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Home My WebLink AboutEvaluation Report I DEPARTMENT OF HOMELAND SECURITY Federal Emerqencv Manaqement Aqencv ELEVATION CERTIFICATE IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number:1 008 Expiration:11/3/30/2/2018 opy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agenticomparry,and(3)building owner. SECTION A-PROPERTY INFORMATION FORM INSURANCE COMPANY USE Al. Building Owner's Name BRnT D.REYNOLDS Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC 278 BERMUDA BEACH DRIVE Number: City FORT PIERCE State FL Zip Code 34949 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 25,BLACK 4,CORAL COVE BEACH,SECTION ONE,,PLAT BOOK 11,PAGE 30,ST.WCIE COUNTY A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.27°29'14.28"N tong.80°18'22.46"N 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 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) sq ft a)Square footage of attached garage 578 sq ft b)Number of permanent flood openings in the b)Number of permanent flood openings crawlspace or enclosure(s)within 1.0 foot in the attached garage within 1.0 foot above adjacent grade 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) Engineered flood openings? ('Yes ( No 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 FL B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9.Base Flood Elevation(s) 1211 IC0181 J Revised Date AE (Zone AO,use base flood FEBRUARY 16,2012 FEBRUARY 16,2012 depth 6.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Hem B9: (-FIS Profile (i FIRM (^Community Determined ( Other/Source: B11.indicate elevation datum used for BFE in Item B9: ( NGVD 1929 G 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: (-CBRS (-OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl.Building elevations are based on: (-Construction Drawings' ('Building Under Construction* (i Finished Construction C2.Elevations -Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specked in Item AT In Puerto Rico only,enter meters. A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized:NGS BM"P 633"(1313915) Vertical Datum:NAVD 88 Indicate elevation datum used for the elevations in items a)through h)below. (1 NGVD 1929 t: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) 7 - 27 Co feet C meters b) Top of the next higher floor (4 feet C meters c) Bottom of the lowest horizontal structural member(V Zones only) (�feet ( meters d) Attached garage(top of slab) 7 01 ( feet ( meters e) Lowest elevation of machinery or equipment servicing the building 6 - 99 (i feet C meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6 - 57 (4 feet C meters g) Highest adjacent(finished)grade next to building(HAG) 7 - 00 (i feet C meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support ( feet ( meters FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 3 of 15 1 ELEVATION CERTIFICATE OMB Control Number:1660-0008 Expiration:11/30/2018 278 BERMUDA BEACH DRIVE FORT PIERCE FL 34949 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 ❑Check here if attachments. provided by a licensed land surveyor? G Yes ( No rW H H Certifier's Name license Number BELL HYATT IS 4636 Title Company Name CEO KNOW IT NOW,INC. .�•10pgf •. �� '•..,,ram�` Address City State I Zip Code �!RVE-40 3306 AVIATION BOULEVARD VF.RO BEACH FL 32960 14 Signature � Date Telephone Aug 31,2016 +1(772)925-2250 Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable)" THE MACHINERY REFERED TO IN C2F.IS THE TOP OF A CONCRETE A/C PAD. 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 LAMA or LOMR-F request,complete Sections A,B,and C.For items E1 44,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, (-feet (-meters ❑above or ❑below the HAG. or enclosure)is b)Top of bottom floor(including basement,crawlspace, - (-feet r meters ❑above or ❑below the LAG. or enclosure)is 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 - C'feet (-meters ❑above or ❑below the HAG. E3.Attached garage(top of slab)is (-feet (-meters E]above or E]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:It 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 ZP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 4 of 15 S OMB Control Number.1660-0008 Expiration:11/30/2018 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. 4 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 FEMA4ssued or community-issued BFE)or Zone AO. G3. 4 The following information(gems 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: F New Construction C_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 feet ( meters Datum site: G10.Community's design flood elevation: C feet F meters Datum Ivcal Official's Name 11tie Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 5 of 15 3 BUILDING PHOTOGRAPHS See instructions for item A6 OMB Control Number:1660.0008 Expiration:11/30/2018 IMPORTANT: In tf3ese 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. 278 BERMUDA BEACH DRIVE Policy Number: City FORT PIERCE State FL Zip Code Company NAIC 34949 Number: If using the Elevation Certificate to obtain NFP flood insurance,affix at least 2 building photographs below according to the instructions for lem 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. It submitting more photographs than will fit on this page,use the Continuation Page. Front View Front View Rear View Rear View FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 6 of 15