The URL can be used to link to this page

Home My WebLink AboutEvaluation Report t U.S. DEPARTMENT OF HOMELAND SECUR TY MB No. 1660-0008 Federal Emergency Management Agency cpiration 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: PATRICK&SARA BURKE A2 BuilBoxdin No.Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Company NAIC Number: 8016 S. OCEAN DRIVE City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description, etc.) LOT 15, DIAMOND SANDS PLAT NO.2. A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27°19'04.79"N Long.80°13'31.48"W 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 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 997.66 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0.00 sq in d) Engineered flood openings? ❑Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 1463.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 8 c) Total net area of flood openings in A9.b 976.56 sq in d) Engineered flood openings? ❑x 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 COUNTY 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 12111 CO303 J 02-16-2012 02-16-2012 AE 7' 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)? ❑x Yes ❑ No Designation Date: 10-01-1983 ❑x CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 MB No. 1660-0008 ELEVATION CERTIFICATE )iration Date:November 30,2018 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: 8016 S. OCEAN DRIVE 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* ❑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: FDOT AlA94-08-BM12 Vertical Datum: NAVD_88 Indicate elevation datum used for the elevations in items a through h below. ) ❑ NGVD 1929 0 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) 7.05 0 feet ❑ meters b) Top of the next higher floor 18.15 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑ meters d) Attached garage(top of slab) 6.04 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.05 0 feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building (LAG) 5.80 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 6.00 ❑x 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. !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? 0 Yes ❑No ❑Check here if attachments. Certifier's Name License Number MATTHEW CROMLEY, P.S.M L.S.#7214 Title PROFESSIONAL LAND SURVEYOR AND MAPPER a Company Name MERIDIAN LAND SURVEYORS t Address �f 1717 INDIAN RIVER BLVD SUITE#201 City State ZIP Code VERO BEACH Florida 32960 Signature Date // Telephone Ext. l6 l (772) 794-1213 Copy all pages of this Elevation Certificate and all attachments for(If community official, (2)insurance agent/company, and(3)building owner. Comments(including type of equipment and location, per C2(e), if applicable) PRIMARY BENCHMARK IS FLORIDA DOT MONUMENT A1A/94/08/BM12, ELEVATION=3.51' NAVD'88. ON SITE BENCHMARK IS FD 4"X4"CM WITH NAIL&DISK LB#7903 50' EAST OF PROPERTY LINE ON THE NORTH SIDE OF PROPERTY,ELEVATION=5.15'NAVD'88. POOL EQUIPMENT ROOM (UNDER POOL DECK) USED TO DETERMINE C2-A. FINISHED FLOOR ELEVATION OF MAIN HOUSE IS 7.15'NAVD88'. NORTH WEST A/C PAD USED TO DETERMINE C2-E. LATTITUDE AND LONGITUDE DETERMINED USING HAND HELD GPS DEVICE. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE MB No. 1 ate: Nos apiration Date: November 30,2018 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: 8016 S. OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 grams 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 ❑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. ❑ fy 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 or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone 9 p Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 B No. 1660-0008 ELEVATION CERTIFICATE Wiration Date: November 30,2018 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: 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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—GI0. 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(including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 UILDING PHOTOGRAPHS MB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. expiration Date:November 30,2018 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: 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 A8.If submitting more photographs than will fit on this page,use the Continuation Page. Y yw 0 a. Photo One Photo One Caption FRONT VIEW Clear_Photo£®ne Photo Two Photo Two Caption REAR VIEW ClearPfioto Two;;, FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 • AUILDING PHOTOGRAPHS B No.1660-0008 ELEVATION CERTIFICATE Continuation Page Wiration Date:November 30,2018 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_BoxNo. _Policy Number: 8016 S. OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 If submitting more photographs than will fit on the preceding page, affoc 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 AS. st T _ Photo Three Photo Three Caption RIGHT SIDE VIEW ClearPh'oto Thee 'ri`'a••F •ri' �� rp h Photo Four Photo Four Caption LEFT SIDE VIEW Clear Photo'_Four FEMA Form 086-0-33(7/15) Replaces all previous editions.. Form Page 6 of 6 i Smart VENT INSTALLATION INSTRUCTIONS & DETAILS �] Q Q MODEL 1540-510 8 / 7 4 41 () (� DUAL FUNCTION FLOOD AND VENTILATION VENT REV. 6-21-16 www . smartvent. com INSTALLATION INSTRUCTIONS 1. REMOVE VENT DOOR FROM VENT FRAME. (TURN UPSIDE DOWN, ROTATE BOTTOM OF DOOR OUTWARD AND SLIDE OUT) 2. PREPARE A CLEAN 16.25' WIDE BY 8.25" HIGH ROUGH OPENING (APPROX. 1 BLOCK WIDE X 1 BLOCK HIGH) FOR EACH VENT. ENSURE THE BOTTOM OF THE ROUGH OPENING IS NO MORE THAN 12" ABOVE THE FINISHED GRADE. 3. APPLY A BEAD OF HURRIBOND GRIP & SEAL OR EQUIVALENT ADHESIVE AROUND THE BACK OF THE FLANGE ON THE VENT FRAME. (FIG. 2) 4. INSERT INSTALLATION CLIPS INTO THE TWO SLOTS ON THE TOP AND TWO SLOTS ON THE BOTTOM OF THE FRAME. 5. THE SPRING ARM OF THE CLIPS SHOULD BE ON THE OUTSIDE OF THE VENT FRAME. COMPRESS THE BOTTOM TWO CLIPS AND BEGIN SLIPPING THE FRAME INTO THE OPENING. ENSURE THAT THE BOTTOM CLIPS ARE•IN THE OPENING BEFORE ALLOW THEM TO DECOMPRESS. 6. WITH THE FRAME NOW IN THE OPENING, AND THE BOTTOM SPRINGS IN PLACE, COMPRESS THE TOP SPRINGS AND PUSH THE VENT FRAME INTO THE OPENING COMPLETELY UNTIL THE FRAME IS FLUSH WITH THE WALL 7. RE-CHECK THAT FRAME IS SQUARE AND SLOTS ARE CLEAR OF DEBRIS, AND CAULK. 8. INSTALL THE DOOR INTO FRAME BY GRASPING THE BOTTOM OF DOOR (WITH FLOAT PINS DOWN) AND FRONT (SMALL SCREEN IN FRONT). SLIDE DOOR INTO FRAME AND ROTATE UNTIL IT IS LATCHED. 9. TO OPEN THE DOOR INSERT TWO CREDIT CARDS INTO THE FLOAT SLOTS AS SHOWN IN THE DIAGRAM. THIS WILL UNLATCH THE DOOR FOR REMOVAL AND CLEANING. DETAILED SPECIFICATIONS: MATERIAL: STAINLESS STEEL OPERATION FLOOD: AUTOMATIC NON-POWERED ACTIVATION AND OPERATION VENT REMAINS CLOSED AND LOCKED UNTIL ACTIVATED OPERATION AIR: AUTOMATIC LOUVERS FULLY OPEN AT 75•DEG. FULLY CLOSED AT 35 DEG. NO POWER REQUIRED INSTALLATION: SECURED W/ 4 STAINLESS STEEL INSTALLATION CLIPS INCLUDED AND AN ADHESIVE HYDROSTATIC RELIEF: 200 SQ. FT PER VENT VENTILATION: 51 SQ. IN. PER VENT NOTE: VAPOR BARRIER ALLOWS FOR REDUCED VENTILATION REQUIREMENTS FLOOD: MINIMUM OF 2 VENTS PER ENCLOSED AREA MOUNTED ON AT LEAST TWO DIFFERENT WALLS COLORS: STAINLESS (STANDARD) EXTERIOR POWDER COATED WHITE, WHEAT, GRAY, AND BLACK (AVAILABLE) MEETS THE REQUIREMENTS FOR ENGINEERED OPENINGS AS SET FORTH BY: FEMA, NFIP, [CC, & ASCE SUPPORTIVE DOCUMENTS, TS 1-08, 44CFR 60.3(C)(5), ASCE 24-14 ICC EVALUATION # ESR-2074 SHEET 2 OF 2 U.S.DEPARTMENT OF HOMELAND SE*Y MB No. 1660-0008 Federal Emergency Management Agency Expiration Date:November 30,2018 National Flood Insurance Program ELEVATION CERTIFICATE Important:Followthe 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 PATRICK&SARA BURKE A2 Building Street Address(including Apt,Unit,Suite,andlor Bldg_No_)or P.O_Route and Company NAIC Number. Box No. 8016 S.OCEAN DRIVE City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description(tat and Block Numbers,Tax Parcel Number,Legal Description,etc-) LOT 15,DIAMOND SANDS PLAT NO.2_ A4. Building Use(e.g.,Residential,Non-Residentialr-A,,11' A5_ LatitudelLongitude: Lat.27.31790N )1927 ❑x NAD 1983 A6. Attach at least 2 photographs-of the building if the / AT Building Diagram Number 1A I)ISAPPROVED p[ A8. For a building with a crawispace or encfosure(s): (� a) Square footage•of crawispace or endosure(s) _ C b) Number of permanent flood openings in the craw, ee � de N/A c) Total net area of flood openings in A8.b d Engineered flood openings? Yes 21 No A9.For a building with an attached garage: �U DOI a) Square footage of attached garage b) Number of permanent flood openings in the attaches r..a«grade 8 c) Total net area of flood openings in Aab r 209.00 sq in d) Engineered flood openings? El Yes ❑No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3. State ST.LUG►E COUNTY 120265 ST.LUCIE COUNTY 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 12111 C0303 J 02-16.2012 0216-2012 AE,VE T,1 T 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 SFE in Item Rg ElNGV'D 1329 Q N A' 1888 ❑ Ofhero Saurre B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? xQ Yes ❑No Designation Date:10-01-1983 x❑ CBRS ❑ OPA FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 1 of 6 1 *13 No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE 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* 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,ARiA,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: FDOT AIA94-08-BM12 Vertical Datum:NAVD88 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) 7.15 Q feet ❑ meters b) Top of the next higher floor 18.15 x❑ feet [] meters c) Bottom of the lowest horizontal structural member(V Zones only) 16.64 ❑x feet ❑meters d) Attached garage(top of slab) 6.04 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑ feet ❑ meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 5.80 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 6.00 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A 0 feet ❑ meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and seated 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_ Cade, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments. Certiffer's Name License Number CHARLES H. BLANCHARD, P.S.M L.S.#5755 Title PROFESSINAL LAND SURVEYOR AND MAPPERw- Company Name t:t MERIDIAN LAND SURVEYORS - - ;$._ = = Address - 17171NDiAN RIVER BLVD SUITE#201 City State ZIP Code VERO BEACH Florida 32960 Signatur Date Telephone Ext. Jato-l% - (772)794-1213 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) PRIMARY BENCHMARK IS FLORIDA DOT MONUMENT A1A/94/08/BM12, ELEVATION=3.51'NAVD'88. ON SITE BENCHMARK IS FD 4"X4"CM WITH NAIL&DISK LB#7903 50'WEST OF PROPERTY LINE ON THE NORTH SIDE OF PROPERTY,ELEVATION=5.16 NAVD`88.NO EQUIPMENT PADS IN PLACE TO DETERMINE C2-E.LATTITUDE AND LONGITUDE DETERMINED USING HAND HELD GPS DEVICE. FEMA Form 086-M3(7115) Replaces all previous editions. Form Page 2 of 6 WMB No.1660-0008 p ELEVATION CERTIFICATE Ex iration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 E1—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 ❑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 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(7/15) Replaces all previous editions. Form Page 3 of 6 WWB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 ❑ 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(including type of equipment and location,per C2(e),if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 4 of 6 160ILDING PHOTOGRAPHS WB No.1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date:November 30,2018 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 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 A8.If submitting more photographs than will fit on this page,use the Continuation Page. 9L i P .. • ,.u- r ;-ti F r�'y, ,.Ep+CF to 'f'�1� '� ��'Sc <�4' ,+(• fit; c� � -5 r . � � � ry> Fu.PI, Frt,*"a.4✓,i f v1•f �`'' > + 6. c. �'a.+ ,-fir_... � ,�,z d i i�7'i r P ay'"r k'� c�.q.ar�.1�,.... �.Y� «P �9•��k l, c��^ '�,...;.. ;3.�. Photo One Photo One Caption FRONT VIEW Clear Photo gne Wr- � A _ r Photo Two Photo Two Caption REAR VIEW Clear Photo Two', FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 66ILDING PHOTOGRAPHS B No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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. Nil � r S� Y� .,r 5 M _, h x q,rya, •° .y • e"`.. OFF _. Lzt- { r "`� ^5y N '-..-'�' 4Wi.:t✓ ) _'• f e+^%'•'...-..{ ! ++'4e 1v l r 7`tt'r � ,_, �+ "� 1.'tiIlivJ a� 3 E :.`may-s-�c- ,r ✓6 «�f",. ,xl. �� K� ��r s � �4 �`'. a�'��;��fi�� f .s+�..?^. Photo Three Photo Three Caption RIGHT SIDE VIEW Clear Phota Three N��`� ram! � -' 's.x± �«•�.^�i-.,,..,��t�'"'�1 � - r �{ k�� ' �y�3✓hfv�' t"'�.da�'M$,'mp�f,. I��r � . Photo Four Photo Four Caption LEFT SIDE VIEW Clear PhotoFau FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6 U-S"DEPARTMENT OF HOMELAND SE*�y MB No. 1660-0008 Federal Emergency Management Agency Expiration Date.November 30,2018 National Flood Insurance Program ELEVATION CERTIFICATE hmportant:Followthe 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 Al. Building Owners Name PATRICK&SARA BURKE RECEIVED A2. Building Street Address(including Apt,Unit,Suite,andlor Bldg.No.)or P.O.Route and Box No. JAN 1 7. 2018 8016 S.OCEAN DRIVE City State ST. Lwdo county,Permitting JENSEN BEACH Florida ny� t A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etr ,, IJk-) LOT 15, DIAMOND SANDS PLAT NO.2_ A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc-) RESIDENTIAL(SLAB.) A5. Latitude/l-ongitude. Lat 27.31790N Long.80.22533W 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. AT Building Diagram Number 1A A8. For a building with a cravAspace or enclosure(s). a) Square footage of crarrispace or ernxosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑Yes Q No A9.For a building with an attached garage. a) Square footage of attached garage 1468.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 8 c) Total net area of flood openings in A9.b 1209.00 sq in d) Engineered flood openings? x❑Yes Q No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3. State ST.LUCIE COUNTY 120265 ST.LUCIE COUNTY 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 12111 C0303 J 02-16-2012 02-16-2012 AE,VE T, 1 T 1310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile x❑ FIRM Q Community Determined Q Other/Source. 1311. Indicate elevation datum used for BFE in(tern 69= ❑ NOVO 1929 ® HAVO 1988 ❑ C3ther[Saurce_ B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? x❑Yes ❑No Designation Dale IMI-1983 ❑x CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 �1 6MB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE 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* x❑Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1A30,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: FDOTA1A94-08-BM12 Vertical Datum:NAVD88 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) 7.15 ❑x feet ❑ meters b) Top of the next higher floor 18.15 0 feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) 16.64 ❑x feet ❑meters d) Attached garage(top of slab) 6.04 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building(Describe type of equipment and location in Comments) NIA ❑ feet ❑ meters f) Lowest adjacent(finished)grade next to building(LAG) 5.80 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 6.00 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including ❑ feet❑N/A 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 orimprisonment under 18 U-S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments. Certifier's Name License Number CHARLES H. BLANCHARD, P.S.M L.S.#5755 Title PROFESSINAL LAND SURVEYOR AND MAPPER r -- Company Name MERIDIAN LAND SURVEYORS - ` Address 1717 INDIAN RIVER BLVD SUITE#201 = City State ZIP Code VERO BEACH Florida 32960 Signatur Date Telephone Ext. `��®.I� (772)794-1213 Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agenticompany,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable) PRIMARY BENCHMARK IS FLORIDA DOT MONUMENT AlA/94/08/BM12,ELEVATION=3.51'NAVD'88_ ON SITE BENCHMARK IS FD 4"X4"CM WITH NAIL&DISK LB#7903 50'WEST OF PROPERTY LINE ON THE NORTH SIDE OF PROPERTY, ELEVATION=5.15'NAVD'88.NO EQUIPMENT PADS IN PLACE TO DETERMINE C2-E.LATTITUDE AND LONGITUDE DETERMINED USING HAND HELD GPS DEVICE. FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 2 of 6 i, OB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 E1—E4,use natural grade,if available.Check the measurement used. In Puerto Rico only, enter meters. El. 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 e meters above or below the HAG. the diagrams)of the building is ❑feet ❑ ❑ ❑ 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 FEMAA 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(7/15) Replaces all previous editions. Form Page 3 of 6 tppiraNbon o. 1660-0008 ELEVATION CERTIFICATE Date:November 30,2018 IMPORTANT:in these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,andlor Bldg.No.)or P.O.Route and Box No. Policy Number. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's ftoodplain 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 ftoodplain 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(including type of equipment and location,per C2(e),if applicable) ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 OUILDING PHOTOGRAPHS Op No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date_November 30,2018 IMPORTANT:In these spaces,copy the corresponding infonnation 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 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 A8.If submitting more photographs than will fit on this page,use the Continuation Page. ft -r ►r z;.. r t 7 Y t r 3 Photo One Photo One Caption FRONT VIEW -17 Cleai Photo One ' i Il w T'3 .,-a a ,, � , � Yf' � �''a s„r�r' r V i c Y Photo Two Photo Two Caption REAR VIEW Clear Photo Two FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 4OUILDING PHOTOGRAPHS No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 4tp�iration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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. a ! 1 a j Z z� ..�' .'•.�i� ` f-jam'.� � 4 1 Sry r c5 y p. � s; Photo Three Photo Three Caption RIGHT SIDE VIEW Glear`Photo;ThreeY. -41 Srt F dry , x a � 'eWN t Nh. t .S 4 :+ {4 Photo Four Photo Four Caption LEFT SIDE VIEW Clear-Pt oto Four, FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6 U.S. DEPARTMENT OF HOMELAND SE ATY 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: PATRICK&SARA BURKE A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number Box No. 8016 S.OCEAN DRIVE City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 15, DIAMOND SANDS PLAT NO.2. A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL(SLAB) A5. Latitude/Longitude: Lat.27.31790N Long.80.22533W 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or endosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade NIA c) Total net area of flood openings in A8_b N/A sq in d) Engineered flood openings? ❑Yes x❑ No A9.For a building with an attached garage: a) Square footage of attached garage 1565.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 8 c) Total net area of flood openings in A9.b 1209.00 sq in d) Engineered flood openings? x❑Yes ❑No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3. State ST.LUCIE COUNTY 120265 ST.LUCIE COUNTY 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 12111 C0303 J 02-16-2012 02-16-2012 AE,VE 7', 1 T 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 139: ❑ 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)? ❑x Yes ❑ No Designation Date: 10-01-1983 ❑x CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 41MB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 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. 8016 S. OCEAN DRIVE City State ZIP Code Company NA1C Number JENSEN BEACH Florida 34957 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. 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,ARIA,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: FDOT A1A94-08-BM12 Vertical Datum:NAVD88 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other1Source: 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) 7.15 ® feet ❑ meters b) Top of the next higher floor 18.15 x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) 16.64 ❑x feet ❑meters d) Attached garage(top of slab) 6.04 ❑x 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) 5.80 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 6.00 x❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A x❑ feet ❑ meters structural support SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor,engineer,or architect authorized by law to certify elevation information. l certify that the information on this Certificate represents my best efforts to interpret the data available.1 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? N Yes ❑No ❑Check here if attachments. Certifier's Name License Number CHARLES H.BLANCHARD, P.S.M L.S.#5755 Title PROFESSINAL LAND SURVEYOR AND MAPPER t P: Company Name _ MERIDIAN LAND SURVEYORS Address 1717 INDIAN RIVER BLVD SUITE#201 City State ZIP Code VERO BEACH Florida 32960 Signature Date Telephone Ext. (772)794-1213 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) PRIMARY BENCHMARK IS FLORIDA DOT MONUMENT A1A/94/08/BM12,ELEVATION=3.51'NAVD'88. ON SITE BENCHMARK IS FD 4"A4"CM WITH NAIL&DISK LB#7903 50'WEST OF PROPERTY LINE ON THE NORTH SIDE OF PROPERTY, ELEVATION=5.15'NAVD'88. NO EQUIPMENT PADS IN PLACE TO DETERMINE C2-E.(ATTITUDE AND LONGITUDE DETERMINED USING HAND HELD GPS DEVICE. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 1. . • AMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 9(see pages 1-2 of Instructions), the next higher floor(elevation CZb in the diagrams)of the building is ❑feet ❑meters ❑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 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(7115) Replaces all previous editions. Form Page 3 of 6 AMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date_November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAiG Number JENSEN BEACH Florida 34957 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 items)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-buitt 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(including type of equipment and location,per C2(e),if applicable) ❑ Check here if attachments. FEMA Form 08640-33(7115) Replaces all previous editions. Form Page 4 of 6 WILDING PHOTOGRAPHS \QMB No. 008 ELEVATION CERTIFICATE See Instructions for Item A6. Date:Nov Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 A8.if submitting more photographs than will fit on this page,use the Continuation Page. 3 ' l- 41. r .<„ ,a k n t 4.I.ss�-W rK't� �'�t'f(. s _"1y�§f't' y Photo One Photo One Caption FRONT VIEW Clear Photo-One`; W. n fit. Photo Two Photo Two Caption REAR VIEW Clear Photo Two;;. FEMA Form 086-0-33(7115) Replaces all previous editions_ Form Page 5 of 6, ' o WILDING PHOTOGRAPHS L B No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date:November 30,2018 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. 8016 S.OCEAN DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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. A a� 3 ,fir xJ Ya`i�i - .3 � 3 S h $x tr i~ d vi4xr^ rz,s`s. a �;.'s'ia ��t•rye s,.t�s -�„„ t -A774~ qr,n,,o JU yn U-4N-. Photo Three Photo Three Caption RIGHT SIDE VIEW C1earPtoto:ThFee - ,r �p- -N '1 p t i s r 7,^ ,�� aY��fa fit b- � -ir "'a a ��xy� ' X,",+,�3�' �3 •*�Ff ' r� Sri � -e Yt 9 Photo Four Photo Four Caption LEFT SIDE VIEW Glear FfiiitoEour;= FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6