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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 30,2018 National Flood Insurance Program ELEVATION CERTIFICATE �y 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: ARLENE LOWERY A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number: 30 AQUA RA DRIVE City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description,etc.) PORT. LOT 3, BLOCK A,WINDMILL VILLAGE BY THE SEA UNIT 2, PB 16, PG 31, PARCEL#4511-811-0004-000-9 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27 15'55"N Long.80 12'15"W Horizontal Datum: ❑ NAD 1927 Z 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? ❑Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b 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 UNINCORPORATED 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12111C0314 J 02/16/2012 02/12/2012 AE 6.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 Z NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes © No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 30 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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,AR/A,AR/AE,AR/Al—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: TURTLE-1 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) 5. 52 0 feet ❑ meters b) Top of the next higher floor N/A x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑x feet ❑ meters d) Attached garage(top of slab) N/A x❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5. 22 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 5. 2 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 5. 22 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A x❑ 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. 1 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? ❑X Yes ❑No ❑X Check here if attachments. Certifier's Name License Number ROBERT BLOOMSTER, JR. 4134 Title PRESIDENT/OWNER Company Name Place BLOOMSTER PROFESSIONAL LAND SURVEYORS, INC. Sea! Address Here 641 NE SPENCER STREET City State ZIP Code JENSEN BEAC Florida 34957 Signature Date Telephone �/' 03101/2017 (772)334-0868 Copy all pages of this Elevation C ir—nte 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) A/C IS LOCATED ON THE RIGHT SIDE OF THE BLDG. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 30 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 30 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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: ❑X feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑x feet ❑ meters Datum G10. Community's design flood elevation: ❑x 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) ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS • OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 30 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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. Photo One Photo One Caption FRONT VIEW 03/01/2017 Photo Two Photo Two Caption REAR VIEW 03/01/2017 FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 od Insurance Program at 1-800-638-6620. ` Iu�.LtLlll I MAP SCALE 1"= 500' i 250 0 250 500 750 1,000 I ------4 FEET 11 ' i PANEL 0314J FIRM ZONE AE \ ° FLOOD INSURANCE RATE MAP (EL 8) ST. LUCIE COUNTY, FLORIDA AND INCORPORATED AREAS ` I AF6567-- -— AF6569 PANEL 314 OF 420 ` (SEE MAP INDEX FOR FIRM PANEL LAYOUT) AF6568 1 �' CONTAINS: ° COMMUNITY NU\ Mom€ PANEL s4Mx ZONE A E 6T LUCIE COUNTY 120285 0314 J (EL 7) 0 AQUA RA DR \1� ZONECD (EL 14) C) 2 \ NWre to User The Map Number shovm below should oe used \ when plating map orders.the Cammunity Number sh—n above shout be used on meu a ePPIKW-1 for the sub,eot \ wmmun,ty ;rt4 : . "47.1 < . t, '• 1 MAP NUMBER © o�yA�'�F,,, j 5 12111 C0314J ZONE AE ZONE AE � ; MAP REVISED (EL P) \ ��qNu stC°o- FEBRUARY 16,2012 Federal Emergency Nlanagement Agency I ZONE This is an official copy of a portion of the above referenced flood map. It (EL In) (E was extracted using F-MIT On-Line. This map does not reflect changes or amendments which may have been made subsequent to the date on the D HAZARD INFORMATION IS NOT SHOWN ON THIS title block. For the latest product information about National Flood Insurance Program flood maps check the FEMA Flood Map Store at www mse.fema.gov FEMA's National Flood Hazard Layer(Official) http://fema.maps.arcgis-com/home/webmap/viewer.html?webmap=cbe088e7c8704464aa0fc..-. Home - FEIVIA's National Flood Hazard Layer (Official) Details Basemap Share Print Measure 4,1 Search result 30 Aqua Ra Dr,Jensen Beach, Florida, 34957 Show more results Add to Map Notes 7 of I i/l/9017 9-IS6 AM cICC EVALUATION c SERVICE Widety Accepted . IMES Evaluation Report ESR-3560 Reissued September 2015 This report is subject to renewal September 2017. www.icc-es.org 1 (800) 423-6587 ( (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS through the FV in either direction. See Figure 1 for an Section: 08 95 43—Vents/Foundation Flood Vents illustration of the Flood Flape FV. REPORT HOLDER: 3.2 Engineered Opening: The Flood Flape FVs comply with the design principle FLOOD FLAPS®, LLC noted in Section 2.6.2.2 of ASCE/SEI 24 for a rate of rise 2707 WATERPOINTE CIRCLE and fall of 5 feet per hour(0.423 mm/s)_ In order to comply MT. PLEASANT,SOUTH CAROLINA 29466 with the engineered opening requirement of ASCE/SEI 24, (843)849-8031 Flood Flape FVs must be installed in accordance with www.floodflaps.com Section 4.0. info(&floodflaps.com 3.3 Model Sizes: EVALUATION SUBJECT: The Flood Flaps' FV model designations and sizes are as FLOOD FLAPS° FLOOD VENTS: MODELS FFWF12; follows: FFNF12; FFWF08; FFNF08; FFWF05; FFNF05 MODEL WIDTH HIGHT DEPTH in in in 1.0 EVALUATION SCOPE FFWF12 155/8 73/4 12 Compliance with the following codes: FFNF12 ■ 2012 and 2009 International Building Code(IBC) FFNF08 155/8 73/4 8 ■ 2012 and 2009 International Residential Code(IRC) FFNF05 15s/8 73/4 5 Properties evaluated: For SI: 1 inch=25.4 mm. ■ Physical operation The FFWF series include two rubber flaps for the ■ Water flow prevention of air flow. The FFNF series omit the rubber ■ Weathering flaps. 2.0 USES 3.4 Ventilation: ® Flood Flaps FV models FFNF12, FFNF08, FFNF05, and Flood Flaps are used to provide for the equalization of FFNF02 have metal screens with '/a inch by 1/4 inch hydrostatic flood forces on exterior walls. (6 mm by 6 mm)openings and provide 37 square inches of 3.0 DESCRIPTION net free opening to supp�natural ventilation for under-floor 3.1 General: ventilation. Flood Flaps FV models FFWF12, FFWF08, and FFWF05 have not been evaluated for use as openings Flood Flaps'-" flood vents are engineered mechanically for under-floor ventilation. operated flood vents (FVs) that automatically allow flood 4.0 DESIGN AND INSTALLATION waters to enter and exit enclosed areas. The FVs are constructed of ABS plastic which serves as the FVs Flood Flaps FVs are designed to be installed into walls of housing, and a front grill that contains an anodized metal existing or new construction. Installation of the FVs must screen imbedded in polypropylene plastic. On contact with be in accordance with the manufacturer's instructions, the rising flood water, the grill will disengage from its secured applicable code and this report. Flood Flaps FVs can be position, allowing flood water and debris to flow through in installed in wood, masonry and concrete walls up to a either direction. thickness of 12 inches (305 mm). In order to comply with The sealed series models contain two rubber flaps that the engineered opening design principle noted in Section passage g close the FV to the assa a of air when using with 2.6.2.2 of ASCE/SEI 24, the Flood Flaps FVs must be conditioned areas or sealed crawl spaces. In the same installed as follows: manner as the rill, the two rubber flaps are pushed open ■ With 9 p p p h a minimum of two openings on different sides of by water pressure, allowing water and debris to flow each enclosed area. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed NOW as an endonemrnt of the subject of the report or a recommendation for Av axe.There i.c no warranty by ICC Evaluation Service,LLC,a press or implied,oc to any finding or other matter in this report,or as to airy product covered by the report. Copyright O 2015 Page 1 of 2 ESR-3560 I Most Widely Accept-d Trusted Page-2 of 2 ■ With a minimum of one FV for every 220 square 5.2 The Flood Flaps FVs must not be used in place of feet(20 m)of enclosed area. "breakaway walls" in coastal high hazard areas, but are permitted for use in conjunction with breakawa ■ Below the � y base flood elevation. walls in other areas. ■ With the bottom of the FV located a maximum of 6.0 EVIDENCE SUBMITTED 12 inches (305 mm)above grade. 5.0 CONDITIONS OF USE Data in accordance with the ICC-ES Acceptance Criteria ® for Mechanically Operated Flood Vents (AC364), dated The Flood Flaps flood vents described in this report October 2013. comply with, or are suitable alternatives to what is specified in,those codes listed in Section 1.0 of this report, 7.0 IDENTIFICATION subject to the following conditions: The Flood Flaps models recognized in this report are 5.1 The Flood Flaps FVs must be installed in identified by a label bearing the manufacturers name, the accordance with this report, the applicable code and model number, and the evaluation report number the manufacturer's installation instructions. In the (ESR-3560). event of a conflict, the instructions in this report govern. - i a a { FIGURE 1—FLOOD FLAPS®FLOOD VENT WidelyICC EVALUATION SERVICE Most Accepted and •. IMES Evaluation Report ESR-3560 Reissued September 2015 This report is subject to renewal September 2017. www.icc-es.org 1 (800)423-6587 1 (562) 699-0643 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS through the FV in either direction. See Figure 1 for an Section: 08 95 43—Vents/Foundation Flood Vents illustration of the Flood Flape FV. REPORT HOLDER: 3.2 Engineered Opening: The Flood Flape FVs comply with the design principle FLOOD FLAPS®,LLC noted in Section 2.6.2.2 of ASCE/SEI 24 for a rate of rise 2707 WATERPOINTE CIRCLE and fall of 5 feet per hour(0.423 mm/s). In order to comply MT. PLEASANT,SOUTH CAROLINA 29466 with the engineered opening requirement of ASCE/SEI 24, (843)849-8031 Flood Flape FVs must be installed in accordance with www.floodflaps.com Section 4.0. infoAfloodflaps.com 3.3 Model Sizes: EVALUATION SUBJECT: The Flood Flape FV model designations and sizes are as FLOOD FLAPS® FLOOD VENTS: MODELS FFWF12; follows: FFNF12; FFWF08; FFNF08; FFWF05; FFNF05 MODEL WIDTH HIGHT DEPTH in in in 1.0 EVALUATION SCOPE FFWF12 155/8 73/4 12 Compliance with the following codes: FFNF12 FFWF08 5 3 ■ 2012 and 2009 Intemational Building Code(IBC) FFNF08 15 /a 7/a 8 ■ 2012 and 2009 Intemational Residential Code(IRC) FFWF05 FFNF05 155/8 7314 5 Properties evaluated: For SI: 1 inch=25.4 mm. ■ Physical operation The FFWF series include two rubber flaps for the ■ Water flow prevention of air flow. The FFNF series omit the rubber ■ Weathering flaps. 2.0 USES 3.4 Ventilation: Flood Flape are used to provide for the equalization of Flood Flape FV models FFNF12, FFNF08, FFNF05, and hydrostatic flood forces on exterior walls. FFNF02 have metal screens with /4 inch by /4 inch (6 mm by 6 mm)openings and provide 37 square inches of 3.0 DESCRIPTION net free opening to supp�natural ventilation for under-floor 3.1 General: ventilation. Flood Flaps FV models FFWF12, FFWF08, and FFWF05 have not been evaluated for use as openings Flood Flape flood vents are engineered mechanically for under-floor ventilation. operated flood vents (FVs) that automatically allow flood 4.0 DESIGN AND INSTALLATION waters to enter and exit enclosed areas. The FVs are constructed of ABS plastic which serves as the FV's Flood Flape FVs are designed to be installed into walls of housing, and a front grill that contains an anodized metal existing or new construction. Installation of the FVs must screen imbedded in polypropylene plastic. On Contact with be in accordance with the manufacturer's instructions, the rising flood water, the grill will disengage from its secured applicable code and this report. Flood Flape FVs can be position, allowing flood water and debris to flow through in installed in wood, masonry and concrete walls up to a either direction. thickness of 12 inches (305 mm). In order to comply with The sealed series models contain two rubber flaps that the engineered opening design principle noted in Section close the FV to the passage of air when using with 2.6.2.2 of ASCE/SEI 24, the Flood Flaps FVs must be conditioned areas or sealed crawl spaces. In the same installed as follows: manner as the grill, the two rubber flaps are pushed open ■ With a minimum of two openings on different sides of by water pressure, allowing water and debris to flow each enclosed area. ]CC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endonememt of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,LLC,express or implied,us to anyJinding or other matter in this report,or as to any product covered by the report. Copyright 0 2015 Page 1 of 2 ESR-3560 I Most Widely Accepted Trusted AMR& Page 2 of 2 ■ With a minimum of one FV for every 220 square 5.2 The Flood Flaps® FVs must not be used in place of feet(20 m2)of enclosed area. "breakaway walls" in coastal high hazard areas, but ■ Below the base flood elevation. are permitted for use in conjunction with breakaway walls in other areas. ■ With the bottom of the FV located a maximum of 12 inches(305 mm)above grade. 6.0 EVIDENCE SUBMITTED 5.0 CONDITIONS OF USE Data in accordance with the ICC-ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated The Flood Flaps flood vents described in this report October 2013. comply with, or are suitable alternatives to what is specified in,those codes listed in Section 1.0 of this report, 7.0 IDENTIFICATION subject to the following conditions: The Flood Flaps models recognized in this report are 5.1 The Flood Flaps FVs must be installed in identified by a label bearing the manufacturer's name, the accordance with this report, the applicable code and model number, and the evaluation report number the manufacturer's installation instructions. In the (ESR-3560). event of a conflict, the instructions in this report govern. I i FIGURE 1—FLOOD FLAPS®FLOOD VENT RegulationBusiness & Professional BCIS Home Log Out User Registration Hot Topics Submit Surcharge Stats&Facts Publications j FBC Staff BCIS Site Map Links Sear& � Business Professional product Approval USER: Doug Davinroy,Flood Flaps,LLC,Product Manufacturer Regulation Produr_t Aooroval Menu>Product or Aoolication Search>Aooliration List>Application Detail FL# FL17381-R1 Application Type Affirmation Code Version 2014 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer Flood Flaps, LLC Address/Phone/Email 3594 Holmgren St. MOUNT PLEASANT, SC 29466 (843) 881-0190 dd@floodflaps.com Authorized Signature Doug Davinroy dd@floodflaps.com • Technical Representative Doug Davinroy Address/Phone/Email 3594 Holmgren St. MOUNT PLEASANT, SC 29466 (843) 881-0190 dd@floodflaps.com Quality Assurance Representative Doug Davinroy Address/Phone/Email 3594 Holmgren St. - MOUNT SC 6 ' (843)88 0 �'�Sy' !".-� V. �' dd@floo . ' tih ti PYA Category Structural Components Subcategory Products Introduced as a Result of New Technology Compliance Method Evaluation Report from a Product Evaluation Entity Evaluation Entity ICC Evaluation Service, LLC Quality Assurance Entity RADCO, INC. Quality Assurance Contract Expiration Date 09/01/2017 Validated By ICC Evaluation Service, LLC. Certificate of Independence FL17381 R1 COI Certificate of Independence for Evaluation.odf Referenced Standard and Year(of Standard) Standard Ykjr ASCE 24 2005 Equivalence of Product Standards Certified By Sections from the Code I affirm that there are no changes in the new Florida Building Code which affect my product(s)and my product(s) are in i • compliance•the new Florida Building Code. Documentation from approved Evaluation or Validation Entity Yes No N/A FL17381 R1 COC ESR-3560.Ddf Product Approval Method Method 1 Option C Date Submitted 08/31/2015 Date Validated 08/31/2015 Date Pending FBC Approval Date Approved 11/12/2015 Summary of Products FL# Model,Number or Name Description 17381.1 Flood Flaps automatic foundation FFWFOS, FFNFOS, FFWF08, FFNF08, FFWF12, FFNF12 flood vents Limits of Use Installation Instructions Approved for use In HVHZ: No FL17381 R1 II Flood Flap installation guide 20141001.Ddf Approved for use outside HVHZ:Yes Verified By: ICC Evaluation Service, LLC Impact Resistant: N/A Created by Independent Third Party: Design Pressure: N/A Evaluation Reports Other: FL17381 RI AE ESR-3560.Ddf 0 Contact us:: 1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824 • The State of Florida is an AA/EEO employer.Coovrioht 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 rat 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 offidal 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 dick j2m Product Approval Accepts: WN sccvritv.0 i x u