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HomeMy WebLinkAboutElevation CertificateA zoV�r �oW? U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2022 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 aaent/comnanv. and [S) huildinn nwnar SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: THOMAS ROCK A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and. Box No.Company NAIC Number: . 51 SOVEREIGN WAY City State ZIP Code FORT.PIERCE Florida • 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS A & B LESS THE SOUTH 50 FEET BLOCK 2 A4. Building Use (e.g., Residential, Non -Residential, Addition, -Accessory, etc.) RESIDENTIAL A5.'Latitude/Longitude: Lat. 27-515880 Long.-80.321480 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 phdtographs of the building if the Certificate is being used to obtain flood insurance. , A7. Building Diagram Number 1A 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 No A9. For a building with an attached garage: a) Square footage of attached garage 600.00 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 A9.b 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 62. County Name B3. State UNINCORPORATED ST LUCIE COUNTY 12085 ST LUCIE COUNTY Florida B4. Map/Panel Number B5. Suffix' .66. FIRM Index $7. FIRM Panel B6. Flood B9. Base Flood Elevations) Date Effective/ Zones) (Zone AO, use.Base Flood Depth) Revised Date 12111 C0089 K 02-19-2Q20 02-19-202Q AE ' 4.0 B1Q. Indicate the source of the Ba$e Flood Elevation (BFE) data or base flood depth entered in Item 89: Q FIS Profile. x FIRM ❑ Community Determined ❑ Other/Source: $11. Indicate elevation datum used for BFE in Item 59: ❑ NQVD 1929 NAVD 1.9R ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation, Date: ❑ CBRS ❑ QPA . F "W111 f VI I I I V00-V-00 k I L/ 1 %0) Keplaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date- Nnvemher An gr)gg 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: 51 SOVEREIGN 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: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones A1A30, 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: ST LUCIE COUNTY BM P-633 Vertical Datum: 1.49 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) 5.5 0 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) 5.0 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building feet meters x (Describe type of equipment and location in Comments) N/A ❑ ❑ f) Lowest adjacent (finished) grade next to building (LAG) 3.2 •❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 3.8 ❑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. sealed by a land.surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. / 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? IKYes ❑ No ❑ Check here if attachments. Certifier's Name License Number TERRY L. MACDEVITT 4557 ' Title PROF. LAND SURVEYOR PICICe Company Name TERRY MACDEVITT LAND SURVEYING Address 1810 SW CYCLE STREET City State ZIP Code PORT ST LUCIE Florida 34953 Date Telephone Ext. ��+ 08-18-2020 (772) 528-7192 Copy all pages of this Elevation ertifioate and all attachments for (1) community official, (2) insurance agent/company, and (3) building gwner. Comment$ (including type of equipment and Igcation, per C2(e), if applicable) FtMA Form Q86-Q-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ,:.: ELEVATION CERTIFICATE OMB No. 1660-0008 Exoiration Date- Novemher in 9n99 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: 51 SOVEREIGN 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 •4 ❑x feet ❑ meters ❑x above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is •6 ❑x feet ❑ meters ❑x 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 e the diagrams) of the building is [:]feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is 1 0 feet ❑ meters [g above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is •2 ❑x feet [] meters ❑x 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 TERRY L. MACDEVITT Address City State ZIP Code 1810 S.W. CY STREEI PORT ST LUCIE Florida 34953 liature Date Telephone 16�� 04-02-2020 (772) 528-7192 Comments a ❑ Check here if attachments. Ftivw Form uac-U-33 (12/19) Replaces all previous editions. Form Page 3 of 6