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Home My WebLink About20-032.029 Underconstruction Elevation Certificate Lot 29U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2022 ELEVATION CERTIFICATE Important: Follow the instructions on pages 1–9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. FEMA Form 086-0-33 (12/19) Replaces all previous editions.Form Page 1 of 6 A1. Building Owner's Name A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State ZIP Code Policy Number: Company NAIC Number: A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: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 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings?Yes No A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in 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 B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ Revised Date B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 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/Source: NGVD 1929 NAVD 1988 Other/B11. Indicate elevation datum used for BFE in Item B9:Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?Yes No Designation Date:CBRS OPA FOR INSURANCE COMPANY USESECTION A – PROPERTY INFORMATION SBM Associates LLC 106 Round Island PL Fort Pierce Florida 34949 ROUND ISLAND PLANTATION (OR 2748-1820) LOT 29 Residential 27.5557 -80.3234 1B N/A N/A N/A N/A N/A N/A St. Lucie County - Community# 120285 St. Lucie Florida 12111C0087 K 02-19-2020 02-19-2020 AE4 10-01-1983 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE FEMA Form 086-0-33 (12/19) Replaces all previous editions. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City State ZIP Code Policy Number: Company NAIC Number SECTION C – BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: *A new Elevation Certificate will be required when construction of the building is complete. Construction Drawings* Building Under Construction*Finished Construction C2. Elevations – Zones A1–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. In Puerto Rico only, enter meters. Benchmark Utilized:Vertical Datum: Indicate elevation datum used for the elevations in items a) through h) below. NGVD 1929 NAVD 1988 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor)feet meters 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 and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support feet meters feet meters feet meters feet meters feet meters feet meters feet meters 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 attachments.Yes NoWere latitude and longitude in Section A provided by a licensed land surveyor? Certifier's Name License Number Title Company Name Address City State ZIP Code Signature Date Telephone Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Form Page 2 of 6 Ext. 106 Round Island PL Fort Pierce Florida 34949 USGS "K-633"NAVD -88 9.6 N/A N/A N/A N/A N/A N/A N/A Thomas P. Kiernan LS6199 VP Culpepper & Terpening, Inc. 2980 South 25th Street Fort Pierce Florida 34981 01-17-2022 (772) 464-3537 C2. a above represents "Top of Concrete Slab" on building under construction.