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Home My WebLink AboutELEVATION CERTIFICATE 12-6-17` 4 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency'Management Agency -- National Flood Insurance Program OMB No: 1660-008 Expiration Date:.NQYPMq eT.3%,�018. :. ELEVATION CERTIFICATE Important: Follow the instructions on Pages 1-9 0I incnrnnra aaant/rmmnanv_ and (11 huildinE owner. i.upy au ra6— SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name (Note: Not valid to use for any other personorentity). Policy Number: BARRY SCHWARTZ #4058-50 A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Company NAIC Number: Box No. 445 NETTLES BLVD City State ZIP Code JENSEN BEACH FL 34957 . A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 445N, NETTLES ISLAND SECTION 2 (#4502-501-0631-000-3). A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27'17'14.7078"N Long.-80"13'15.762"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:8 A8. For a building with a crawlspace of enclosure(s): a) Square footage of crawlspace or enclosure(s) 864 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 880 sq. in. d) Engineered flood openings?. ® Yes ❑ No A9. For a building with an attached garage: a):Squai e.fooLage of attached garage N/A sq. ft. b) N,umber,cf permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c),Total net area of flood openings in A9.b N/A sq. in. d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. N4113 Community Name & Community Number B2. County Name 1 B3. State I ST. LUCIE CTY UNINC. AREAS 120285 ST. LUCIE FL 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) 12111CO311 J 02/16/12 02/16/12 AE 7.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ AS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate Elevation Datum Used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Z No . Designation Date:. ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous eaitions rosc L ui u ) ELEVATION CERTIFICATE OMB No: 1660-008 Fvnirntinnnatp• Nnvpmhpr10 MMS2 IMPORTANT: In these.spaces,.copy.the corresponding inf6rmation from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt., Unit, Suite, and/ors Bldg. No. or P.O. Route and Box No. Policy Number: 445 NETTLES BLVD I City State Zip Code Company NAIC Number: JENSEN BEACH IFL 34957 SECTION C— BUILDING,ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building Elevations are Based on: ❑ Construction Drawings* El Building Under Construction* ® Finished Construction * A new Elevation Certificate will be required when construction of the building is complete. C1 Elevations — Zones Al -A30, AE, All, A (with BFE))VE VI — V30, V (with BFE), AR, AR/A, AR/AE, AR/Al —A30, AR/AH, AR/AO. Complete Items C2.a — h below according to the�uilding diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: 872 2312 G TIDAL Vertical Datum:NAVD 1988 Indicate elevation datum used for the elevation) in Items a) through h) below. ❑ NGVD 1929 ®NAND 1988 ❑ Other/Source: Datum used for building elevations must be t e same as that used for the BFE. Check the measurement used. a) Top of Bottom Floor (including basement, crawlspace, or enclosure floor) 4.7 ® feet ❑ meters b) Top of Next Higher Floor 9.32 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters d) Attached garage (top of slab) N A. ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 9.12 ®feet El meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next o building (LAG) 3.5 ® feet ❑ meters. g) Highest adjacent (finished) grade ne to building (HAG) 4.7 ® feet ❑ meters h) Lowest adjacent grade at lowest ele tion of deck or stairs, including N/A. El feet El meters structural support SECTION D; SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed b'y a land surveyor, engineer, or architect authorized by law to certify elevation information. l 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. ,Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Check here if'�tt chmEnts. Certifier's Name: License Number: Stephen J. Brown, PSM L.S. 4049. �� plae2 S&eal r Title: I / / Professional Surveyor and Mapper ; -He i ' ' Company Name: Stephen J. Brown, Inc. St a own; PSM• S. 49, tate offlorida Address, I 619 ST Sth STR "Not Vali ithout the signature and the original raised seal of a Florida . City: State: Zip Code: STUART I FL 34994 Licensed Surveyor & Mapper" Signature: Date: Telephone: Stephen J. Brow 12/06/17 (772) 288-7176 Copy all Pages o s Elevation Certifi ate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments ' ding type of equipment and location, per C2(e), if applicable. C2 e IS OTTOM OF THE A/C NIT FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 2 of 6 OMB No: 1660-008 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: 445 NETTLES BLVD City State Zip Code Company NAIC Number: JENSEN BEACH FL 34957 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 and or LOMR-F request, complete Sections 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- djacent grade (LAG). a) Top of bottom floor (including basement, ❑ feet ❑ meters ❑ above or ❑ below the HAG crawlspace, or enclosure) is b) Top of bottom floor (including basement, ❑ feet ❑ meters ❑ above or ❑ below the LAG crawlspace, or enclosure) is 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG the diagrams) of the building is E3. Attached Garage (top of slab) ❑ 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 floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No 0 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 Page 3 of 6 OMB No:1660-008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 _IMPORTANT: In these spaces, copy the corresponding information.from.SectiooL.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: 445 NETTLES BLVD City State Zip Code Company NAIC Number: JENSEN BEACH I FL 34957 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 metirs. 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 I w 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 f r 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 New Construction ❑ Substantial Improvement " G7. This Permit has been issued for: Esement) Elevation of as -built lowest floor (including E]feet ❑ meters Datum of the building: G9. BFE or (Zone AO) depth of flooding at the bJcling site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum 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 helre. The statements in Sections A, B, and E are correct to the best of my knowledge. Local Official's Name I Title 'Community Name I Telephone Signature I Date Comments ❑ Check here if attachments FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 4 of b " BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6 OMB No:1660-008 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:' 445 NETTLES BLVD City State Zip Code Company NAIC Number: JENSEN BEACH FL 34957 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. r. �Sff .sf 12106117 12106117 Photo One Caption: SIDE/FRONT VIEW Photo Three Caption: FRONT/SIDE VIEW .., k p7 ,e .✓ r� 12106117 12106117 Photo Two Caption: SIDE/REAR VIEW Photo Four Caption: REAR/SIDE VIEW FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 5 of 6 BUILDING PHOTOGRAPHS OMB No: 1660-008 FI FVATInN CFRTIFICATF See Instructions for Item A6 Fmiration 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 Bidg. No. or P.O. Route and Box No. Policy Number: 445 NETTLES BLVD City State Zip Code Company NAIC Number: JENSEN BEACH FL 34957 If Submitting more photographs that 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. . _... t ; Y' rs fix' � �•" - �a•a+�.r.. ,w'" Y� ��'i� ^fir �,---``'r r _ � �', y�4i �n. r i ,...,....-• -,--` ,�� 9 r c a .+ �'�; r � e : - M., `p et• S �•-� � ,,,� '�f4 is IM K r 5 v*J,• � I.. ��ris�FIF.L"�NreA y. �p h 12106117 12106117 Photo One Caption: SIDE VIEW Photo Three Caption: SIDE VIEW Photo Two Caption: Photo Four Caption: FEMA Form 086-0-33 (7/15) Replaces all previous editions rage 0 or 0