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Home My WebLink AboutElevation Certificate 1-12-18f r T Q G` O DEPARTMENT OF HOMELAND SECI',,,a Y Federal Emergency Management Agency National Flood Insurance Program U'MB No. 1660-0008 Expiration Date: November 30, 2018 ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. RE:EED Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insuraneI ier. JAN018 15E ST. Lucie Permitting SECTION A — PROPERTY INFORMATION A1. Building Owner's Name DEVIN MOBERG A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. s 245 BIMINI DRIVE City State ZIP Code FORT PIERCE Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL ID 1425-701-0029-000-9 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27 29 09.79 Long. W 80.18 06.97 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): a) Square footage of crawispace or enclosure(s) 0 sq ft 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 No A9. For a building with an attached garage: a) Square footage of attached garage 400 sq ft 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 ❑X No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State SAINT LUCIE CO, UNINCORPORATED 120285 SAINT LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12111 C 0181 J 02/16/2012 02/16/2012 AE, X 5 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑X No Designation Date: ❑ CBRS ❑ OPA APPROVED, FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE 6''MB 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: 245 BIMINI DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* 0 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, 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: USGS A-29 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) 7.0 X❑ feet ❑ meters b) Top of the next higher floor N/A 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NSA. 0 feet ❑ meters d) Attached garage (top of slab) NSA. 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building NSA. ❑x feet ❑ meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 6 2 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6 5 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NSA. 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. 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. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number CHARLES ARNOLD, PSM LS 4971 Title VICE PRESIDENT lace Company Name SURVEYING, INC. 'J ARNOLD - - ;e`Ee Address 4888 N KINGS HIGHWAY #425 City State ZIP Code FORT PIERCE Florida 34951 Signature Date Telephone 01/11/2017 (772) 460-8211 Copy all pages of this Elevation Certific6te 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 A5 WAS OBTAINED USING A HANDHELD GPS UNIT; HOUSE LIES SOLELY IN THE X FLOOD ZONE FEMA Form 086-0-33 (7/15) Replaces all previous editions. corm rage 1 oT b ELEVATION CERTIFICATE .,'413 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: 245 BIMINI DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 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 El—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 1-2 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. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ,y ELEVATION CERTIFICATE c 14113 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: 245 BIMINI DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 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 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: 0 feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6