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HomeMy WebLinkAboutElevation Cert U.S.DEPARTMENT OF HOMELAND SECURITY Lt VA I i V N GE R I i f ICA I t FEDERAL EMLIRGENCY MANAGEMENT AGENCY W OMB No. 1660-0008 NaUWe l Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31, 2015 SECTION A-PROPERTY INFORMATION Al. Building Owner's Name MILLAN&ALEXANDER A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. 19 NETTLES BLVD. City JENSEN BEACH State FL ZIP Code 34957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 19,NETTLES ISLAND PROJECT SECTION 2 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.27*17'13.4"N Long.80*13'35"W Horizontal Datum: ❑ NAD 1927 N 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): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes N No d) Engineered flood openings? ❑ Yes N No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State UNINCORP 120285 ST. LUCIE FL B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12111 C 0311 J 02/16/2012 Effective/Revised Date Zones( ) AO,use base flood depth) 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. 1-1 FIS Profile N FIRM ❑ Community Determined ElOther/Source:_ B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source:_ B12. Is the building located in a Coastal Barrier Resources System C RS)area or Otherwise Protected Area(OPA)? ❑ Yes N No Designation Date:_ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑X 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 A04 FLDT Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 N 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 N feet ❑meters b)Top of the next higher floor N/A._ ❑feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) ❑feet ❑meters d)Attached garage(top of slab) N/ `Meet r El meters e) Lowest elevation of machinery or equipment servicing the building if _ ❑feet- El meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 4.0 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 4.4 N feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 'N/A._ ❑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 information on this Certificate represents my best efforts to interpret the data available. f 1266-52-UC I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? N Yes ❑ No I LACE L Certifier's Name EARLE R.STARKEY License Number 004459 HERE Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Ad C' STUART State FL ZIP Code 34994 04/20/2016 ET PLS#4459 ,Signature RKEY ate 04/20/2016 Telephone 772-286-7694 FEMA Form 086-0-33(7/12) See reverse side for Continuation. Replaces all previous editions. ELEVATION CERTIFICATE page 2 IMPORTANT: In these spaces,copy the 90sponding information from Section A. in FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite, nd/or Bldg. No.)or P.O. Route and Box No. Policy Number: 19 NETTLES BLVD. City JENSEN BEACH State FL ZIP Code 34957 Company NAIC Number: SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. Comments Signature EARLE R. STARKEY Date 04/20/2016 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El—E4,use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is _._ ❑feet ❑ meters ❑ above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ._ ❑feet ❑ meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is __ El feet El meters ❑above or below the HAG. E3. Attached garage(top of slab)is __ ❑feet ❑meters El above or El below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is — ❑feet Elmeters Elabove or❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments r ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10. In Puerto Rico only,enter meters. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information (Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: __ ❑feet Elmeters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: __ ❑Meet ❑meters Datum G10. Community's design flood elevation: __ ❑feet ❑meters Datum _ Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. ELEVATION CERTIFICATE a e 2 IMPOR-�A NT: In these spaces,copy t orresponding information from Section A. FOR INSURANCE COMPANY USE Bu?ding Street Address(including Apt.,Unit,qW, and/or Bldg.No.)or P.O.Route and Box No. Poucy N�fi�ber 14'NETTLES BLVD. City JENSEN BEACH State FL ZIP Code 34957 NA1C Number SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Signature EARLE R.STARKEY Date 04/20/2016 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1—E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is _._ ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is _._ ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9dee pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is __ El feet El meters El above or below the HAG. E3. Attached garage(top of slab)is _^ ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is _._ ❑feet ❑ meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G 10.In Puerto Rico only,enter meters. G1.❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: _— ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ,_ ❑feet ❑meters Datum G10.Community's design flood elevation: __ ❑feet ❑meters Datum _ Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. SECURITY U.S.DEPARTMENT OF HOMELANDWtVA I IUN CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015% SECTION A-PROPERTY INFORMATION Al. Building Owner's Name MILLAN&ALEXANDER 4 A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. '+rrf 19 NETTLES BLVD. City JENSEN BEACH State FL ZIP Code 34957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 19, NETTLES ISLAND PROJECT SECTION 2 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27*1Tl3.4"N Long.80*13'35"W Horizontal Datum: ❑ NAD 1927 FZ 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 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑X No d) Engineered flood openings? ❑ Yes 0 No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State UNINCORP 120285 ST. LUCIE FL B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8. Flood B9.Base Flood Elevation(s)(Zone 12111C 0311 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) 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 © NAVD 1988 ❑ Other/Source:_ 812. Is the building located in a Coastal Barrier Resources System CBRS)area or Otherwise Protected Area(OPA)? ElYes 21 No Designation Date:_ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑X 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 A04 FLDT Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 X❑ 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,crawispace,or enclosure floor) 6.0 0 feet ❑meters b)Top of the next higher floor NIA._ ❑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 N/A._ ❑feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 4.0 0 feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 4.4 Z feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support `N/A._ ❑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 information on this Certificate represents my best efforts to interpret the data available. 1265-52-UC I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? FX Yes ❑ No l LACE L Certifier's Name EARLE R.STARKEY License Number 004459 HERE Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Ad C STUART State FL ZIP Code 34994 04/20/2016 PLS #4459 .Signature RKEY ate 04/20/2016 Telephone 772-286-7694 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. U.Si DE�PARTWIENT OF HOMELK 7 SEIAITY � OMB No. 1660-0008 FecIE 'I Emergency Management. ,jency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE ��p� -o 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 Owners Name Policy Number. MILLAN &ALEXANDER A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 19 NETTLES BLVD. City State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) LOT 19, NETTLES ISLAND PROJECT SECTION 2 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°17'13.4" Long. -80°13'35" 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 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 Community Name&Community Number B2. County Name B3. State UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel 135. Suffix B6. FIRM Index 67. FIRM Panel B$. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base J b Z/' I ' Revised Date Flood Depth) �Z.IIW03 (I l C) Z � Iz AE 6.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 89: ❑ 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 EL;ZVATION CERTIFICATE -7xpiration Date: November 30, 2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPAP_. USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 19 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 A04 FLDT 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) N / A ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 6 8 ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished) grade next to building(LAG) 4 0 ® feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 4 4 ® 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. /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 ❑Check here if attachments. Certifier's Name License Number JOB # 1265-52-01 EARLE R. STARKEY PLS #004459 Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE#419 City State ZIP Code STUART FL 34994 08/04/2016 PLS#004459 Sign Date Telephone 08/01/2016 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) C-2 E BOTTOM OF ELECTRIC METER BOX FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 v Building Photographs See Instructions for Item A6. For Mssurance Company Use: 84Iding Street Address(including Apt., Unit, Suite,and/or Bldg.No_)or P.O. Route and Box No. Po icy!number 19 NETTLES BLVD, City State ZIP Code C rip"WE-Mirk" JENSEN BEACH FL❑RIDA 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 08/04/2016 REAR 08/04/2016 j l j 3f 7 F, } 'Tii �.9 �V SIDE 08/04/2016 ask 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: 1602-0310 DATE: 2/18/2016 ADDRESS: 19 NETTLES BLVD JENSEN BEACH CONTRACTOR: MACK MATOS DBA: MEL-RY CONSTRUCTION OWNER: Edward Millan ' ILE C%J [ Dv 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 Dale