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HomeMy WebLinkAboutElevation CertificateU.S. DEPARTMENT OF HOMELAND 1,e!IRITY OMB No. 1660-0008- Federal Emergency Management AgencyExpiration 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 A1. Building Owner's Name Policy Number: Lester and Brenda Holland A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 1836 Wildcat Cove Drive City State "ZIP Code Ft. Pierce Florida. 32949 A3. Property Description (Lot andBlockNumbers, Tax Parcel Number, Legal Description, etc.) - Lot 46 Riverpointe at the Sands -Phase II A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5.. Latitude/Longitude: Lat. 27°2931.9" Long.080°18'23.1" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is.being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosures) 0.00 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 A8ib 0.00 sq in d) Engineered flood openings? ❑ Yes ® No A9• For a building with an attached garage: a) Square footage of attached garage 518.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9!b . 0.00 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 (Unincorporated Areas) 120285 St. Lucie Florida B4. Map/Panel 05. Suffix B6. FIRM I dex B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number. Date Effective/ Zone(s) (Zone. AO, use Base Flood Depth) Revised Date 12111CO181 J 02-16-2012 02-16-2012 AE 5.0 B,10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile FXJ 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 ❑X No Designation Date: ❑ CBRS' ❑ OPA FEMA Form 0.86-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 s 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. 1836 Wildcat Cove Drive City State ZIP Code Company NAIC Number Ft Pierce Florida 32949 SECTION C — BUILDING ELEVATION INFORMATION'(SURVEY REQUIRED) C1. Building elevations are based on: ❑•Construction Drawings* - ❑ Building Under Construction* © Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations —Zones Al—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, 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: DNR Monument 941177 A 29 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 Q NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.5 ® feet ❑ meters b) Top of the next higher floor N/A. ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 6.0 © feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building )C feet meters (Describe type of equipment and location 5.9 in Comments) ❑ ❑ f) Lowest adjacent (finished) grade'next to building (LAG) " 5.7 © feet ❑ meters g). Highest adjacent (finished) grade next to building (HAG) 5.8 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including meters feet . structural support N/A ❑ ❑ 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? 9 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number William J. Suiter PLS 4210 Title President Company Name William J. Suiter Land Surveying, Inc. , Address 1849 Canova Street SE City State . ZIP Code Palm Bay. Florida. 32909 i Signature Date Telephone 05-29-2020 (321r728-0553 a f 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) A5. Determined using Google Earth. C2.e) A•IC Pad 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. 2622 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: 1836 Wildcat Cove Drive City State ZIP Code Company NAIC Number Ft. Pierce Florida 32949 . 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, Band 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 E] 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 E] above or El below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters El 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 i� ELEVATION CERTIFICATE —`t 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: 1836 Wildcat Cove Drive City State ZIP Code Company NAIC Number Ft Pierce Florida 32949 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 G8-1310. 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. i G4. Permit Number G5. Date Permit Issued -136. 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 of the building: ❑ ❑ 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 (12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No.1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. 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. 1836 Wildcat Cove Drive City State ZIP Code Company NAIC Number Ft. Pierce Florida 32949 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. s �.4 4 ^"` v ' { Photo One t Photo One Caption 05/29/2020 South and East View ClearPhoto`One": OR AM -r a Photo Two Photo Two Caption 05/29/2020 North and West View Clear 04*Jwo.,., FEMA Form 086-0-33 (12/19) Replaces all previous editions. Form Page 5 of 6