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HomeMy WebLinkAboutElevetation Certificate 7-5-16rU.J. E AR T w =i� i OF i w riELiriINDi ��»JRITY �^ i ray . OMB No. 1660-0008, Fed&AI Emargency Management Agei I Expiration Date: November 30, 2018•I National Flood Insurance Program ! -' ELEVATION ,CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. SECTION A — PROPERTY INFORMATION- FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. DONALD & PATRICIA SNODGRASS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 10751 SOUTH OCEAN DRIVE #67 City State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT B-7 VENTURE HARBOR A4. Building Use (e.g., Residential, Non -Residential; Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°16'08.7" Long.-80°12"3"1.6" 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 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1786 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A8.b 2580 sq in d) Engineered flood openings? ® Yes [:]No A9.. For a building with an attached garage: a) Square footage of attached garage 465 sq ft b) Number of permanentflood openings,in the attached garage within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A9.b 600 sq in d) Engineered flood openings? ® Yes ❑ No SECTION B — FLOOD INSURANCE "RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State UNINCORP 120285 ST.-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/ I (Zone AO, use Base O �I' `� -31 J o I6o ' /Z Revised Date O ?./140 / 2�o rz' AE Flood Depth) 7.0 ' i B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: . i B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929', ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otheiwise Protected Area (OPA)?-❑ Yes ® No" Designation Date: ❑ CBRS ❑ OPA i FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ORA" MO. 4GC- L; W. ELEVATION CERTIFICATE Expiration Date: November 30('2018,.. i9p—ORT4isit: in these spaces, copy theI SectioWz.. , I - _ -,esponding information from FOR INSURANCE COMPANYUSE Buildirig. Street Address (including Apt., Unit, Suite, and/or Bldg. No,.) or P.O. Route and Box No. Policy Number 10751 SOUTH OCEAN DRIVE #137 'City State ZIP Code Company NAJC Number JENSEN BEACH FLORIDA 34957 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* E] 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, ARIAE, AR/A1—A30, ARIAH, 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 A02 RM I FDOT Vertical. Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. M NGVD 1929,X NAVD 1988 F1 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 5 Rfl feet [] meters b) Top of the next higher floor 8 0 feet [] meters c) Bottom of the lowest horizontal structural member (V Zones only) N A_ M feet E] meters d) Attached garage (top of slab) 4 5 feet I-] meters e) Lowest elevation of machinery or equipment servicing the building 8 7_ XJ feet E] meters (Describe We of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 4 . —1 P!] feet E] meters g) Highest adjacent (finished) grade next to building (HAG) 4 3 - Rfl feet E] meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N A _ ❑feet E] meters structural support I SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by'a land surveyor, engin'eer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best eff6rts to interpret the data available. I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Sectfon 1001. I Were latitude and longitude in Section A provided by a licensed land surveyor? X1 Yes El No Check here if attachments. Cerfifier's Name. License NO I mber JOB # 2025-01-01 EARLE R.'STARKEY PLS #004459 Title PROFESSIONAL LAND SURVEYOR 0770 6 Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 .'.00 State ZIP Code STUART FL 34994 PLS 0004459 Signature Telephone 07/05/2016 772-286-7.694 "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) - A8-D CRAWL SPACE DOOR SYSTEMS MODEL #1 232CS A91bSMART VENT MODEL #1540-520 C2-E A/C PLATFORM -FEMA­ Form 086-0-33 (7/15) Replaces all previous editions. t-orm Page z of tj Y Building See Instn 110751 SOUTH OCEAN DRIVE #B7 Y_ity state If using the Elevation Certificate to obtain NFIP flood insi the instructions for Item AB. Identify all photographs with: Side View" and "Leif Side View." If submitting more ph following. FRONT 07/05/2016 for Item or P.O. Route and Box ZIP Code 4mpem►t+IACMXTO RIDA 34957 De, affix at least two building photographs below according to taken; "Front Yew" and "Rear View"; and, if required, "Right raphs-than will fit .on this page, use the Con iwation Page, REAR 07/05/2016 SIDE I07/05/2016