HomeMy WebLinkAboutElevation Certificatee.ul�DSPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION
Al. pulld(nAO& A"MaAR
T CASE
A2. Building
Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
10701 S. OCEAN DRIVE #623
Cr�yy State
JENSeN BEACH F1ORInA
OMB No 1660-0008
EXD�1'es��ebrnary 28,,Z00€i�
For Insurance Comoanv Use:
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 24 VENTURE OUT AT ST. LUCIE, INC.
A4. Building Use (e.g.. Residential, Non-Residentlal, Addition, Accessory, etc.) RES I DENT I AL
A5. LatitudelLongitude: Lat. Long. 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 8
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) 6.25 sq It a) Square footage of attached garage 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 4 walls within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b 25 sWIA SQ.FT. c) Total net area of flood openings in A9.b sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name & Community Number
82. County Name
B3. State
ST. LUCIE CO. INC. 8 UNINC.
I SAINT LUCIE I
FLORIDA
54. Map/Panel Number
B5. Suffix
86. FIRM Index
B7. FIRM Panel
B8. Flood
89. Base Flood Elevaflon(s) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
12111CO313F
F
8-19-91
AUGUST 19, 1991
"AE"
9-10,
Biu. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9.
M FIS Profile ❑ FIRM ❑ Community Determined Other (Describe)
811. Indicate elevation datum used for BFE in Item 89: Q 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 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, AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Vertical Datum
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)
10 76 ® feet
❑ meters (Puerto Rico only)
b) Top of the next higher floor
feet
❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only)
_-❑
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
10.7� XQ feet
❑ meters (Puerto Rico only)
(Describe type of equipment in Comments)
0 Lowest adjacent (finished) grade (LAG)
5.2 ] feet"
❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade (HAG)
5.5 X❑ feet
❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
1 no w, uucuuuna ,w ue signed and semea oy a tans surveyor, engineer, or architect authorized by law to certify elevation
information. i car* that the information on this Certificate represents my best efforts to Interpret the data avellable.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
❑ Check here if comments are provided on back of form.
GEORGE AYLOR, JR* 4015
Certifier's Name License Number
LAND SURVEYOR GEORGE AYLOR, JR.
Title Company Name
73B SW COLL N A NUE PORT ST. LUCIE FLORIDA 34983
Address City State ZIP Code
2-23-07 779-115-&Ani
Telephone
FEMA Form 81-31, February 2008 See reverse side for continuation. Replaces all previous editions
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SETBACKS, LOCATIONS R CITY SEWER R WATER AVAR ABILITIES TO BE VERIFIED SY CONTRACTOR
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NOTE: ALLBEARINGS AND DISTANCES ARE P&M UNLESS CnHERWISE STATED
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THIS CERTIFICATION IS TO AND ONLY TO THE FOLLOWING PARTIES::OLIVER
CASE & MARGARET CASE, HIS WIFE, FLAGSTAR BANK, F.S.B., GRAND MORTGAGE,
ATTORNEYS TITLE INSURANCE FUND, INC. AND GEORGE B. HOUGH, JR., P.A.