The URL can be used to link to this page

Home My WebLink AboutELEVATION CERTIFICATEi U.S. DEPARTMENT OF HOMELAND SECURITY OMB No:1660-008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on Pages 1-9 rnn , nll Pmone of thic Flovatinn r ortifirnta and all attarhmantc fnr (1) rnmmunity nffirial- 121 insurance agent/comnanv. and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name (Note: Not Valid to usefor any other person or entity). 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) N A sq. ft. b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq. in. d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square fo`ot6de ofattached garage N/A sq. ft. b) N tuber of.,permri nent_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. NFiP Community Name.&Community Number B2. County Name B3. State ST. LUCIE,CTY UNINC. AREAS 120285 ST. LUCIE FL B4. Map/Panel • ' 135. Suffix B6. Firm Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AD, 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 69: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 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 Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions i. R rage CUP ELEVATION CERTIFICATE OMB No: 1660-008 Exoiration 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: i JENSEN BEACH ! FL 34957 SECTION C - B,UILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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. C2. Elevations - Zones A1- A30, AE, AH, A (with BFE), VE V1- V30, V (with BFE), AR, AR/A, AR/AE, AR/Al - A30, AR/AH, AR/AO. Complete Items C2.a - h below accordinglto the building 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 elevations in Items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 i ❑ Other/Source: Datum used for building elevations must lie the 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 j 9.32 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N A. El feet El meters d) Attached garage (top of slab) � N A. ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A.El feet ❑ meters f) Lowest adjacent (finished) grade next to building (LAG) 3.5 ® feet ❑ meters g) Highest adjacent (finished) grade next t'lo building (HAG) 4.7 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including `I N A. El feet El 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? ® Yes ❑ No ® Chec attachments. Certifier's Name: License Number: Stephen J. Brown, PSM i L.S. 4049 ' - r Place - Seat Title: Professional Surveyor and Mapper _ Here Company Name: S.ephe r '-n, l'SIVI' r . L.S. , to of.Floda Stephen J. Brown, Inc. i Address 619 M5TIchSiTEET �" of Valid 1 thout'tlie signature and Cit i State: Zip Code: the origi aI raised seal of a Florida DART I, FL 34994 Licensed Surveyor& Mapper" Signature: { Date: Telephone: Stephen J. Bro S , 10/25/17 . (772) 288-7176 Copy all Pages qko4evation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments ' ng type of equipment and location(, per C2(e), if applicable. FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 2 of 6 ELEVATION CERTIFICATE 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 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 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, ❑feet ❑meters ❑above or ❑below the HAG crawlspace, or enclosure) is b) Top of bottom floor (including basement,-: El feet El meters ❑above or E] 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 ❑ 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 r , ELEVATION CERTIFICATE 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,ISuite, and/or Bldg. No. or P.O. Route and Box No. Policy Number: 445 NETTLES BLVD I City 9 State Zip Code Company NAIC Number: JENSEN BEACH FL 34957 SECTi3ON 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) I 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 i �I 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 (Zone AO) depth of flooding at theibuilding site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: I ❑ 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 here. The statements in Sections A, B, and E are correct to the best of my knowledge. Local Official's Name Title I Community Name Telephone i Signature Date i Comments I i j❑ Check here if attachments FEMA Form 086-0-33 (7/15) 1 Replaces all previous editions Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No: 1660-008 See Instructions for Item A6 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. 1., .li f 1 -4 10120117 10120117 Photo One Caption: SIDE/FRONT VIEW Photo Three Caption: REAR/SIDE VIEW M4 f�( JfI If I+ 7 r, r 10120117 10120117 Photo Two Caption: SIDE/REAR VIEW Photo Four Caption: FRONT/SIDE VIEW FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 5 of 6