HomeMy WebLinkAboutFlood Elevation Cert�L1' ANNING
DEVELOPME�
BUILDING
DIVISION
2300 VIRGRZA AVENUE I FORT PIERCE, FL 34982 1 (772) 462-1960 1 TDD (T72) 462-1428 1 WWW.SMUCIECO.GOV
Memo of EC Review for Correctness and Completion
The attached FEMA Elevation Certificate for the following address has been reviewed by this office.
4155NUSHWY1 LOT78
(1504-02281
The items noted below are not correct on the attached form and should read as entered on this page.
SECTION A - PROPERTY INFORMATION For Insurance Company Use
Al. Building Owners Name Policy Number
A2. Building Street Address (including Apt., Unit, Sufte, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
4026 N US Hwy 1 Lot 78??
State ZIP Code
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A4.
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
A5.
LatiludelLongitude: Lat. Long.-80*21'11.42" Horizontal Datum:
NAD 1927
NAD 1983
A6.
Attach at least 2 photographs of the building d the Certificate is being used to obtain flood insurance.
A7.
A8.
Building Diagram Number:
For a building with a crawlspace or enclosure(s):
A9.
For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) sq fl
a)
Square footage of attached garage sq It
b) No. of permanent flood openings in the crawlspace or
b)
No. of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade
within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b sq in
c)
Total net area of flood openings in A9.b sq in
d) En ineered flood openings? Yes No
d)
Engineered flood openings? Yes No
9
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
64. MaplPanel Number
B5. Suffo(
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
Date
EffectivelRevised Date
Zone(s)
B10. Indicate the source of the Base Flood Elevation (tsrt) aata or Dase mDDD DepDr
FIS FIRM Community Determined Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: NGVD 1929 NAVD 1988 Other (Describe)
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes No
Designation Date CBRS OPA
Local Official's Name: Leslie Olson, AICP Title: Director, Planning and Development Services
Community Name: St. Lucie County (Unincorporated Areas) Telephone: 772-462-1960
Signature
Comments:
Date: 1=11WIJly
SURVEY DATA NEEDED: E1.b req
CMS 310 FEMA EC CORAECRON MEMO STe Lo U C' E
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB NO. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Country Cove MHP LLC I Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number:
4155 N US Highway One
City Ft. Pierce State FL ZIP Code 34946
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 4155, located in Country Cove Mobile Home Park Parcel ID 1420-141-0009-000-0
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27°30'26.46" Long. 80'21'11.42" Horizontal Datum: ❑ NAD 1927 E NAD 1983
AS. Attach at least 2 photographs of the building tithe Certificate is being used to obtain flood insurance.
AT Building Diagram Number 5
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) We sq ft a) Square footage of attached garage n/a sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade nia within 1.0 foot above adjacent grade n/a
c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n/a sq in
d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes E No
SECTION B — FLOOD INSURANCE RATE MAP IFIRMI INFORMATION
Bl. NFIP Community Name & Community Number 82. County Name B3. State
St. Lucie County 120285 St. Lucie FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
12111 C0088
J
2/16/12
Effective/Revised Date
Zone(s)
AO, use base Flood depth)
2/16/12
A
undetermined
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 E 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
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. 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 At—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, ARIA, AR/AE, AR/A1—A30, AR/AH, AR/AD. Complete Items C2.a—h
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: CUP Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
Check the measurement used
21.30
E feet
❑ meters
N/A.
E feet
❑ meters
N/A._
® feet
❑ meters
N/A._
® feet
❑ meters
20.80
E feet
❑ meters
16.00 E feet ❑ meters
17.00 E feet ❑ meters
16.55 E feet ❑ meters
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.E
❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? E Yes [I No I_ �F
Certifiers Name Michael T. Owen License Number LS5556 W
Title Vice President Company Name Engineering Design & Construction
Address 1934 Tu�r C u City Ft. Pierce State FL ZIP Code 34950
Signature Telephone 772-419-8383
FEMA Form 086-0-33 (7/12) S,4e reverse -side for continuation. Replaces all previous editions.
tr.tvn I rvry Ltni iri sir
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.
4155 N US Highway One, Ft. Pierce, FL
City Ft. Pierce State FL ZIP Code 34946 Company NAIC Number:
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments AC is attachad to rear of mobil ome. r
✓_
Signature Date
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.
Et. 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 4.3 ® feet ❑ meters ® above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is 5.3 ® 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 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is n/a. ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is Na. ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 3.8 ® 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's or Owner's Authorized Representative's Name Michael T. Owen
Address 1934 Tucker urt iq City Ft. Pierce State FL ZIP Code 34950
Signatur� _ . J Date j /C- Telephone 772-419-8383
Comments n/a
❑ Check here if attachments.
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
n/a n/a n/a
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: n/a. ❑ feet ❑ meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building she: n/a._ ❑ feet ❑ meters Datum
G10. Community's design flood elevation: n/a. ❑ feet ❑ meters Datum
Local Official's Name n/a Title n/a
Community Name n/a Telephone n/a
Signature n/a Date n/a
Comments n/a
❑ Check here ff attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page Building Photographs
See Instructions for Item A6.
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:
4155 N US Highway One, Ft. Pierce, FL
City Ft. Pierce State FL ZIP Code 34946 Company NAIC Number:
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 showthe foundation with representative examples of the flood openings orvents, as indicated
in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
Front and left view — taken 6.25.15
Rear view — taken 6.25.15
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
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