HomeMy WebLinkAboutFlood Elevation cert - finalU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date: November 30, 2018
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:
Rhuanito Ferrarezi and Karina Soranz
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
8501 COBBLESTONE DRIVE
City State ZIP Code
FORT PIERCE Florida 34945
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
2326-600-0088-000-9 LOT 83
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27°24'33.6" N. Long.80°24'37.0" 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 1A
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑ Yes ❑x No
A9. For a building with an attached garage:
a) Square footage of attached garage 400.00 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 n No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
82. County Name
B3. State
St. Lucie County . 120285
Saint Lucie
Florida
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flo716
Base Flood Elevation(s)
Number
Date
Effective/
Zone(s(Zone
AO, use Base Flood Depth)
Revised Date
12111C0170
J
02-16-2012
02-16-2012
AE5
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:
811. 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 El No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
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:
8501 COBBLESTONE DRIVE
City Slate ZIP Code
Company NAIC Number
FORT PIERCE Florida 34945
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, 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: AF6653 Vertical Datum: NAVD 88
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) 17.35 ❑x 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) 16.69 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 17.07 ❑x feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 16.53 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 16.93 ❑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.
I 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? ❑x Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
Thomas P. Kiernan 6199
Title
Professional Surveyor
Company Name
Culpepper & Terpening. Inc.
_
ea
* A
Address
2980 South 25th Street
r
. .
City State ZIP Code
Fort Pierce Florida 34981
Signature Date Telephone
04-19-2018 206 206
(772)464-3537
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)
C2. e) AC Pad is Lowest equipment servicing building
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE
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:
8501 COBBLESTONE DRIVE
City State ZIP Code
Company NAIC Number
FORT PIERCE Florida 34945
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 Et—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.
El. 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 (7/15) Replaces all previous editions. Form Page 3 of 6
ELEVATION CERTIFICATE
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:
8501 COBBLESTONE DRIVE
City Stale ZIP Code
Company NAIC Number
FORT PIERCE Florida 34945
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.
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)
❑ feel ❑ meters
of the building: Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feel ❑ 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 OMB No. 1660-0008
ELEVATION CERTIFICATE See Instructions for Item A6. 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:
8501 COBBLESTONE DRIVE
City State ZIP Code
Company NAIC Number
FORT PIERCE Florida 34945
If using the Elevation Certificate to obtain NFIP good 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
"Leg Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
vents, as indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page.
it
Photo One
Photo One Caption Front 11/08/2017 Clear Photo One
.tom.
■
Photo Two
Photo Two Caption Back 11/08/2017 Clear Photo Two
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB 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:
8501 COBBLESTONE DRIVE
City State ZIP Code
Company NAIC Number
FORT PIERCE Florida 34945
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.
Photo Three
Photo Three Caption Right Side 11/0812017 Clear Photo Three
77
}'
Photo Four
Photo Four Caption Left Side 11/08/2017 Clear Photo Four
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6
¢I 5
SET 5/8" IR/C LB
5.
0
n
LOT 82 j
CREEKSIDE PLAT N0.1 i _W
P.B. 55 PG. 12 1
VACANT N
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FLOOD I
ZONE "X" I
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-FLOOD ZONE -
WATER SERVICE I
SET 5/8" IR/C Lli 4286'
WATER SERVICE
18
YELLOIAIS70NE CgRCL,E :j r, rC
W.M.T.-2
GRAPHIC SCALE
za 0 10 za
\ ( IN FEET )
R=ZZO.00' LEGAL DESCRIPTION 1 Inch - za fL
A=15'28'47 y9` \\ BEING ALL OF LOT 83, ACCORDING TO CREEKSIDE PLAT NO. 1,
L=59.44' SET 5/8" IR/C LB 4286 AS RECORDED IN PLAT BOOK 55, PAGE 12 PUBLIC RECORDS
OF ST. LUCIE COUNTY, FLORIDA.
CONTAINS 0.230 ACRE, MORE OR LESS.
\. PROPERTY ADDRESS
8501 COBBLESTONE DRIVE, FORT PIERCE
LEGEND & ABBE RVIATIONS
m 1^
A'A N
BM DENOTES BENCHMARK
BB DENOTES BEARING BASE O.R. DENOTES OFFICIAL RECORDS BOOK
\ C.M. DENOTES CONCRETE MONUMENT P.B. DENOTES PUT BOOK
- CONC DENOTES CONCRETE PG. DENOTES PAGE
C.B. DENOTES CATCH BASIN P.U.E. DENOTES PRIVATE UTILITY EASEMENT
110.00,
m
CBS DENOTES CONCRETE BLOCK STRUCTURE P.D.E. DENOTES PRIVATE DRAINAGE EASEMENT
P.S.M. DENOTES PROFESSIONAL SURVEYOR & MAPPER
m
CD DENOTES CHORD DISTANCE
\ CB DENOTES CHORD BEARING P.LS. DENOTES PROFESSIONAL LAND SURVEYOR
112.33-15.97-
C/0 DENOTES CLEAN OUTS P.C.C. DENOTES POINT OF COMPOUND CURVATURE
o O
' CE DENOTES CENTER LINE P.D. DENOTES POINT OF CURVATURE
P.E. DENOTES POINT OF TANGENCY
0 0
'� D.E. DENOTES DRAINAGE EASEMENT (P) DENOTES PLAT DATA
OTES FINISH FLOOR ELEVATION
00
`�
FND DENOTES FOUND P.C.P. DENOTES PERMANENT CONTROL POINT
39 37'
O AREA SUMMARY IN SQUARE FEET
I.Q. DENOTES IRRIGATION QUALITY WATER R DENOTES RIGHTS
R/W DENOTES RIGHT OF WAY
O SOD:7089 t
IR/C DENOTES IRON ROD AND CAP SAN. DENOTES SANITARY
PROPOSED
p DRIVEWAY/WALKWAY:608 f
L.B. DENOTES LICENSED BUSINESS
L DENOTES ARC LENGTH U.E. DENOTES UTILITY EASEMENT
COVERED
LM.E DENOTES LAKE MANAGEMENT EASEMENT W.M.T. DENOTES WATER MANAGEMENT TRACT
LANAI
LOT 84
MAG/D DENOTES SET MAG NAIL AND DISK
(M) DENOTES MEASURED DATA WMME DENOTES WATER MAINTENANCE MANAGEMENT EASEMENT
M.H. DENOTES MANHOLE
LOT 83
A DENOTES INCLUDED ANGLE
N/D DENOTES NAIL AND DISK
PROPOSED MODEL 4EBB / C
�1$
s CREEKSIDE PLAT N0.1
(NR) DENOTES NON RADIAL LINE - V", DENOTES DRAINAGE FLOW
O.S.T. DENOTES OPEN SPACE TRACT
F.F.E.=18.75 (N.G.V.D.)
w P.B. 55 PG. 12
N.G.V.D. DENOTES NATIONAL GEODETIC VERTICAL DATUM 26.5 DENOTES PROPOSED ELEVATION
F.F.E.=17.28 (N.A.V.D.)
VACANT
N.A.V.D. DENOTES NORTH AMERICA VERTICAL DATUM ��
GENERAL
a
NOTES
0
1. The last date of field work was 09-26-16
LO
2. Additions or deletions to survey maps or reports by other than the signing party or
Oi
In
parties is prohibited without written consent of the signing party or parties.
N
3. Reproductions of this map are not valid without the signature and original raised seal of a
Florida Licensed Surveyor and Mapper.
PROPOSED.
COVERED
4. Lands shown hereon were not abstracted by this office for rights -of -way, easements
ENTRY
of record, ownership, abandonment's, deed restrictions, or Murphy Act Deeds. This
�4 33;^
information should be obtained through appropriate title verification.
21.33' 414.00'
24.01'
5. All above ground fixed improvements, If any, have been located and shown hereon.
-'
6. Underground foundations and improvements were not located as part of this survey.
" -
7. Flood Note: By graphic plotting only, this property is in Zone X and AE i6, accordingto
ED PROPOS
-
the Flood Insurance Rate Map, Community Panel No. 12111C0170 J, effective date February
CONCRETE
16, 2012. The exact designation can only be determined by an elevation certificate. No
DRIVEWAY u
N_
_ SANITARY SERVICE R W�
additional search of the public records has been preformed. There may be additional map
SET 5/8" IRLc 6 Amendments affecting this property.
8. The Flood Zone lines shown hereon have been established by the Published FEMA Panel
69 and the use of existing field elevation data.
R=350.00" 9. The bearings shown hereon are based on Plat information and are referenced to the
=15*28'47" R00 CONC• common line between lot 83 and 84 which bears South 46'50'28" East and all bearings
L=94.56 2 are relative thereto.
ram. I R=375.00'
v _ i A=15'28'47"
RT3i¢b0' — L=101.31'
d_1-10'60" 50' WIDTH R/1
ASPHALT PAVIP
17
THOMAS P. KID t0r,`2'I'J1\ DATE
Professional Surfgyz)r)AcI,MFlpper
- ss� TO P•C C' 10. Elevations shown hereon are based on the National Geodetic Vertical Datum (N.G.V.D.)
(n — �T5.00 1929.
30'2451 11. The building setbacks shown hereon, although based on the best available information, are
N,
1675 _ g,07' not certified to and must be verified prior to design or construction.
BENCHMARK
TOP SAN. MH 55-7 CULPEPPER & TERPENING, INC
_. _.. .c OR n_ --_ 1__-_ Cl -------- 0-*L-, ll1___ D_ nI.-1�-1AffnnnRA
Florida Certificate No. 6199 REVISED FEMA LINE & VERTICAL DATUM NO 08-25-2017