HomeMy WebLinkAboutEvaluation Report r
�,
U.S. DEPARTMENT OF HOMELAND S�L'wRITY OMB No. 1660-0008
Federal Emergency-Management Agency I Expiration Date: November 30,2018
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:
MR.&MRS. KYES
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
99 NETTLES BOULEVARD
City State ZIP Code
JENSEN BEACH Florida 34957
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 99, NETTLES ISLAND SECTION 2
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27DEG17'09.7" Long. 80DEG 13'36.9" Horizontal Datum: ❑ NAD 1927 0 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 5
A8. For a building with a crawlspace or enclosure(s).-
a) Square footage of crawlspace or enclosure(s) N/A 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 0 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),Engineeted',flaod,openings? ❑Yes x❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP,Comriiunity Name;&Community Number B2. County Name B3. State
- UNINCORP /-� _-'l4285 ST. LUCIE Florida
:.`
' B4. Map/Panel ,- ` `E5 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 1986 ❑ 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: N/A ❑ CBRS ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATv3 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:
q9 6—w -rs (� �� � t— v ,��-c)
City 2 State ZIP Code Company NAIC Number
iz Siz �v IJli�n4,--H ('L . 3 Lf 99 `{
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,AR/A1—A30,AR/AH,AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item AT 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) 9.4 ❑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
(Describe type of equipment and location in Comments) 9.1 0 feet ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 5.6 x❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 5.7 x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 5.7 0 feet ❑ meters
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
EARLE R. STARKEY 004459 9,-_o( — F+ N z+
Title
PROFESSIONAL LAND SURVEYOR
dace .
Company Name -
ACCURIGHT LAND SURVEYING, INC. :iaal
Address � ere-
1501 S.E. DECKER AVENUE, UNIT 419D
City State ZIP Code 1 j: [3/ l 7
ST rida 34994 (7 L S # 00 �l y S 9
Signature Date Telephone Ext.
11/13/2017 (772)286-7694 N/A
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
r4 .
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt,, Unit,Suite,and/or Bldg.No)or P.O. Route and Box No. Policy Number
99 NETTLES BLVD/
City State ZIP Code NM Mmtw
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 11/13/2017 REAR 11/13/2017
F
{�3 All.
man
, �4 luS �{ ti�i
`6 q q��� nl a,�.Z��iD�i +f'�vl� i(�' _',�.'F �`'�°•k �— � _tut �:;
n"{
< yN �.wlww+wt+
tA
Ali
r.{p"- S``,4
<�!y
1,5
wa t
NM
. e ,
SIDE 11/13/2017