HomeMy WebLinkAboutEvaluation Report U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30,2022
National Flood Insurance Program -?62f V��A_ ZQ A I — O z0 /
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:
Marvin D. Kelly
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
11600 Twin Creeks Drive
City State ZIP Code
Fort Pierce Florida 34945
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.)
I.D. No.2333-234-0001-000-5
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) Residential/Pre-Construction
A5. Latitude/Longitude: Lat.27023'20.56649" Long.80°26'38.85650" Horizontal Datum: ❑ NAD 1927 ❑x 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 1 B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 728.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑Yes ❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
St. Lucie Florida
B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
12111CO164 J 02-16-2020 AE 18.6
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 139:
❑FIS Profile x❑ FIRM ❑Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6
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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
Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
11600 Twin Creeks Drive
City State ZIP Code Company NAIC Number
Fort Pierce Florida 34945
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,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,AR/A,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: GPS RTK Vertical Datum:NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 0 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) 20.3 ❑x feet ❑ meters
b) Top of the next higher floor - ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) ❑ feet ❑meters
d) Attached garage(top of slab) ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building(Describe type of equipment and location in Comments) ❑ ❑feet meters
f) Lowest adjacent(finished)grade next to building(LAG) ❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) ❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑ feet ❑ meters
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.
!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 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
Ted E. Phillips LS 5932 --
Title
Professional Surveyor and Mapper
Company Name
TEPHILLIPS, LLC
Address
0
102 SW Parish Terrace
ee
City State ZIP Code
Port St. Lucie Florida 34984
Signature Date Telephone Ext.
(772)369-7023
Copy all pages of this Elevatio ificate and all attachments for 1)community official, (2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable)
Under-Construction
Section C2.a is the"Top of Formboard"elevation.
FEMA Form 066-0-33(12/19) Replaces all previous editions. Form Page 2 of 6