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HomeMy WebLinkAboutFlood Elevation CertificateiU.S. DEPARTMENT OF HOMELAND WURITY OMB No. 1660-0008 Federal Emergency Management Age 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. PETER&JOAN CASANO A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number:, 20 NETTLES BLVD. City State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property p rly Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) LOT 20 NETTLES ISLAND PROJECT SECTION 2 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5 Latitude/Longitude: Lat. 27°17'12.9" Long. 80'13'34.9" 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 1 B 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 ® No A9. For a building with an attached garage: a) Square footage of attached garage 234 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) Engineered,ftlood openings? ❑Yes ® No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community'Name-&Community Number B2. County Name B3. State UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel -B5 -S4ffix B6. FIRM Index B7.FIRM Panel B8. Flood-- B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) \J Revised Date ` OZl )1e1PZ. pz l 6 C > i B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM ❑I Community Determined ❑ Other/Source: i ' B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® 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: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 I , ' OMB No. 1660-0008 ELEVATION CERTIFICATE Ah Expiration Date:November 30, 2018 IMPORTANT: In these spaces,copy the- -orresponding 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: 20 NETTLES BLVD. 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/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 A05 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ® 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) 6.0 ® 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) 4.2 ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑ feet ❑ meters (Describe type of equipment and location in Comments) 4.0 f) Lowest adjacent(finished)grade next to building(LAG) ® feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 4.1 ® 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 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.I understand that any false statement maybe 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 1320-94-01 UC EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR Company Name - ACCURIGHT LAND SURVEYING INC. Address — 1501 DECKER AVENUE#419 City State ZIP Code JENSEN BEACH FLORIDA 34994 %-1�1]2912017 P,LS##4459- Date Telephone Ext. 11/29/2017 772-286-7694 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) FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 U.S. DEPARTMEN70F(-WELAND ITY ! OM 60-0008 oFderalsEmergency Management Age.- ate: 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. PETER&JOAN CASANO A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Company NAIC Number. Box No. 20 NETTLES BLVD. cityJENSEN BEACH StateeFLORIDA ZIP Code 34957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 20 NETTLES ISLAND PROJECT SECTION 2 A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°17'12.9" Long. 80°13'34.9" 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. AT Building Diagram Number 1 B 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 AB.b N/A sq in d) Engineered flood openings? El Yes ® No � A9. For a building with an attached garage: a) Square footage of attached garage 234 sq ft '- b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A9.b 440 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 UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel B8. Flood B9.Base Flood Elevation(s) Number Date Effective/ Zone s 1 Z ( 1 I C Revised Date ( ) (Zone A0,use Base Flood Depth) J , 0 3 , l z,,,,/, z E- o B10. Indicate the source of the Base Flood Elevation(BFE)data.or base flood depth entered in Item 69: ❑FIS Profile ® FIRM ❑Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 • ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protec d ® No Designation Date: N/A ❑ CBRS ❑ OPA FIVE i FEMA'1=0`rm 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 I OMB No. 1660-0008 ELEVATION CEATIRCi ATE • Expiration Date: November 30,2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. '149FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number. 20 NETTLES BLVD. DtiY 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,ARIA,AR/AE,AR/A1-430,AR/AH,AR/AO. Complete Items C2.afi below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized: 94 77 A05 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 © NAVD 1988 ❑Other/Source: Datum used for budding 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) 6.0 ® feet ❑ meters 4 b) Top of the next higher floor 15. ® feet ❑•meters. c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters d) Attached garage(top of slab) 4.2 ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building g p (Describe type of equipment and location in Comments) 4.0 ® feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) ® feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 4.1 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet meters 3.7 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? ®Yes ❑No ®Check here if attachments. Certifier's Name License Number 1320-94-01 EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE#419 City tate ZIP Code 05/30/2018 JENSEN BEACH FLORIDA 34994 PLS#4459 Signa Date Telephone_ Ext. /30/2018 772-286-7694 Copy all pages o - evation 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) A9-D FLOOD FLAPS MODEL#FFNF05(220 SQ. INCHES EACH SEE ATTACHED)) C2-E BOTTOM OF TANKLESS WATER HEATER FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page.2 of 6 Building Photographs See Instructions for Item A6. For Insurance Comparry Use: adding Street Address(including Apt,,UrK Suite,and/or Bldg.No.)or P.O.Route and Brno No. Policy Number 20 NETTLES BLVD, city JENSEN BEACH State FLORIDA ZIP 4957 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 Site View." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT 05/30/201 REAR 05/30/2018 7 is i Y tF�� Lu + s } Jyl Cj�'S fy t t1 s �aryi �" Y'F. u r3 MY •�>i �. .��'. 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