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Home My WebLink AboutElevation CertificateU S. DEPARTMENT OF HOMELAND 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: 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 34.982 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc,) LOT 77, WINDSONG MOBILE VILLAGE A4. Building Use (e.g., Residential,'Non-Residential; Addition, Accessory, etc.) SINGLE FAMILY RESIDENTIAL A5. Latitude/Longitude: Lat 27.406320 Long.-80-329390 Horizontal Datum: Q 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 crawispace or enclosures) within 1.0;foot:above adjacent grade p c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes' „& No A9. For a building with an attached. garage: , a) Square footage of attached garage .. o sq:ft . b) Number of permanent flood openirgs m the.attachetl garage within 1 0 foot above atltacent grade' :p c) Total net area of flood. openings iri-A9 b p 40h d) Engineered flood.openings? ❑.Yes No SECTION B FLOODINSURANCE RATE MAP (FIRM JNFORMATION' B1: NFIP CommunityName &Community Number 82 County Name 83. State ST. LUCIE COUNTY 120285 - ST=LUCIE . Florida B4. Map/Rariel B5 Suffix B6 FIRM; Index'; ' B7 FIRM Panel ; B8 Flood Zones) 139 Base: FloodElevation(s). Number Date ` : `Effective/ Z one AO;' use.Base Revised Date loon Depth)', 12111 CO187 J' - l)2/16/2015; . OZ116/2012 "'X" . • NIA. B10. Indicate the source of the Base: Flood Elevation (BFE) data orbase flootl depth entered m Item B9' Q FIS Profile"❑ FIRM ❑ Community Determinetl Other/Source B11. Indicate elevation datum used for BFE in Item B9 ❑ NGVD 1929 NAVD 1988 ❑Other/Source NIAIA - 'ea-0 .: 812. Is tlie.buUdmgaocatedirl a Coastal Barrier ResourcesSystem:(CBRS).ar Othenylse Protected Area OPA ? ( ) Q Yes;: No. Designation _Date Og/18/2019 BR; ❑ OPA FEMA Form 086-0-33 (7/15) ReplaceM___ A _r,. ELEVATION CERTIFICATE _ OMB No.1660-0008 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. 3200 SOUTH 7TH. STREET vary State ZIP Code Company NAIC Number FORT PIERCE Florida 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, ARIA, 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: CO BM Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 5d 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, crawispace, or enclosure floor) 21. 2 [0 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. 6 5d feet ❑ meters (Describe type of equipment and location in -Comments) f) Lowest adjacent (finished) grade next to building (LAG) 17. 2 .feet . ❑meters g) Highest adjacent (finished) grade next to building (HAG) 17 .4 feet= . ,�:, 0 meters - h) Lowest adjacent grade at lowest elevation. of deck or stags;including NIA., ❑feet ❑ meters structural'support SECTION D _SURVEYOR, ENGINEER, OR'ARCHiTSCT C,ERTI�ICATION Copy al ELEVATION CERTIFICATE OMB No.1660-0008 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 PA. Route and Box No. Policy Number: 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT 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 LOMR-F request, complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. in Puerto Rico only, enter meters. E1. Provide elevation infonnation 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 ❑, below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ 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 ❑ meters ❑ above or 0 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 1 ❑_feet El -meters. [:]aboveor ❑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 ❑ No ❑ ' Unknown. The Ideal official -must certify this. information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) ;CERTIFICATIO.N- 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 AB, and ,E are- correct to:the besf of my -knowledge. Property Owner or Owner's Authorized Representatiue's Name Address City", State _ ZIP _Code - Flonda Signature Date = Telephone Comments: 71 ❑^Check here if=attachments. FEMA Form 086-0-33 (7/15) Replaces all previous-editons. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 EXniratinn Data- Nnvamhar An 9n1R 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: 3200 SOUTH 7TH. STREET city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 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 Q, 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. G 1. ❑ 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 G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction. ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet'. El. meters Datum G9. BFE or (in Zone AO) depth of flooding at the building:site: ❑. feet ,0 meters Datum G10. Community's design flood elevation: ❑ feet [ meters Datum Local -Official's Name Title Community Name Tele P hone ,. Signature Comments (including type ofeguipment and.locahon, per C2(e), d appUcabie), - -fi&k ere if attachments. rr-rvIri rvrm voo-v-ss tri o/ Replaces all previous editions. Form Page 4-of 6 BUILDING PHOTOGRAPHS . OMB No.1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Exrairation Date: November 30.201E MPORTANT: 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. 3200 SOUTH 7TH. STREET City State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 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. kato one