HomeMy WebLinkAboutElevation Cert AOL
U.S.`DEPARTMENT OF HOMELAND SE(DITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: Novemb�30, 018
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:
DANIEL& DIANE BUTTS
A2. Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
10701 SOUTH OCEAN DRIVE#892
City State ZIP Code
JENSEN BEACH FLORIDA 34957
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.)
LOT 892, HOLIDAY OUT IN AMERICA SECTION D
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27°16'20.8" Long. -80°12"32.2" 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 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 ® 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) Engineered flood openings? ❑Yes ® No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Ccmmunity 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 Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
Z L Revised Date Flood Depth)
0 3 1 L-I J 0211(�l1 Z OZ/1!v/l Z AE 7.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
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: ❑ CBRS ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE cpiration Date: November W, 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.
10701 SOUTH OCEAN DRIVE#892
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 A7. In Puerto Rico only, enter meters.
Benchmark Utilized: 94 77 A02 RM1 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) 7 4 ® 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 7 . 0 ® feet ❑ meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent(finished)grade next to building(LAG) 4 4 ® feet ❑ meters
g) Highest adjacent(finished) grade next to building(HAG) 4 2 ® 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 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.
Certifiers Name License Number JOB#2511-01-01
EARLE R. STARKEY PLS#004459
Title
PROFESSIONAL LAND SURVEYOR
Company Name
ACCURIGHT LAND SURVEYING INC.
Address
1501 DECKER AVENUE#419 -
City State ZIP Code
FL 34994 08/1 6/2016
PLS#004459
Sign Date Telephone
08/16/2016 772-286-7694
Copy all Vs 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)
C2-E A/C PLATFORM
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
Building Photographs
See Instructions for Item A6.
For Ensurance Company Use:
uk ing Street Address(including Apt,Unit, Suite,and/or Bldg.No_)or P.O. Route and Box No. Policy Number
10701 SOUTH OCEAN DRIVE #892
City State ZIP Code NA C N untw
JENSEN BEACH FLORIDA 34957_
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
r h with: date taken "Front View' and "Rear View'; and, if required, "Right
the mstruct�ons for Item A6. Identify all photog ap s �
Side View" and "Left Side Vew." If submitting more photographs than Will fit on this page, use the Continuation Page,
following. FRONT 08/16/2016 REAR 08/16/2016
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SIDE 08/16/2016
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Planning&Development Services NOTICE OF SPECIAL FLOOD HAZARD AREA
Building&Code Regulation Division
2300 Virginia Avenue
Fort Pierce,FL. 34982
Phone:(772)462-2172 Fax:(772)462-6443
PERMIT NUMBER: 1607-0295 DATE: 7/18/2016
ADDRESS: 10701 S OCEAN DR 892
JENSEN BEACH
CONTRACTOR: THOMAS A GRUNDEL " r, r,•
s'r k ;
DBA: TOM'S MOBILE HOMES, INC a'
OWNER: DANIEL L BUTTS `"` ': •.
%3W OP Y
NOTICE
This Notice is to inform you that your property is in a Special Flood Hazard Area.
The base flood elevation of the property is 7 feet, NAVD. Federal law requires that a flood zone determination be done as a condition of
a federally backed mortgage to determine if the structure is in a Special Flood Hazard Area and if so,to require flood insurance. It is up to
the lender to determine whether flood insurance is required for a property.
NO CONSTRUCTION is to proceed beyond the 1 st floor/slab inspection,or just prior to the second floor pour of a multi-story structure,until
the required elevation certification has been completed by a registered surveyor, and received and approved by the Building&Code
Regulation Division of the St. Lucie County Planning&Development Services Department.
Violation of the requirement will result in the scheduling of a public hearing before the St. Lucie County Code Enforcement Board. The
Board is empowered to levy a fine not to exceed $250.00 per day for each day the violation continues. A fine not to exceed$500.000 per
day may be levied for a repeat violation. The fine may become a lien upon the real or personal property of the violator.
The elevation certification may be submitted any time within 21 calendar days from the above; however, no further construction should take
place, nor will any inspections be made until the required certification has been received and approved.
Signature
Date