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L ZPARTMENTOFHOMELAND SECURITY LEVAIICJI'CER iFiCAIE ' F. 1AL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name JOHN & RUTH ETTER Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 560 NETTLES BLVD. City JENSEN BEACH State FL ZIP Code 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 560, NETTLES ISLAND PROJECT SECTION 2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°17'16.6" N Long. 80'13'25.8" W Horizontal Datum: ❑ NAD 1927 ❑X 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 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq It a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.1b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑X 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 UNINCORP 120285 1 ST. LUCIE I FL B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12111C 0311 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) 02/16/2012 AE 6.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile X❑ FIRM ❑ Community Determined ❑ Other/Source: Bt 1. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: _ B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Designation Date: _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ❑X 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, VI-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 Z 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) 6.5 N feet ❑ meters b) Top of the next higher floor 15.9 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A._ ❑ feet ❑ meters d) Attached garage (top of slab) N/A., ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.7 0 feet ❑ meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 4.4 ❑X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.5 X❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A._ ❑ 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. 1265-43-01-FINAL I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. X❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑X Check here if attachments. licensed land surveyor? ❑X Yes ❑ No �H �I ArF�SFAL Certifier's Name EARLE R. STARKEY License Number 004459 _ I Title PROFESSIONAL LAND SURVEYOR Comp J�rpi ICCCURIGHT LAND SURVEYING INC. KER AVENUE #47 STUART State FL ZIP Code 34994 LE R STAR ate 05/04/2015 Telephone 772-286-7694 95764/20Is PI_S#4459 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION 2 IMPORTANT: In these spaces, copy the'esponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. FORINSURANCE Policy Number: U: City JENSEN BEACH State FL ZIP Code 34957 I Company NAIC Number: SECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate 1) communit official, (2) insurance agent/company, and (3) building owner. Signature EARLE R. STARKEY Date 05/04/2015 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 E7—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. 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, crawlspace, or enclosure) is _._ ❑ feet Elmeters Elabove or Elbelow 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 91see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ meters ❑ above or L-.J 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—G10. In Puerto Rico only, enter meters. 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—G10) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters Datum G10. Community's design flood elevation: _ _ ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. Building Photographs See Instructions for Item A6. For Insurance Company Use: Builtling Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 560 NETTLES BLVD. _ city xytw JENSEN BEACH state FLORIDA ZIP 34957 de ,Yrmnlcr 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 lids View" and "Loft side Vow." If submitting more photographs than will fit on this page, use the Continuation Page, following. F PnNT n5/n4/?n15 REAR n5/n4/Pn15 I --_j '.I SIDE 05/04/ 115 Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL. 34982 Phone:1772)462-2172 Fax:(772)462-6443 PERMIT NUMBER: 1405-0142 NOTICE OF SPECIAL FLOOD HAZARD AREA DATE: 5/12/2014 ADDRESS: 560 NETTLES BLVD JENSEN BEACH CONTRACTOR: JAMES W NEWMAN 0 Py DBA: JWN CONSTRUCTION IN , ILL OWNER: JOHN A ETTER (TR) NOTICE This Notice is to inform you that your property is in a Special Flood Hazard Area. The base flood elevation of the property is 6 feet, NAVD. Federal law requires that a Flood zone determination be done as a condition of a federally backed mortgage to determine if the structure is in a Special Flood Hazard Area and if so, to require flood insurance. It is up to the lender to determine whether flood insurance is required for a property. NO CONSTRUCTION is to proceed beyond the 1st 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 & Code Regulation Division of the St. Lucie County Planning & Development Services 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 $500.000 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. Date SURVEYOR'S NOTES 1. SURVEY OF DESCRIPTION AS FURNISHED BY CLIENT, UNLESS OTHERWISE NOTED. 2. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR EASEMENTS, BUILDING SETBACKS, AND/OR RIGHTS -OF -WAY OF RECORD BY ACCURIGHT LAND SURVEYING, INC. 3. ELEVATIONS SHOWN HEREON ARE RELATIVE TO NORTH AMERICAN VERTICAL DATUM OF 1988, SEE SURVEY FOR REFERENCE BENCH MARK, UNLESS OTHERWISE NOTED. 4, THERE ARE NO ABOVE GROUND ENCROACHMENTS, UNLESS LOT 548 fNp'po ap. 4.7 OTHERWISE NOTED. S.ADDITIONS OR DELETIDNS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES. \ N LOT 548h9sNNONG NSa LEGAL DESCRIPTION H zz z AO LOT 560, NETTLES ISLAND PROJECT SECTION 2, ACCORDING z TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 16, ('� y Ii a a PAGES 1, IA THROUGH 1I, OF THE PUBLIC RECORDS OF ST. > W w a.1. LUCIE COUNTY, FLORIDA. w y N a 3 !N X 4.4 N / ,✓0, o N e " LOT 560 GSF a o y PROPOSED DWELLING 4'� GS n w MINIMUM FINISH FLOOR ELEVATION 6.0 N.A.V.D. 88 y rp c > w w a z u. 4' w \` \\ R 0�56.0. �'p Fl �g\NG k P 9• 6 130' ' U �o \ \ \ \\ N�030 p0r6 z F- nn 4.3 �:/ a ,� �G Q o Z� P ® e J N N 3.7 \ \ g. / m o� O z w zLOT 561 L, 3.866 \) / W Q �e \ ry tp0 o F 3.6 PROPERTY LOCATED IN FLOOD ZONE 'AE' R,` �,{ \ FIND. 5/8" I.B. CAP #CARTER a ND BASE ELEVATION NI NAVD 1968 _ �\, y) COMMUNITY PANEL ,. 120285-0311-J \ /- ry DATED 02/16/2012- R z 7 PROPERTY STREET ADDRESS- \ 3.97/ Q (n 560 NETTLES BLVD. - _--- JENSEN BEACH, FL., 34957 ��\ ++ W CERTIFIED TO. L JOHN & RUTH ETTER BOUNDARY SURVEY = LLI yP A/C - AIR CONDITIONERGENDFND. - FOUND ACCU 3 D SUR'+�EYI C. (� o CONC. - CONCRETE COV'D - COVERED z LB. - IRON BAR E,O.P. - ECGE OF PAVEMENT ED BUSINE 6607 N w¢ I.D. - IDENTIFICATION R/W - RIGHT-OF-WAY -- I.D. LB - LICENSED BUSINESS R = RADIUS SYMBOLS -t D - DELTA/CENTRAL ANGLE L - LENGTH NAVD 88 - NORTH AMERICAN VERTICAL DATUM 1986 u w ® - WATER METER SET I.B. -SET 5/8' IRON BAR CAP #4459 EARLE R. STARKEY —PROFESSIONAL LAND SURVEYOR > AQ CP) - DENOTES DISTANCE, ANGLE OR BEARING BY FURNISHED 00.00 X - EXISTING ELEVATION REGISTRATION NO. 4459 — STATE OF FLORIDA DESCRIPTION (F) - DENOTES MEASURED DISTANCE, ANGLE OR HEARING It - CENTERUNE SURVEY NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL Q N N (C) - DENOTES CALCULATED DISTANCE, ANGLE OR BEARING RAISED SEAL OF A FLORIDA LICENSED LAND SURVEYOR AND MAPPER