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HomeMy WebLinkAboutElevation Certificate 10-17-13CERTIFIC U.S. DEPARTMENT OF HOMELAND'SECURITY • ._� %4EVATION ��� �.° ,� - FEDEkAL'i:MERGENCY MANAGEMENT AGENCY NO. 1660-0008 Nation6lFlood lnsuranceProgram ;I",Purtint: Read the instruction&pn pages i-y. Expiration Date: July 31, 2015 �. SECTION A - PROPERTY INFORMATION Al. Building Owner's Name JOSEPH & ANN HAMROCK A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 10725 SOUTH OCEAN DRIVE #323 _11im City JENSEN BEACH State FL ZIP Code 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 41 BLOCB "B" HOLIDAY OUT A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°16'10.7" N Long. 80°12'19.7" W Horizontal Datum: ❑ NAD 1927 0 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 8 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) 851 sq ft 'a) Square footage of attached garage 265 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 5 within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 1292 sq in c) Total net area of flood openings in A9.b 392 sq in d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State UNICORP 120285 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 0314 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) 1 02/16/2012 AE 7.0 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: _ B11. Indicate elevation datum used for BFE in Item 139: ❑ .NGVD 1929 0 NAVD 1988 ❑ Other/Source: B12-. -is-the building located in a Coastal Barrier Resources System ffRS) area -or Otherwise Protected Area-(OPA)?----- -- ❑ Yes- - 21-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, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1A30, 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 A02 RM1 FLDT Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 X❑ 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) 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 3.8.0 0 feet ❑ meters 8.4 0 feet ❑ meters N/A. ❑ feet ❑ meters 3.4 0 feet. ❑ meters 7.8 0 feet ❑ meters 3.3 0 feet ❑ meters 3.8 0 feet ❑ meters 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 cerby 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 or imprisonment under 18 U.S. Code, Section 10Q1. 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 0 Check here if attachments: licensed land surveyor? 0 Yes ❑ Certifier's Name EARLE R. STARKEY r -Addy 1501 DECKER AVENUE #4 mature RKEY FEMA Form 08 (7/12) License Number 004459 Company CCURIGHT LAND SURVEYING INC. State FL ZIP Code 34994 Telephone 772-286-7694 See reverse side for continuation. JOB *2002e01=01 PLACE 1011V2013c PLS #4459 Replaces all previous editions. ELEVATION CERTIFICATE a e 2 ; IMPOk-YANT: In these spaces, copy -tf e'sporiding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. City JENSEN BEACH State FL ZIP Code 34957 SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT: CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community offic insurance agent/company, and (3) building owner. Comments C2-E HOT WATER HEATER Signature EARLE R. STARKEY Date 10/17/2013 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 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, 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 �ee pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ meters El 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'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 beer! 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-GI0) 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 G9. BFE or (in Zone AO) depth of flooding at the building site: _ — ❑ feet ❑ meters G10. Community's design flood elevation: __ ❑ feet ❑ meters Local Official's. Name_= Title Community Name Telephone Signature.' Date Comments Datum Datum Datum _ Check here if attachments. Building Photograp Se&.twtuetiens-fbF Item -A& or 10725 S-E TH� OCEANS DRIVE State ZIP Code . ,r NaC city fr'Kr1ZrK VrAr k I FLEIRID'A 94955�` 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; ``I=ront View° and "gear VieW-, and, if r6quir6d, "FUdht Side View" and "Left. Side View." if submitting. more photographs than will fit on this page,, use the Continuation Page,. following. FRONT 10/17/2013 S Ing Photographs Continuation Page Buiid ling Address (mcfuding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Pou y,Nurnger . 10725° SOUTH OCEAN DRIVE #323 State ZIP Code CKY JENSEN BEACH FLORMA349-97 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, i1' required, "Right bide Vevtand"Left Side View. REAR 10/17/2013 �� SIDE 1.0/17/2013 _..