HomeMy WebLinkAboutElevation Cert OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November sJ,201:,
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:
13-Z>7- tJ IF-IT l-1zS
City State ZIP Code Company NAIC Number
J F-r-�s E4-,3 - c:i" L_O R- t�)A0 -S wg 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,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 A04 FDOT Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 Q 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 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 7 5 ❑x feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building (LAG) 4.1 ❑x feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) 4.4 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 4.1 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.
/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? Yes ❑No ❑x Check here if attachments.
Certifier's Name License Number
2 54.
EARLE R.STARKEY 4459
Title
PROFESSIONAL LAND SURVEYOR Place
Company Name ��a�
ACCURIGHT LAND SURVEYING INC.
Address Here
1501 DECKER AVENUE#419
City State ZIP Code d 3 !Z-7 1
STUART Florida 0 34994 f l,5 :&g y S Q
Signature Date Telephone Ext. /
03/27/2017 772-286-7694
Copy all ages of this Elev n 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
U.S. DEPARTMENT OF HOMELANDACURITY OMB No. 1660-0008
Federal Emergency Management Agency 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:
GREGORY
A2. Building Street Address (including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number.
Box No.
1332 NETTLES BLVD.
City State ZIP Code
JENSEN BEACH Florida Q 34957
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 1332 NETTLES ISLAND PROJECT SECTION 2
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27°17'04.8" Long.-80°13'13.2" 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.
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 0 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 ❑x 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 Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
Revised Date Flood Depth)
12111C 0311 J 02/16/2012 02/16/2012 AE 6.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
Building Photographs
See Instructions for Item A6.
i Insurance Cwnpa-ny use:
-86oding Street Address(iroj6ng Apt., Unit, Suite, andior Bldg. No.)or P.Q. Route mid Box No. Po"NLKnber
1332 NETTLES BLVD,
City State ZIP Code oO"parly Wic
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 View' and Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following. FRONT 03/27/2017 REAR 03/27/2017
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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: 1610-0159 DATE: 10/21/2016
ADDRESS: 1332 NETTLES BLVD
JENSEN BEACH
CONTRACTOR: THOMAS A GRUNDEL
DBA: TOM'S MOBILE HOMES, INC
OWNER: Gerald Gregory
QPY
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 6 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