HomeMy WebLinkAboutElevation CertificateU.S. DEPARTMENT OF HOMELAND SECURIT`�, �� ELEVATION C RTI I �Fic
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the InStr CtIOr1S Raje
`S Z8.
OMB No. 1660-0008
Expires February 28. 2009
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name SEABOARD HOMES Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number.
4833 WATERSONG WAY
City FORT PIERCE State FI ZIP Code 34949
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 9, WATERSONG PUD PLAT NO. ONE
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27' 23' 28.2" N Long. 80° 15' 39.8" W Horizontal Datum: ❑ NAD 1927 N 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 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) 0 sq ft a) Square footage of attached garage 0 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 0 walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
UNINCORPORATED AREAS, 120285 ST LUCIE FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zones)
AO, use base flood depth)
12111C0194
G
06/30/99
11/4192
VE
12.0'
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(Describe)
Bl 1. Indicate elevation datum used for BFE in Item 139: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the buildinglocated in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes NNo
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: Construction Drawin s* ❑ Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required hewn 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-g
below according to the building diagram specified in Item AT
Benchmark Utilized LOCAL Vertical Datum NGVD 1929
Conversion/Comments
a) Top of bottom floor (including basement, crawl space, 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 in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
Check the measurement used.
7.19
N feet
❑ meters (Puerto Rico only)
18.69
N feet
❑ meters (Puerto Rico only)
17.19
N feet
❑ meters (Puerto Rico only)
6.19
N feet
❑ meters (Puerto Rico only)
6.19
N feet
❑ meters (Puerto Rico only)
5.60
N feet
❑ meters (Puerto Rico only)
6.64
N 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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® Check here if comments are provided on back of form.
Certfier's Name L. Charles Arnold License Number PSM 4971 FL
Title Professional Surveyor and Mapper Company Name Culpepper & Terpening, Inc
Address 2980 South 25th Street City Ft Pierce State FI ZIP Code 34982
772-454-3537
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy I :orresponding information. from Section A,,'` _ For Insurance Company Use
Building Street Address (including Apt., Unit, ��,,,,,; r Bldg. No.) or P.O. Route and Box No. Pohcy_Number
4833 WATERSONG WAY
City FORT PIERCE State FL ZIP Code 34949. 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 Latitude/Longitude was obtained from LAB INS web site. All elevations are taken from Randall Stofft Architects house plans.
Signature Date
v — 07 ❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REWIRED) TFOR 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 Ell-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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ 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 ❑ 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 Owners 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 community's floodplain management ordinance can complete Sections A, B, C (or E),
and G of this Elevation Certificate. Complete the applicable Rem(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
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 (PR) Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
U.S. DEPARTMENT OF..HOMELAND SECURITY ELEVATION CERTIFICATE OMB No.16so-0008
Federal Emergency Management Agency Expires February 28, 2009
National Flood Insurance Program important: Readthe instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION For Insurance Companybsei'
Al. Building Owner's Name C . ` i ` Pd icy Nurilber:
t A2. BuIldlipq Street Address (including Apt., Unit, Suite,. and/or Bldg. No.) or P.O. Route and Box No., Company NAIL. Number
33
City State ZIP Code
�A3.. Pro erty Description (Lot and B NT P umber, Le: I Description, etc.)
MA 9D �-�
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A&! Ct L
A5. Latitude/Longitude: Lat. Long. Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
A6.:A6i;6 at'least,2 photographs of the building if the:Certificate;is being used.to obtain flood insurance. ,
A7. Building Diagram Number
A8. For a building with a crawl space or enclosure(sj; provide: A9:1 Fora building with an attached' garage, provide:
a) Square footage of crawl. space or enclosure(s) sq It a) Square footage of attached -garage sq•ft
.b) No. ofpermanent flood openings in the crawl space or. b) 'No. of permanent flood openings in the attached garage
enclosures) walls within 1.0 foot above adjacent grade walls within 1.0 foot 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
SECTION B - FLOOD INSURANCE RATE.MAP (FIRM), INFORMATION
B1. NFIP Community Name & Community Number B2. Co 0 =Na a ,� B3. State
B4. Map/Panel Ntftber
1���►C� yloci
B5. Suffix
i
B6: FIRM Index
Date
T B7. FIRM Panel
EffMisedD'Ate
I
B8. Flood'
Zone(s)
B9 Base Flood Elevation(s) (Zone
A , use base flood depth)
1310. Indicate the source of the Base Flood Elevation (BFE)`dala or base flood depth entered in Item B9. _
FIS Profile FIRM ; . ❑ , . � ❑Community Determined. ❑Other (Describe)
1311. Indicate elevation datum used for BFE in Item 139: IR'NGVD 1929 ❑ 14AVD-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 ❑ CBRS ❑ OPA
SECTION C - BUILDING. ELEVATION -INFORMATION (SURVEY. REQUIRED)
Cl.* Building elevations are based on: ❑ 6onstruction_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, V1430, 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;Uiil'ized, Vertical Datum
ConversioNComments
Check the measurement used: `
a)
Top of bottom floor (including basement, crawl space, or:enclosure floor)._._❑
.feet
❑ meters (Puerto Rico on
b) .
Top of the nexfhigher.floor
_❑ feet
❑meters (Puerto Rico only)
c)
Bottom of the lowest horizontal structural member N Zones only)
_❑ feet
❑ meters (Puerto Rico only) .
d)
Attached garage'(top of slab)
_❑ feet
❑ meters (Puerto Rico only)
e)
Lowest elevation of machinery or equipment servicing the building
_❑ feet
❑ m6teis (Puerto Rico only)
(Describe type.of equipment in Comments) .
f)
Lowest adjacent (finished) grade (LAG)
_❑ feet
❑ meters (Puerto Rico only)
g)-
Highest adjacent (finished) grade (HAG)
_❑ 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 bylaw 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.
❑ Check here if comments are provided on back of form. PLACE
Certifier's Name License Number SEAL
HERE
Title Company Name
Address City State ZIP Code
Signature Date Telephone
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previou
IMPORTANT: In these spaces, copy the corresponding information from Section A. For'lhsu*ance Company Use: .
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:.:
City State ZIP Code 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,
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 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,
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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet El in ❑ above or El below the LAG.
E2. For Building Diagrams 6=8 with permanent -flood openings provided in•Sec(ior►A Items:8 and/or 9 (see a 'e 8 of.,Instructions), the next higher floor
(elevation C2.b in the diagrams)•of the building is _ Elfeet Elmeters. EJ above or LJ 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 ❑ beloJu 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 bfficial 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 know_ ledge.
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 authorized by law or ordinanceto 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 Go. 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 communityofficial-compieted Section E fora building located in Zone A (without a FEMA-issued or community -issued BFE) orZone 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
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 (PR) Datum
G0; BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
Local Official's Name
Community Name
Title
Telephone
Signature - Date
Comments
EMA Form 81-31, February 2006 Replaces all previous editions
St. Lucie County
Building and Zoning Department
2300 Virginia Avenue
Fort Pierce, FL 34982
772-462-1553 `
Design Certification for Wind Load Compliance
This Certification is to be completed by the project design architect or engineer. This Certification must be submitted with all
applications for building permits involving the construction of new residence (single or multi- family), residential addition. any
accessory structure requiring a building permit, and any nonresidential structure. This Certification shall not apply to interior
renovations (provided that no structural walls, columns or other similar component is being effected) and certain other minor building
permits. For further assistance, please contact the Building Inspection Office at 462-1553 or 462-2172.
Project Name
Office Use Only
Street Address
Permit Number
Occupancy Type
Construction Type
Certification Statement:
I certify that,, to the best of my knowledge and belief, these plans and specifications have been designed to
comply with the applicable structural portion of the Building Codes currently adopted and enforced by St. Lucie
County. I also certify that structural elements depicted on these plans provide adequate resistance to the wind
loads and forces specified by current code provisions.
Design Parameters and Assumptions Used: (Please check or complete the appropriate box.)
1. Florida Building Code 2004 Edition ✓ ' ASCE 7-98
2. Building Design is (check one) Enclosed ✓ Partially Enclosed Open Building
I
3. Building Height: 4. Wind Speed Used in Building Design: 3 second gust
5. Wind Exposure Classification (refer to exposure tables in Building Code identified in Line #1): <f�
6. Average Wind Velocity Pressure on Exterior Faces of Structure �� PSF
7. Peak Wind Velocity Pressure on Exterior Faces of Structure 6- PSF
8. Importance/Use Factor (obtain from Building Code): `� o
7 7� \,VA
9. Loads: Floor 4(2 PSF Roof/dead `h PSF Roof/live 3 PSF
10. Were Shear Walls Considered for Structure (check one): Yes ✓ No (if No, attach explanation)
11. Is a Continuous Load Path Provided (check one): Yes 1 No (if No, attach explanation)
12. Are Component and Cladding Detail Provided (check one): Yes ,// No ' (if No, attach explanation)
13. Minimum Soil Bearing Pressure: PSF
As witnessed by my seal, I hereby certify t a the_ information included with this certificaticn'.is trne,and(-
correct, to the f m-A Jqow)edgeptdtl*f6
Name:
design Firm:
44
Certification #: Seal "Ere]
Date:
SLCCDV Form # 020-00 rev. 1(1/9/05 dmg
f
r
U.S. DEPARTMFrtT OF "MELAND SECURITY ELEVATION CERTIFICATE OMB No.1660-0008
*i Expires
Federal Emergency Manag"ement Agency February 28, 2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A : PROPERTY INFORMATION For Insurance Company Use:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIL Number
4833 WATERSONG WAY
City FORT PIERCE State FI ZIP Code 34949 Q
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 9, WATERSONG PUD PLAT NO. ONE ri 1 i r ,'<� O� f� Z
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27° 23' 28.2" N Long. 80" 15' 39.8" 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 6
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 enclosures) 1103sq It a) Square footage of attached garage 0 sq It
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 2 walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 348.5 sq in c) Total net area of flood openings in A9.b g sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
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 C0194
G
06/30/99
1114/92
AE
8.0'
B10. 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)
B11. Indicate elevation datum used for BFE in item B9: j8 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected_ Area (OPA)? ®Yes ❑No
Designation Date 1983 9 CBRS ❑ OPA
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 construction of the building is complete.
C2. Elevations -Zones Ai A30, AE; AH, A (with BFE); VE, V1430, V (with BFE), AR, ARIA, 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 LOCAL Vertical Datum NAVD 1988
Conversion/Comments Used www.noaa.aov website to convert datum from NAVD to NGVD 1929.
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, 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 in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
8.58
' ® feet
❑ meters (Puerto Rico only)
19.6
❑ feet
❑ meters (Puerto Rico only)
N/A
❑ feet
❑ meters (Puerto Rico only)
7.,3A
® feet
❑ meters (Puerto Rico only)
9.47
® feet
❑ meters (Puerto Rico only)
6.40 ®feet ❑ meters (Puerto Rico only)
7.06 ® 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 ele%
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 tine or Imprisonment under 18 U.S. Code, Section 1001,
® Check here if comments are provided on back of form.
Certifiers Name JAMES A. FOWLER License Number PSM 3435 FL
Title Professional Surveyor and Mapper - Company Name Culpepper & Terpening, Inc
Address 2980 South 25th Street. City Ft Pierce State FI ZIP Code 34982
FEMA Fo 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
i
Building Photographs
Coe Inetn irtinnc fnr Itam AR
For Insurance Company Use:
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
4833 WATERSONG WAY
FORT PIERCE State FL ZIP Code 34949
Company
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.
FRONT VIEW
REAR VIEW
Building Photographs
r_r%nfini intinn Pnna
For Insurance Company
Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. roncy Numoer
4833 WATERSONG WAY
City FORT PIERCE State FL ZIP Code 34949 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 View" and "Rear View"; and, if required, "Right Side View" and "Left Side View."
RIGHT SIDE VIEW
12
LEFT SIDE VIEW
Code Compliance Division
2300 Virginia Avenue FLOOD HAZARD NOTICE
Ft. Pierce, FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1148
httpJ/stiucieco.gov/ce
PERMIT NUMBER: 0706-0260
LOCATION: 4833 WATERSONG WAY
FORT PIERCE
CONTRACTOR: STEVEN KORKIN
DBA: SEABOARD HOMES BUILDING CORP
OWNER`. PAUL PHILLIPS
NOTICE
This Notice is to inform you that your property is in a Flood Hazard Zone.
07/03/2007
This means that the elevation of the first floor must be set at 8 feet, NGVD ( mean sea level ),
or 18" above the crown of the road, whichever is greater.
NO CONSTRUCTION is to proceed beyond the 1 st floor / slab inspection, or just prior to the
second floor pour of a multi -story structure, until the required elevation certification has been
completed by a registered surveyor, and received and approved by the Building Division of the
St. Lucie County Community Development Department.
Violation of the requirement will result in the scheduling of a public hearing before the St. Lucie
County Code Enforcement Board. The Board is empowered to levy a fine not to exceed
$250.00 per day for each day the violation continues.. A fine not to exceed $500:00 per day
may be levied for a repeat violation. The fine may become a lien upon the real or personal
property of the violator.
The elevation certification may be submitted any time within 21 calendar days from the above;
however, no further construction should take place, -nor will any inspections be made until the
required certification has been received and approved. j
SiE n ture
FILE COPY
Date
U.S. DEPARTMENT OF HOMELAND SECURITY r,_�ELEVATION CERTIFICA E OMB No. 1660-0008
Federal Emergency Management Agency I Expires February 28. 2009
National Flood Insurance Program v :'wrartant: Read the instructions On pa e� 1-tf:
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name SEABOARD HOMES l _ aPolicy Number
GK/"I
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and BoxCompany NAfC Number
4833 WATERSONG WAY
City FORT PIERCE State FI ZIP Code 34949
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 9, WATERSONG PUD PLAT NO. ONE
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27° 23' 28.2" N Long. 80° 15' 39.8" 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) 0 sq ft a) Square footage of attached garage 0 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 0 walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
UNINCORPORATED AREAS, 120285 1 ST LUCIE FL
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 CO194
G
06/30/99
1114/92
AE
8.0'
tilu. 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)
B11. Indicate elevation datum used for BFE in Item 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
Designation Date ❑ 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-g
below according to the building diagram specified in Item A7.
Benchmark Utilized LOCAL Vertical Datum NAVD 1988
Conversion/Comments Used www.noaa.dov website to convert datum from NAVD to NGVD 1929
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, 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 in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
&ff
® feet
❑ meters (Puerto Rico only)
N/A.
❑ feet
❑ meters (Puerto Rico only)
NN/A.
❑ feet
❑ meters (Puerto Rico only)
7.47
® feet
❑ meters (Puerto Rico only)
7.47
® feet
❑ meters (Puerto Rico only)
7.07 ® feet ❑ meters (Puerto Rico only)
8.11 ® 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 ele%
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.
® Check here if comments are provided on back of form.
Certifier's Name JAMES A. FOWLER License Number PSM 3435 FL
Title Professional Surveyor and Mapper Company Name Culpepper & Terpening, Inc
Address 2980 South 25th Street City Ft Pierce State FI ZIP Code 34982
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, cop,'
Building Street Address (including Apt.,
4833 WATERSONG WAY
information from Section _
or P.O. Route and Box No.
For Insurance Company Use:
City FORT PIERCE State FL ZIP Code 34949
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 Latitudell-ongitude was obtained from Hand Held GPS device.
Check here if attachm4
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 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, crawl space; or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ 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 ❑ 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 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 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
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation' ofas-built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum
G9. BFE.or (irt Zone AO) depth of flooding at the building site: Elfeet Elmeters (PR) Datum
_ Local Official's Name Title
Community Name = Telephone
,Signature Date
-
,Comments
Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions