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Home My WebLink AboutELEVATION CERTIFICATEi U.S.40EPARTMENT OF HOMELAND S-_-ARITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 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 agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. MR. & MRS. THOMAS A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 1187 NETTLES BOULEVARD City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1187, NETTLES ISLAND SECTION 2 A4. Building Use (e.g., Residential, Non -Residential; Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat 27DEG 16'58.41" Long. 80DEG 13' 30.27" Horizontal Datum: ❑ NAD 1927 x❑ 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 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 756 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.b 1670 sq in d) Engineered flood openings? ❑x Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of 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 ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County'Name B3. State UNICORP / 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 C 0311 J 02/16/2012. 02/16/2012 AE 6.0 & 7.0 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 198.i Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 �71 AftMp No. 1660-0008 NNIExpiration ;Date: November X 2018 ELEVATION CERTIFICATE IMP.;ORTAMT; to thesespaces, copy the corresponding information from Section A. = FORINSURANCE COMPANY -USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number ri- rrL- C s . City p . - state. ZIP Code Company NAIC Number :JrviSr rat Ij �cN (=�.. 34`i S '7 SECTION C BUILDING ELEVAi ION INFQRMATfON JSPRM, REQUIRED) `" ' Construction Drawin s* Building Under'Construction* x Finished Construction C1. Building elevabons;are based�on: ❑9 ❑ 9 ❑ . *A new Elevation Certificate Will be required when construction of the building is complete. G2. Elevations -zones Al—A3b;. AE, Ali;, A (with BFE) VE„1/4=V30F V:(witfi. BF%. AR. ARIA, ARIAE,. AR/A#-/130,,4R/ALI, ARJAO. Complete Items Ci below according to the building diagram specified in item A7. In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A04 FDOT Vertical Datum: N.A.VD, 1988 Indicate elevation datum used for the elevations in items a) through h) below. N GVD 1929 x NAVD 1988 Other/Source.: Q � ❑ ,. , ...... 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, crawispace, or enclosure floor) 5.02 feet ❑ meters b)- Top ofthe next higher floor 8.0 x❑ feet ❑ meters c) Bottom of the lowest horizontal'Wdctural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top ofslab) N/A ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 7 32 feet El meters {Describe type of equipment and location in Comments} 0 Lowest adjacent (finished) grade next to building (LAG) 4.60 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.02 ❑x feet ❑ meters h) Lowest,adjacentgrade at lowest elevation of deck or stairs, including 4.58 x❑ 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. / certify that the informaffon on this Certificate represents my best efforts to interpret the data available. /'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 licensedland surveyor? Z Yes ❑ No M Check fiere if attachments. Certifier's Name :. License Number 004459 o $ w.09 —: Q ( EARLE R. STARKEY r ' Title PROFESSIONAL LAND SURVEYOR Com an p y Name ACCURIGHT LAND SU,RVFY*', Aµ Address 1501 S.E. DECKER AVENUE, UNIT419D " .. C7 Z ! `:O f o 2 6 $ City :. State ZIP Code Florida 34994 Is` ""00S`i Signature Date Telephone Ext 02/06/2018 (772) 286-7694 "' ' N/A Comments (including type of equipment and location, perC2(e) if.applicable)... . C2 (e) A/C PLATFORM A8 FLOOD VENT MODE01632CS {SEE ATTACHED) FEMA Form 086-0-33 (7/15) , Replaces, all previous editions. t•orm rage z or e< d �I Building Photographs See Instructions for Item A6. Building Street Address (Aciud rig Apt, unit, Suite, and/or Bldg. No) or P.O. Route and Box No. 1187 NETTLES BLVD. v"' JENSEN BEACH .,w.� FLORIDA 34957 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identity all photographs with: date taken; Front View and "Rear Vievf; and, if required, "Right Side View" and "Left side View." if submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT 02/06/2018 REAR 02/06/2018 SIDE 02/06/2018