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HomeMy WebLinkAboutElevation certa'.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 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 aoenticomnanv_ and (31 huildinn nwnPr 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 34984 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 131, WINDSONG MOBILE VILLAGE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) SINGLE FAMILY RESIDENTIAL A5. Latitude/Longitude: Lat. 27.406320 Long -80.329290 Horizontal Datum: [❑ 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 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 0 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 81. NFiP Community Name & Community Number 82. County Name B3. State ST. LUCIE COUNTY 120285 ST. LUCIE FLORIDA B4. Map/Panel Number B5. Suffix 86. FIRM Index Date 87. FiRM Panel Effective/ 88. Flood Zone(s) 89. Base Flood Eievatian(s) Revised Date (Zone AO, use Base Flood Depth) 12111 CO187 ,1 02/16/2015 02/16/2012 „X„ N/A B 10. 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: B11. Indicate elevation datum used for BFE in Item B9_ ❑ NGVD 1929 [3 NAVD 1988 ❑ Other/Source- B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? M Yes ® No Designation Date: ❑ CBRS ❑ OPA G=MA Cnrrv, n4R n �o is nenrn Kepiaces aii previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-OD08 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. uv�r 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 MAIC Number FORT PIERCr'� FL. 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, AR/A, AR/AE, AR/Al-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 ❑ OthedSource: 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) 19'5 ® 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 or equipment servicing the building 17.1 (Describe type of equipment and location in Comments) (2 feet ❑ meters t) Lowest adjacent (finished) grade neat to building (LAG) 17.7 [2 feet E]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 structural support [X feet ❑ meters 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. /certify that the information on this Cerdf' rcate represents my best efforts to interpret the data available. J 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. Certifrer's Name License Number MARK W. TEEPE 4811 Title Company Name CORNERSTONE SURVEYING " = e Address 325 SW SOUTH QUICK CIRCLE City state ZIP Code PORT ST. LUCIE FLORIDA 34953 Sign Date Telephone Ext. 07/18/20 772-418-2378 Copy all pages of this Elevation CerUfl and all attachments for (1) community official, (2) insurance agent/oompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) The centerline of adjacent road is 18.2' a/c unit ------ - rre U"11 vOU—U Kepiaces all previous editions. Form Page 2 of 6