HomeMy WebLinkAboutEvaluation Report U.S. DEPARTMENT OF HOMELAND S N OMB No.1660-0008
Federat-'Em _ergency Management Agen f Expiration Date: November 30,2018
NationarFlood 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.
MR. &MRS. REGAN
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number.
Box No.
387 NETTLES BLVD.
City State ZIP Code
JENSEN BEACH FLORIDA 34957
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 387, NETTLES ISLAND PROJECT SECTION 2
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat 27°17'18.6" Long. 80*13'18.6" 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 8
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 776 sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 4
c) Total net area of flood openings in A8.b 800 sq in
d) Engineered flood openings? ®Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 137 sq tt
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 1
c) Total net area of flood openings in A9.b 200 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
UNINCORP 120285 ST. LUCIE FLORIDA
B4.Map/Panel B5.Suffix B6. FIRM Index B7.FIRM Panel 88. Flood 89.Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
ZI \G J Revised Date, p _
O Z 11 to I i Z— c-.) Z � I lo' ►Z /^�\_— � O
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ® FIRM ❑Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ® No
Designation Date: N/A ❑ CBRS ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-00P8
ELEVATION CERTIFICATE . 1;. Expiration Date: November 30,2018
IMPORTANT:In these spaces,copy _.; responding information from Section`j-_ FOR INSURANCE COMPANY USE
Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
387 NETTLES BLVD.
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* ® 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 A7. 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 ® NAVD 1988 ❑Other/Source:
Datum used for budding elevations must be the same as that used for the BFF_.
Check the measurement used.
a) Top of bottom floor(including basement, crawlspace,or enclosure floor) 4.33 ® feet ❑ meters
b) Top of the next higher floor 7.14 ® feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only). N/A ❑ feet ❑meters
d) Attached garage(top of slab) 4.2 ® feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location i.n 7,5 feet Comments) 3. ® ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) ® feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 4.1 ® feet ❑ meters
h) LLoouweessadjacent grade at lowest elevation of deck or stairs, including 3.7 ® feet ❑ meters
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 orimprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ®Yes ❑No ®Check here if attachments.
Certifier's Name License Number 2104-01-01
EARLE R. STARKEY 004459
Title
PROFESSIONAL LAND SURVEYOR
Company Name
ACCURIGHT LAND SURVEYING INC.
Address
1501 DECKER AVENUE#419 -
City State ZIP Code
02/23/2018
FLORIDA 34994 PLS#4459
i natu Date Telephone. Ext
02/23/2018 772-286-7694
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)
A8-C&A9C SMART VENT MODEL#1540-520
C2-E BOTTOM OF ELECTRICAL PANEL
FEMA Form 086-0-03(7/15) Replaces all previous editions. Form Page 2 of 6
- W
Building Photographs
See Instructions for Item A6.
For Ms; wce Carnpany use;
[-,ding—Address(mk do Apt,,UrK Suite,and/or B14 No.)or P.O.Route and Box No. Poky umber
387 NET BLVD.
City . State Z1P Code Ca qwW NW N
JENSEN BEACH FLORIDA 34957
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identity all photographs with: date taken; "Front View°and Rear Yevl;and, if required, "Right
Side View" and "Left Side View.' If submit#ing more photographs than will fit an this page, use the Continuation Page,
following. FRONT 02/23/2018 REAR 02/23/2018
+aid
a y7. s
-
fc5
4lFr
71
1 1
1t ✓u,�����:n rn a yY firra
rT a •, i wit 2 y .4
7 gr
r(a� Y74
iW 1'
„�
�.w�i s,�1� ^'��t��•�'�r� '' {{ `tip�f 7y/t4�"� r���{ � ,�� g�
MI
`L:• s"�y'` t>✓� - y�H�'F r,�,,7y+,�'" Sr�3�c� t - ,1, r,
•'�d 1 aFy``4 �p 7s` � f
- )t • ` i{ i €fib SY Y
IX
�I d aymr °t lYt
lylia 3) .. f�•� 5,'QjR rxl �'+� FY,[3 c y
q 1 3 •j jsTr.M -> � :4i4
.r - a r t u v t>.: •..,�- ; cam��., � � �y
3� r is31
. r
f6 d
SIDE 02/23/2018
TABLE 1--MODEL SIZES u
MODEL NAME MODEL NUMBER MODEL SIZE (in.) COVERAGE (sq. ft.)
FloodVEN 1640-520 1531�4 X 73/4" 200
SmartVENT® 1540-510 10,e X 73/41' �00.
F1oodVENT®Overhead Door 1540-524 15,3J4'X 73/4" 200
SmartVENT(''Overhead Door 1540-514 153J4"X 73/e 400
Wood Wall FloodVENT° 1540-570 14" X 83/4' 00
Wood Wall FloodVEN f D Overhead Door 1540-674 14" X 83/4' 00
imartVENT ) Stacker 1540-511 16" X 16," ` 00
�IoodVent Stacker 1540-521 16" X 16" AN
For SI: 1 inch =25.4 mm; 1 square foot= m2
a