t 1� A p , 1 j} 1 { Photo One Caption FRONT VIEW 03/01/2017 mom C• SJ-• � FF3{ik —'r-siach ►�`la dJr Photo Two Photo Two Caption REAR VIEW 03/01/2017 FEMA Form 086-0-33(7/15) Replaces all previous editions.. Form Page 5 of 6 BUILDING PHOTOGRA HS OMB No,,1660-0008 ELEVATION CERT IFICATE Continuafi0ri Page 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: 30 AQUA RA DRIVE - city State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 ! If submitting more photographs than will fit on the recedin page, affix the additionalphotographs below...Identify all "photographs j 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. 4. ! 3 Phato One Photo One Caption E. 2 (. y t _ 2 t. Photo Two Photo Two Caption FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6'of6'