HomeMy WebLinkAboutEvaluation Report U.S: D]=PARTMEsNT OFz HOMED''C�'` ,CURITY
OMB No.1660-0008
Federal Emergency Management r►g___,_^ ' Expiration Date;November 30,,2018
National l=lood Insurance.Program.
a ELEVATION CERTIFICATE
Important:Follow the instructionson 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.
GEORGE&GRETCHEN SHOWELL
A2. Building Street Address,(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number.
Box No. .
181 NETTLES BLVD.
City State ZIP Code
JENSEN BEACH Florida 0 '34957
A3. Property Description(Lot and-Block Numbers,Tax Parcel Number,Legal Description,.etc.)
LOT 187 NETTLES ISLAND PROJECT SECTION 2
A4. Building.Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) .RESIDENTIAL
A5. Latitude/Longitude: Lat.27617'14.1" Long.80"13'30" 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 5 0
A8. For a building with a crawlspace or enclosure(s):
a). Square footage of crawlspace or enclosure(s) 750 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 '.2'No
A9.For a building with an attached garage:
a) Square footage of attached.garage N/A 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 x❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3. State
UNINCORP 120285 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
12111 C 0311" J 02/16/2012' 02/16/2012 ' . AE -6.0
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(7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE - xp.1 No.iration Date DateOoos .
�- ` �-.� � �E :November$0,2018
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: ti
Y •,a
City. State::::_......-- ZIP-Code Company NAIC Number _
SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑Building Under Construction* ❑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,V'I 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: 94 77 A04 FDOT Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 ❑x 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) 4.87 ❑x feet ❑ meters
b) Top of the next higher floor 7.87 ❑x 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. 7.3 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.74 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.87 0 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 4.7 0 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.
I 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? Z Yes ❑No ❑x Check here if attachments.
Certifier's Name License Number —
EARLE R.STARKEY 004459
Title
PROFESSIONAL LAND SURVEYOR Place
Company Name g+
ACCURUGHT LAND SURVEYING INC. Seal
Address Here
-1501 DECKER AVENUE#419
City State ZIP Code BLS At ggS9J
—STUARTFlorida 0 34994
e Date Telephone ExL
06/01/2017 772-286-7694
Copy all page is Elevation Certificate 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)
C2-E A/C PLATFORM
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
` Building Photographs
See Instructions for Item A6.
For.Insurance Company Use:
Building Sheet Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Poricy Number
187 NETTLES BLVD,
City State ZIP Code Co rgmy NAIC t
JENSEN BEACH FLORIDA 34957
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page,
following. FRONT 06/01/2017 REAR 06/01/2017
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