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Home My WebLink AboutElevation Certificate.U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No. 1660-OpDB National Flood Insurance Program Expiration Date: November 30, 2022 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 INFORMATIDN FOR INSURANCE COMPANY USE A1. Building Owner's Marne JAMES A. & PATRICIA M. WIENCKE Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O, Route and 77 Bax No. Company NAIL Number: 10751 SOUTH OCEAN DRIVE, NO. A3 City State JENSEN BEACH ZIP Code Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT A3, VENTURE HARBOR A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°16'10.51" N. Long. 80°12'27.58" W. Horizontal Datum: Q NAD 1927 Q NAD 1983 A6. Attach at least 2 photographsof the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 B El A8. For a building with a crawlspace or enciosure(s): a) Square footage of crawlspace or enclosure(s) —f+ 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 0.0 sq in d) Engineered flood openings? Dyes LE No A9. For a building with an attached garage: a) Square footage of attached garage 503.0 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 0.0 sq in d) Engineered flood openings? Yes 0 No = SECTION B – FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Cornmunity'fJdrne & Uommuni tY Number B2. County Name B3. State UNINCORP / 1208E _ 5T. LUCIE77: Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Number Date B9. Base Flood Elevation(s) Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 C 0314 K 02/19/2020 102/1912020 I AE 15.0 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: 0 FIS Profile [] FIRM ] Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ] NCViD 1929 2] NAVD 1988 0 Other/Source: B12e Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes Z No Designation Date: E] CBRS ] OPA FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE df Bld No) or P O Route and Box No. Policy Number: Building Street Address (including Apt., Un€t, Suite, an of g. State ZIP Code Company NAIC Number City,{ tp F` 0 3' qq sl SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑x 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, AFI, A (with BFE), VE, V1—V30, V (with BFE), AR, ARIA, ARAE, AR/A1—A30, ARIAH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A02 RM1 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 Fx] 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) 6,0 ❑feet E] meters N/A ❑ feet ❑ meters b) Top of the next higher "Floor N/A E] feet meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑ 3.84. ❑x feet ❑ meters d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building NIA ❑ feet ❑ meters (Describe type of equipment and location in Comments) 3.7 ❑x feet meters f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) 3,8 ❑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 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 under 18 U.S. Code, Section 9001. Were latitude and longitude in Section A provided by a licensed land surveyor? ®Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR - Company Name = I J ACCURIGHT LAND SURVEYING, INC. - Address 1501 S.E. DECKER AVENUE, UNIT 419D j City State ZIP Code S ART FI 34994 00,-4 4 5 ) Signature Date Telephone Ext. _ /2020 (772) 286-7694 N/A Copy all pages vation Certificate and all attachments for (1) co m t official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Form Page 2 of 6 FEMA Form 086-0-33 (12/19) Replaces all previous editions. 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: 10`151 5oL-1ri-i ()C�j—, A v Q(ZiVa- N�. A,3 City (� State ZIP Code Company NAIL Number SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AC and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A; Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rica 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, crawlspace, or enclosure) is feet ❑ meters above or b) Tap of bottom floor (including basement, ❑ ❑ below the HAG, crawlspace, or enclosure) is ❑ feet ❑ metersabove or ❑ El 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 ❑ El meters El 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 0 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 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. Form Page 3 of 6 OM6 No_ 1660-0008 ELEVATION CERTIFICATE 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: f7-7 J" iC.7 t -i Q �, _.i �5 12. 4 V rx Ma, A3 I Q 4 I -L Lr ZIP Code Company NAIL Number City State lir—F.lSi-zd,j C3zActj i—_ 0 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 G7. This permit has been issued for: G5. Date Permit Issued G6. Date Certificate of CompliancelOccupancy Issued ❑ New Construction ❑ Substantial improvement G8. Elevation of as -built lowest floor (including basement) of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: Local Official's Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ Check here if attachments. FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 4 of 6