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U.S. DEPARTMENT OF HOMELAND SECURITY ' t VA I I V N t:tK l I -JUA I Lk- '
FEDERAL EMERGENCY MANAGEMENT AGENCI, OMB No. 1660-0008
National FloodlnmranceProgram Important• Read the instructions on page`s"i-9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name CLEWS & CHANDLER
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
1299 NETTLES BLVD
City-JENSENBEACH State FL ZIP Code 34957
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) ,
LOT 1299, NETTLES ISLAND PROJECT SECTION 2
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27°17'04.6" N Long. 80°13'10.6" 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 crawlspace or enclosure(s): A9. Fora building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 299 sq It a) Square footage of attached garage NIA sq It
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 N/A 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
d) Engineered flood openings? ❑ Yes 0 No d) Engineered. flood openings? ❑ Yes 0 No
SECTION B FLOOD INSURANCERATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
UNINCORP 120285 ST. LUCIE FL
B4. Map/Panel Number
B5. Suffix
.136. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base,Flood Elevation(s) (Zone
12111 C 0311
J
02/16/2012
Effective/Revised Date
"Zone(s)
AO, use base flood depth)
1
02/16/2012
AE & VE
7.0 & 10.0
610. 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 139: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: _
B12. Is the building located in a Coastal Barrier Resources System �BRS) area or Otherwise Protected Area (OPA)? i El Yes 0No
Designation Date: _ ' CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* © Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete. 1
C2. Elevations -Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1A30, 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: 94 77 A04 FLDT Vertical Datum: NAVD 88
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 for the BFE.
Check the measurement used.
a) -Top of bottom floor (including basement, crawlspace, or enclosure floor) 4.433 0 feet ❑ meters
b) Top of the next higher floor 13.26 ` ❑X feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) ' 11.9 0 feet ❑ meters
d),Attached garage (top of slab) N/A., ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building N/A_- ❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 4.2 0 feet `. ❑ •meters
g) Highest adjacent (finished) grade next to building (HAG) 4.1 feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support NIA._ ❑ feet ❑ meters
SECTION b - 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 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 1001.
❑X Check here if comments 'ate rovided on back of form. p ,Were latitude and longitude in Section A provided by -a" .
ElCheck here if attachments., licensed land surveyor? N Yes $❑ No
Certfier's Name EARLE R. STARKEY License Number 004459
Title PROFESSIONAL LAND SURVEYOR ....0 any Name ACCURIGHT LAND SURVEYING INC.
Add DECKER AVENUE 'City .STUART State FL ZIP Code 34994
Sig Date 04/05/2016 Telephone 772-286-7694
FEMA Form 086- See reverse side for continuation.
104s41.'017-,UC
rPLACE S ,
016 r
PL.S #4459
Replaces all previous editions.
ELEVATION CERTIFICATE. Daae 2
IMPORTANT: In these spaces, copy the ce, ;ponding information -from Section A. - FMNWkMS E MP Y-USE,
Building Street Address (including Apt., Unit, Suite; ana or Bldg. No.) or P.O. Route and Box No.
1299 NETTLES BLVD.
City JENSEN BEACH State FL ZIP Code 34957pe�tCfi
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 C2-A THE ENCLOSURE IS MADE OF FRANGIBLE WALLS
Signature
Date 04/05/2016
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
l
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 Section's 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 91see pages 8-9 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'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 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) 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 design flood elevation: ❑ feet ❑ meters Datum _
Local Official's Name'- - Title
Community_4ame' -- Telephone
Signature - Date
Comments
❑ Check here if attachments.
a
U.S. DEPARTMENT OF HOMELAND SECURITYCY C VA I 1 V N Cali 11I" I C:A 1 t OMB No. 1660-0008
FEDERAL EMERGENCY MANAGEMENT AGEN
National FloodlnsuranceProgram Important: Read the instructions on pages 1-9. Expiration Date: July 31% 2015
SECTION A - PROPERTY INFORMATION 'f► 1> i ;1
Owner's Name CLEWS &
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No: �. "
1299 NETTLES BLVD
�'"... ._
City JENSEN BEACH State FL ZIP Code 34957
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 1299, NETTLES ISLAND PROJECT SECTION 2
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) _ RESIDENTIAL
A5. Latitude/Longitude: Lat. 27°17'04.6" N Long. 80°13'10.6" 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.
AT Building Diagram Number 6
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) 299 sq it a) Square footage of attached garage N/A 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 N/A 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
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
UNINCORP 120285 1 ST. LUCIE FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
12111 C 0311
J
02/16/2012
Effective/Revised Date
Zone(s)
AO, use base flood depth)
02/16/2012
AE & VE
7.0 & 10.0
B10. 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:
1311. 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 (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No
Designation Date: _ Lj CBRS ❑ OPA
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 AT In Puerto Rico only, enter meters.
Benchmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 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)
4.43
13.26
11.9
d) Attached garage (top of slab) N/A.,
e) Lowest elevation of machinery or equipment servicing the building N/A...
(Describe type of equipment and location in Comments)
0 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
0 feet
❑ meters
0 feet
❑ meters
0 feet
❑ meters
❑ feet
❑ meters
❑ feet
❑ meters
0 feet
❑ meters
0 feet
❑ meters
❑ feet
❑ meters
SECTION b -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 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 1001.
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
El Check here if attachments. licensed land surveyor? 0 Yes El No
Certifier's Name EARLE R. STARKEY License Number 004459
Title PROFESSIONAL LAND SURVEYOR -C any Name ACCURIGHT LAND SURVEYING INC.
Add DECKER AVENUE -City ,STUART State FL ZIP Code 34994
Sig R Date 04/05/2016 Telephone 772-286-7694
FEMA Form 086- See reverse side for continuation.
1046-01 `o1-UC
PLACE
PLS #4459
Replaces all previous editions.
J.
ELEVATION CERTIFICATE. Daaa 2 "",
IMPORTANT: In these spaces, copy the ci�,_ __;ponding information from Section A. 1 I S1JF3 NCE 0PiYIatSE • `.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ocN(nr
1299 NETTLES BLVD. 5`�� ;._.,
City JENSEN BEACH State FL ZIP Code 34957arripsCfutrbar
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 C2-A THE ENCLOSURE IS MADE OF FRANGIBLE WALLS
Signature LE Date 04/05/2016
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 E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Section's 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 91see pages 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _ _ ❑ feet ❑ meters ❑ above or [J 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. 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 I G5. Date Permit Issued I 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. Communitys design flood elevation: ❑ feet ❑ meters Datum _
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
❑ Check here if attachments.