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HomeMy WebLinkAboutFlood ElevationBENCHMARK NO. 1 NAIL & DISK STAMPED "CSDG TRAV ELEVATION 6.85 FEET (NAVD 88) MIN, SETBACK C n%.Q. SIDES CNR S FEMA FLOOQ LINE PROP CONC. DRIVEWAY BENCHMARK NO. 2 NAIL & DISK STAMPED "CSDG TRAV ELEVATION 5.94 FEET (NAVD 88) ^o, z w a J Q V) Q aX %p. 55' . PROP. LOT 10 LOT 9 (OCCUPIED) (VACANT) F.F.E. 9.60 FEET D 5/8" IRON ROD WEST N89'47'07"E 125.00' eX x^�v ¢a ,0 LOT 11 X6ti m° (VACANT) WOOD FENCE FENCE CORNER 0.8' EAST -iEcE-zvED GRAPHIC SCALE ''On 30 0 30 )P DRAIN FIELD 500 SQFT Xb�k 44.3 m It ` ` 44.1 (W FEET ) I 26.7 �� LOT 12 W LOT 24 1 inch = 30' ft. I I •0 (VACANT) `r d (OCCUPIED) LO I ( 5.33 z4 PROP SINGLE N DESCRIPTION 4` 22-6 1 67 80 //� STORY CBS HOUSE in LOTS 11, 12, AND 13, BLOCK 8, UNIT TWO, 1t.0 ; PROP FFE 8.30 FEET RIVERDALE YACHT CLUB ESTATES, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT 65.3- BOOK 6, PAGE 40, OF THE PUBLIC RECORDS __� ,. 29.2 OF ST. LUCIE COUNTY, FLORIDA. OH FOUND NN (ILLEGI Q 0.36' 1 m �w FOUND 5/8" IRON ROD & C STAMPED "LB 3333" SOUTHWEST CORNER LOT 16 SURVEYOR'S CERTIFICATE .3 v _ , I` FOUND 1/2" NYC ORNER 25.2 IRON PIPE EC TH y, 39'47'07"W I a0 25.00' IRON ROD & CAP I 4' CHAIN LINK FENCE sT LOT 14 (OCCUPIED) F.F.E. 8.99 FEET RIGHT OF WAY LINE BLOCK 8 UNIT TWO RIVERDALE YACHT CLUB ESTATES PLAT BOOK 6, PAGE 40 I HEREBY CERTIFY THAT THE BOUNDARY AND TOPOGRAPHIC SURVEY AS SHOWN HEREON IS A TRUE AND CORRECT REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND CHARGE AND SAID SURVEY IS TRUE AND ACCURATE TO 'FIE PEST OF MY KNOWLEDGE AND BELIEF. I FURTHER CERTIFY THAT SAID SURVEY COMPLIES WITH THE APPLICABLE STANDARDS OF PRACTICE FOR SURVEYS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027. FLORIDA STATUTES. �.+ DESIGN GROUP, INC. REVISION: 11/26/19, ADDITIONAL INFORMATION PER COUNTY BY: BRIAN C. KIERNAN DATE OF SIGNATURE COPYRIGHT © 2019 PROFESSIONAL SURVEYOR & MAPPER ALL RIGHTS RESERVED STATE OF FLORIDA REGISTRATION NO. 6101 CIALSURV DESIGN GROUP, LOT 23 (OCCUPIED) x FENCE CORNER 0.2' SOUTH CERTIFIED TO TNT BUILDERS �311027=101;4&30 MIDWAY ROAD Lu 2' WHITE CITY z Q Q z upGOPHER RIDGE ROAD SITE o N Ul LOCATION MP (NOT TO SCALE) LEGEND & ABBREVIATIONS O.R.B. - OFFICIAL RECORDS BOOK F.F.E. - FINISH FLOOR ELEVATION U.E.- UTILITY EASEMENT D.E.- DRAINAGE EASEMENT (L- CENTERIINE CMP- CORRUGATED METAL PIPE P.B. - PLAT BOOK L.B. - LICENSED BUSINESS C.B.S.- CONCRETE BLOCK & STUCCO CONC.- CONCRETE cOu- WOOD POWER POLE EL- ELEVATION OW- OVERHEAD UTILITY LINE �- WATER VALVE �- GUY ANCHOR ®- WATER METER O- SET 5/8" IRON ROD & CAP n q 1. REPRODUCTIONS OF THIS MAP ARE NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 2 ADDITIONS OR DELETIONS - TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. 3. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS -OF -WAY, EASEMENTS, OWNERSHIP, OR OTHER INSTRUMENTS OF RECORD. 4. UNDERGROUND IMPROVEMENTS, IF ANY, WERE NOT LOCATED EXCEPT AS SHOWN. 5. DESCRIPTION SHOWN HEREON AS PROVIDED BY CLIENT. 6. FIELD SURVEY LAST CONDUCTED ON APRIL 8, 2019. 7. SYMBOLS SHOWN HEREON ARE NOT TO SCALE. 8. THE EAST RIGHT OF WAY LINE OF ARAPAHOE STREET IS ASSUMED TO BEAR NORTH 00'21'54" EAST AND ALL OTHER BEARINGS SHOWN HEREON ARE RELATIVE THERETO. 9. OVERALL PARCEL CONTAINS 18,563 SQUARE FEET OR 0.43 ACRES, MORE OR LESS. 10. HORIZONTAL RELATIONSHIPS, AS SHOWN HEREON, ARE BASED ON THE FLORIDA STATE PLANE COORDINATE GRID, EAST ZONE, USING THE NORTH AMERICAN DATUM OF 1983 WITH THE 2011 ADJUSTMENT (NSRS 2011). 11. BY GRAPHIC PLOTTING ONLY, SAID DESCRIBED PROPERTY IS LOCATED WITHIN AN AREA HAVING A FLOOD ZONE DESIGNATION OF "AE" AND "X", HAVING A FLOOD ELEVATION OF 6.4, ACCORDING TO THE FEDERAL EMERGENCY MANAGEMENT AGENCY (FEMA) ON FLOOD INSURANCE RATE MAP (FIRM) PANEL NUMBER 12111CO277J, HAVING AN EFFECTIVE DATE OF FEBRUARY 16, 2012. THIS INFORMATION SHOULD BE CONFIRMED WITH THE APPROPRIATE COUNTY PRIOR TO CONSTRUCTION. 12. ELEVATIONS SHOWN HEREON ARE RELATIVE TO THE NORTH AMERICAN VERTICAL DATUM OF 1988 (NAVD 88). PHONE (772)323-2244 File & Drawing No. 6312 ARAPAHOE ST BNDY TOPO CIVILSURV Scale: Date: 1" = 30' 10 4 19 A Tradition of Innovative Engineering Drawn By: Sheet 2400 RHODE ISLAND AVENUE L.B. No.7805 r FORT PIERCE, Florida, 34950 -BK -j-of -I- BOUNDARY AND TOPOGRAPHIC SURVEY TNT BUILDERS 6312 ARAPAHOE ST. FORT PIERCE, FL OMB No. 1660-0008 Expiration Date: November 30, 2022 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. Privacy Act Statement Authority: Title 44 CFR § 61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s): The information on this form may be disclosed as generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA-003 — National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/ FEMA/NFIP/LOMA-1 — National Flood Insurance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notice 71 Fed. Reg. 7990 (February 15, 2006); and upon written request, written consent, by agreement, or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Purpose of the Elevation Certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill (LOMR-F). The Elevation Certificate is required in order to properly rate Post -FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, and AR/AO. The Elevation Certificate is not required for Pre -FIRM buildings unless the building is being rated under the optional Post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT-EZ or MT-1 package, whichever is appropriate. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non- residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at httos�//www fema gov/media-library/assets/documents/3539?id=1727. FEMA Form 086-0-33 (12/19) Replaces all previous editions. F-053 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2022 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) buildinq owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1, Building Owner's Name Policy Number: JASON MERRITT A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. Y 6310 ARAPAHOE STREET City State ZIP Code FT PIERCE Florida 34982 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 113 12 AND 13, BLOCK 8, UNIT TWO, RIVERDALE YACHT CLUB ESTATES, PLAT BOOK 6, PAGE 40, ST LUCIE COUNTY A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27021'23.16" Long. 80°20'30.01" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq It 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 480.00 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 ST LUCIE COUNTY, 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 12111CO277 J 02-16-2012 02-16-2012 X & AE 6 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: 1311. 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 (12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 - 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: 6310 ARAPAHOE STREET City State ZIP Code Company NAIL Number FT PIERCE Florida 34982 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, Vi—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 Al. In Puerto Rico only, enter meters. Benchmark Utilized: SFAGER Vertical Datum: 3.24 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, crawlspace, or enclosure floor) 8.0 Q feet ❑ meters b) Top of the next higher floor 8.5 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 7.8 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.6 ❑x feet ❑ meters (Describe type of equipment and location ir+,Commenis) 1) Lowest adjacent (finished) grade next to building (LAG) 7.5 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 7.8 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, Including - 0 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. 1 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 orimprisonment 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 BRIAN C KIERNAN 6101 Title PROFESSIONAL SURVEYOR AND MAPPER Place r S(?a1 Company Name GROUP, INC. CIVILSURV DESIGN �e Address 2400 RHODE ISLAND AVENUE City State ZIP Code FT PIERCE Florida 34950 Signature Dale Telephone Ext. �?o ZO (772) 323-2244 Copy aWag6s of this Elevation Certificate and all attachments for (1) c mmunity official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), If applicable) ITEM C2,a IS THE FINISH FLOOR ELEVATION OF THE PORCH. ITEM C2,b IS THE FINISH FLOOR ELEVATION OF THE MAIN RESIDENCE ITEM C2,e IS THE FINISH FLOOR ELEVATION OF THE CONCRETE PAD CONTAINING THE A/C AND POOL PUMP EQUIPMENT, FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30 2022 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: 6310 ARAPAHOE STREET City State ZIP Code Company NAIC Number FT PIERCE Florida 34982 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 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or E] 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 e property owner or owners 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No, 1660-0008 Expiration Date: November 30, 2022 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: 6310 ARAPAHOE STREET City State ZIP Code Company NAIC Number FT PIERCE Florida 34982 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.) 32 ❑ 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 38. 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, - - - 0-feet-❑-meters—Datum— G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item AS. Expiration Date: November 30, 2022 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: 6310 ARAPAHOE STREET City State ZIP Code Company NAIC Number FT PIERCE Florida 34982 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page. i PhoW One Photo One Caption FRONT VIEW (TAKEN 04/16/20) Clear Photo One r a�ytt Photo Two Photo Two Caption REAR VIEW (TAKEN 04/16/20) Clear Photo Two FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 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: 6310 ARAPAHOE STREET City State ZIP Code Company NAIC Number FT PIERCE Florida 34982 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View", and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo Three Photo Three Photo Three Caption Clear Photo Three Photo Four PWo Fow Photo Four Caption Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 6 of 6