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Home My WebLink AboutElevation Certificate1-76 001-5 `IJ.S. DEPARTMENT OF HOMELAND SE' '1,ITY -- OMB No. 1660-0008 ^ Federal emergency Management Agencl%�— Expiration Date: November 30, 2018 National Flood Insurance Program 3� l 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: DAN F. & CAROLE L. DARROW A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 5348 GALLEY WAY City State ZIP Code FT. PIERCE Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PID # 1410-502-0097-000-9 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27*31'54.6" N Long. 80°18'57.8" 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. A7. Building Diagram Number 5 A8. For a building with a crawispace or enclosure(s): a) Square footage of crawispace or enclosure(s) 821 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 5 c) Total net area of flood openings in A8.b 620 sq in d) Engineered flood openings? ® Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage NA sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade na c) Total net area of flood openings in A9.b na 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 ST. LUCIE COUNTY 120285 St. Lucie Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111CO087 J. 2-16-12 2-16-1.2 X &_AE AE= 4.0 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: na B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: na B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: na ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ! I , E�LEVA'TION CERTIFICATE �tDMB 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: 5348 GALLEY WAY City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑X 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 Utilize : lzrtV o a awgation Satellites stem Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: na 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) 6.87 feet ❑ meters b) Top of the next higher floor na ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) na ❑ feet ❑ meters d) Attached garage (top of slab) na ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 6.87 feet El meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3.7 ❑X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.0 ❑X feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 3.72 feet ❑meters 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? ® Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number , Alexander J. Piazza 6330�� ! Title President 1� Company Name Alexander J. Piazza PSM, Inc. r Address 619 SW Biltmore Street City State ZIP Code` 34983 Port St. Lucie Florida Iggnatu Date Telephone Ext. 772-340-7770 Copy all p ges of this E . atio icate and all attach ents fo (1) community official, (2) insurance agent/company, and (3) building owner. Comore is (including type of equipment and location, per C2(e), if applicable) MACHINERY SERVICING THE BUILDING IS AN AIR CONDITIONING UNIT LOCATED ON THE SOUTH SIDE OF BUILDING. TOP OF STAIRS ELEVATION= 6.37 FEMA Form 086-0-33 (7/15) Replaces all previous editions. rU1111 rays � vl . 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..__—__—____ 5348 GALLEY WAY City State ZIP,Code Company NAIC 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 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. E1. 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 i ❑ 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.-- -P-olicy-�Number-:--- --- 5348 GALLEY WAY City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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 items) 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) of the building: ❑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 (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 ELEVATION CERTIFICATE ----i3UILDING PHOTOGRAPHS OMB No. 1660-0008 ,j 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,_arnd/or_Bldg. No.) or. P.O. Route and Box No_ Policy Number: 5348 GALLEY WAY City - State ZIP Code - Company NAIC Number FT. PIERCE Florida 34949 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 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. -",F; yf{ h w11w '3`GS �� Photo One Photo One Caption Front View NiEear Phdto One x a Photo Two Photo Two Cation P Back View �%Rw #Rh'% w4 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 FFFVATION CERTIFICATE ,'_`1BUILDING PHOTOGRAPHS OMB No.1660-0008 '', . / 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.—, U.nit ,Suite-and/or-Bldg.-No:)-or-P:O: Route -and Box -No.— -Policy-.Number: 5348 GALLEY WAY City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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." 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