HomeMy WebLinkAboutElevation Certification j
yPARTMENT OF HOMELAND SECU [-r ELEVATION CERTIFICA'�,� ,�e, OMB No. 1660-0008
Federal Emergency Manage'menf Agency ' Ex fires March 31,2012
National Flood Insurance Program Important: Read the instructions on pag '
SECTION A-PROPERTY INFORMATIORw 91
A1. Building Owner's Name ALEXANDER AND DONNA KRESS PolicyA u' ,Fig
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No; �Coimpany NgICtNumber k � 'T
5032 WATERSON-WAY .wQ
City FORT PIERCE State FL ZIP Code 34949
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 72 WATERSON P.U.D.PLAT NO.ONE
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5...Latitude/Longitude:Lat.N 27 23 15.9 Long.W 80 15 32.5 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 .
A6. 'Attach at least 2 photographs of the build_ing'if the Certificate,is being used to obtain flood insurance.
A7. Building Diagram Number 7
A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawispace or enclosure(s)- 0 sq ft a) Square footage of attached garage sq it
b) No.of permanent flood openings in the crawispace or b) No.of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b . 0 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
UNINCORPORATED 120285 SAINT LUCIE FLORIDA
B4.,Map/Panel Number B5.Suffix B6.FIRM Index • B7.FIRM Panel B8.Flood B9.Base Flood Elevations)(Zone
12111 CO194 G -Date Effective/Revised Date Zone(s) AO,use base flood depth)
11/04/1992; O6/30/1999 AE 8
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item;69.
❑ FIS Profile ® FIRM ❑ Community Determined . ❑,Other(Describe) "
B11 Indicate elevation datum used for BFE in Item 139: ® NGVD 1929 ❑ NAVD 1988 11 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area of Otherwise Protected Area(OPA)? ® Yes ❑ No
Designation Date 09/15/1988 ® 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 Al-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARIA,AR/AE,AR/A1 A30,AR/AH,ARIAO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized LOCALVertical Datum•NAVD 1988
Conversion/Comments+1.47 TO NGVD 1929 DATUM.,-,
Check the measurement used.
a) Top of bottom floor(including basement,crawispace,or enclosure floor)6.0 '®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor 8.0 ®feet ❑meters'(Pueho 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) NIA. ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building NA. ❑feet ❑meters(Puerto Rico'only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 5.8 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG)- 6.2 ID feet ❑meters(Puerto Rico only)' "
h) Lowest adjacent grade at lowest elevation of deck or stairs,including NA. ❑feet ❑meters(Puerto Rico only)
structural support
SECTION 0-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,dr 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.) "
understand that any false statement maybe punishable by Fine or imprisonment under 18 U.S.Code,Section 1001.1@
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No AO
Certfier's Name CHARLES ARNOLD License Number PSM 4971 FL
Title PROF SURVEYOR&MAPPER Company Name CHARLES ARNOLD,PSM 46
Address 4888 N KINGS HIGHWAY#425 City FORT PIERCE State FL ZIP Code 34951
Signature -Date 03/22/12 Telephone 772-460-8211
- ,v
IMPORTANT: In these spaces,copy the u iponding information from Section A.. ° 4.
For Insurance CompanykaUse ` aµ
Building Street Address(including Apt., Unit SuRG,.ar.,wor Bldg.No.)or P.O.Route and Box No. Po6cyNtimber£�s t ," , r
5032 WATERSON WAY' F
City FORT PIERCEState FL ZIP Code 34949 ,Cd0p4nytVAIC Nurnberg � #
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 03/22/12
efo!��Z&nn�y� . ®-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 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,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 8-9 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 --TG6. 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
G10.Community's design flood elevation ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
fl Check here if attachments
l l I'Z-V11-01
S.DEVARTMENT OF,HOMELAND SECURI ELEVATION,CiERTIFICiAI OMB NO. 1660-0008
Federal Emergency Management Agency I Expires March 31,2012
National Flood Insurance Program Important: Read the instructions on pages , r }t
SECTION A-PROPERTY INFORMATION 49 " r ri ;Qany Ube ;,
Al. Building Owner's Name ALEXANDER AND DONNA KRESS yPoG kyi yA7
•
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Corppany,NsICNurnbes,YYy
5032 WATERSON WAY
City FORT PIERCE State FL ZIP Code 34949
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 72 WATERSON P.U.D.PLAT NO.ONE
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Lat.N 27 23 15.9 Long.W 80 15 32.5 Horizontal Datum: ❑.NAD 192719 NAP,1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7.,Building.Diagram Number 7
A8. Fora building with a crawlspace or.enclosure(s): A9: For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) - 0 sq ft a) Square footage of attached garage sq ft
b) No.of permanent flood openings in the crawlspace or b) No.of peafthent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade 0 within 1:0"foot above adjacent grade
c) Total net area of flood openings in A8.b 0 sq in .,c), Total net area of flood.openings in A9.b sq in
d) Engineered.flood openings? 0'Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No
SECTION B'-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name 8<Community Number 62.County Name B3.State
UNINCORPORATED 120285 SAINT LUCIE FLORIDA
B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood 139.Base Flood Elevation(s)(Zone
12111CO194 G Date Effective/Revised Date Zone(s) AO,use base flood depth)
11.04/1992 06/30/1999 AE 8
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth-entered in Item.69.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe)' "
1311. 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 09/15/1988 ® 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 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 A7. Use the same datum as the BFE. -
Benchmark Utilized LOCALVertical Datum NAVD ,1988
Conversion/Comments+1.47 TO NGVD 1929 DATUM.
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor)6.0 ID feet ❑meters(Puerto Rico only)
b) Top of the next higher floor- 8.2 ®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) N/A-.'. ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building NA. ❑feet ❑meters(Puerto Rico only)
(Describe type of equipment and location in Comments)'
f) Lowest adjacent(finished)grade next to building(LAG) 5.8 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 6.2 ®feet ❑meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including NA. ❑feet ❑meters(Puerto Rico only)
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.)
understand that any false statement maybe punishable by fine or imprisonment under 18 U.S.Code,Section 1001.0
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes , ❑ No PLACE-'
Certi ier's Name CHARLES ARNOLD License Number PSM 4971 FL
c-
Title PROF SURVEYOR&MAPPER Company Name CHARLES ARNOLD,PSM
Address 4888 N KINGS HIGHWAY#425 City FORT PIERCE State FL ZIP Code 34951
Signature Date 03/22/12 Telephone 772-460-8211
IMPORTANT: In these spaces,copy the.c ',ponding information from Section A. It-01
Building Street Address(including Apt.,Unit,Suite,.o..:`or Bldg.No.)or P.O.Route and Box No. N npolrcy Number F �xu
5032 WATERSON WAY
€ 3Mt zsr, r uaYa
,City FORT PIERCEState 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
Signature Date,03/22/12
® 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"fo"r the following and che_ck the appropriate boxes to show whether,the elevation is above orbelow 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 8-9 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)ry,is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machine is
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 forZone'A(without a'FEMA-issued or community-issued•BFE)'
or Zone AO must sign here. The statements in Sections A,B,and E are confect 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 hem(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
G10.Community's design flood elevation , ❑feet ❑meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
1'1 Check here if attachments
t
Inspections
Planning&Development Services Online address:
Building&Code Regulation Division http://www.stlucieco.org/planning/permitting.htm ''
2300 Virginia Avenue
Fort Pierce,FL 34982
Phone:(772)462-2172 Fax:(772)462-6443 -
APPLICATION • •
1112-0261 lob Address 5032 WATERSONG WAY 'ermit Type Building Residential(SFR)
application Type Master Permit w/subs Other
Issued Activity Type New Stories Inspection Area
Job Description
NEW CONSTRUCTION OF A SINGLE FAMILY RESIDENCE,4 BDRM 4.5 BTH-5,812 SQ FT.*"**'*6/7/12 ALL GAS PIPING BOTH INSIDE AND
OUT TO BE DONE UNDER GAS TANK INSTALLATION PERMIT[1204-0256]DJ
CONTACT •- •
Property Owner Name ALEXANDER KRESS Phone (561)797-7267
Property Owner Business Name
INSPECTIONS . • Add Inspection'>>
)aily Irlspection Schedule Report and Cards>> ispection Summary Report
Inspection Notes GATE CODE 9731 Max Expiration Date 09/02/2013
A SEPERATE PERMIT IS REQUIRED FOR LP GAS TANK INSTALLATION (DAVE
JOHNSON) Inspector(Code)
Date
Scheduled Priority Status Inspector Date Inspected
996 Final Termite Treatment 9
996 Final Termite Treatment 9
493 Gas Final 9
425 Sewer Connect 9
800 Address Final 10
130 Flood Elev Final Const Certif• 10
804 Driveway Bldg 11
261 30 Day Expired-(office info o 11
457 Fire Sprinkler Final 11
812 SLC Utilities 11
999 Final Inspection 11
184 Final Survey-Office 11
Dave Johnson 07/16/2012 153 Insulation Certification-Office 0 Approved Dave Johnson 07/16/2012
Dave Johnson 08/20/2012 425 Sewer Connect 0 Partial Approval Gary Scheigner 08/20/2012
900 Plan Revision 0 Accepted As Noted Dave Johnson 03/29/2012
06/04/2012 145 Truss Drwg 1 Approved Gary Scheigner 06/04/2012
06/04/2012 137 Strapping 1 Approved Gary Scheigner 06/04/2012
Eileen Norton 03/30/2012 129 Pile Cap 1 Approved Gary Scheigner 03/30/2012
106 Engineers Report-Office 1 Accepted As Noted Dave Johnson 03/30/2012
Eileen Norton 03/30/2012 115 Slab 1 Approved Gary Scheigner 03/30/2012
Ken Arnold 03/29/2012 420 Plumbing Rough 1 Approved Gary Scheigner 03/29/2012
Eileen Norton 03/30/2012 121 Termite Spray 1 Approved Gary Scheigner 03/30/2012
Eileen Norton 03/29/2012 104 Compaction Test-Office 1 Approved Eileen Norton 03/29/2012
Irvie Saunders 03/29/2012 105 Form Board Survey-Office 1 Accepted As Noted Irvie Saunders 03/29/2012
Audrey Humphrey 03/19/2012 420 Plumbing Rough 1 Approved Dave Johnson 03/19/2012
Audrey Humphrey 03/19/2012 427 Temp.Tailet/Temp Culvert 1 Approved Dave Johnson 03/19/2012
Eileen Norton 03/19/2012 103 Eufer Ground 1 Approved Dave Johnson 03/19/2012
Eileen Norton 05/31/2012 115 Slab 1 Cancelled by Contractor/C Gary Scheigner 05/31/2012
05/31/2012 115 Slab 1 Cancelled by Contractor/C Gary Scheigner 05/31/2012
06/04/2012 115 Slab 1 Approved Gary Scheigner 06/04/2012
04/12/2012 121 Termite Spray 3 Approved Gary Scheigner 04/12/2012
Eileen Norton 04/12/2012 118 Column 3 Approved Gary Scheigner 04/12/2012
Eileen Norton 04/12/2012 125 Tie Beam 3 Approved Gary Scheigner 04/12/2012
122 Flood Elev Cert Under Constr 4 Accepted As Noted Dave Johnson 04/02/2012
05/01/2012 106 Engineers Report-Office 4 Approved Gary Scheigner 05/01/2012
Inspector Comments