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U.S. DEPARTMENT OF HOMELAND SECURITY P EVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program Important: Read the instructions on pages 1-u. OMB No. 1660-0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION I FOR INSURANCE COMPANY USE ' Al. Building Owner's Name WATERSONG PROPERTY OWNERS ASSOCIATION, INC. Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 4890 WATERSONG WAY City FORT PIERCE State FL ZIP Code 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID: 2532-500-0007-000-4 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) NON-RESIDETNTIAL A5. Latitude/Longitude: Lat. 27°23'23.5" Long, 80°15'36.5" Horizontal Datum: ❑ NAD 1927 N NAD 1983 AS. 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): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A 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 N/A 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 A9.1b N/A sq in d) Engineered flood openings? ❑ Yes N No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. 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 12111CO194J J 2/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) 02/1612012 AE 6.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: Ell. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? N Yes ❑ No Designation Date: 10/24/1990 N 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 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: TBM#1 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 7.0 ® feet ❑ meters N.A ® feet ❑ meters N.A N feet ❑ meters N.A N feet ❑ meters 6.6 N feet ❑ meters 6.3 N feet ❑ meters 5.4 N feet ❑ meters N.A N 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. N 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? ❑ Yes N No Certifiers Name ROBERT N JOHNSON License Number PSM 6540 Title PROJECT SURVEYOR Company Name CIVILSURV DESIGN GROUP, INC. Address 2400 RHODE IS�ND AVENUE City FORT PIERCE State FL ZIP Code 34950 Signature It a, I , I Date 7/26/2013 Telephone 772-323-2244 PLACE SEP.L. HERE FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the cor, _. ponding 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: 4890 WATERSONG WAY City FORT PIERCE State FL ZIP Code 34954 1 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 LOWEST ELEVATION OF MACHINERY IS Signature EQUIPMENT ON NORTH SIDE OF BUILDING. Date 7/26/2013 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 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 8-9 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's or Owners Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the communitys 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 I G5. Date Permit Issued I 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) of the building: El feet ❑meters 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 Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 30ding 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: 4890 WATERSONG WAY City FORT PIERCE State FL ZIP Code 34954 1 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 Vievv" 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. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT VIEW SHOWING WEST SIDE FEMA Form 086-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3uilding Photographs Continuation Page 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: 4890 WATERSONG WAY City FORT PIERCE State FL ZIP Code 34954 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front Vier" 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. VIEW FEMA Form 086-0-33 (7/12) Replaces all previous editions. FORj P�ERO� AS��j�C GGEAN g� P ITE 9 VICINITY MAP r (NOT TO SCALE) LEGAL DESCRIPTION 4890 WATERSONG WAY OST-2, WATERSONG P.U.D. PLAT NO. ONE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 42, PAGE(s) 34, OF THE PUBLIC RECORDS OF SAINT LUCIE COUNTY, FLORIDA. SAID LANDS CONTAINING 13,320 SQUARE FEET, OR 0.30 ACRES, MORE OR LESS. GENERAL NOTES 1) REPRODUCTIONS OF THIS MAP ARE NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 2) ABOVE GROUND FIXED IMPROVEMENTS, IF ANY, HAVE BEEN LOCATED AND SHOWN HEREON. 3) UNDERGROUND FOUNDATIONS AND IMPROVEMENTS WERE NOT LOCATED AS PART OF THIS SURVEY. 4) THE LAST DATE OF FIELD WORK WAS MAY 2, 2013. 5) THE BEARINGS SHOWN HEREON ARE REFERENCED TO THE CENTERUNE OF WATERSONG WAY, AS SHOWN ON WATERSONG P.U.D. PLAT NO. ONE, AS RECORDED IN PLAT BOOK 42, PAGE(s) 34, OF THE PUBLIC RECORDS OF SAINT LUCIE COUNTY. 6) ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORT IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. 8) FEATURES REPRESENTED BY SYMBOL(S) ARE LOCATED AT THE CENTER OF SYMBOL AND ARE NOT TO SCALE, UNLESS OTHERWISE NOTED. 9) THIS SURVEY DOES NOT IDENTIFY. THE LIMITS OR EXTENT OF POTENTIAL JURISDICTIONAL BOUNDARIES. 10) LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS —OF —WAY, EASEMENTS, OWNERSHIP, OR OTHER INSTRUMENTS OF RECORD. 11) ELEVATIONS SHOWN HEREON ARE BASED ON BENCHMARK INFORMATION PROVIDED BY THE CLIENT AND IS BASED ON A SURVEY BY INDIAN RIVER SURVEY, INC, JOB #12-117, DATED 3/1/2 UTILIZING BENCHMARK#1, HAVING AN ELEVATION OF 7.00' AND SITE BENCHMARK, HAVING AN ELEVATION OF 4.45', N.A.V.D. 88 DATUM. LEGEND & ABBREVIATIONS \ GRANDE CONSTRUCTION C. FLORIDA, INC. \ OST-2 \ PLAT OF WATERSONG P.U.D. PLAT NO. ONE / \ PLAT BLOCK 42, PAGE 34 � 518GPp� / � LOT 52 N�l0 PaA VACANT E o MOG 1 0 9 EL�J VNO �p8'GPp �j6 � Q FOV (i0 p 20.4' \RONp286 \g. \ x5.4 �8 \ I \ \ 15.3' FOUND P.K. NAIL \ \ o. \ 15.3' & DISC TBM '1,4.3 \ G \ ELEV. 4.45' \�41s \ (C) CALCULATED FROM FIELD MEASUREMENTS I.R.(&C) IRON ROD (& CAP) PUD PLANNED UNIT DEVELOPMENT q CENTER LINE L.B. LICENSED BUSINESS SLCR SAINT LUCIE COUNTY RECORDS BSL BUILDING SETBACK LINE (M) MEASURED DATA NAVD '88 NORTH AMERICAN VERTICAL DATUM OF 1988 CONC. CONCRETE WM WATER METER O.R.(B) OFFICIAL RECORDS (BOOK) (D) DEED/RECORD DATA CMP CORRUGATED METAL PIPE P.B. PLAT BOOK FND. FOUND PK PARKER KALON (P) PLAT DATA ID IDENTIFICATION OST OPEN SPACE TRACT PG. PAGE I.P. IRON PIPE CONC. CONCRETE P.L.S. PROFESSIONAL LAND SURVEYOR AC AIR CONDITIONER ON CONCRETE PAD TBM TEMPORARY BENCHMARK BENCH MARK (AS NOTED) CERTIFICATE x20.1 SPOT ELEVATION FND IRON ROD P.C. POINT OF CURVATURE I HEREBY CERTIFY THAT THE ATTACHED SPECIFIC PURPOSE SURVEY OF THE HEREON DESCRIBED PROPERTY IS DEPICTED TO THE BEST OF MY KNOWLEDGE, BELIEF, AND INFORMATION AS SURVEYED UNDER MY DIRECTION ON MAY 2, 2013. 1 FURTHER CERTIFY THAT THIS SPECIFIC PURPOSE SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE, PURSUANT TO SECTION 472.027, FLORIDA STATUES, SUBJECT TO THE QUALIFICATIONS NOTED HEREON. CIVILSURV DESIGN CROUP, INC. BY: ROBERT N. JOHNSON DATE OF PROFESSIONAL SURVEYOR & MAPPER FLORIDA REGISTRATION NO. 6540 (FOR THE FIRM) FOUND 5 IRON R01 LB 4286 x5,5 47.7' MOUND 5/8" IRON ROD&CAP LB 4286 GRAPHIC SCALE 30 0 30 ( IN FEET ) I inch = 30' ft. ,f 8e0N`�9� 10 fOPM > l ZOP qgA x5.5 N0 111 x5.5 \� \ OST-2 \�s PLAT OF WATERSONG P.U.D. PLAT NO. ONE \ PLAT BLOCK 42, PAGE 34 4P�\ \ OFOUND \PC.-- P.K. NAIL& DISC � 3/3/2013 FORM BOARD SURVEY SCRNENERS ERROR 'Sla Pp .OV\4p�y00W'G LOT 53 VACANT TRACT "A" FOUND 5/8" IRON ROD&CA LB 4286 w Ute i1�s."iP {� COPY RIGHT © 2013 ALL RIGHTS RESERVED CMLSURV DESIGN GROUP, INC. CELL PHONE (954) 649-9328 File & Drawing No. 4890 WATERSONG WAY FORMBOARD.dwg CIVILSUk Scale: Date:. 1' = 30' ,5/3/13 A TradlUon of Innovative Engineering Drawn By: Sheet VENE 1 FORT PIERCE, ISLAFloridaNDA349500 L.B. No.7805 RNJ �of1 SPECIFIC PURPOSE SURVEY for: 4890 WATERSONG WAY FORT PIERCE, FLORIDA