HomeMy WebLinkAboutEvaluation Report DEPARTMENTAF HOMELAND SEITY OMB No.-1860-0008=---- _ —
F dera►�mergency Management Agenc ` _ Expiration;Date:November 30,2018
Wia oral Ftood In�urance:Pro ram•-._-. ` A —_.- —`--
ELEVATION 'CERTIFICATE .
Iii0ii F6116W the'latruction6"6h-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.
SHOVER
A2. Building StreetAddress(including Apt.,Unit,Suite,and/or Bldg.°No.)or P.O.Route and.Box No. Company NAIC Number. ..
. .
10701 SOUTH OCEAN DRIVE#755
City State. _ ZIP Code
JENSEN BEACH Florida 34957
0
A3..Property Description(Lot and Block Numbers,,Tax Parcel Number,Legal Description,etc.),
LOT 156,VENTURE.-OUT SECTION C
A4. Building Use(e.g:,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latkude/Longiitude: Lat 27°16'01.8" Long.80°12'27.1" Horizontal Datum: -❑ MAD 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
A8. For a building with a-crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosures) N/q sq ft
b) Number of permanent flood openings in the crawlspace or enclosures)within 1.0 foot,above adjacent grade, N/A.
c) Total net area of flood openings in A8.b N/k sq in
d) Engineered flood openings? ❑Yes 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
61.NFIP Community Name&Community Number 62.County Name B3. State
UNINCORR 120285 ST.LUCIE FloridaEl
B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel B8.Flood B_ 9.Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
12111 C 0314 J ' "02/16/2012 '02/10/2012 AE 7.0
B10..Indicate the source of the Base Flood Elevation(BFE)data,or base flood depth entered in,ltem B9: . _
❑FIS Profile ❑x FIRM ❑ Community Determined ❑Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ 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 ", OMB No.Date 08 ,
E Expiration Date:-November30,2018 '
_- -_ IMPORTANT:_In_these spaces,_cop_y_the_comesponding inform_OL ion_fr_oot$ect on_A.__-___F_OR_INSbRANCE_COMPAMY_-U E-
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number.
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,V1 V30,V(with BFE),AR,AR/A,AR/AE,ARIA1—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 A02 RM1 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 measutement usod.
a) To of bottom floor(including basement,crawlspace,or enclosure floor) 7.85 ❑x 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 7.43 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG). ,, 3.87 ❑x feet ❑ meters
g).Highest adjacent(finished)grade next to building(HAG) 3.91 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support 3.87 ❑x feet ❑ meters
SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certfication 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.l 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 +: a0e
Company Name =
ACCURIGHT LAND-SURVEYING INC. e,a� .
Address
,. -here
1501 DECKER AVENUE#419
City- State ZIP Code 4
S Florida 0 34994 Y
Date Telephone Ext. -
17 772-286-7694
Copy all pages of this 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
uitding Photogr sa:pf
See lnstructio�s forltem A
faetnsurance Cariipar�y Use:
popipg 5treetAddress(including Apt,Unit,suite,ar llor:'Bldg No},ar,P.;O Route and;i3ox Na. Porrayr NtffnW
10701 SOUTH OCEAN DRIVE #755
City State ZIP Code: con; w MCNumbO,
JENSEN BEACH FLORIDA 34957
If using the.,Elevation Certificat A obtain NFIP flood insurance, affix at least W6-dildop photograph's belo�+v according#o.
the mstrud+ans#or`Item A6 Identify all photographs with date taken, "Front Viev 'and"Rear Uew", and, �f:requir l,;"Right
Sde;'t/iev '`and "i eft`sid®"w,ow A submitting:rriore phatographs.'than rti�ll:fit on his page,.:"use the' Contlnvation.Page;
FRONT 06/15/2017 REAR 06/15/2017
ti r+
812'uP1 rt;3xryyw Lt
a M t
1 g > rf
f
eta ,
SIDE 06/15/2017