HomeMy WebLinkAboutFlood Elevation Certificate 1
*IJ.S. MEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date:November130,2018
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:
IMBORDINO
A2. Building Street Address(including Apt, Unit,Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number.
Box No.
949 NETTLES BOULEVARD
City State ZIP Code
JENSEN BEACH Florida 34957
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 949, NETTLES ISLAND, SECTION 2
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27DEG 17'04.98" Long. 80DEG13'22.11 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.
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A7. 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 x❑ No
A9.For a building with an attached garage:
it
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) Engineered Rood openings? ❑Yes ❑x No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION j
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) (Zone AO, use Base Flood Depth)
Revised Date
121111 C 0311 J 02/16/2012 02/16/2012 AE 6.0
1310. Indicate the source of the!Base Flood Elevation(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:
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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
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FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1;of 6
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• •OMB No. 1660-0008
,�ELE`MTION CERTIFICATE Expiration Date:November 0,2018
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.
949 N ►z Tram.�r, s R (> a k-VL vA2 0
City State ZIP Code Company NAIC Number
J k W 5 Tz^1 j iz.�4c t-1 (=c.. 3 4 c) S 7
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,ARIA,AR/AE,AR/A1 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: 94 71 A04 FLDT Vertical Datum: N.A.V.D. 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) 8.10 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) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 8.10 0 feet mete
f) Lowest adjacent(finished)grade next to building(LAG) 4.8 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.9 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 4.8 ❑x 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 infonnation 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? Z Yes ❑No ❑x Check here if attachments.'
Certifier's Name License Number
EARLE R.STARKEY 004459 Zeg3 it
Title
PROFESSIONAL LAND SURVEYOR Place
Company Name Ir'1
ACCURIGHT LAND SURVEYING, INC. Seal
Address I
1501 S.E.DECKER AVENUE, UNIT 419D
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City State ZIP Code b 1 Z 1 g
STUART rida 34994
I?L.S
Date Telephone Ext
/2018 (772)28627694 N/A
Comments(including type of equipment and location,per C2(e),if applicable)
C2(a) A/C PLATFORM
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FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
Building Photographs
See Instruc ions for Item A6.
j For tasurance Company Use;
Building Street Address(including Apt.,Una,Suite,and/or Bldg.No.)or P.O.Route and Box No, Poricy►Nwnber
949 NETTLES BLVD,
city state ZlP Codey racc►�
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 MeW and "Left Side Maw." ff submitting more photographs than will fit on this page, use the Continuation Page,
following. FRONT 01/31/2018 REAR 01/31/2018
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SIDE 01/31/2018