HomeMy WebLinkAboutElevation & FloodProofing Certificate06119026•R•00026
FEDERAL EMERGI NOMANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
POST CONSTRUCTION ELEVATION CERTIFICATE/FLOODPROOFING CERTIFICATE --
COMMUNITY NUMBER
St, Lucie Co,, F1, (UNINCORPORATED AREAS)
120285
INSTRUCTIONS
The registered professional engineer, architect, surveyor or community permit official completes Section I below,
Section II may be completed by any of the professionals listed at the beginning of Section II, or by a similarly qualified
local. permh official, Print -or type the information on this form. This form is to be used for new (POST -FIRM) construction
and for substantial improvements to existing structures in Zones Al-A30, AH and V1430 and existing (PRE -FIRM)
buildings to be rated under POST -FIRM rules and rates,
SECTION I
(TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
ROPERTY ADDRESS (or lol and block numbers K address is unavailable) Massey, Dale D
(NAME; BP# 92-01468
2311 Tilton Rd. SE OwnerMdr.
IA MAP PANEL Oil WHICH PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH.—PROPERTYWHICH.-PROPERTY IS LOCATED
283
AH
IA MAP EFFECTIVE DATE
BASE FLOOD ELEVATION AT THE PROPOSED SITE
February 19., 1991
17'
TART OF CONSTRUCTION DATE
Name and Tiue
PHONE (with Area Code)
3/92
Terry L, Virta—Community
—
,ODRESS
2300... Virginia Ave,, Ft,_Pierce, FL, 33450
.... 3/17/92
� Date
(/ SECTION U
INSTRUCTIONS
Complete only the* Elevation Certification unless the building has been fioodproofed at least to the base flood
elevation. If floodproofing is used, complete only the Floodproofing Certification. 'The Elevation Certification may be
completed by a registered 'professional engineer, architect, or surveyor. The Floodproofing Certification may only be
completed by a registered professional engineer or architect.
ELEVATION CERTIFICATION
I certify that the, i d�llg at the property location described above has the lowest floor at an elevation of
21.25 feet, NGVD (mean sea level).
FLOODPROOFING CERTIFICATION
I certify to the -best of my knowledge, information, and belief; that the structure is designed so that the structure is
watertight to- an elevation of feet NGVD (mean sea level), with walls substantially
Impermeable to the passage of water and structural components having the, capability of resisting hydrostatic and
hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressures, velocities, impact
and uplift forces associated with the base flood,
In the event' of flooding, will this degree of floodproofing be achieved with human intervention?*
Will the structure be occupied as a residence?
If the answer to both questions is .Yes, the flood_ proofing cannot be credited for rating purposes and the elevation
certification must be completed instead.
*Floodproofed with human intervention means -that water will enter the structure when floods up to the base flood
level occur, unless measures are taken. prior to the flood to, prevent entry of water (e.g, bolting metal, shields over
doors .and windows).
ERTIFIER'S NAME
AFFIX -SEAL OR WRITE PROFESSIONAL
George C. Young, Jr.
LICENSE NO. BELOW:
i 1l.al1JI
,
ITLE P.L.S., �
_President
_ _
•-
4'�� •�'� � i Fl,f r ,`vt . ?
ODRESS _
Wbatherington Engineering/Surveying
L4Q.75.'Virginia Ave. s
Ft. Pier c FL 34981
SATE OF
lChfLCpt�A
�' ✓
(Si nature) 4 1(Dale)(14
Insurance ao nl attache
a second coov of the completed form to the flood Insurance policy application
for new'(POST•FI M) construclion or subslanliel Improvements. Be sure, Thal tho second copy Is codified,
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