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HomeMy WebLinkAboutElevation Certificate Partial ApprovalU.S. DEpp,&TMENT OF HOMELAND SEC('...1�Y t FMB No.1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE I � (fl "D�2 Important: Follow the instructions on pages 1-9. r'i_ ..4i, fl.,,+.fi—f. qnA au affarhments for NI community official, (2) insurance agenticompany, and. (3) building owner. -opy all pages ui uu5 GJC.YatJVJI VO,I,,,­...,.........- ....-..-- - , , SECTION A -- PROPERTY INFORMATION FOR INSURANCE COMPANY USE Policy Number Al. Building Owner's Name ISABELLA HALBERT A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number:. Box No. 4884 WATERSONG WAY City State ZIP Code. FORT PIERCE Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 52, WATERSONG PLAT NO. 1 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27 23 24.262 Long. W 80 15 36.938 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. AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1,035 sq ft b) Number of permanent flood openings in the crawlspace 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 ❑X No A9. For a building with an attached garage: a) Square footage of attached garage 527 sq ft b) Number of permanent flood 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 8 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State UNINCORPORATED 120285 SAINT LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index 87. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) Zone AO, use Base Number Date Revised Date Flood Depth) 12111 C 0194 J 02/16/2012 02/16/2012 AE 6,7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9' ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: 1311. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: File Copy 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise"TrgctedlAr(1� �i jes ❑ No /fit �'i��a► V I"R Designation Date: 10/01/1983 0 CBRS ❑ OPA Flit, Copy FEMA Form 086-0-33 (7/15) Replaces all previous editions. - . ' - 1-WrrFKn1_;-1 of tj �MB 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: 4884 WATERSONG WAY City State ZIP Code Company NAIL Number FORT PIERCE Florida 34949 SECTION C —.BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑X 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: SLC BM " B-308" Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 Q 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) 8.0 ❑X feet ❑ meters b) Top of thenext higher floor N/A x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet ❑ meters d) Attached garage (top of slab) 5 0 x❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑x feet ❑ meters (Describe type of equipment and location in Comments) 5 9 feet meters f) Lowest adjacent (finished) grade next to building (LAG) 0 ❑ X g) Highest adjacent (finished) grade next to building (HAG) 7.0 ❑ ❑ feet meters h) Lowest adjacert 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 efforts to interpret the data available. 1 understand that any false statement may be 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? ❑X Yes ❑ No ❑ Check here if attachments_ CHARLES ARNOLD, PSM Title VICE PRESIDENT Company Name ARNOLD SURVEYING, INC. Address 4888 N KINGS HIGHWAY #425 City FORT PIERCE Signature e5l Copy all pages of this Elevation C License Number LS 4971 State ZIP Code Florida 34951 Date Telephone 01/30/2018 (772) 460-8211 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; ITEM A8 REFERS TO STORAGE, FLEX AREA & FOYER ELEV; ITEM A9D ARE'SMART VENT MODEL 1540-520" ENGINEERED FLOOD OPENINGS RATED AT ZOO SQ FT; ITEM C2A REFERS TO STORAGE, FLEX AREA & FOYER ELEV; ITEM C2D REFERS TO GARAGE THAT IS ATTACHED TO STORAGE, FLEX AREA.& FOYER; HOUSE & A/C LIE SOLELY IN AE-6 ZONE FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 8 ­,�'MB No. 1660-0008 ELEVATION CERTIFICATE tKpiration 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: 4884 WATERSONG WAY State ZIP Code Company NAIL Number City FORT PIERCE Florida 34949 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) MA or For Zones ec and AA (without C. For Itemsplete Items El—E4, use natural 5. If the Certificate is grade, if available. intended the measuremeOnt used. Puerto Rico only, complete Sections , 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 ❑ 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 [I feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet meters E]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 nrlrlrnce City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. I FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 3 of 6 �� icvn t tnnf f`GRTIPICATE 'LIMB 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: 4884 WATERSONG WAY Company NAIC.Number City State ZIP Code 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, by law to certify elevation information. (Indicate the source and date of the elevation engineer, or architect who is authorized data in the Comments area below.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community" issued BFE) G2 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' CompCertif icate of a ce/O cupancy 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: ❑ 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 r-cIw`r P%&I ^ICI5TICI?ATC :JILDING PHOTOGRAPHS •MB No.1660-0008 SPP Instructions for Item. A6. — cpiration Date: November 30 2018 GL.GYr%I TWIN %OA-g kI Il &�-. • — 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: 4884 WATERSONG WAY City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the "Front "Rear View'; and, if required, ".Right Side View" and instructions for Item A6. Identify all photographs with date taken; 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 Photo One Caption FRONT VIEW - PHOTO TAKEN JANUARY 29, 2018 Photo Two Photo Two Caption FEMA Form 086-0-33 (7115) Replaces all previous editions. Form rage 5 or 6 JILDING PHOTOGRAPHS MB No. 1660-0008 =1 PUA-rinN (:FRTIFICATIF Continuation Paqe-,Lxpiration Date: November30, 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_0. Route and Box No. 4884 WATERSONG WAY Policy Number: City State ZIP Code FORT PIERCE Florida 34949 Company NAIC Number 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. Photo One Photo One Caption Photo Two Photo Two Caption FEMA Form 086-0-33 (7/15) Replaces all previous editions. corm rage b or e