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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) communitv-official. (21 insurance aaent/comnanv and M huiidinn numar SECTION A — PROPERTY INFORMATION FOKINSURANCE 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 34982 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 27, 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: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 5 A8. For a building with a crawispace-or enciosure(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 .[R No A9. For a building with an attached garage:. z a) Square footage of attached garage 0 sq ft . b) Number of permanent flood openings.in-the..attached garage within l 0 foot above_adtace ' t grade 0 c) Total netorea of flood openings -in A 0 sq in '. d) Engineered flood openings? ❑ Yes ( No SECTION B ': FLOOD tNSURANCE< MAF! (FIRM) INFORMATION }RATE' B1. NFIP Community Name &Community Number.; B2 Couniy _Name = B3 State ST. LUCIE COUNTY 120295 ST ,;LUCIE - Florida . -84. Map/Panel B5 Suffix B6 FIRM` Intlex : B7 FIRMM Panel ': 8$� Flood Zone(s)> B9 Flood Elevations) Number Date ;" - EffecbVe/ �Bese, Zone AO; .use Base Revise¢ Date,_, Flopd,Qeptli) 12111 G0187 J 02/16/2015 02/16/2012 B10. Indicate theaource ofahe Base.Flood: Elevation (BFE}tlata,or µbase flood depth entered m Item B9 _ FIS Profile ❑FIRM ❑Community Defermined ❑ Other/Source - 131.1. Indicate elevation datum used for BFE.in Item B9 ❑: NGVD 1929j NAVD 1988 . ❑ -Source,..wA ,Otfter/ 1312.. Is the bullding-located in a Coastal'Barher Resources_System'(CBRSj area or Othervuise Protected 4Area (OPA)? Q Yes ' No Designation Date Q9%18/2019 CBRS FEMA Form-osc-U-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No.1660-0008 Exoiration 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 City 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/A'I 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 2 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) 20. 2 ® 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 El -meters e) Lowest elevation of machinery or equipment servicing the building 17. 1 feet' ❑ meters (Describe type of equipment.and location in Comments) f) Lowest adjacent (finished) grade, next to. building (LAG) 16. 7 ® feet ❑. meters g) Highest adjacent (finished) grade next to building .(HAG) 16. 9 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of. deck or stairs,: including N/A; ❑ feet ❑ meters structural support SECTION D-SURVEYOR, ENGINEER, ORrARCHITECTcCSRTIF[CATION This certification is to be, signed and seated by a land surveyor, engineer, or archit®ct authonzed`by law to certify elevation Information. 1 certify that the inforrrr$fion on this Certficate represents my best `ef}'o►ts to interpret the data available 1 understand>that> any.Fa/se statement maybe punishable by fine _or.mpri'sonment under.`78 U S' Code, Section*1001 Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑ No ❑ Cheek'here if attachments. Certifier's Name ... -License Numbers: ` ' ` ' MARK W. TEEPE 4811 Title - P.S.M. Company. Name- C_0RNER8TONE SURVEYING Address 325 SW SOUTH QUICK CIRCLE city Zip - State Code, PORT ST. LUCIE Florida. 34953 Signature Date Telephone x `��1 'u►/c--. W ,: ' 02/14/2020-k .: 7724182376 . Copy ail -pages of this Elevation Ce"111 ite and:all attachments:for (1) commurnty offiaai, (2) Irisurance4agent/cornpany antl (3):building owner. Comments (inciudingtype of equipment and locatioper C2(e}, d applicable) ; A/C UNIT This residence W4.0': above crown of road .. . FEMA Form 086-0-33 (7/151 RenlarAn a11_nrci4inriwM4icine- Form Pam 2 nf.6 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 TTH. STREET City State ZIP Code Company NAIL 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 El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, 'B,and. C. For Items 'E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico 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 ❑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 ❑ 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 ❑ meters ❑feet ❑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 ❑ No :❑ .Unknown: The -local official must.certity_ttiis4nformation in Section G. SECTION F — PROPERTY OWNER,(OR OWIIIER'S REPRESENTATIVE) CERTIFICATION ; . The property owner or owner's authorized representative who completes Sections A B, and'E for Zone A (without a FEM/A issued or community-issuetl.BFE) or Zone AO must sign hen:: The statements`ur Sections A;:B, antl E' are collect to the besfof go. Property Property Owner or Owner's Authorised RepresentatN--'s Name Address ,: Crty State ZIP Code Signature Date ~y Telephone Comments ❑: Cheek heref_attachments. ELEVATION CERTIFICATE OMB No. 1660-0008 Ezoiration Date: Novemher 30. 201A 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 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 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 ❑ meters Datum G9. BFE or (in.Zone AO) depth of flooding at the building; site: "❑ feet. ❑ rneters Datum G10. Community's design flood elevation.: ❑,feet ";❑ meters. ,Datum .. Local Official's Name Title Community Name Telephone -Signature Date Comments (including type of a ui includin a ment and-locafion,per C2 e , a iicable k 4 P . Cfiecktiere=if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions, Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING -PHOTOGRAPHS See Instructions for Item A6. OMS 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.D. 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. N. Photo One . Photo One Caption 02/10/20 FRONT VIEW ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page 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 T Florida 34982 If submitting more photographs than will fit on the. preceding page, affix the additional photographs below. Identify ail photographs with: date taken; "Front View" and "Rear Vlew"; 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. Phogo e Photo Two,Capfion . FEMA Form 086-0-33 (7/15) Rablaees Form Paae 6 of R