HomeMy WebLinkAboutElevation CertificateU.S. DEPARTMENT OF HOMELAND <;� 1RITY
660
Federal Emergency Management A enL- 008
OMB No. Date: Nov
9 Y 9 9_ Expiration Date: November 30, 2018
National Flood Insurance Program l
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:
SUNSET DREAM HOMES, LLC
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
1068 NETTLES BOULEVARD
City ! State ZIP Code
JENSEN BEACH Florida 34957
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 168, NETTLES ISLAND SECTION 2
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.27°17'03.37" N Long. 80°1T36.24" W Horizontal Datum: ❑ NAD 1927 0 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 1B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 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 A8.b 0.00 sq in
d) Engineered flood openings? ❑ Yes 0 No
A9. For a building with an attached garage: i
a) Square footage of attached garage 184:00 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 400.00 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
UNINCORP / 120285 ,
ST. LUCIE
Florida
B4. Map/Panel
B5. Suffix
B6. FIRM Index
BY. 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
7.0
1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile 0 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)? ❑ Yes 0 No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATL-
OMB No. 1660-0008
Expiration Date: November 30, 20' 8
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:
1068 NETTLES BOULEVARD
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: 94 77 A04 FDOT 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) 4.4 0 feet ❑ meters
b) Top of the next higher floor 7.0 ❑x feet ❑ meters.
c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters
d) Attached .garage (top of slab) N/A ❑ feet ❑- meters
e) Lowest elevation of machinery or equipment servicing the building 7,0 0 feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 4.1 0 feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 4A ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet ❑ 4.2 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.
/ 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
EARLE R. STARKEY 004459
Tifle
PROFESSIONAL LAND SURVEYOR
Company Name
ACCURIGHT LAND SURVEYING, INC.
Address
1501 DECKER AVENUE, UNIT 419
City State ZIP Code
T Florida 34994
Signature ate Telephone Ext.
11-25-2019 (772) 286-7694 N/A
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)
A9(a) IS A 3 SIDED.CARPORT
A9(b) THERE ARE 2 FLOOD VENTS MODEL NUMBER 1540-520
C2(a) IS A 28 SQUARE FEET A/C'D FOYER & A 70 SQUARE FEET STORAGE ROOM ELEVATION 4.4
C2(b). MAIN LIVING AREA ABOVE, ELEVATION 7.0
C2(e) A/C PEDESTAL
FEMA Form 086-0-33 (7/15)
Replaces all previous editions.
Form Page 2 of 6
ELEVATION CERTIFICATE �r OMB No. 1 ate: Nos
. -" 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 i Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number.
1068 NETTLES BOULEVARD
City State ZIP Code
Company NAIC Number
JENSEN BEACH Florida 3.4957
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 I❑ 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
i
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
ELEVATION CERTIFICATL'
OMB No. 1660-0008 _
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:
1066 NETTLES BOULEVARD
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.
04. 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
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 (7/15) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS
1660.8"
ELEVATION CERTIFICATE j See h�shucswra'fi rltMAd;
011�:No.!)ate NoveOOQmber30, 2016
IARPCRTAIYT: In iateaeapacesy ccpy #te�conssMman-9,3nF tiaa tM gecyo x .FOR'INSURANCE COMPANY USE
Btt+MV Street Address (including Apt, Unit, Sidle, andforl3W No.) or P O. Route and Box No. po t,Number:
1068 NETTLES BLVD.
JENSEN BEACH FLORIDA'P 4957 CotnpanyNAlcNumber
If using fhe Elevation Certifteft to obtain NFIP~Iioad inst;1;1111im affix at least,2 bvAd�tg photographs below according to ttte
instluctions for Item A6. Iden67y afi'pftotographs wlth date talrsr °Front, View . and °Rear V ; and; if towiNd. "Right Side:~ and
"heft .Side Vow" WFi'eri applicable, photoprapfis must show the fcxmdatfon wihh mPmwnWm examples of the flood openings or
es vents..indicated in Se;UmA&. Ifatnttong'more.phowgraphs-than_wAl fit 0htt s.page; use the Continuation Page.
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FEMA Farm 08640-33 q/15) Replaces aA preWous.editrans_ Form Page 5 of 6
BUILDING PHOTOGRAPHS �s � ��,��
ELEVATION CERTIFICATE Co mmation Page. �spiraflori Data: November 30, 2018
IMPt)iiTANT lit these apaoes c"y fhe corresponding iMornudton'from Section A.
FOR. INSURANCE COMPANY USE
Buitc" Sin et Addn3ss_ (ind�r ng Apt ; Unit,'Suite, andlor�dg. W.) .or P.O. Route anti Box No
Pam!' Number.
0068 NETTLES " BLVD.
ztP Code
corr�anyNAtcNumber
JENSEN BEACH. FLORIDA 4957City
If submitting more photographs than will .fk on the preceding page, affix the add'iGonal photographs below. Identify all photographs
with: date taken; "front VfeW and -Real~ Vw—, .and; if regi ed.. 'Right Side WW and "IAA Side blew:" When applicable,
phMographs must show ttte f undallon .with representative examples of the flood ope* gs orverm, as inclicated in Section AS.
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1-tW POrM 085-0-33 (7/75)
Replaces all pmWous editions.
Form Page 6 of 6