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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 OKI 4M �,� al i SIDE 08/16/2016 ANIL low �• �arr�w �iosrn� 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