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Home My WebLink AboutElevation CertificateU.S. DEPARTMENT OF HOMELAND SECURITY' . ( - OMB 1660 ,0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Prograin ELEVATION CERTIFICATE Important: Follow.the instructions on pages 1-9. Copy,al(pages of this Elevatioh. Certificate and all' attachments for .(1-) comrriunity official, (2) insurance agent/company, and: '(3) building owner. SECTION.A — PROPERTY'INFORMATION 'FOR INSURANCE COMPANY USE A1. BuiIding'Owner's Name. Policy Number: Jonathan Fraga A2: Building` Street Address (including Apt.,'Unit, Suite, and/or Bldg, No.)* P.O. Route and Company NAiC Number: Box No. 4969 Magnolia Avenue. City State ZIP Code Fort Pierce Florida 34982 A3, Property Description ,(Lot and Block.Numbers; Tax Parcel. Number, Legal, Description, etc.) Parcel1, Block 71,_White`City,.Plat Book 1 Page 21, Public Records of.St Lucie County, FL A4. Building Use (e.g., Residential, Non -Residential, Addition; Accessory, etc.) Residential A5. Latitude/Longitude: Lat.27D 22M 31.69S N Long. 80D 20M .28.126 W Horizontal Datum: ❑ NAD 1927 JE NAD 190 A6. Attach at least photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footageof crawlspace or enclosures) p sq ft b) Number of.permanent flood openingsIn 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 n No ,A9.. For a building With an attached. garage-.. a) Square footage of attached garage 384 sq f b) 'Number of permanent flood openings in the attached' garage within 1:0 foot above adjacent grade, 0 c) Total .net arep,of flood openings in A9.b 0 sq in d) Engineered flood openings? d Yes n No SECTION B - 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 65. Suffix B6. 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) 12111C.0189 J 02/16120.12 02/16/2012 AE X 7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth:entered in Item B9: ❑. FIS Profile Q FIRM ❑ Community Determined ❑ OtherlSource: B11. Indicate elevation.datum used for BFE in Item 80: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 812, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected -Area (OPA)? ❑ Yes Q No Designation Date: [j C.BRS :❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 01 113 No. 1660-0,008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces,°copy the.corresponding Information from Section A; FOR INSURANCE COMPANY USE Building Street Address.(in1. cludirig'Apt., Unit; Suite,.and/or'bldg.•No,) or P.O. Route.a.nd.:Box No, Policy Number:. 4909 Magnolia Avenue City State. ZIP Code- Company NAIL Number Fort Fierce Florida 34982 :SECTION C,- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building"elevations are based on: ❑ Construction Drawings* ❑.Building llnderConstruction* ❑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, V1=V30, V (with BFE), AR, ARIA, AR/AE, AWA1—A30, AR/AH, AR/AO. Complete Items C2:6=h below according to the building diagram specified in Item A7'In Puerto'Rico only, enter,meters. Benchmark Utilized: SLC BM, JUNE Elev 3.5941 Meters Vertical Datum: Converted to NAVD 1988 Indicate. elevation datum used for the elevations in, items a) through h). below; 0 NGVD 1929 n NAVD 1988 ❑ Other/Source: Datum Used for building,elevations must be the gameasthat used for the BFE. �Check'the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.72 R feet ❑meters b:). Top of the:next higher floor NSA feet M meters c). 'Bratitom of. the lowest horizontal structural member (V Zones only) NSA. Q feet ❑ meters d),Attached.garage (top:of'$lab) 8.0 x❑ feet ❑ meters e) ',Lowest elevation of machinery or equipment servicing the building 7 30 � feet ❑ meters (Deis666e type of equipment and location in Comments) f) Lowest adjacent (finished). grade .next to building (LAG) 7.0 QC feet ❑ meters: g) Highest adjacent (finished) grade.next to building. (HAG) 9. 60 ❑x feet ❑ meters h), Lowest adjacent grade at lowest elevation of deck or stairs, including N1A. ❑x 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. Jr- certify that, the information on this Certificate represents my best efforts to interpret the data availableA understand that any false statement may be punishable by fine or imprisonment under 18 U.& .Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes E No ❑ Check;here .if attachments. Certifier's Name License. Number Darren Cuettler 74037 \V��1,.� 1VN0/SSfj�j -N� �pt2iO� dy`;•�y��i Title P'tofessionai:E ngineec O ..- ll�% P�rid1S a� Company Name Velcon Engineering &.Surveying, LLC = $eal a'• jjfi�L -ON �0 Address NW 590 Peacock Blvd; Suite #a .( `.` .__-'" C+ry State ZIP Code'! .,k Port St Lucie. Florida 34986 Signature Date Telephone „�,�,^., _ ,,�._-- 01/31/2019 (772) 879-0477 copy all pages.of this Elevation' Certificate and all attachments for (1) community official, (2).insurance agenttcompany, and (3).building owner. Comments (including,type of equipment and location, per C2(e), if applicable) 62'-,BM used is SLC.BM' DUNE" having a. published elevation of 3,5941 meters converted to 11.79 feet NAVD 1988 C2(e).- AC pad is 730. AC" is 2" above pad elevation on brackets 9,30 FEMA!Form 086-0-33 (7115) Replaces all previous editions, rgrm rage t or v OMB No— 1,660-.000.8 1=1 FVATInN CERTIFICATE Expiration Date: -November 30, 2018, MPOItTANT: In ffipse spades, copy 6e corresponding information from Section A. IMPORTANT: FOR, INSURANCE=COMPANY,,USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route land Box No. Policy:Nqmber: 4909 Magnolia Avenue Ci . City — State ZIP Code Company NAIC'Number .Fort Pierce Flodda 34082 SECTION, E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) F6eZonesA0 and A.(WithoutBFE), complete ItemsE117125. If the:Certificat.e is intended to support a LOMA or LOMR-F request, corrrplete,Section&A, B afnd'.C,For, Items E1 —E4, use natural.0de, if available. Check the measurement used. In Puerto Rico only, enter` meters, . El. Provideelevation jnformatii:in' for thefoll'oWing and check the appropriate boxes to show whether the elevation is above or below the highest adjacentgrade (HAG) and the lowest adjacent grade (LAG). 6), Top of bottom floor (including basement; drawls 'pace F] , or enclosure) is ❑ feet, [I meters R above or E] below the HAG. b), Top . of` ,bottom:,floor (Inclulffigbaternerit, crawlspticp, orenelbsu n feet D meters n above or ❑ below the LAG. E2. For Building .Diagrams 6-9.With:ormanent flood openings provided in Section AltemsZ and/org (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is 0 feet El meters E] above or [] below the HAG. E3, Attached g0rap (top of slab) is El feet El meters 0 above or 0 below the HAG. IF* top of platform, of machinery and/or equipment 'servicing the building is D feet F❑-1meters 0 above or []'below the HAG.. ES., Zone AO,only- If no flood depth number is,availa available; �is the top of the bottom floor elevated in accordance with the community's fibod,plain management I ordir%ncea? [:]'Yes ❑ No ❑ Unknown. The local official mutt certify this information in Section G. 'SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's, authori;ted. representative;Who completes Sections A, 5, and E for Zone A (without 6 FEMA-issued or community-itsUed'BIFE) 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,Ownees: Authorized Reoresentative's, Name Address` city State ZIP Code Signature, Date Telephone ,Cdrnm6n..t9 E] Check here if attachments. FEMA.Form'08&0.33 (7115) Replaces all previous editions. 'Form Page 3 of 6 re grit-rir%L11+C0Ticlf "ATS: I OMU I o, 1660=0008 Exoiration Date: Novemb600; 2018 IMPORTANT: M111' a space ,.copythe co'responding information from.SectiomA. FOR INSURANCE COMPANY USE i3uil�iing:Street Address (including Apt., Unit,,SuKe, and/or Bldg. No.) or`P.O, Route and Box Na Policy Number,' 4909"Magnolia Avenue City State ZIP Code CompanyNAIC Number Fort Pierce Florida 34,982 -SECTION'a - COMMUNITY INFORMATION `(OPTIONAL. ) The `local official who is authorized by faW or ordinance to administer the community's floodplain management ordinance can complete Sections A; 8; G (or,,E:), and, G�of this Eleva(ion.Certificate. Complete the applicable item(s) and sign below, Check the. measurement. used in, ItemsG8=GIor, ih'PuertoRica only,entermeters, G'1. ❑ The information in Section C was taken from other documentation that has, been signed and sealed by a licensed surveyor, engineer, or architectwho is authorized by law to certify elevation information. (indicate the source. and date of;the elevation data in the Comments area below:,); [] A community official -completed Section E for a buildin. g located in Zone A (without a FEMA-issued or community -issued BFE) G2 or Zone AO. G3. ❑ The following information (Items G4-G1:0) is provided for community floodplain management purposes. G4. Pen -nit Number G5. 'Date Permit Issued G6: Date Certificate of Compliance/O.ccupancy Issued i G7. this'permit,has ieen,'ssued for:. New Construction ❑ Substantial Improvement G 3 Elevation of as -built lowest floor (including basement) of,t , building, ❑ feet' ❑ meters Datum 69. BFE o"(in Zone AO)=depth -of flooding at the building site: _ ... [-]':feet ❑ meters Datum G10. ?Community's design flood elevation: ❑ ;feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (includingtype of equipment and, location, per C2(e), if applicable) ❑• Check here if attachments, FEMA Form 086-M3 (7/16) Repiaces.ali previous' editions. Form Page 4 of 6 ELEVATION C, E,ktv: c,pvkt16 "ICATE BUt!aOING PHOTOGRAPHS Sp& Instructions for item A6. OMB' No'IT560-0008, Expiration Date,, November 30, 2018 Ing 1pfprrjjgtioti kom Section A. IMPORTANT:, in these spaces, copy the corresponding FOR INSURANCE: COMPANY USE Buildihg,,Stre6t,.'Addrdss,,,(includi,ng,A I pt,, Uniti.SuRb, and/or Bldg,, Np,),:dr P.0, Roufesand Box'No, Policy Number. 4600Uaidnolia Avdhu6 C 'State: ZIP Code CompanyNAIG.Numbbr 'Fott,Pier4* Florida, 34"2' 'If using 'tK6r Elevation Ceirtifipato'to bbtaln NFIP flood. insurance, affix,at least 2' building photographs below raccordiri§ to. the instructions. for. Item A6. Identify all photographs with Me taken; "Front ViW'and "Reaf View"; and, if required "Right Side View" and ""Left Side .View," When applicabl iew," e;..photogeaphs mustshow'thel foundation with representative, examples of the flood Openings or � vents, as indicated; in Secti6nA81. lf.submittiing,-More ph�otogr6phs than.will fit on'thispagd, use the Continuation Page. N I RR ' 9 pv; 01. r4% A `4 Photo One Photo 'One .QjgAt,i6n'Front View Date Taken,113 2019 771�11_ k All - -Photo Two Caption Rear Uievv:Date Taken 9/30i2019.�.�•—�---�• +F_MA. Form -08'6,-0-33,(71.1 5' R , e 11 p Viops editions, �)caces a re Form Page: 5.Of 6