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HomeMy WebLinkAboutElevation Certificate 6-13-18U.S. DEPARTMENT OF HOMELAND :; -,z JRITY ,,., OMB No.1660-00u8 Ex iration Date: November 30, 2018 Federal Emergency Management Agency p National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. _____ _1c &U'- . �� ..,,,.:,,., rl—V.41. fa an,l all attarhmants for (1) community official. (2) insurance agent/company, and (3) building owner. Il IoOff alla1U6O VI uua SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. JOHNNY RAMBO A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 2300 CANOE CREEK LANE City State ZIP Code FORT PIERCE Florida 34953 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID 3404-701-0007-000-0 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27 22 09.51 Long.w 80 20 46.84 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 1 B A8. For a building with a crawispace or enclosure(s): a) Square footage of crawispace or enclosure(s) 0 sq It b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 674 sq It b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in 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 ST LUCIE CO, UNINCORPORATED 120285 SAINT LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use Base Number Date Revised Date Flood Depth) 12111 C 0276 J 02/16/2012 02/16/2012 AE 7 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 ❑X NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or otherwise Protected Area (OPA)? ❑Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form rage 1 or 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 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. 2300 CANOE CREEK LANE city V MLl FORT PIERCE Florida 34953 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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, 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: CITY OF PORT ST LUCIE # 258 Vertical Datum: NAVD 1988 ` 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) h r e 8.1 feet ❑ meters N/A_ ❑X feet ❑ meters b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑x feet ❑ meters d) Attached garage (top of slab) 7.3 ❑x feet ❑ meters ' ui ment servicing the building 8 1 ❑R feet ❑ meters e) Lowest elevation of mac finery o q p (Describe type of equipment and location in Comments) f) 7 5 ❑x feet meters Lowest adjacent (finished) grade next to building (LAG) ❑ g) Highest adjacent (finished) grade next to building (HAG) 7 7 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A, ❑X feet ❑ meters structural support 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 efibrts to interpret the data available. I understand that any false statement may be punishable by fine orimphsonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? © Yes ❑ No ❑ Check here if attachments. CHARLES ARNOLD, PSM LS 4971 Title \� VICE PRESIDENT lace Company Name /� , ARNOLD SURVEYING, INC. v Address 4888 N KINGS HIGHWAY #425 City State ZIP Code FORT PIERCE Florida 34951 Signature Date Telephone 06/13/2018 (772) 460-8211 Copy all pages of this Elevation Certificate 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 A-5, LATITUDE/LONGITUDE WAS OBTAINED USING A HAND HELD DEVICE; ITEM C-2e, LOWEST EQUIPMENT, A/C UNIT FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 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. 2300 CANOE CREEK LANE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34953 SECTION E — BUILDING ONE OTION INFOR ZONE AATIO ROUT BFE) NOT REQUIRED) FORFor 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 El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 El meters El above or ❑ below the HAG. b) Top of bottom floor (ncluding 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 1 2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is El 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 []feet ❑meters ❑above or []below the HAG. servicing the building is 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 Address Comments Representative's Name City Date State Telephone ZIP ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 • w�•�•••�r�A A'TC ' OMB No. 1660-0008 Expiration Date: November 30, 2018 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. 2300 CANOE CREEK LANE State ZIP Code Company NAIC Number City FORT PIERCE Florida 34953 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 1 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 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) ❑ feet ❑ meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the building site: G10. Community's design flood elevation: Comments (including type of equipment and location, per C2(e), if applicable) ❑ feet ❑ meters Datum [-]feet ❑ meters Datum FEMA Form 086-0-33 (7/15) Repiaces au previous euuons. ❑ Check here if attachments. e..— 0--- d -f A - BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 2300 CANOE CREEK LANE "r 34953 FORT PIERCE Florida OMB No. 1660-0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Policy Number. Company NAIC Number 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. Photo One I Photo One Caption FRONT VIEW PHOTO TAKEN JUNE 10, 2018 i Photo Two Photo Two Caption REAR VIEW -;PHOTO TAKEN JUNE 10, 2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No.1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 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. 2300 CANOE CREEK LANE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34953 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. V � + FF L. r� Photo One Photo One Caption LEFT VIEW TAKEN ON JUNE 10, 2018 F- $ 4.. r 'y1 s E. PhotoTvVo Photo Two Caption RIGHT VIEW, TAKEN ON JUNE 10, 2018 FEMA Form 086-0-33 (7/15) Replaces all previous editions.Form Page 6 of 6