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Home My WebLink AboutElevation Certificate U S.DEPARTMENT.OF HOMELAND SECURITY .EVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 NationalFloodlnsuranceProgram. 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 Policy Number: ..STANDARD PACIFIC HOMES A2. :Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No..)or P.O..Roufe and Box No. Company NAIC Number: 3100 NW RADCLIFFE WAY City State ZIP Code PALM CITY, . . FL 34990 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) "RIVERBEND"LOT 19 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory;etc.)RESIDENTIAL'. A5. Latitude/Longitude:-Lat.. 27°13'16.54"N .Long. 80°17'32.63"W' ' ' Horizontal Datum: ❑ NAD 1927 ® NAD 1983 - - A6. Attach at least:2 photographs of the building if the Certificate is being used to obtainflood insurance. AT Building Diagram'Number 1A . A8. Fora building with a crawlspace or enclosure(s); A9. For a building with an attached garage: a) Square footage of crawlspace-or 6helosure(s) 0 sq ft, a) Square footage of attached'garage. 1006 sq ft' b) Number of permanent flood openings in the.crawispace 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 - sq in d) Engineered-flood.openings? ❑ Yes. tg' No d). Engineered flood openings? ❑.Yes' '.0 No SECTION B.-FLOOD INSURANCE RATE MAP(FIRM).INFORMATION. Fl.... FIP Community Name&Community Number 62.County Name' - 63.State CIE:000NTY; 120285 ST:LUCIE COUNTY_ - . FL B4.Map/Panel Number ' 56,Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone 12111 C406 1 02/16120.16 Effective/Revised Date Zone(s) AO,use base flood depth) 02/16/2016 . .: AE,X 6(AE) .. 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: B11. .Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD.1988 '.. ❑ Other/Source' B12. Is the.buildIng located in;a.Coastal Barrier Resources System(CBRS)area or Otherwise Protected,Area•(PPA)? ❑,'Yes ® No Designation Date:N/A. ❑ CBRS ❑ OPA . SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations.are based on: ❑ Construction-Drawings' • ❑'Buildiing Under Construction' ® 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;ARIA,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 Imeters. Benchmark Utilized:TIDAL BENCH MARK,ST.LUCIE COUNTY:"872 2334 TIDAL 4"(EL=2.60) Vertical Datum: NAVD 1968" 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 forthe BFE. .. ' ..Check the measurement used. a)Top of bottom floor(including basement,crawispace,,or enclosure floor) 11:50._ ®feet ❑meters b)Top of the next higher floor 23:90 ®feet ❑.meters . . c) Bottom of the lowest horizontal structural member(V Zones.only) N/A ❑.feet. ❑meters ' d)Attached garage(top of slab) 10:82 ' ®feet ❑meters. e) Lowest,elevation of machinery or equipment servicing the building 10.9 ®feet- . ❑meters . (Describe type of equipment and location in.Comments) f) Lowest adjacent(finished)grade next to building(LAG) 10.3' ®feet ❑meters g) Highest adjacent(finished)'grade next to building(HAG) . . 10.6 ®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 bylaw to certify elevation information.1-certify that the information on this Certificate represents my best efforts to interpret the data'available. DBVid_P. ley understand I understand that any false statement may be punishable by.fine or imprisonment under 18 U.S.* Code,-Section 1001. •. F'LS#k6005 Lf3`#3591 ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by.a State of'r..•lorlda ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No Dat ;:'u5123/2016 Certifier's Name -DAVID P.LINDLEY,PLS License Number. 5005 LB#3591 Title VICE PRESIDENT Company Name "CAUL_FIELD&WHEELER INC: 4/ Address 7 DE AD. 100 City BOCA RATON_ State. FL ZIP Code 33434: , Signature Date 05/23/2016.. : Telephone (56.1)392-.1991 : ., _. - i FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2'-. r 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:. 3160'NW RADCLIFFE WAY City State ZIP Code Company NAIL Number: .. PALM CITY FL 33064 . SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official;(2)insurance agent1company,and.(3)building owner. Comments Item C2.e)A/C UNIT Item A5) Latitude&Longitude obtained by Magellen GPS Blazer 12. This Certificate is not valid unless sealed with an embossed surveyor's seal. Signature Date 05/23/2016 SEC . - ILDING ELEVATION INFORMATION(SURVEY NOT,REQUIRED)-FOR.ZONE AO.AND ZONE A.(WITHOUT BFE)- For Zones AO and A(without BFE),complete Items E1—E5..lf 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 N/A ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including.basement,crawispace,or enclosure)is ..N/A' -❑_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 -N/A - ❑feet :❑meters.. ❑above or ❑below the HAG. E3. .Attached garage(top of slab)is .N/A ❑feet ❑meters..❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is N/A ❑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 ownees'authodzed 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 communi,Ws: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 fora building tooated in Zone A(Without a FEMA-issued or community-issuedBFE)or Zone AO. 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 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 drec7gn4bod,elevation: ❑feet El meters Datum Local Offrciai's dame Title Community'14 ire: Telephone. Signature Date Comments ❑Check here if attachments. FEMA Form 086-0=33(7/12) Replaces all previous editions. 1=LEVATION CERTIFICATE, page 3 k3uilding 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: 3100 NW RADCLIFFE WAY City State ZIP Code Company NAIC Number: PALM CITY FL 34990 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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. Front View - Rear View c Left View Right View' . •j,f 1Y L i. FEMA Form 086-0-33(7/12) Replaces all previous editions.