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Home My WebLink AboutElevation Certificate-,�.S: DEPARTMENT OF HOMELAND SECURITY08 Federal Emergency Management Agency EExp a ton bate:-0 a e_O. November 30-2018 National Flood Insurance Program ELEVATION: CERTI:ICATE'. Important: Follow the instruction's on Pages 1 9- Copy all Pages of thiis.Elevation Certificate and'all attachments for.'(1) community official, (2) insurance agent/cbmpany, and .(3) building owner:..' SECTION A — PROPERTY' INFORMATION - FOR INSURANCE COMPANY USE Al. Building Owners Name.. (Note: Not Valid to use forpnyotherpersonorentity). - Policy Number: STANDARD PACIFIC HOMES , A2. Building Street Address (Including Apt:, Unit; Suite, and/or.Bldg, No: or;P:O Route and Company NAIL Number:.. Box No. 3116 NW RADCLIFFE WAY ... City - . State ZIP Code PALM -CITY .: FL :. .34590. .:. A3. -Property Descripton.(Lot and 6)ock Numbers, Tax Parcel Number, Legal Description, etc.) "RIVERBEND" LOT 23 - - A4. ,Building Use (e:g:, Residential, Non_Residential, Addition, Accessory, etc:) RESIDENTIAL. A5. Latitude/Longitude: Lot. 27°13'12.72" N:'. Long:80°1T32.5V W Horizontal DatUm:.Q NAD 1927.E NAD.'1983' A6..Attach at.least•'2 photographs of the building if the Certificate is -being used -to cibtain flood insurance: A7: Building Diagram'Number:lA ; A8. For a building with a crawispace ofericlosure(s): .. a).$, bare footage of crainrlspace or encl.osure(s) N A sq: ft. b) Number of permanent flood openings in"the crawispace or enclosure(s) within' 1.0 foot above adjacent grade 0:: .. p g _ q: in. ... • c flood oenin s.in Total net:area,of floA8.b 0 s d.) Engineered'flood.openings? .Q Yes ®No A9: For a building with.an attached•garage:. a) Square footage.of-attached garage 976 sq. ft. - b) Number of'permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 . . c) Total net,al-ea. of.flood openings -in A9.b 0 sq: in. _..,: :.. d En � ineered;flood'o "emn s? Yes .0 No _:.. • i - ; . ":. ; SECTION B — FLOOD. INSURANCE RATE MAP (FIRM)INFORMATION.' l-. NFIP`rEommunity)4am& C e ommunity.Number - 92. County Name .. B3. State . . S;T;'LUCIE`COIJNTY; 1:20285- ST. LUCIE COUNTY. -FLORIDA- - l;B�4, iJlaR/Panel'." `'' PRS; SLffix B6.. Firm Index' - 67: FIRM Panel B8.' Flood•Zone(s) B9. Base Flood. Elevation (s) --Number Date -Effective/ (Zone AO,-use"Base . Revised Date: Flood Depth) : -- 12031C'0406. •. ". J. 02/16/1012 .02/16/2012- .' ' X & AE' 6 FEET. (AE) B10. Indicate the •source.of the. Base FlooclL Elevation-(BFE).data or•base flood:depth entered in Item.B9: FIS Profile 0 FIRM _ Q. Community.Determined . Other/Source: ' 1311..Indicate Elevation Datum Used for BFE in Item 69:.Q NGVD-1929 '..® NAVD 1988 . Q Other/Source:. B12._. Is the building located in a Coastal Barrier Resources System (CB RS) area or Otherwise.Protected Area (OPA)? -- Q Yes. ®; No -Designation Date: N/A EJ CBRS :Q OPA CIM No: 1660-08 ELEVATION CERTIFICATE, - oBat on Date-0 November 30.201h�1 ` IMPORTANT: In these spaces,:copy the corresponding information;from Section A: .. FOR INSURANCE."'COMPANY'.USE ." . Building Street'Address (Including Apt:, Unit, Suite; and/or Bldg. No. orP.O. Route and Bois No. Pdlicy Number: 3116 NW RADCLIFFE WAY City State,-,.,,— Zip Code Company NA.IC Number:.. PALM CITY....: FL 34990. . SECTION C—BUILDING ELEVATION -INFORMATION (SURVEY. REQUIRED) C1. Building Elevations are Based on: :: 0 Construction- Drawings! - 0:build ing'UnderConstruction *.. ® Finished Construction * A new Elevation Certificate will be required when construction -of the.building is.complete. . C2. Elevations,— Zones A1- A30, AE, AH, A (with.BFE),.VE V1- V30,.V-.(with BFE), AR, AR/A, AR/AE, AR/Al- A30, AR/AH, AR/AO. : Complete Items:C2:a.- h below -according to the building -diagram specified in Item "A7. Jn'Puerto Rico only, enter meters: _ Benchmark Utilized:?IDAL BM.ST. LUCIE COUNTY:-872.2334 TIDAL 4': EL=.2.60 ' Vertical Datum:NAVD 1988 Indicate elevation datum:used forthe;elevations in Items a)through h).below. EJ N6VD.1929, . ;NAVD.1988, . E].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) 11.83. [ 'feet . E meters b) Top of Next Higher Floor feet : 0 meters ' c) Bottom of the lowest horizontal structural member (V Zones only) N.A 0 feet .0 meters d) Attached garage (top of slab) 1.1.25. [D feet. 0:. meters e) : Lowest elevation of machinery or :equipment servicing the _build_ ing . 11.4 feet D meters (Describe type of equipment and location in Comments) -- f), Lowest adjacent (finished). grade next to building (LAG) 10.8 :: feet:: [] meters g) Highest adjacent (finished) grade.next to building (HAG) .: 11:1 feet 0 meters .. h) Lowest adjacent grade at lowest elevation of deck or stairs; including .. N.A et:. 0 : El meters fe :. structural support .. -- SECTION.D.—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION .. This certificationis to,b'e signed and.'sealed by land surveyo�,engmeer,,or,architect authorized bylaw to certify:elevation.information: 1 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 orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land'surveyor7 . . N :Yes Q . No. 0 .Check here if —attachments;. Certifies Name'.'.. :. License Number: David-P.-Lindley, PLS .: 1:S."5005 .. ," Place" Title: Professional Land:Surveyor.. Company Name: =.D"amid P.•iihdfej; Pl.�� Caulfield & Wheeler,. Inc.: - L.S. 5005, Stat of Florida- ; 9/06/2017" Address: 7900 Glades Mad. Suite 100':: : `r�oty lidm4thoutthesi9natur,ond i t bisect seal -of a. Flo: ida- `"- hLice'"ni.�a .. .. City:: State:. Zip Code:... . 4 ►veyor& MdppeC= s_f su" Boca Raton.. FL. .. 33434� .... : Signature:. Date:"' :' Telephoned 9/06/2017 561=392-1991 Copy.all Pages of this ElevationCertificate 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'.' Item A51 Latitude & Longi.tude obtained by MagelienGPS Blazer 12. Item C2e) A/C Unit This Certificate.is notvalid unless sealed with an embossed surveryor's seal, ,FEMA'Form 086-0-33 ( ) Replaces all previous editions Page 2 of 6. • 7/15 i i OMB No:-1660 008.. L`�iVN1IVIY L.CR.1Ir1�.H1.L . Expiration Date:: November. 30, 2018 IMPORTANT: In'these spaces,.copy the corresponding information:from Sectiori A. .'FOR INSURANCE.COMPANY' USE Building Street Address (Including Apt.; Unit; Suite;. and/or BIdg.Tlo. or P.O. Route and Box No. Policy Number: - 3116-NW RADCLIFFE WAY city., State ' Zipt6cle C . pany•NAIC Number: PALM CITY FL 34990 SECTION E - BUILDING -ELEVATION INFORMATION.(SURVEY NOT REQUIRED).. FOR. ZONE AO •AND -ZONE A (WITHOUT BFE) For.Zones AO.and A (Without BF.E), complete Items E1=E5.' If the Certificate is intended to_supporta. LOMA and or'LOMR-F request, complete Sections A, B; arid C: For Items E17E4, use natural grade, if.available. Check the measurement used. In. Puerto Rico only,. - enter meters: E1.- Provide elevationinformation for the.following.and check the.appropriate boi es.to show whether the.elevation 'is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG): apTop.of:bottom floor (including basement;: : crawlspace; or.enclosure) is N/A ❑feet, meters .' El -above or `❑ below the HAG b).Top-of bottom floor (including basement, crawispace; orenclosure) is N A. El -feet . [].,meters. ❑ above ot: ❑ below the LAG E2. ...For Building;Diagrarris 6=9 with -permanent flood openings provided in Section A Items 8 and/or 9 (see.pages 1-2.:of instructions); . the next higher floor.(elevation C2.b in the diagrams) of the building is: N A. ❑ feet : ❑ meters . []'above or. ❑ below the HAG E3. •Attached Gara a to' of slab N A:. feet meters above or beloW.the HAG E4. 'Top 'of :platform of machinery and/or .'equipmentN/A. El. feet 0 -rnet6rs-veow -HAG ;servicing the ;building is E5: Zone A0'only; if no flood depth number is available; is the top of the floor elevated in accordance with the community's floodplaih management ordinance? :.. ' .Yes .. No Unknown.: The local, official must certify this information in Section G. SECTION F = PROPERTY:O.WNER (OR OWNER'S REPRESENTATIVE) CERTIFICAT.ION' 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'cbrrect to the best of my, knowledge: - Properiy.'Owner or Owner's Authorized Representative's, Name:. Address . City.State:Zip Code .. Signature Date. - Telephone Comments ❑ Cheek here if attachments` FEMA Form 086 0 33 (7/15) . Replaces all precious editions : Page 3 of 6 . IMPORTANT: In these spaces, copy the corresponding information.from.Section A: .. FOR INSURANCE. COMPANY ".USE Building Street Address (Including Apt.; Unit, Suite; and/or Bldg.'No. or P.O. Route and Box No. Policy Number: '.. 3116 NW RADCLI FFE WAY City State Zip.Code. Company NAIC Number: . PALM CITY FL. 34990 SECTION 'COMMUNITY INFORMATION (OPTIONAL).,. The local, official,who is authorized by;law.or ordinance.to.administer the comrriunity/s flood plain management ordinance can complete: Sections A, B; C (orE), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.. Check the measurement used in Items G8.7.G10.. In Puerto Rico only, enter meters." . . G1. ,❑ The information in Section C was, taken.4rom other. documentation that has. been signed and sealed by,a.licensedsurveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation. data in tlie.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 infoematior-(Items G4 — G10) is proviide.d.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. Elevationof as=built lowest.floor(including.basement): ❑ :feet . El meters' Datum of the building: G9. BFE o[ (Zone.AO) depth of flooding at the bUilding:site: _ .:❑ feet ❑ meters Datum : G10. Communi s�desi n flood elevation: ty' g . • . El "❑ meters ..Datum The property owner or owner's authorized. representative who,completes Section's 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. Local Official's Name 'Title. Community Name Telephone. Signature Date Comments ET • Check here i f attachments FEMA Form UBb 0-33 (7/15) Replaces all previous editions Page 4: of 6. BUILDING PHOTOGRAPHS OMB No: 1660-008 • ELEVATION. CERTIFICATE . See Instructions:for Item A6, Exairation Dater November.30, 2018 IMPORTANT: In these spaces,. copy,the corresponding information from Section A. :: 1011 :INSURANCE.'COMPANY USE- Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P:O.,Route and Box No ,' Policy Number: 3116 NW RADCUFFE.WAY City State Zip Code Company NAIC Number: PALM CITY FL 34990 If using the Elevation_ Certificate to obtain NAP flood insurance, affix at least 2 building;ph'otcjgraphs below according to the instructions for Item A6..Identify all photographs with date taken; "Front view" and "Rearview"; and, if required; "Right Side View" and "Left Side View." When applicable; photographs must.show the foundation with. representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs.than will fit on this page; use the Continuation.Page... - - Ex •�.;i�FS�fi°EL�;1 • .., Ep1i�1J'I,PS:SI FFd . . Photo One Caption: Front:View Photo Three Caption: Rear View. 1 �- AF 1 4 Y / Photo Two Caption; Left View Photo Four. Caption: Right View FEMA Form 086-0-33.(7/15),' Replaces all previous editions Page 5 of 6 «wN I wiV vrR i iri_m i [ . �- - Expiration Date: November.30,-2018 IMPORTANT: In these spaces,: copy the coreesponding information from :Section A. .F.OR :INSURANCE. COMPANY_ USE Building Street Address (Including Apt;, Unit, Suite, and/or Bldg. No: or P:0. Route and Box No:. Policy Nurriberr 3116 NW RADCLI FFE. WAY City State Zip'Code Company NAIC Number: PALM CITY FL 34990 if Submitting more. photographs that will fit onthe .preceding:page; affix the additional photograph's below.-[ de'ntify:all photograp ith: hs wdate taken; "Front view" and "Rearview"' and; if required, "Right Side View" and "Left Side View.".When applicable; photographs must show the foundatio.n.with representative examples of the flood.openings oryents,.as indicated in Section A8. Photo One Caption:: Photo Three Caption: Photo,Tuvo Caption:: Photo Four-Captionc WA Form 086-0-33 0/15) Replaces.all previous editions Page 6 of 6