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HomeMy WebLinkAboutFlood Elevation CertificateELEVATION CERTIFICATE �'iy OMB No. 1 ate: Nos ,; Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the correspond fottnation from'SectioiliOA. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10851 S OCEAN DRIVE # 139 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* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: SEE COMMENT Vertical Datum: N.A.V.D. OF 1988 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) 4.46 Z feet ❑ meters b) Top of the next higher floor 8.30 Z feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A X❑ feet ❑ meters d) Attached garage (top of slab) N/A X❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.29 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3.6 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.2 ❑X feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet meters N/A ❑ ❑ 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 or imprisonment 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 ROLAND PLS 4945Title E. ROLLINS rr , 0( OWNER pD Ce PCf SG0 11'*s Company Name ROLAND E. ROLLINS PROFESSIONAL LAND SURVEYOR -Here Address 3221 SW CRUMPACKER STREET City State ZIP Co&�__] PORT ST. LUCIE Florida 34953 Signature Date Telephone Ext. 06-30-2020 (772)873-4700 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) FOUND A BRASS DISK IN TOP OF A CONCRETE MONUMENT STAMPED 94 77 A82 RM NO 1 LOCATED AT THE ENTRANCE TO HOLIDAY OUT, A PRIVATE RECREATION AREA, THE MARK IS 28 FEET EAST OF THE CENTERLINE OF STATE ROAD A-1-A AND 4 FEET SOUTHEAST OF THE NORTHWEST END OF A BRICK WALL AND 1.8 FEET NORTHWEST OF THE SOUTH END OF A CHAIN LINK FENCE. THE ELEVATION IS 3.76 FEET N.A.V.D. OF 1988. LINE C2. THERE ARE 6 ENGINEERED FLOOD VENTS MODEL FS-1608-HEX FLOOD VENTS ON THE OUTSIDE WALL. THERE ARE 3 ENGINEERED FLOOD VENTS ON THE STORAGE ROOM INTERIOR WALL MODEL FS-1608-HEX FLOOD VENTS. THE CRAWL SPACE SQUARE FOOTAGE IS 394 SQUARE FEET AND THE STORAGE ROOM IS 214 SQUARE FEET. FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 2 of 6 U.S. DEPARTMENT OF HOMELAND ( :URITY _ OMB No. 1660-0006 Federal Emergency Management Agency Expiration Date: November 30, 2032 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 ownsr. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. (tuilding Owner's Name Policy Number: FELICE GIULIANI A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 10851 S OCEAN DRIVE # 139 City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) UNIT NO. 139 OF WINDMILL VILLAGE BY THE SEA CONDOMINIUM NO. 1 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27DEG15'58"N Long, 80DEG12'15"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. AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 608.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 6 C) Total net area of flood openings in A8.b 660.00 sq in d) Engineered flood openings? X❑ 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 ❑X No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name 83. State ST. LUCIE COUNTY 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevations) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111CO314K K 02-16-2012 02-19-2020 AE 5.0 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 139: ❑ NGVD 1929 0 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 IN 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: 10851 S OCEAN DRIVE # 139 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 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 (12/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE CJ 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: 10851 S OCEAN DRIVE # 139 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 G4-1310) 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) E] feet ❑meters Datum of the building: 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 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ' `j OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. t� 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: 10851 S OCEAN DRIVE # 139 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. 7 c' 4 PhoW One Photo One Caption RIGHT FRONT VIEW Clear Photo One +�a PhoW Two Photo Two Caption LEFT FRONT VIEW 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 Paste Exnimtion late- NnvwmhP.r 30 9099 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. 10851 S OCEAN DRIVE # 139 City State ZIP Code Company NAIL 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. � e e p •� Ae¢ , y i i , lAr G �1 Photo Three Photo Three Caption LEFT REAR VIEW Clear Photo Three x. p, 1 �h i Y JP4" f y y } tVI n It, Photo Four Photo Four Caption RIGHT REAR VIEW Clear Photo Four FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Pago 6 of 6 FLOOD Solutions FEMA Cumpl an, Enpm ,ed A..d W,,.