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Home My WebLink AboutElevation Certificate (2) ir'"r-c/-"Y P- & /CSC a:,/-,ear- v C:,.r,",-, -- �L - .S.DEPARTMENT OF HOMELAND SECURITY ( I.EVATION CERTIFICATE '_ oMi No. 1660-0008 7 � [ ederal Emergency Management Agency Expires February 28.2009 Nati�riil 'loud Insurance Program Imporiant: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use.: Al. Building Owner's Name Policy Number JOSEPH KRUISE A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box `company NAIC:W mber 5024,WATERSONG WAY City State ZIP Code FORT PIERCE FLORIDA' 34949 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) "WATERSONG P.U.D. PLAT NO.ONE LOT 70 . A4. Building Use(e.g.,Residential,Non-Residential;Addition,Accessory,etc.): RESIDENTIAL A5. Latitude/Longitude:Lat. 27"23'17"N . Long. 80"15'33"W 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. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage 588.3 sq ft b) No.of permanent flood openings in the crawl space or b) No..of permanent flood openings in the attached garage, enclosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 1,014 sq in SECTION B.-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State UNINCORPORATED ST.LUCIE COUNTY;120285 ST.LUCIE FLORIDA B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12111C0194' G 6/30/99 11/4/92 AE 8 FEET 610. _Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe) Bl 1. Indicate elevation datum used for BFE in Item 139: ❑NGVD 1929 ®NAVD 1988 ❑Other(Describe) 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 Al-A30,AE,AH,A(with.BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,P_RR/AH,AR/A0. Complete Items C2.a-g below according to the building diagram specified in Item AT R Ec Benchmark Utilized St.Lucie County DNR concrete monument#9477A-15(El.=10.223) Vertical Datum NAVD�98S Conversion/Comments WA I�ie . v c 2008 Check the measurem a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.09 ®feet ❑meters(Puerto"pgghyl Works b) Top of the next higher floor 19.39 ®feet ❑meters(P o4W1QRWi3Unt]6 FL c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 5.80 ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 33.25 ®feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) 0 Lowest adjacent(finished)grade(LAG) 5.5 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.5 ®feet ❑meters(Puerto Rico only) 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. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. JEFFREY R.WAGNER P.L.S.#5302 LB#3591 ® Check here if comments are provided on back of form. STATE OF FLORIDA DATE: 6/12/08 Certifier's Name License Number Y R.WAGNER.P.L.S. 5302 LB#3591 Title C Title Company Name SURVEY COORDINATOR CAULFIELD&WHEELER.INC. Address City State ZIP Code 7301A W.PALMETTO PARK ROAD.#100A BOCA RATON FLORIDA 33433 Signature Date Telephone 6112/08 (561)392-1991 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the c! onding information from Section A. For Insurance Company Use: Build;^q StReet Address(including Apt.,Unit,Suite,MWr Bldg.No.)or P.O.Route and Box No. Policy Number z 5024WATERSONG WAY City State ZIP Code i,.Company..NAIC Number FORT PIERCE FLORIDA 34949 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 Item C2.e) A/C on 3 d Floor Balcony Item Al. This certificate has been prepared for the benefit of the Owner(s)name(s)shown in this section only, ,This certificate is not valid unless sealed with an embossed surveyor's seal. Caulfield&Wheeler,Inc.is not responsible for the submittal of this certificate to any City,County,State or other governmental agency. Signature Date ❑ Check here if attachments 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,crawl space,or enclosure)is N/A ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is N/A ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent•flood openings provided in Section A Items.8 and/or 9(see page 8 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 N/A ❑feet Q meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A [],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. N/A 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 WA Address N/A- City State ZIP Code Signature WA 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 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.and G9.- 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.-G9.)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 I 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. J3 feet []*meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: N/A.. ❑feet ❑meters(PR)Datum Local Official's Name N/A Title Community Name N/A Telephone _ Signature N/A Date Comments WA ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions uilding Photographs See Instructions for Item A6. • For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box NO. Policy Number 5024 WATERSONG WAY City State ZIP Code Company NAIC Nlunber FORT PIERCE FLORIDA 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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". If submitting more photographs than will fit on this page, use the Continuation Page,following. M, x �l 7 r ¢: y ; Front View Rear View ra4._w,;:yr a K Left Side View Right Side View WECU OMB No. 1660-0008 ARTMENTOF-FiQI/EIX1 D. IT' EL V ION CERTIFICATr ,'a eral c`mergency Management Agency��/ --n (�� Expires February 28.2009 National Flood Insurance Program uv . 14po ant: Read the instructions on pages 1-8. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Policy Number JOSEPH KRUSE A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box Company NAIC Number 5024 WATERSONG WAY City State ZIP Code FORT PIERCE FLORIDA 34949 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) "WATERSONG P.U.D.PLAT NO.ONE" LOT 70 - A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.): RESIDENTIAL A5. Latitude/Longitude:Lat. 270 23'17"N Long. 800 15'33"W 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. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage 703.1 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 507 sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State UNINCORP.ST. LUCIE COUNTY; 120285 -T ST.LUCIE FLORIDA B4. Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12111 C01 94 G 6/30/99 11/4/92 AE 8 FEET 1310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑Community Determined ❑Other(Describe) Bi 1. Indicate elevation datum used for BFE in Item 69: ❑NGVD 1929 ®NAVD 1988 ❑Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ®Yes" []No Designation Date 11/4/92 ®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 Ai-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-g below according to the building diagram specified in Item A7. Benchmark Utilized St.'Lucie County Benchmark#9477A-15(El.=10.223) Vertical Datum NAVD 1988 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.00 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 5.75 ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N/A ®feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 5.9 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 6.6 ®feet ❑meters(Puerto Rico only) 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. l certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. JEFFREY R.WAGNER P.L.S.#5302 LB 43591 ❑ Check here if comments are provided on back of form. STATE OF FLORIDA DATE: 8/24/07,. Certifier's Name License Number JEFTitle Y R.WAGNER.P.L.S. #5302Comp LB#3591 Title Company Name SURVEY COORDINATOR CAULFIELD&WHEELER. INC. Address City State ZIP Code 7301A W.PALMETTO PARK ROAD.#100A BOCA RATON FLORIDA 33433 Signature Date Telephone 8/24/07 (561)392-1991 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions �f3ullding Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No.. Policy Number 5024 WATERSONG WAY City State ZIP Code Coln panyNAIC Number FORT PIERCE FLORIDA 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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". If submitting more photographs than will fit on this page, use the Continuation_Page,following. Flood Vent—Left Garage Flood Vent—Right Garage Flood Vent Rear-1 Flood Vent Rear-2 IMPORTANT: In these spaces,copy the c — �sponding information from Section A. For Insurance Company Use Building Street Address(including Apt.,Unit,Suit6._-4or Bldg.No.)or P.O.Route and Sox No. Policy Number 5024 WATERSONG WAY City State ZIP Code Company NAIC Number FORT PIERCE FLORIDA'' _ . 34949. 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 Signature Date ❑ Check here if attachments 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,crawl space,or enclosure)is N/A ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is N/A ❑feet ❑meters-❑above or❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 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 N/A ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A ❑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. N/A 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 N/A Address WA City State ZIP Code Signature N/A 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 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.and G9. 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.-G9.)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued WA I N/A I 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(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: N/A. ❑feet ❑meters(PR)Datum Local Official's Name N/A Title Community Name N/A Telephone Signature N/A Date Comments N/A - ❑Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions