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HomeMy WebLinkAboutEvaluation Report U.S. UEPART:MENT OF HOMELAND-SECt'-�iX
� ��MB o. 1660-f10t1S
Federal Emergency Management Agency s C
�':acpirafVtion Ddte:November 3�2O
Hationa€Flood Insurance Program
ELEVATI instructions CERTIFICATE
Important- oa the nstru t ons an pages -9
ropy all rages of this Elevation Certificate and all attachments for(1)corninunity official,(2)insurance 2wArcornpany,and(a)L�uil€iimg n,-
SECTION A--PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al..Building Owner's Name Policy Number:
JUSTIN AND JANELYN PRICE
A2. Building Street Address(including Apt.,Unit,Suite,andlor Bldg_Igo.)or F.O.Rollie and ¢ Company NAIC Number
Box No_
30-331 SHORE Stt'`iE DRIVE
Ciiy< State ZIP Code
FT. P ERCE Florida 34949
A3, Property Description(Lot and Blue:`Numbers,Tax Parcel Numb,Leoi Desaiptimv,etG)
LOT 2,TARPON FLATS SUBDIVISION ,
A4_ B&Hdiag Use(e.g.,.Residential,Nctsx-Residential,AdditiQst,At s=y et--f RESIDENTIAL'SLAB) tt
A5. LatittadeiLongitude: Lat 27 30 23.61217N Long.8©18 27.45665W Horizontal Datum: [] NAQ 1927 Q UA€t ilk t
A6. Attach at least 2 photographs or,the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 113
A8. For a building Vith a crawlspace or enclosure(s):
a) Square foolage of crawispace or enclosure(s) NIA sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N WA
c) Total net area of flood openings in A8,b NIA sq in
d) Engineered flood openings? Yes Q Ne
Ag.For a Wilding girth an attached garage:
a) Square Footage of attached garage 420.00 so ft
b) Number of parament flood-optaniags in tLiir attached:gm9a within 1.0 font ahnve adjar-n-at g de Q
c) Total net area of flood openings in A9.h ' O:00 sq in
d) Engineered Road openings? lies ' o.Ma
SECTION:B-FLOOD INSURANCE RATE MAP(FIRM IIIIFORKATION
81.litFIP Comm pity Nwre&Commun4y, Nwriyrier 52.County Name 33_ State
ST.LUCIE COUNTY 120285 ST.LUCIE Florida
B4.Map/Panel 135;-Suffix I6_ FIRM Index B7.FIRM Panez 33_FtDadl Bc—g
Number Date Effective! Zone(s) (Zone AO, use Barge Flood Dept'p)
Revised Date
12111C{093- J 02-16-2012 02-16-2012 X
B10. Indicate the source of the Base Road Etavadon(BFE)data or case flood depL� iered in Item. 139:
E]FIS Profile Q FIRM Q Com mun€ty Deter€nined Q OthedSource:
B11. Indicate elevation datum used for BFE in Item 139: E] NGVD 1929 E] NAVD-1988 E] Other/Source;
I3i2_ Is the building loomed in a Caastal Barrier Resmimes Syslem area or!Whar rf&,edan Ama(OFAf� Y�1EZ]-t-
Designation Date: CBRS ❑ OPA r=
�t,V2
FEMA Form 086-0-33(711 s) Replaces all previous editions. Form Page I of
ELEVATION CERTIFICATE .---,:xpiration Date:November 30,2018
IMPORTANT':In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE-
Building Straat Address(including Apt; Sete,amdtor Rldg_Ate)or P-Q-Route and&3K NO. Policy Number, - �
3933 SHORE SIDE DRIVE
-City State ZIP Code Company.NAIC Number
'FT.PIERCE Florida 34949
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY_REQUIRED)
G1. Building elevations ate based on: ❑ Constnie4ion Dravoings' x❑Building Under C nstrucUon* ❑Firsss ConsbIt
*A new Elevation Certificate will be required when constructions of the building is Mete.
C2. Elevations-Ganes.Al--A30,AE,AH,A(with BFE),V.F-VI--V30,V(with 9FE),AR,AR/A,APJAE,ARIAt-AW,ARMM,ARIA-0-
Complete Items C2.a-h below according to the:building diagram specified in Ite n A7_In Puerto Rioo only,enter meiem.
Benchmark Utilized: P 633 Vertical Datum:NAVD88
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGV0 1929 .x NAbID 1989 ❑OthedSource:
Datum used for Wilding elevations must to the same as Met used for the.HFE.
Check the measurement used.
a) Top of bottom Ioor(including basement,craveispac:e,or enclosure floor) 6.23 ❑x feet ❑mete
b) Top'pf the next higher floor N/A ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters 4
d) Attadted'gafage(top of star) 5.68 xQ feet ❑ :craters•
e) Lowest elevation of machinery or equipment servicing the building N/A feet meters
(Describe type of equipment and location in Comments) ❑ ❑
f) Lowest adjacent(finished)grade next to building(LAG) 5.00 d feet '❑ meters
g) Highest adjacent(finished)grade neyt to building(HAG) µ 5.80 x❑ feet -❑ mete.
h) Lowest adjacent grade at lowest elevation o Y o&,or stairs,including N/A f�r�rt ��.i�ei�
structural support ��(� [� A�$ tee �e g'[�{�sg�[�y ❑ ❑ e(
SECTION D—SUR Y L 2 R,ENGUL�SoS.Z,OR l5RCU E T'G L 55 ICA i 0, {
This certification is tr bla signed and seated by a lama surveyor,engineer,or architect autha0zed by Iawr to certily a evL;,*om k,ri , aaa�
/certify that the/rtfolmalioii on this Corlifrcato ropresants my fist affords to interpret the data available.l understand 11W any L-,ts
statomont mpy be puniGhoWe by fine or imprisonment undej*18 U_S_ Cade Section 1001.
Were latitude and lofig'itude in Section A provided by a licensed land surveyor^r Z Yes ❑No ❑Check here i atla�rtie�zis.
Certifiees Name License Number'
CH4RLES H. BLANCHARD LS5755 = .
TitlePRESI'y h{y i
Company Nance - 4
MERIDIAN LAND SURVEYORS
Address
1717 INDIAN RIVER BLVD STE 201
Cih7 , State ZIP Code
VERO BEACH Florida 32960
Signal e Date/, l Telephone ExL
(772j 704-1213
Copy all pages of this Elevation Certificate artd all attachment.For(l)community official,(2)irmurartce agerit/company,arrd(a)bWldbV oY
Comments(including type of eqWpne,,1A and tocaficn,per C'2(e`),if applicabx1--)
THE PRIMARY BENCHMARK IS NGS MONUMENT P 633 ELEVATION 1.49`i V088_THE SECONDARY BENCH&P-1Z t-S FD nth
NAIL&DISK AT CENTERLINE POINT OF INTERSECTION AT LOT 2,ELEVATION 3.89 NAVD88.LATITUDE AND LONGITUDE
WERE DETERMINED USING A HANDHELD GPS DEVICE- NO PiC PAD TO D I ERNII dE C2 F_
FEIMA Form 086-0-33(71/15) Replaces all previous editions. Form Page 2 of 6
+ 4\ �)MB No.1660-0000
ELEVATION CERTIFICATE Zzpiration Date:November 30,2048
IMPORTANT.In these spaces;oopy-the corresponding informatows from Section,A FOR tNSURfWGE COMPANY USE
Building Street Address{including Apt.,Unk Suite,andfor Stdg:N2.1 or P.Q.Route,arid Box No. I Palbw Nam.ber-w.
$933 SHORE SIDE DRIVE '
City State- ZtP Code Company NAtC Number
FT.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),c oiripsele Items E1—E5. if tt'r6 Certificate is intend tia svt�i, s a L"O or LO R-c r—ex�_
complete Sections A,Band C.For lte;its E1--154,use ri*turat grade,if available.Check the measurement used.la Puarw Ric o"A„
enter meters.
E1.. Provide elevation information for the'foitoveina and check,the appropriate boxes to shuw whether the eevali : .ab.;w�zn bey--r
the highest adjacent grade(HAG)-and the lowest adjacent grade(LAG).
a) Top of bottom floor'(including basement,
meat tspaco,or enclosure)is ❑feet ❑meters ❑above or 0 he law foe 14AG:
b).Trap of bottom flour(including baserraert.,
crawlspace,or enclosure)is [j feet 0 meters [[above or E below the LAG_
E2. For Buliding Diagrams G-9 with pennarrent Pload onl en' g.=ovided hr Sectart A lterns�€t arrNar 9(smsepages 1 2 off
the next Higher floor(elevation C2.b iri
the diagrarns)of the building is E]feet ❑meters, . E]above or below the t 4AG.
E3. Atlacbed gaff-ge(top cif Js ab)is ©feet ❑meters Q abova of-1 04 W ::' f"Ato,.
E4. Top of platform of€nachiriel,an€ftor equipment
servicing the building is []feet _0 meters []above or E]belovy the KAG,
ES. Zeno A€3 only:ff no flood depth n€miss is avaitabte,is Ma tup of the hrAorrt ffacir eta a!-d i€a a�.€�€ ��vr't-Ift ca wamu-n t�
r
floodplain management ordinance? EJ Yes E No 0 Unknown. The local official must certifiy this irtfOrm0orr in S����.
.g SECTION 1=->PROPERTY OWNER(£eft OWNE S REPERES f'-A€ M CE FtCA.Trt0t-
The prope)'4:owner m;-mam t aJ:iiu': £t F� a;w�¢�����co mple-tesSqw ors A,B,asd E firs ate A vd fl u'a FEMA-isszmdor
community-issued GFC)or Zof:3 AO Must s,.Jn herta.The statements in S ns;A,9, E are eorrmnst ha the hezt of f
Property Crtunrr a,0.va ices Ai iths Rdprese st ve's Name
Addrers City state
Sigica#ut Date Telephone
Corrt.s�e,sts _
❑Check here if attac�crtert?�
FEMA�Form 086.-0-33(7115) Replaces all previous editions. Farm Page 3 of 8
;, } FMB No.1600-OQD8
ELEVATION CERTIFICATE
FICATE `-� �_-�icpiration Date:i�€a�rri€�r3�,z01s
IMPO TAK.'In thnespaces,copy the correspendirsg iF o;mfltionfrom Sectior A. FOR INSURANCE COMPAWY USE
1 OUm—g Street Address(iachidircg Apt.,Unit,StrcteT arrztfcc ntctg Ev[c r crr P G RoL4e and Bar,No_ Pohay Nub
3933 SHORE SIDE€3RFV
City State ZIP Code Company NAIC Number -
FT.PIERCE Florida 34949
SECTION G--COMMUN)FY INFORM A71 (OPTIONAL)
The local official who is-authorized by law or ordssr:anw to administer the cdmffsssn'sty's f odola:a maua9emefrt crdirrauc�-- a
Se`-1corss A,S,C(or E),and G of this Elevation Carte.Cornplefe the app)scab,'iten�(s)aad sfgrr.belovF CFe&the P,
used in Items CS=GIO.In Puerto Rica only,enter€,etam_.
G1. Q The Wormation in Section C was,taken from otbru d+comes,%Uon that,tsars beers signed and sewed by a t et;, edswva ; j
engineer,or afthitect who is authod ted by law to'cer€ily elevation:information(Indicate the source and date of the ele atia-1
data,in the.Comments area below.)
G7. Q A communi€y offiaiat completed SWion:Etf€�r G building t€scated in Zo€ee A(!e'g to
--A a FERIA-Issued a ccrrrrrsur�r-i d_PxEti,
orZorta AG.
G3. Q TP e fo„ovoing Infra-magon(fte,ms G4-G 0)is{ Ida#fo,esss mu slty 9zodpfalmv ma"ner,leot pnspost--
G& Permit Number - Ga. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
GT. This permit has been issued for Q N&.v Construction Q Subslarnti�,h-lip"IM.-Mant
! 08. E(evatiort of asl-built lowest floor(including basoniant}of the built ding., ❑feet ❑ meters Datum
G9. BFE a4(in Ziwm AG)depth of€Ioorti,ag at:the h iUmgsftw_ ❑feet Q meter
GIG, Community's design fed e#�x��or,. - - - - ❑feet C] meters Datvn
Lgwd Offiefars Name Title
Community Krame Telephone
Sic�ctactcsa Date
Comments(including type of equipment and-location,per Ca(e),if applicable)
1
❑ Check here if attachments.
FEMA Fori-n 086-0-33(7115) Replaces all previous editions. Form Page 4 of 6
"JI DING PHOTOGRAPHS ;" ` B No. 1660-0008 h
ELEXAMN CERMFICATE See Instru tions for item A6. �� pleatian late_Ncsve, i ��<3t., 1
IRl POR.IA'-'.'T:In"he-sa spate,copy the cep rasp is ifformvm€row Sea ioa A. FOR INSURANCE COMFIAMf USE t
Building Street Address(including Apt.,Unit,Sit►te,andloy BWg.No.)or P.O.Route and Box No. Pot y Ntimbec
3933 SHORE SIDE DRIVE
City Stare ZIP Grade Company NAIL Number
FT_PIERCE Florida 34949
IF usi-Q-� the f�1--aation Oenffie e- to oviai - P FtP f1twd insi-w .-. a� l 2 buMi g g tss bets ate..^-di to
instructions far heat A-Identi4•;r all plolagraahsLv iih data late"Frea Viem"and"Rear N-iew",and,if roved,"Right Side Viwe'arA
"Left Slde Viviv." Vkhan applicable•, pltutcg€aptrs muss:slue- the Iduadattw, wild-v€eprEsentaie-a =€€pies of the F��. r a
vents,as indicated in Section A8.If submitting mom phstagraphs dtw will fit art this page-,use-ttTe Oaruk adea
ri
' f.� t } r1 l "' y 1 � v`s r,a xis/'°a -K'`zac.'-���yY,� Y is�{S'�• *: � ��- .
`
4
Photo One [
Photo O'to e-Caplfi a FROUIT VIEW CE3aF trFt �F
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OR
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e-- ��,��;��:-�� �� �-- •max�'� - ��. � -� ���3 ,t.'�
tit,.h rS' 1-2 ,:d
s
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MIA
7-1
�.t+fin 7•,,j'm.^$'?'T'7 �wz `:^ c k ;amp .`-k.SY. ial-v4
1 S }
Photo Fero
Fr ays A F aanr.#01 �-3 (71 �5-4, RedIa a.S pra��:s e€itars. Form Pags Sol
u-
JILDING PHOTOGRAPHS
EL VATi0N CERTIFICATE �� Continuation Page ' expiration Date:November 30,2018
I11'01PORTANT:In these spaces,copy the corresponding infomiatiort from Sectiort 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_
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIL R#Umber
FT.PIERCE Florida 34949
If submitting more photographs than uk-nli fit on the preceding page, affix the additional photographs below. ideiYjy a4.p# =_apir. F
with: date taken:."Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side- View." y4tfien applimble
photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Sermon A$_
p i
rr i
r * {dpe
5,2ti(
� ••.� `ta. -i.�'"'." °—c'�i/�'i."L:(� 't =' 3. -. Y t 4ac '" ���j
73des. §k
i r r 'u of
o,
Photo Three
Phoba Tte C.aptiorr R#C#fT SIDE VIEW Cleri3t;gTtsr�.E
r
M117
t' xcy rk'FNT
x""�'
@a
� y:,.. F � `$�K kfl � ixg4�,(+"t.. � •+-°N,s.Fi� xw �3 '�t:.c."�,-^� .�-'
Photo Four
Phak,3 Fmi:- k�sri LEFT S11-YE VIEW] SAF;k :'CtesT 0 kci?=au:
FEty A F; 9 t?' (7/ES) Replaces all previous editions. Fomt Page 6 er C-
!l.S.DEPARTMENT OF HOMELAND SECT'"`IFY r` OMB No.166Q-0OQ8
Fedem Emergency Management Agency �} `-�l Expiration Date:November 3f3, 1
;rational Road insurance.Program
ELEVATIONCERTIFICATE.
Impotent:Fdllaru the instructions on pages 1 9.
Copy all pages of this,Elevation Certificate and all attachments for(1)coararrtunity official,(2)insurance agenticompany,and'(3)building owner_
SECTION A PROPERTY INFORMATION' FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number. .
JUS T IN AND JANELYN PRICE
A2-Building Street Address(including Apt.,unit,Suite,and/or Bldg No)or P.O_Route and = Company NAIC 6iu tuber:
Box No. SIDE
y [rye¢
IVE
City State ZIP Code
FT.PIERCE Florida 34949
A3. Property Description(Lot and Block Lumbers,Tax Parcel Number,Legal Description,etc:)
LOT 2,TARPON FLATS SUBDIVISION
A4_ Building U-s2(e.q.,Residenffal-,Non Reside;fflaf,Addition,AeoissoM etc) RESID0,T fAL(SLAB',
A5. Latitudekongitude: Lat.27 30 23.61217N Long.8018 27.05665W Horizontat Datum: ❑ NAD l9Z7- 'L t�ArJ 963
A6. Aftach at feast 2 photographs of the building if the Certificate is being used to obtain(load insurance_
A7. Building Diagram Number . 1 B
A8. For a building with a crawlspace or enclosures):
a) Square Scaetage of cravrlspace or enclosure(s) N/A sq fr
b) Number of permanent flood openings in the cfawlspace or enclosure(s)within 1.0 foot above adjacent grade, WA -
c) Total net area of flood openings in A8.b N/A sq in
d) Englneered flood openings? ❑Yes ❑ ,�
A9.For a building rrith an attained garage_
a) Square foolage of attached garage 420.00 sq fY
b)'Number of psict�neitt flood.npeairar�s in ttu=at�ched.a,��ge c�ithia t�fief a�r€e aer<tgrade t)
c) Total net area of flood openings in A9,b. 0,00 sq in .
d) Engineered flood openii�igs? ❑Yes xt �10
SECTION B-FLOOD INSURANCE RATE MAP,(FIRM)INFORMATION
Bl.NFIF Carr munily Name«Communiryy Number 132-County Larne 83_ StASA
ST.L UCIE COUNTY 120285 ST.LUCIE Florida
64.Map/Panel 35,Suffix 86. FIRM Index B`c_FIRM Panei BPI'-Flood lag-;base`Ftaad
Number ,Date Effective/ Zone(s) (Zone AO,use Base,Flout Depth),
Revised Date
12111C0033 J 02 16-2012 02 16-2012 X
------------
B10. Indicate rite source of the Bass Flood Elevation(aFE)data or base flood depth-entered in Item 69_
❑FIS Profile.❑FIRM ❑Community Determined ❑Othe€/Source:
B11. Indicate elevation datum used for BFE in Item 139, ❑ NGVD 1929 NAVD 1988 ❑ Other/Source:
B12. Is tile building 15ealed M a Coastal Baniar Resai2:` as System, (CSRS`j Sire w FIFebe»�Foea PP''i?'❑€ C NF�t s
Designation Dare: ❑=CBRS ❑ OPA
FEMA Farrar 08ta-0-33(705). Replaces all previous editions. Form Page 1 of 6
f �)M8 No. 1660,0008
ELEVATION CERTIFICATE � xpiration Date,cvovernber-30,2018
IMPORTANT:to these spaces,copy the corrgspondintg inforniationfrom►Section A. FOR INSURANCE COMPANY USE
B€s?Iding Street Address(includipq Apt_ UrtI4 S;.rtte,aqAla'BIdg—No-)or Pn,Routa and R No- Polidy Trlt tuber,
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT.PIERCE Florida 34949
SECTION C-BUILDING ELEVATION INFORIIlIATION(SURVEY REQUIRED)
C3. Biding elevations are based on: Cl Construction D:av;inge 21 Building Under Consicuctinn* • Q Finished ConsWtmdr€q
*A new Elevation Certificate vviill he required when construction of the building is complete.,
C2. Elevations-cones AI-A30,AE,AR A(with SFE),VE,VI--VaQ,V(Mth€tFE),AR,APLA,APJAE;AIIAt~A3 A_MJAH,AWAr�_
Complete Items C2.a- h below aceerzling�a llhe cladding-diaegtam s ecified in clew;AT In Puerto:Rim one r,eiiterw _ -
Benchmarfi Utilized: P 633 Vertical-Datum:NA.VD83
Indicate elevation datum used for the elevations in items a)through h)below. �
ll NGV'D 1929 E NAY.r€}1959 El Otheslsoufm:
Daturn used for buitldir:g elevations must be the same as that used for the BFE..
Check the measurement used.
a) Toff of bottom floor(inclu-ding'basemeW4 maz space,of to €€oa) 6.23 El fe rri-Nmrs
b) Top of the next hlgher floor _ N/A ❑ feet l] meters-
c) Bottom of the Iowest horizontal structurai'rT amber(V Zones only) N/A 0 feet E]meters.
d) AtMdtied garage(top of slab) 5.69 Q fit 0 meele 3
e} Lowest elevation of machinery or equipment servicing the building(Describe type of equipgient and location in Comments) N/A_ A Q feat meters -
Lowest adjacent finished Lade next tb building LAG 5.00 x feet. 0 meters
g) highest adjacent(finished)grade next to.,building(HAG) 5.80 x feet ma er-
h)-Lowest adjacent grade at lowest€levation of deeck or stairs,including Q feet meters
NIA
structural support
SECTION D.--SURVEYOR,ENGINEER OR ARCHITECT CERTURIC�TT011V
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by lints to ceMy-efevatiort it grRym"tion, f
t certify that the irrlurmaFiori an this Ccrfifcate re rosrsnts my best affvris to interpret the data Available.l rrnde and thal`y�r
statt montmaybe pup sh-9blaby one,orimpfis n7entunder18€1.S. CodA SectioiJ60:.
Weirs latitude and longitude in Seection A provided b.Ta licensed land surveyor? i:_`.i'YYes Check t>`v a sarx�-uT entsl
C r er's Name 'License Number -=
CHARLES H.13LANC IARD LS5755
Title
PRESIDENT -
Company Name ,:z
MERIDIAN LAND SURVEYORS
Address '!
1717INDIAN RIMER BLVD STE 2Qf" � � s �l
City State ZIP Code
VERO BEACH Florida 32960
Signal °e Date/` Telephone Ext.
.S JVD-l� (772)794-1213
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agentfcomP aqf,and cal bWldiog _
Comments(in:Iuding 4'pe of eouip nt and tocation,pw_ 6)�if ap cabL-)
THE PRIMARY BENCHMARK IS NGS MONUMENT R 633 ELEVATION IAT NAVD88.THE SECONDARY HE€�lCl€ aK€S FD PIK �.
FAIL&DISKS AT CENTERLINE POINT OF fNTERSECTIO'N AT LOT 2, ELEVATION 3.84 NA` D8&.LATITUDE AND LONGF-IFUDE
WERE DEI ERMINE€D USING A I IANDHELD ePS DEVICE- NO-A/C PAD TO 1311=7ORnl INE C2 E_
FEViA Poem O86-0-33(7I1 5) Replaces aft previous edilions: Form Pa go 2 of
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.. P 'M8 No.1660-0008
ELEVATION CERTIFICATE � expiration Date:November.30,20i8-
IA9POIRTANT:In these spaces,copy the corresponding infornmfson from Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,t rfk Suite,and/or Bldg_Igo)or P.O.Route and Brix No_ Po€icy hlumber:
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIL Number
FT.PIERCE Florida 34949
$ECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUtRED)
FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zones AO and A(without BFE),cornplEi€items E1-�5.'If the Certificate is intended to support a L^MIA-or c.^ONMR-r rqu .
complete Sections A,B,and C.For Items E1-E4,use natural grade,if available.Check the measurement used.In.Puerto Rico on€y,
enter meters.
El. Provide elevation-information for the iolloviing and chack the appropriate boxes to shove whether the eleva on' is abave cr.,Ie�c��
the highest adjacent grade(FLAG)and the lowest adjacent grade(LAG).
a) Top of bottom floor(including basement,
crawispace.or enclosure)is. 0 feet ❑meters ❑above or ES belo v t.e HAG.
b) Top of battam floor(including tuzsemert,
cra-wispace,or enclosure)is ❑feet n'meters F1 above or 0 below the iAG_
E2. For Building Diagrarns'6L-9 with perm4nont Rgod or..enings provilded in Sec-tiorr A items 3 and/or q(see pages rr 2 of tctsfrudicz��>
the next tfigher floor(elevation C2.b.in
' the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the NAG-
E3. Attached d garage(top of slate)is E]feet ❑meters E]abova or.0bs4 # HAG
E4. Top of platform of machinery and/or equipment
servicing the building is Qfeet ❑meters ❑above or Q bet w the RAG.
E5. Zone Ate only:If no flood de di numirar is ava€table,is the top of tie€attom Iloor e€viated in t_tte m tvs
floodplairl rriariagenionr ordinance? E] Yes [] No Q Uniknoww. The t=1 offdal must certify this infoir i a F ir{Sew iori $
SECTION F-PROPERTY OWNER(OR OWNER'S REPRF—SENT-ATIVE}C€&IFIGAttOu
The pr�€�R V 3ly c�l�r:ier t7F 75ffrit S alitpiGFZe?d iLj}terSe�i ua; sit3 C 3rii,�r€ ta� :tic3rta A, ,asr c r`rfF ZFiFi�A( iiC(�viic a` `r-s =�tee'
c o m m u i ity-issued l FE-)arZone AO mustsiign here The statmn nts in Se&t ono A, as-id-Ea�c-cef to the:h ask dg
Property G4.t=ar 0v .ees AuthefL RepreSeFxfati s t e
Adcr�:ss City State ZIP Colo
Signature Date Telephone
CornrnerM;
❑Check here if attachillents.
FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 3 of 6
{
3 � zMB No.1687-0903
piraiEL_ � on Date:November 30,2018
IRWORTANT.,tm time spaces,copy.the Corresponding information from Seefiorn A. FOR INSURANCE COMPANY USE
Btfl- ig Stte-at Address`rcactu&rcu Apt,,UPR-&fit,and1or F ldg_Ka-)ar P_f?_Route aad aox No_ Peagr NMTzhar-
3933 SHORE SIDE DRIVE.
City State ZIP Code Company N .IC Number
FT.PIERCE, Florida 34949
SECTION G--COMMUNITY INFOM�:.�`I`ION(OPTIONAL)
The local official who is auftfiaed,by lave or ordinance to administer the cornmuni�ty�'s flaodplaiin management ordinance can complete
Sections A,B,C(or El,and G of this E€evat da Certvficada.Complete tsre ap icahfe ft (s)and sign f €.Check gee- -a- :er -� t '
used in Items G8-G14.In Puerto Rica only,enter meters.
GR. ❑ -The iniorrnation in Section C ivas taken ffoin other docun-gantat-on that has been Signed and sear by a fivensed sunuey m,
engineer,or architect who'is authorized by law to certify elevation information.(Indicate the source and date of the eleataftos�
da4a in tfio Comments area balovr.)
Gz. ❑ A community official completed Section c for a bullding located in Zone A(txif.houta FEMA4ssued or corn zy-isti-:mod aFE
or Zone AO.
G3. ❑ The folic;.,jing inftatsnatira (ite; G4-G i41$fs pfded fo; ,,,F,u�.v,f flaoFfp4ai,icnage;��sl dos .
GPI. Permit Number G5. Date Permit Issued G6. Date Certificate of
CompliancelOccupancy Issued
G7. This permit has been issued far. ❑Neti� Cr3ristFucti6ra❑S�tkistarrliai I �� drrert
G8. Elevation of as-built lowest floor(including basement)
of the haitdifify ❑feet [( meters Datum
G9. BFE at(in Zoe AO)depth ❑feet ❑ meters Dat wj
Gf ra. Crammunj ys design fiend e)avabw. _ ...--- - - -- --- - -.__ ❑feet ❑ meters Datum
Local Official'6 Name Title
Communfty Name Telephone
Signatum Date
Comments(including type'of equipment and location,per C2(e),if applicable)
❑ Check Mere if attachments_
FEMA Form 0I3 G-33(7/15) Replaces all previous editions. Form gage 4 of 6 .
lLDI G PHOTOGRAPHS MB No..9660-000$
ELEVATION CERTIFICATE �/ • see tns#t�zcticru for Item As. � _SxxE;iration.DaW Movetnber'W,20
iMPOR °ANTS In Ewe spaces,MpY ths coriesp ndinj Wicarmatfon f Sech-ort A-. FOR INISURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Snits:,arts€€or SEttg,No.)or P.O.Roane and Sax No. 'f:a icy number
3933 SHORE SIDE DR111E-. -
city State ZIP Code Company NAtC Murr;trer
FT.PIERCE Florida 34949
If using tare Ekwat n CeMca4a-t� of .NFLPAoad €ns a€w---, alb ait. W4 bLqkliv* phok--s€ga % tr-qGw amomsrg:#o
instru{-mns ter lteri AS.identify ail€hotograc hs with d tal em"Front Vida"and"Rear W"e "'.andK if reclu red,"Right Side Me and
"Left Side Vie4." Wheff'appliahle, photographs rriiist showiv the fasidalton with ropresentalke irxariiples of ttre:,flood 6p+;wn—gas or
vents,,as indicated in Section A8,If submitting ceroce photagrapl3s than gilt fit on this page,use the Coafiauatiorr'Fags_
o .
3yy tY
.fi{�fyY F.
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Photo One
Photo-One Caption FRONT VIEt+lf
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Fc 0,A F-o 0 -L-33{761 ssy Replaces all previous editions_
�,,UILDING PHOTOGRAPHS �)MB No. 1660-0008
ELEVATION CERTIFICATE � Continuation Page 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:
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT. PIERCE Florida 34949
If submitting more photographs than will fit on the preceding page, a-iffix 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.
Y.
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_ ',E,: -�? �F' �+„,z� •.ate .��.,,.c s;�.,
f r. ka lip
Photo Three
Photo Three Caption RIGHT SIDE VIEWAl
:`Cleaf.Pliota +re
i
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•'£ � � u=� ��. � t off. � w x �„�,,
- rW](� ?CN ti� 7.,, i 4 •Sty - 9 _.. F T
9 3�'�" 'ham�,�v"°3�,.•�+'7�+nx°.'T'`'��``^s-.� "`'�dS``r ''1 �I
Photo Four
Phetn�c>s Gam; s 3 �i slnlE vlEw jPEAXkACteai PiiatR€a�ie
FEf p^:Foy 086-0-'3(7115) Replaces all previous editions. Forst Page 6 of 6
U.S.DEPARTMENT OF HOMELAND SEA AITY OMB No. 1660-0008 `
Federal Emergency Management Agency - Expiration Date:November 30,2018
National Rood 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 Owners Name Policy Number:
JUSTIN AND JANELYN PRICE
A2. Building Skeet Address(irwhidmg Apt,Unit,Suite,andfor Bldg No.)or P-O_Route and
Box No. Company NAIe Number.3933 SHORE SIDE DRIVE
City State ZIP Code
FT. PIERCE Florida 34949
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2,TARPON FLATS SUBDIVISION
A4. Building Use(e.g.,Residential,kfon-ResiderWa€,Addition,Accessory,etc..) RESIDENTIAL
A5. Latitude/Longitude: Lat.27 30 23.61217N Long.80 18 27.05665W 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.
AT Building Diagram Number 1 B
A8. For a building with a crawlspaceor enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq It
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 Q Na
A9.For a building with an attached garage-
a) Square footage of attached garage 420.00 sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in AS to 0.00 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
ST.LUCIE COUNTY 120285 ST.LUCIE Florida
B4.Map/Panel 65-Sutflx 66- FIRM Index 67.FIRM Panel B8.Flood 139.Base Flood EfevatiorKsk
Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth)
Revised Date
12111 C0093 J 02-16-2012 02-16-2012 X
1310. Indicate the source of the Base Flood Ete-vation(BFE)data or base flood depth entered in Item 69-
❑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_ ❑ CBRS ❑ OF}A
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
��OMB No.1660-0008
ELEVATION CERTIFICATE L_.� piration 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:
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIL Number
Fr.PIERCE Florida 34949
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 AI-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,AR/A,AR/AE,AR/A7-A30,ARIAH,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: P 633 Vertical Datum:NAVD88
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) 6.23 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) 5.68 x❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building(Describe type of equipment and location in Comments) 5.92 ❑ feet ❑ meters
Q Lowest adjacent(finished)grade next to building(LAG) 5.40 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 5.70 x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support N/A ❑ feet ❑ meters
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and seated 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? 0 Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
CHARLES H.BLANCHARD LS5755 r
Title
PRESIDENT
Company Name \ i - -
MERIDIAN LAND SURVEYORSdress
�r
171
`'7 INDIAN RIVER BLVD STE 201 �'�:
City State ZIP Code
VERO BEACH Florida 32960
Signature Date Telephone Ext.
7,✓dt'i/'j7 (772)794-1213
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)
THE PRIMARY BENCHMARK IS NGS MONUMENT P 633 ELEVATION 1.49'NAVD88.THE SECONDARY BENCHMARK 1S FD PIK
NAIL&DISK AT CENTERLINE POINT OF INTERSECTION AT LOT 2,ELEVATION 3.89 NAVD88.LATITUDE AND LONGITUDE
WERE DETERMINED USING A HANDHELD GPS DEVICE. A/C PAD USED TO DETERMINE C2-E.HOT WATER HEATER PAD
ELEVATION 6.2Z.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE �` DMB No.1660-0008
�piration 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_
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT.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 E]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 boor(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 E]meters E]above or E]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
�ELEVATION CERTIFICATE �M1oaea no November30,2018
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:
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIL Number
FT.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: E]feet ❑ 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)
❑ Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6
' 11�UILDING 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:
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT.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 A8. If submitting more photographs than will fit on this page,use the Continuation Page.
i
I
! clzs
K,
Photo One
Photo One Caption FRONT VIEW `;Clear Pt o60ne'_
i
3'
r
r
Photo Two
Photo Two Caption REAR VIEW C(earFh'oto Twro
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6
• ` �JUILDING PHOTOGRAPHS OMB No.1660-0008
ELEVATION CERTIFICATE Continuation Page 'Expiration Date:November30,2018
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.
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT.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.
k �{p
y '*a
Photo Three
Photo Three Caption RIGHT SIDE VIEW Clear Photo Three',
i
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a
v ,
;+ tb
� T �
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Photo Four
Photo Four Caption LEFT SIDE VIEW(REAR) Cleat Photiv.Four:
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6