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HomeMy WebLinkAboutFlood Evelation -Final ` U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2022 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: SANDRALEVESQUE A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 4868 WATERSONG WAY City State ZIP Code FORT PIERCE Florida 34949 A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID 2532-500-0062-000-7 LOT 48 WATERSONG PLAT NO. 1 A4. Building Use(e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27°23' 17.515" Long.80° 15'33.434" 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. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0.00 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 0.00 sq in d) Engineered flood openings? ❑Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 720.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A9.b 800.00 sq in d) Engineered flood openings? 0 Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State ST. LUCIE COUNTY, UNINCORPORATED 120TB7. SAINT LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 C 0194 K 02-19-2020 02-19-2020 AE 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 69: ❑ 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: 10-01-1983 ❑ CBRS ❑ OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 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: 4868 WATERSONG WAY city State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑Building Under Construction* M 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: ST LUCIE COUNTY BM"B-308" 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) 8.1 Q feet ❑ meters b) Top of the next higher floor 19.4 © feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) 16.2 © feet ❑meters d) Attached garage(top of slab) 6.6 © feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 8.1 © feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 5.2 © feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 5.6 © feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A © feet ❑ meters structural support SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION Ian surveyor engineer, or architect authorized b law to certify elevation information. This certification is to be signed and sealed by a d y g Y fY 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? ©Yes ❑No ❑Check here if attachments. Certifier's Name License Number CHARLES ARNOLD, PSM FL LS4971 ``��►1{1 t t t t try A Title VICE PRESIDENT �`C;•' �Q Company Name ARNOLD SURVEYING, INC. Address ei r 4888 N KINGS HWY#425 ••.••� ATE City State ZIP Code FORT PIERCE Florida 34951 Signature Date Telephone Ext. 10-30-2020 (772) 708-1819 Copy all p g s of this levatio Certi irate and ttachments for(1)community official,(2)insurance agent/company,and(3),Wilding owner. Comments(including type of equipment and location, per C2(e), if applicable) A5 OBTAINED USING A HAND HELD GPS DEVICE; B9 LOT HAS SEVRAL ZONES BUT HOUSE LIES SOLELY IN ZONE AE-6; C2C REQUESTED BY LOCAL INSPECTOR: HOUSE IS NOT IN V ZONE; C2D REFERS TO GARAGE SEPARATED BY WALL FROM FLEX SPACE MEANING GARAGE IS ATTACHED; C2E REFERS TO HOT WATER HEATER IN GARAGE; PAGES 1, 2,&5 COMPLETED BY SURVEYOR; PAGES 3&4 LEFT BLANK INTENTIONALLY& IS NOT CERTIFIED BY SURVEYOR FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 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: 4868 WATERSONG WAY City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 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 ❑feet ❑meters ❑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 certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION 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 A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments THIS SPACE LEFT BLANK INTENTIONALLY&IS NOT CERTIFIED BY SURVEYOR ❑Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6 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: 4868 WATERSONG WAY City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 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 E] meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location, per C2(e), if applicable) THIS SPACE LEFT BLANK INTENTIONALLY& IS NOT CERTIFIED BY SURVEYOR ❑ Check here if attachments. FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 4 of 6 PHOTOGRAPHS BUILDING OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 4868 WATERSONG WAY City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 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 As. If submitting more photographs than will fit on this page, use the Continuation Page. Alt II Photo One Photo One Caption FRONT VIEW-PHOTO TAKEN ON OCTOBER 29 2020 Clear Photo One I I I Photo Two Photo Two Caption RIGHT VIEW-PHOTO TAKEN ON OCTOBER 29 2020 Clear Photo Two FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COM PANY USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 4868 WATERSONG WAY City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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. i i IIiR i Photo Three Photo Three Caption REAR VIEW-PHOTO TAKEN ON OCTOBER 29 2020 Clear Photo Three s - Il! i r r Photo Four Photo Four Caption LEFT VIEW-PHOTO TAKEN ON OCTOBER 29 2020 Clear Photo Four FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6 •10/10/2017 Florida Building Code Online Business • Professional Regulation r BCIS Home Log In I User Registration 11 Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map Links j Search ba "" Product Approval USER:Public User Product Approval Menu>Application Detail OFFICE OF THE FL# FL5E22-R5 SECRETARY Application Type Revision Code Version 2017 Application Status Approved Comments 08/18/2017v. date reapply 08/23/17 Archived Product Manufacturer Smart Vent Products,Inc. Address/Phone/Email 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877)441-8368 info@smartvent.com Authorized Signature Michael Graham info@smartvent.com Technical Representative Michael Graham Address/Phone/Email 430 Andbro Dr Unit 1 Pitman, NJ 08071 (877)441-8368 info@smartvent.com Quality Assurance Representative Address/Phone/Email Category Structural Components Subcategory Products Introduced as a Result of New Technology Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who developed the Hermes F. Norero P.E. Evaluation Report Florida License PE-73778 Quality Assurance Entity Architectural Testing, Inc. Quality Assurance Contract Expiration Date 12/31/2020 Validated By Locke Bowden Validation Checklist-Hardcopy Received Certificate of Independence FL5822 R5 COI Smart Vent COI SS 2017-08-18 .pd Referenced Standard and Year(of Standard) Equivalence of Product Standards Certified By II Sections from the Code 1612.5(1)(1.2) 1708.2 https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgvMdF6zR4iHI-mlmeckcmccEFNgF4cUyp4c%3d 1/3 II •10/10/2017 Florida Building Code Online Product Approval Method Method 2 Option B Date Submitted 08/18/2017 Date Validated 08/24/2017 Date Pending FBC Approval 08/28/2017 Date Approved 10/10/2017 Summary of Products FL# Model,Number or Name I Description 5822.1 SmartVent Model #1540-510 Dual Function Flood and Ventilation Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-510 SS 2017-08-23.pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other: One vent may be used for up to 200 sq.ft. of interior FL5822 R5 AE PER5022 SS 2017-08-23.odf space(minimum 2). FL5822 R5 AE SmartVent- Imoact Requirements SS 2017- 0823.pdf Created by Independent Third Party: Yes 5822.2 SmartVent Model #1540-511 Dual Function Flood and Ventilation Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-511 SS 2017-02-28.pdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other:One vent may be used for up to 400 sq. ft. of interior FL5822 R5 AE PER5022 017-08 3.pdf space(minimum 2). FL5822 R5 AE SmartVent- Imoact R a uir m n 017- 08-23.pdf Created by Independent Third Party: Yes 5822.3 SmartVent Model #1540-514 Garage Door Dual Function Flood and Ventilation Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 540-514 SS 2017-02-28,12df Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero,P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other:One vent may be used for up to 200 sq. ft.of interior FL5822 R5 AE PER5022 SS 2017-08-23.odf space(minimum 2). FL5822 RS AE SmartVent Imoact Requirements SS 2017 08-23.odf Created by Independent Third Party: Yes 5822.4 SmartVent Model *1540-520 Insulated Flood Vent j Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-520 SS 2017-08-23.gdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other:One vent may be used for up to 200 sq. ft.of interior F1 5822 R5 AE P R50 017-08 .pdf space(minimum 2). FL5822 R5 AE SmartVent-Impact Requirements SS 2017- 08-23.gdf Created by Independent Third Party: Yes 5822.5 SmartVent Model #1540-521 Insulated Flood Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-521 SS 2017-02-28.odf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other: One vent may be used for up to 400 sq. ft. of interior FL5822 R5 AE PER5022 SS 2017-08-23.odf space(minimum 2). FL5822 R5 AE SmartVent-Impact Requirements SS 2017- 08-23.odf Created by Independent Third Party: Yes 5822.E SmartVent Model #1540-524 16"Garage Door Flood Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-524 SS 2017-02-28.gdf Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/ 100 Evaluation Reports Other: One vent may be used for up to 200 sq. ft.of interior FL5822 R5 AE PER5022 SS 2017-08-23.odf space(minimum 2). FL5822 R5 AE SmartVent- Impact Requirements SS 201_7- I https://www.floridabuilding.org/pr/pr_app_dd.aspx?param=wGEVXQwtDgvMdF6zR4iHLm1meckcmccEFNgF4cUyp4c%3d 2/3 10/10/2(T17 Florida Building Code Online 08-23.oddf Created by Independent Third Party: Yes 5822.7 SmartVent Model *1540-570 Wood Wall Insulated Flood Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-570 SS 2017-02-28.12df Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other: One vent may be used for up to 200 sq. ft.of interior FL5822 R5 AE PER5022 SS 2017-08-23.Rdf space(minimum 2). FL5822 R5 AE SmartVent- Impact Reauirements SS 2017- j 08-23.pdf Created by Independent Third Party: Yes 5822.8 SmartVent Model *1540-574 14.5"Garage Door Flood Vent Limits of Use Installation Instructions Approved for use in HVHZ:Yes FL5822 R5 II 1540-574 SS 2017-02-28.12df Approved for use outside HVHZ:Yes Verified By: Hermes F. Norero, P.E. Florida P.E. 73778 Impact Resistant: N/A Created by Independent Third Party: Yes Design Pressure: +100/-100 Evaluation Reports Other: One vent may be used for up to 200 sq. ft. of interior FL5822 R5APER5022 SS 2017-08-23.pdf space(minimum 2). FL5822 R5 AE SmartVent-Impact Reouirements SS 2017- 08-23.Ddf Created by Independent Third Party: Yes 0 0 Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Coovriaht 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S., please click here. Product Approval Accepts: MMEl ® __ Credit Card Safe https://www.floridabuilding.org/pr/pr_app_dd.aspx?param=wGEV XQwtDgvMdF6zR4iHLm 1 meckcmccEFNgF4cUyp4c%3d 3/3