HomeMy WebLinkAboutElevation Certificate 8-12-08U.S. DEPARTMENT OF HOMELAND SECURITY ;f ELEVATION CERTIFICATE i OMB No. 1660-0008
Federal Emergency Management Agency Expires February 28. 2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Seaboard Homes Policy Number
A2. Building Street Address'(including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
4808 Watersong Way
City Ft. Pierce State FL ZIP Code 34949 `� �,' pn,�� 7- lit 07 06 -610
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 33, Watersong PUD Plat No. 1
A4. Buildind,Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27°23'31.0"N Long. 80°15'39.6' W 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 6
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) n/a sq ft a) Square footage of attached garage n/a sq ft
!b) No. of permanent flood openings in the crawl space or b) No, of penmanent flood openings in the attached garage
4' enclosure(s) walls within 1.0 foot above adjacent grade n/a walls within 1.0 foot above adjacent grade n/a
c) Total net area of flood openings in A8.b n/a sq in c) Total net area of flood openings in A9.b n%a sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
Unincorporated Areas, 120285 St. Lucie FL
B4. MaplPanel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
12111CO194
G
06/30/99
11/4/92
VE
12.0'
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 (Describe)
Bl 1. Indicate elevation datum used for BFE in Item 139: (9 NGVD 1929 ❑ NAVD 1988 , p'Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ®Yes ON
Designation Date 10/01/1983 ® CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: Construction Drawings` 4P Building Under Construction" ❑ 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, V1430, V (with BFE),AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO, Complete Items C2.a-g
below according to the building diagram specified in Item AT
Benchmark Utilized Local Vertical Datum 1929
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 11.17 ®feet El meters (Puerto Rico only)
b) Top of the next higher floor n/a. ❑ feet ❑ meters (Puerto Rico only)
_/" Bottom of the lowest horizontal structural member (V Zones only) 18.48 ® feet ❑ meters (Puerto Rico only)
d) Attached garage (top of slab) n/a. ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building Na. ❑ feet . ❑ meters (Puerto Rico only)
(Describe type of equipment in Comments)
0 Lowest adjacent (finished) grade (LAG) 6.50 jH feet ❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade (HAG) 7.6_0 ® feet ❑ meters (Puerto Rico only)
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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.
1 understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® Check here if comments are provided on back of form.
Pl 'E
Certifier's Name James A. Fowler, P.S.M. License Number 3435
mot`''
Title Professional Surve or & Mapper Company Name Culpepper & Ter enin , Inc.
(J
., ��� •
Address 2980 South 25th Street City Ft. Pierce State FL ZIP Code 34981
Signet u Date 08/12/2008 Telephone 772-464-3537
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy 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 .
4808 Watersong Way
City Ft. Pierce State FL ZIP Code 34949 Company NAIC Number
j 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 .Please.note;_ C2., a): Too of.bottorti.floor elevation was measured'at stemwall'While under construction.
C2. c): §ottom`of lowest"h$rizontal.structural member, C2.•ff: Lowest adjacent grade and C2. g): Highest adjacent grade elevations were all taken from
approvgd construction plans.
ick here if attachments
SE&rfON E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El-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, crawl space, or enclosure) is ❑ feet ❑ meters. --❑-above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet f meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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 an- 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
I
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. and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or archite"ho
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.-G9.) 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 df a's=built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum
G9. BFE or.(ia Zone AO).depth of flooding at the building site: ❑ feet ❑ meters .(PR) Datum
Local Official's Name -",,".Title
Community Name Telephone
Signature . " Date
Comments
Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions