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HomeMy WebLinkAboutFlood Elevation- finalU.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) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: RONALDLECLERC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 163 NETTLES BOULEVARD City State ZIP Code JENSEN BEACH Florida Q 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 163, NETTLES ISLAND PROJECT SECTION 2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°17'16.30" N Long. 80°13'29.05" 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 113 El A8. For a building with a crawlspace or enclosure(s):. - a) Square footage of crawlspace or enclosure(s) 0.0 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 A8.1b 0.0 sq in d) Engineered flood openings? ❑ Yes ❑X No A9. For a building with an attached garage: a) Square footage of attached garage 110.0 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A9.b 400.0 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 UNINCORP / 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 12111 C 0311 J 02/16/2012 02/16/2012 AE 6.0 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E 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: IL-S N a"rrL s 1_;uL_rLVA20 City State ZIP Code Company NAIC Number .��rvslz, �mmct4 C=�. 3�f�S7 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, ARIA, 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 ❑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) 7.01 ❑x feet ❑ meters b) Top of the next higher floor 18.41 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 4.18 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building g,yg 0 feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3.79 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.20 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.00 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. I 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 Aprovided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number t3 — s EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR Place Company Name ACCURIGHT LAND SURVEYING, INC. Address 1501 DECKER AVENUE, UNIT419D 11%10)ZCZO City S ZIP Code S „FI da 34994 .-� Fl.S f# Q0414S9 'nature Date Telephone Ext. 11/10/2020 (772)286-7694 N/A Copy all pages o s evation Certificate and all attachments for (1) community official, (2) insurance agent/oompany, and (3) building. owner. Comments (including type of equipment and location, per C2(e), if applicable) A9(d) FLOOD VENT MODEL # 1540-520 (SEE ATTACHED) C2(e) BOTTOM OF ELECTRIC PANEL 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 (includiN Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: i fT-TYLiT S CDL-t L re- VATZ0 City✓( State ZIP Code Company NAIC Number 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 E] 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 086-033 (12/19) Replaces all previous editions. Form Page 3 of 6 Gr PXIATInAI rtFRTIFICATE 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: PU3 NrTTit_tLS 901-4LilVA01D City State ZIP Code Company NAIC Number z,�ts zap �iS'N C=L El 3LI°tS7 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 applicableitem(s) and sign below. Check the measurement used in Items GB- 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,) ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) G2 or Zone AO. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G3. 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) ❑ 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. n ra FEM' "A Form 086-0-33 (12/19) Replaces all previous editions. ""' agG "' " BUILDING PHOTOGRAPHS OMB No.1660.0008 ELEVATION CERTIFICATE See instructions far Item A6. Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. I FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 163 NETTLES BLVD, JENSEN BEACH FLORTDA S 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 width representative examples of the flood openings or vents, as indicated in Section A& If submitting more photographs than will fit on this page, use the Continuation Page. Caption FEMA Form 08"-33 (12/19) Replaces all previous editions. Form Page 5 of 6 Mt llr MIKI^ n M"c FEMA Form 086.033 (12119) Replaces all previous editions. Form Page 6 of 6 DIVISION:08 00'00-OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION: FLOOD VENTS REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 EVALUATION SUBJECT: SMART VENT° AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC ICG ICC��`,`�7 °��� ( USTED Look for the trusted marks of Conformity! 2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" A Subsidiary of ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as to any finding or other matter in this report, or as to any product covered by the report. i ♦«cex Copyright © 20161CC Evaluation Service, LLC. All rights reserved. \ )k/ \ E, {}] \f {E .)}k /0 )ZrF '0 o !!; f!} LLI )0 M E (w2 /7ff /§k/ ��� � ��EL U) Z `\Lu m > 0 C% § U) , !Lu \). /ƒƒ ƒ)f a \aE {®� ))}( j/\ //\ \0.0 )Zk �2� {2)) ( >>e \!f f$$$ LL i \ Eo - \{)r§ k\\ 0 a v a.0 0 oƒ/7;0Q« �,,U)E>�!/ k/ k > E-a §/)§/§ k))/7#|) - 0 ems,- elEm I[e\7 0%= • a 0Ba I "i ; } ®° msao „„o /,Rama;¥ / § Lu 2/j//\XXX Lu ]/ƒ\\��m- § )\\\\\\\\ ; ) LLI k� \ § , 0 I)§§� k ?t>> 0 0o §%test° 2azƒ--z% #*§a\\$(` /\z\))\)` \ { s.6s F�6 ND. 5/8" I.E. No I.D. �i Gb r N \ / LOT 1 EZ NB$+Is. • AD,lgOfN Ts u o BQ IQ E ro (P) SURVEYOR'S NOTES RFCFIVFO 1. SURVEY OF DESCRIPTION AS FURNISHED BY CLIENT, UNLESS AND EIR RIGHTS -OF -WAY OF P �QN®2. LANDS SHOWN HEREON WERE NOT ABSTRACTED �2�pO EASEMENTS, RECORD BY BUIRING SETBACKS, °St j�U90ep 3. ELEVATIONS SHOWN HEREON ARE RELATIVE TO NORTH VEY OR %C0 /7ryQbt REFERENCE BENCH MARK, AMERICAN VERTICAL UUNLESS M 13F 908THERWISESEE RNOTED. 4. THERE ARE NO ABOVE GROUND ENCROACHMENTS, UNLESS OTHERWISE NOTED. S.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. LEGEND A/C - AIR CONDITIONER FND. - FOUND, CONC. - CONCRETE COV'D - COVERED I.P. - IRON PIPE I.D. - IDENTIFICATION A C y w 00 o o \ z a W N Y C N'J qy PARIKING N N ZB' w wa I.B. - IRON BAR E.O.P. - ECGE OF PAVEMENT O.H.W. - OVERHEAD WIRE LB - LICENSED BUSINESS m o ~ 2 WJ SVA�E st m3 R/W - RIGHT-OF-WAY N. 6 W. - NAIL 6 WASHER o I a m m 1S C z o: / \ <gq�Rs ?0 N0�N0g FND. BOLT & C.M. - CONCRETE MONUMENT P.B. - PLAT BOOK PG. - PAGE WEST S - SOUTH a = rrn �N c WA -,,ER NO I.D. N - NORTH E - EAST W - 00 y L7 S.0.17' E.0.04' N.A.V.D. BB - NORTH AMERICAN VERTICAL DATUM 19BB A c a 3 0 2 m 11.0' / \ N.G.V.D. 29 - NATIONAL GEODETIC VERTICAL DATUM 1929 r` Lz �i w Q• <¢ Lll D. NAIL SET I.B. - SET 5/8' IRON BAR CAP #4459 BY FURNISHED y 2� rz NO I.D. �i� y (P) - DENOTES DISTANCE,. ANGLE OR BEARING y n x J 3.66 p a p a3J o DESCRIPTION 0 (F) - DENOTES MEASURED DISTANCE, ANGLE OR BEARING w z Y w < o `(2• (C) - DENOTES CALCULATED DISTANCE, ANGLE OR BEARING a 4 a u Z14 o LlI.B. FND. 5/8" NO I.D. Q v LEGAL DESCRIPTION Z V) m m • N LOT 163 50 'o LOT 163,. NETTLES ISLAND SECTION 2, ACCORDING TO THE Z Qom N 11.3� \ O n PLAT THEREOF, AS RECORDED IN PLAT BOOK 16, PAGE 1, IA Q �o (� 4 PROPOSED DWELLING v THROUGH 1J, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, J N N MINIMUM FINISH FLOOR ELEVATION 7.0 N.A.V.D. 1988 FLORIDA. aN Y N vn a 3 Z x LJ g Fife copy-L) O z IN 4 v _o a �F CANAL W V)ro i�. � ss 3yy. y Z o w Z •O �pJ PROPERTY LOCATED IN FLOOD ZONES 'AE' c M��Q=BASE ELEVATION, 6.0 . ( COMMUNITY PANEL NO.- 120285-0311-J FRONT DATED 02/16/2012 a LOT 164 I I SIDES _ STREETADDRESS CNR SIDES.,_ Q p VACANT JJJ 163 NETTLES BLVDPROPERTY REAR JENSEN BEACH, FL., 34957 m ZNG._ TECH.REPARED FORS LECLERC Q U) O m 3 a J C w U LLI Z A ~ BOUNDARY SURVEY V) zM SYMBOLS J C NAIL C-) No EARLE R. STARKEY — PROFESSIONAL LAND SURVEYOR > W� 00.00 X - EXISTING ELEVATION REGISTRATION NO. 4459 — STATE OF FLORIDA �i - CENTERLINE SURVEY NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL Q V)n � RAISED SEAL OF A FLORIDA LICENSED LAND SURVEYOR AND MAPPER