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Home My WebLink AboutElevation Certificate (2)-710CK L tmtKUt:NI:V MANAVtMENT AUENGY ECE1 F—,D (L p� NATIONAL FLOOD INSURANCE PROGRAM r `� O.M.B. No. 3067-0077 lo- Expires December 31, 2005 DEC i 2006 S&� ,r, ELEVATION CERTIFICATE Important Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATIONForiisrrrance corr>pany Use: BUILDING OWNERS NAME P.olrii'ry Numher Aaron Durall BUILDING STREETADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Gompariy:NAIC<Niimtier 4933 Water '^r.lQ r s 2-a-- .r p � � , f _ . i ..� . CITY STATE ZIP CODE Ft Pierce FI 33418 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Part of lot 8, of the Town of Wauregan P.B.S.1-178 ® & 07 _ a -z2-0 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, eta Use a Comments area, if necessary.) Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ##.##" or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNriY NAME & COMMUNITY NUMBER B2 COUNTY NAME B3. STATE 120285 Unhwporated St Lucie Florida B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX BO. FIRM INDEX DATE EFFECTNEIREVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding) 12111CO194 G 8119191 1114/92 AE T WA 1...1:-r.__vr ... a. vvu. vc v, u.v uw , n uvvvuvi i � f-U) uAt0 U VCM IImU UtlpQ 1 to 11U1UU rrl DU. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® 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 Des' nation Date10/1/83 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ® Building Under Construction' ❑ Finished Construction 'A new Elevation Certificate will be required when constriction of the building is complete. CZ Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al A30, AR/AH, ARIAO Complete Items C3.-a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum convention calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum N/A Conversion/Comments NIA Elevation reference mark used Benchmark Does the elevation reference mark used appear on the FIRM? ® Yes ❑ No I o a) Top of bottom floor (Including basement or enclosure) 8.49 ft.(m) tu o b) Top of next higher floor WA, ft.(m) fn o c) Bottom of lowest horizontal structural member (V zones only) NIA . ft.(m) H o d) Attached garage (top of slab) WA. ft.(m) E o e) Lowest elevation of machinery and/or equipment W 10 servicing the building (Describe in a Comments area) N/A. ft(m) E to o I) Lowest adjacent (finished) grade (LAG) 5_8 ft(m) z' 9 o g) Highest adjacent (finished) grade (HAG) 6.6 ft(m)0 CO o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA 8 o ilT otal area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. an) 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 in Sections A, B, and C on this certificate represents my best efiorts 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 CERTIFIERS NAME David M. Taylor LICENSE NUMBER: 5243 TITLE: Licensed Surveyor & Mapper COMPANY NAME: Masteller, Moler, Reed & Taylor, Inc, ADDRESS CITY STATE ZIP CODE 1655 27n Street, uite Vero Beach FL 32960 SIGNATU DATE TELEPHONE Q 1215106 772-564-8050 IMPORTANT: In these spaces, copy the corresr,. -4 ng information from Section A BUILDING STREET ADDRESS (Including Apt, Unit Suite,;7c1 ,Z.) 0R P.O. ROUTE AND B0X N0. �f CITY (/ / STATE ZIP CODE Ft Pien a FL 33418 pang [VAIG Number ___ SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUoompany, and (3) building owner. COMMENTS 6W8 BASED ON FORMBOARD LOCATION SURVEY PERFORMED 12(4/06 Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate Is intended for use assupporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed —seepages 6 and 7. ff no diagram aocurgdy represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cxm) above the highest adjacent grade. Complete items C3.h and C3.1 on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(crm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For 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? ElYes ❑ 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 owners authorized representative who completes Sections A, B, C (Items C3A and C3.i only), and E for Zone A (without a FEMA4ssued or community - issued BFE) orZone A0 must sign here. The statements in Sedbw A, B, C, andf are cores# to fhe best of my dmowWW. PROPERTY OWNER'S OR OWNER'S 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 aAWzed by hy'or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Ceftate. Complete the"applicable h&-n(s)^mod sign below, G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation infoimation. (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 community4ssued BFE) or Zone A0, G3. The following information (Items G4-G9) is provided for community floodplain management purposes. GB. Elevation of as -built lowest floor (including basement) of the building is: _. _ft.(m) Datum: G9, BFE or (in Zone AO) depth of flooding at the building site is: _. _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS f 1 (:hark hang if nftarhmantq P Building , Code Compliance Division Receipt 2300 Virginia Avenue Ft. Pierce, FL 34982 Phone: (772) 462-1553 Fax: (772) 462-2522 hftp://stiucleco.gov/ce Date: 26 October 2006 Receipt #: 0000047199 Job Address: 4933 WATERSONG WAY 'ermit Number: SLC- 0607-0220 Received By: bushs Amount: $11,487.26 Paid With: CK Zredit Card Number: Check Number: 16144 Paid By: GW PURUCKER HOMES Sign: