Loading...
HomeMy WebLinkAboutElevation Certificatel 21) o O AS' U.S. DEPNRTMENT OF HOMELAND SECURITY ' �__� WATION CERTIFICATE = OMB No. IW10008 . FEDERAL EI�sERGENCY MANAGEMENT AGENCY National Plocd lonance Program o - IMPORTANT: Follow the instructions on pages 1-9. Expiration Date: July q :;,1015 SECTION A - PROPERTY INFORMATION FOR iNSURANGEGOMeatvY risF :. Al. Building Owner's Name PATEL FAMILY, LLC Policy. Number: A2. Build' Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIG;Number V00 NORTH A1A City FORT PIERCE State FL ZIP Code 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID 1414-310-0006-000-8 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. -27 31 OR 41 N Long. _80 18 32.92 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. A7. Building Diagram Number 6 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) 0 sq ft a). Square footage of attached garage 1,239 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 0 within 1.0 foot above adjacent grade .0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b _0 s in d) Engineered flood openings? [I Yes ® No q d) Engineered flood openings? [I Yes ®No SECTION 0 - FLOOD INSURANCE RATE MAP fRRMi INMOMaTiniu Bl. NFIP Community Name & Community Number 62. County Name B3. State UNINCORPORATED 120285 ST. LUCIE FL 84. Map/Panel Number B5. Suffix 86. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone 12111 C 0093 J 02/16/2013 R1 O Ineli—tn thn Revised Date 02/16/2013 x)AO & VE AO, use base flood depth) Xj AO (4), AO (-2% VE (14') ---• ��• V WOOO F,000 Cicvauun kort) data or case nood depth entered in Item B9: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: 612.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ® Yes ❑ No Designation Date: 10 / 1 / 1983 ® CBRS ❑ OPA btu I IUN U - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N 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. In Puerto Rico only, enter meters. Benchmark Utilized: NGS "N-633" Vertical Datum: NAVD 1988 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 RFE a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 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 Check the measurement used. 13 23 N feet ❑ meters 22 80 N feet ❑ meters 20 74 N feet ❑ meters 13 • 23 N feet ❑ meters 13 , 30 iN feet ❑ meters 12 , 50 ® feet ❑ meters 16 • 33 ® feet ❑ meters 12 37 ® 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. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Z Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a N Check here if attachments. licensed land surveyor? ® Yes ❑ No VICE PRESIDENT ARNOLD SURVEYING, INC. Address City State ZIP Code 4888 N. KINGS HIGHWAY #425 FORT PIERCE FL 134951 Signature Date Telephone - 09/25/2014 (772) 460-8211 FEMA Form 086-0-33 (Revised 7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 ' IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR 1NSURANCE'GOMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number": 4400 NORTH A1A City State ZIP Code Company NAIC Number FORT PIERCE FL 34949 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 ELEVATION OF THE A/C PAD WAS USED FOR THE LOWEST ELEVATION OF MACHINERY LATITUDE / LONGITUDE WAS OBTAINED USING A HANDHELD GPS UNIT HOUSE AND AIR CONDITIONER ARE LOCATED IN ZONES AO (-1') AND AO (-2') Signature Date 09/25/2014 SE N 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 E1-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 ❑ 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 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 Aa G3. ❑ The following information (Items G4-G10) Is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issueo 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. FEMA Form 086.0-33 (Revised 7/12) Replaces all previous editions. ti 1302 - 0087 I feLEVATIOJ* CERTIFICATE, page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. 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: 4400 NORTH AM city State ZIP Code Company NAIC Number: FORT PIERCE FL 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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 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. FRONT VIEW - PHOTO TAKEN SEPTEMBER 24, 2014 REAR VIEW - PHOTO TAKEN SEPTEMBER 24, 2014 FEMA Form 086-0-33 (Revised 7/12) Replaces all previous editions.