HomeMy WebLinkAboutFlood Elevation Cert - underconsturction U.S. CEPARTMENT OF HOMELAND SEC MB No. 1660-OMB �
Federal Emergency Management Agency Expiration Date: Nuvember 30;2018
Natic�ml I=lo�Insurance Program ______ _ -J
ELEVATION CERTIFICATE � 763 03
Important: Fc€law the instructions on pages 1-9.
ropy all pages of this Elevation Certificate and all attachments for (1)community official, (2)insurance agent/company, arm, (3)ItiAdijv Owner.
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number.
JUSTIN AND JANELYN PRICE
A2, Building Street Address(including Apt.,Unit, Suite,andlor Bldg_ No.)or P.O. Route and Company NAIC Number.
Box No.
3933 SHORE SIDE ORIVE
E
City State ZIP Code
FT. PIERCE Florida 34949
A3. Properly Description(Lot and Block Plumbers,Tax Parcel Number, Legal Description,etc.)
LOT 2,TARPON FLATS SUBDIVISION
A4. Building Use(e.g.,Residential, Pion-Residential,Addition,Accessory,etc) RESIDENTIAL(SLAB)
A5. LatitudetLongitude: Lat,27 30 2:3.61217N Long.80 18 27-05665W Horizontal Datum: ❑ NAD 1927 u MAC 1�=3 '
A6. Attacti at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number I
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of c rawispace or ericlosure(s) _ _ _ _ WA sq ft
b) Number of pe(manent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grads NWA
c) Total net area of food openings in A8.b N/A sq in
i
d) Engineered flood openings? ❑Yes Ex] No
A9.For a building with an attached garage
{
a) Square footage of attached garage 420.00 so,ft
i
b) Number of permanent flood openings in the attached ga-rawpa within t-0 foot_above adjacent grade 0
i
c) Total net area of flood openings in A9 b 0.00 sq in
d) Engineered flood openings? ❑Yes D No
SECTION S-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
BI NFIP Community Name&Community Number ,82 Coonty Name B3. State
ST,LUCIE COUNTY 120285 J ST.LUCIE Florida
B4. Map/Panel B5.Suffix 86. FIRM index 87.FIRM Pam SS_Farad 13g.Base Ftct.Et___Va60n(s;
Number Date Effective/ Zone(s) (Zone AO, use Base Flout!Depth)
Revised Date
12111C0093 J 02-16-2012 02-16-2012 X '
I
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item Bs_
Q FIS Profile Q FIRM Q Community Determined ❑Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: 7 NGVD 1929 []x NAVD 1988 ❑ Other/Source:
512. is the building located in a Coasta)Barrier Reso�urces SyMam(CBRS)a ea of OZhenvise protected.krea(GPAP Yes Hn
Designation Date: CBRS ❑ OPA _
FEMA Form 08&-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
• No. 1660-0003ELEVATION CERTIFICATE QMB
xpiration Date: November 30,2018
i€VIPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Str-t Address(including Apt.,Unit,Suite,andlor Btdg.No-)or P-O.Route and Box No. Policy Number; I
3933 SHORE SIDE DRIVE
City State ZiP Code Company NAIC Number
FT. PIERCE Florida 34949
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
G
C1. Building elevations are based on. [] Construction Draw iiufs* x Building tinder Construction* J FinishedCorssss#
*A new Elevation Certificate will be required when construction of the building is complete. I
C2. Elevations--cones Al-A30,AE,AH,A(with BFE),VE, V1--V30,V(with BFE),AR,ARIA,ARIAE,ARIAI-A30,ARIAH,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: P 633 Vertical Datum: NAVD88
indicate elevation datum used for the elevations in items a)through h)below.
NGVD 1929 C NAVD 1988 �,7 Other{Source: E
Datum used for building elevations must by the same as that used for the BFE. 4
Check the measurement used.
a) Top of hottum floor(including basement,craWspace,or enclosure flour) 6.23 E<]- feet tr`_.t meters
b) Top of the next higher floor N/A 0 feet [I meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ® feet E]meters
I
d) Attacised garage(top of slab) 5.68 ❑x feat [Q meters
e) Lowest elevation of machinery or equipment servicing the building N1A rl feet meters
(Describe type of equipment and location in Comments) �...�_-.-- ,-_-_ - - ._ L .
f) Lowest adjacent(finished)grade next to building(LAG) 5.00 feet meters
g) Highest adjacent(finished)grade next to building(HAG) 5.80 Gxl feet meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support N/A ❑ feet j] mete,-s
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CER7II=1CATfON
This certification is to be signed and sealed by a land surveyor,eng-ine e-r,or arc hi-tect a;rtharized by law to certify e€evartr-n ie�rfvr�n�rk.m
1 certify that the infvrrnalian of)this Codirtcats rolmosents my best offoits to interpret the data available.I understand that any false
statement may be punishohle by rine ear imprisruiment tinder 18 Ll.S. Code, Section 1001.
Were latitude aril longilude in Section A provided by a licensed land surveyor? Q Yes ❑No ❑Check here if aaauurcectts.
Certifiier's Name License Number � '
CHARLES H. BLANCHARD LS5755
l
Title -- ----------- )
PRESIDENT
Company Name ---.^-^-
MERIDiAN LAND SURVEYORS
Address
1717 INDiAN RIVER BLVD STE 201
City State ZIP Code !
VERO BEACH Florida 32960
Signat e Date,/ Telephone Ext.
S (772)794-1213
Capy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/comparry,and(3)building oar
Comments(including type of equippmerA and kmatitm,per C2(e),if applicable)
THE PRIMARY BENCHMARK IS NGS MONUMENT P 633 ELEVATION 1 43'NAVD88.THE SECONDARY BENCHIMARK IS FD PiK
NAIL tt DISK AT CENTERLINE POINT OF INTERSECTION AT LOT 2, ELEVATION 3.89'NAVD88. LATITUDE AND LONGITUDE
WERE DETERMINED USING A HANDHELD GPS DEVICE. NO A/C PAD TO DETERMINE C2-E.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6
No. 1660-0008ELEVATION CERTIFICATE QMB
xpiration 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-.
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIL Number
FT. PIERCE Florida 34949
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 LOW*- or LOMR-F refit,
complete Sections A, B,and C.For Items E1-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,
eater meters.
E t. Provide elevation information for the following and check the appropriate boxes to show wWher the elevation is a.,zve c..bekow
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 u below th-e-HAG. }
b) Top of bottom floor(including basemert, F
crawlspace,or enclosure)is _ ❑feet ❑meters ❑above or 0 beicaw, the LAG
E2, For Sulkhrrg Diagrams 6-9 with permanent fhoad agertings gravided in SecWn A Items 8 and/or 9(tee gages 1-2 of frrstayz6o'rs),
the next higher floor(elevation C2.b in
the diagrams)of the building is _ ❑feet ❑meters ❑above or [I below the I tAG
E3. Attached garage(top of slab)is � r]feet ❑meters ❑above or Wow MAC.
E4. Top of platform of machinery and/or equipment
servicing the building is ❑feet ❑meters EJ above or 0 below the HAG.
E5. Zone AO only: If no flood depth number is availaVe,is the top of the bottom fi r elevated in arx..r�rdasar e fbe
flooclfilain management ordinance? [J Yes No 0 Unknown. The local official must certify this information in S r-ion G,
.._ SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The prope¢ty owner or owner's auttw.zed repn~ a who cc titer Sections n, B, and F for Zone A(wWmAft a
community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of m; d�
Pralaerty C carter or Owner's Authorized R p-resenW(iiWs Nam°
Address City State ZIP Code
Signature Date Telephone
Costs .___----------_____-- _-- — --
❑Check here if attachments
FEMA Form 085-0-33(7115) Replaces all previous editions. Form Page 3 of 6
No. 168d-t3Q�8
�i~i~V TiC3t+i CERTIFICATE *MP111ration Date:November 30,2018
iMPOR O'ANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Buikd rg Street Address iincluding Apt,unit,Suite. arWar BUg- tutu)or P.Q-Route and Sox No Poacy Numtrer-
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT.MERCE Florida 34949
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local official who is authorized by taw or ordinance to administer the community's f oodplain managecnere,ordinarK---cac:complete
Sections A, €t,C(or E),and G of this Elevation Certifcate. Complete the app5rabte items)and sign befow.Check the measw--emai—el
used in Items G8-GIG. In Puerto Rica only,enter meters.
G1. ❑ The informations in Section C was taken from other documardat-=that has tear:signed wi4 seoged by a t: rzad su �nr.
engirteer,or architect who is authorized by law to certify elevation inforrrtation.(Indicate the source and date of the eieva inii
data in the Comments area Wow)
G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA.-issued or corn munijt,4ssued SFE)
or Zone AO.
G3. The following information(items G4-,GIG}is prrnrided fm community fioodpfah management ptwposes
G4. Permit Number G5. Date Permit Issued G6, Date Certificate of t
Compliance/Occupancy Issued
G7. This permit has been issued for. ❑New Construction ❑ Substarftial lmp;MeRVM
GS. Elevation of pwfiuilt lowest floor(including basement)
of the building- __ ❑feet ❑ meters Datum
G9. BFE or(in Zooe AO)depth of flooding at thta bu�ttt g site. — ❑feet ❑ meters Datur-,,
G10. Community's desigx?F;wd eke aLsnn, - [) feet ❑ meters t7at err,
Local officiaYs hlame__...__..____—______-- _ Title --------------- -------------------
Community Marne - — —- Telephone ---
Signature -------____--------------- -----..__ Date--- --
Comments(including type of equipment and location,per C2(e), if appiicable)
❑ Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6
IDA LNG PHOTOGRAPP:
� No. 1660-OOU8
E�EVATIO*N CERTIRCATE See Instructions for ltern A& Ox'pi-ration Date:November 3c?,2018
IMPORTANT:in these spaces, coWy the cwrespondirq Worn t from Section A. FOR INSURANCE COMPANY NSF
Building Street Address{inctuding Apt.,Unit,Suit,-,andfor Bldg. No.)ar P.O.€toute and Box No. Policy Nu€rbw--
3933 SHORE SIDE DRIVE
Gity - S?a?e ZIP Code Company NAiC Number �
FT, PIEROc Florida 34949
If usim, ft Etevatw Cerfificate- to cbtain NFlp flood 4156uancc* alffix a< least 2 h6lding photoapfts mow according to he
instructions€ca Item AS.Identify all photographs with elate taken.- "Front View"and"Rear View"; arid,if regtAred,"Right Side View"and
"Left Side View." When applicable, photographs must shove the foundation with representative examples of the Niod €fir-4;gs or
vents,as indicated in Section A8. If submit ag more photographs than will Fitton this page,use the Coritiquiatron Page.
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Photo Orin
Photo One CWtion FRONT VIEW - --- Clear Photo the `
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--r -r
f,
p„ o
Photo Twc,
Phcdo Tvm Cates REAR VIEW Clear¢hoft-n E!
FEMA Form f -0-33(7115) Replaces all.previous editions. Fri Page 5 of 6
WILDING PHOTOGRAPHS MB 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:
3933 SHORE SIDE DRIVE
City State ZIP Code Company NAIC Number
FT.PIERCE Florida 34949
If submitting more photographs than will fit on the preceding page, affix the addiiional photographs below. Iden ify ai phDfog ss
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 At3_
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Photo Three
Photo Three Caption RIGHT SIDE VIEW Ctew Photo Three
P oilk,
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— :re
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Photo Four
Phako Fauc LEFT Ptveto f our
FEMA Form Ct.MO 33(7115) Replaces at!previous editions. Form PaW 6 of 6