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Home My WebLink AboutELEVATION CERTIFICATE/Ma •- os6 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 Cony all PaeeS of this Flevatinn Certifirate and all attarhments fnr (11 rommunity offirial- (9) insuranrP agent/rmmn'anv-.and (1) huildine nwnec SECTION A — PROPERTY- INFORMATION FOR INSURANCE COMPANY.USE Al. Building Owner's Name. (Note: Not valid to'useforanyotherpersonorentity). Policy Number: .. STANDARD' PACIFIC HOMES A2. Building Street Address'(Including Apt:, Unit;.Suite, and/or.Bldg.,No. or P.O:-Route and Company NAIL Number:.. Box No.:. .: 3054 NW RADCLIFFE WAY City State ZIP Code PALM CITY FL . 34990. . , A3. Property Description (Lot and -Block Numbers; Tax.Parcel Number;Legal Description, etc.) LOT 15, "RIVERBEND". (P.B.C.R. PB. 67 PG. 36 THROUGH 39) A4.:Building Use.(e.g.,.Residential, NorvResideniial, Addition, Accessory, etc.) RESIDENTIAL. AS.. Latitude/Longitude: Lat. 2T13'21.42"N - Long:80"17'39.19"W - Horizontal Datum:❑. NAD 1927- ® .NAD 1983- A6..Attach at least 2 photographs of thebuilding if the Certificate is being used to obtain flood insurance: AT Building Diagram Number:16 A8. For a building with a crawispace of eridosure(s): a).S.quare footage of crawlspace or enclosure(s) N A 0. ft. b) Number of permanent flood openings in -the crawlspace orenclosure(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 2 No A9. For a building with an attached garage:.' a) Square footage of attached garage 779 sq. ft.. k;) Number of.perrti2nent flood ope'nings.in the "attached garage within: l.0 foot above adjacent grade 0 . c) Total net area. of.f)opd openings in_A9.b 0 sq.' in... _, d) Engineered flood o ` ingo ❑ Yes ®No ::SECTION B — FLOOD. INSURANCE RATE MAP (FIRM) INFORMATION.. 61�. NFIP Comrimunity Name&.Community Number ..'"1-.02. County Name B3. State :3T: LUCIE COUNTY;120185 ST. LUCIE COUNTY FLORIDA 64. .. " -' 135:'Suffix ' B6, .Firm Index B7. FIRM Panel _ ..B8: Flood.Zbne(s). B9. Base Flood.Elevation(s) Number Date '. Effective/ (Zone AO, use' Base . Revised Date: Flood Depth) . . 12111C 0406 J. 02/16/2012 LOMI.-F 8/26/202:4 .. X N/A 1310. 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: LOMR-F Case #14-04-5434i4 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:'®. No. . Designation Date: N A ❑ CBRS .❑ O'PA' - FEMA Form 086-0-33 (7/15) ELEVATION CERTIFICATE f ti OMB No: 1660-008 Fxniration Date- - Novemher 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 Bok No. Policy Number: 3054 NW RADCLIFFE WAY City State Zip Code' Company NAIL Number: .PALM CITY FL 34990. :. SECTION C , BUILDING ELEVATION INFORMATION'(SURVEY.REQUIRED) •- C1. Building'Elevations are Based on: 0 Construction Drawings* Z Building Under Construction* 0 Finished Construction * A new Elevation Certificate will be �ecIuired 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/Al — A30, AR/AH, AR/A0. Complete Items C2.a —h below according to the building diagram specified in Itern'A7..In Puerto Rico only, enter meters. Benchmark Utilized: TIDAL BM.ST. LUI CIE COUNTY: 872.2334 TIDAL 4' EL"_ 2.60' Vertical Datum:NAVD '1988 Indicate. elevation datum.:used fort Fie elevations in Items a)through h) below. Q NGVD 1929 Z NAVD 1988 . 0 Other/Source: Datum used for building elevation .must be the same as that used for the BFE. Check.the measurement used. a) Top of Bottom Floor (includin basement, crawlspace, or enclosure floor) 10.45. ® 'feet. 0 meters b) Top of Next Higher. Floor . N.A' - 0 feet 0 meters I c) Bottom of the lowest horizon al structural member (V Zones only) N.A 0 feet D meters d) Attached garage (top of slab) N.A 0 feet [ meters e): Lowest elevation of machine or;equipment servicing the building N.A feet 0 meters Describe a of equipment and location in Comments (. tyP) Q. Lowest. adjacent (finished) rade next to building (LAG) . 9:00 ... Z feet: E] meters g) Highest adjacent (finished)grade:nekt-to building (HAG) 9.20 feet - Q meters h) Lowest adjacent grade at lowest elevation of deck or stairs; including . :A 0 feet 0 meters structural support .. -- SECTION.D.—SURVEYOR, ENGINEER, ORARCHITECTCERTIFICATION.' This:certification"is to_be signed'and.sealed-by-a.land surveyor, engineer,,orarchitect authorized by law to certify elevation -information.' - 1 certify that the information 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 licensed land. surveyor? . .19.Yes E _ No. . - 0 . Check here if attachments. . Certifier's Name: License Number: I Place David.P. Lindley, PLS f L:S. 5005 Title: Professional Land:Surveyor.. I Company Name: David P. Lindley; PLS "- Caulfield & Wheeler, Inc.', L.S. 5005. State of Florida 0- ;7/2018 Address: .. .. 7906 Glades Road. - Suite 100 :. "Not Vold without the signature and th e originaf•raisedseaI of a Florida City:.I State;' Zip Code: . Boca RatOr1 FL: 33434 . Licensed Surveyor&Mdpper" Signature: Date: Telephone: • 07/17/2018. 561=392-1991 Copy.all-Pages of -this Elevatiorj'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)1 if applicable: Item AS) Latitude& Longitude obta i ned by MagelIen GPS Blazer 12. FEMA Form 086-0-33 (7/15). Replaces all previous editions i Page 2-ot b l OMB No: 1660-008 ELEVATION CERTIFICATE . Expiration Date:. November 30, zo1s. 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:: - 3054 NW RADCLI FFE WAY City State Zip Code Company NAIC Number: . :PALM CITY FL 34990 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 E1=E5: If the Certificate is intended tosuppbrt;a.'LOMA and or'LOMR-F request, ' complete Sections A, B, and C:.For Items E17E4, 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 abbve'or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG): a) Top.of bottom floor (including basement, metessEl feet. ❑ ❑ above or ❑,.below the HAG crawlpace, or.eficlosdre).is b) Top: of bottom floor (including. basement, N/A._ ❑ 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 . - the diagrams) ofthe building'is..:: N/A. •-❑ feet • ❑ meters ❑ above or. ❑ below the HAG E3..Attached Garage (top of slab) :: N A:. : ❑ feet ❑ meters ❑ above or ❑, below .the HAG E4. Top of:platform of machinery and/or equipment:. : N/ A. ❑ .feet ❑meters ❑above or E] below the WAG servicing the, building is E5. Zone AO only: lf.no flood depth number is available; is the top ofthe floor elevated in accordance with the community's . floodplain managementordinance? ❑ Yes ❑..No E].-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 complete's.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 :. El -Check here if attachments FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 3 of 6.. I 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., Unitll Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number: 3054'NW RADCLIHE WAY I City State. Zip Code Company NAIC Number: PALM CITY FL 34990 SECTION =COMMUNITY INFORMATION (OPTIONAL) . The local official, who is authorized bylaw 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 —.610. In Puerto Rico of ly, 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): G2. ❑ A community official comple ed 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 Nurnber G5. Date Permit Issued G6'. Date Certificate'of Compliance/0'ccupancy Issued G7. This.Permit has been issued ford ❑ New Construction: ❑ Substantial Improvement G8. Elevation of as -built lowestfloor(including basement)El . feet meters Datum of the building: 189: BFE orRone,AO) depth of flool ing at the building site: ❑ feet - ❑ meters Datum G100'. Community's design flood elNation: ❑ feet Elmeters .Datum The property owner or owner's aulthorized 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 Community Name _: I Telephone. Signature Date Comments I I ❑ C - heck here if attachments FEMA Form 086-0-33 (7/15)'. Replaces all previous editions Page 4of6 r . BUILDING PHOTOGRAPHS OMB No: 1660-008 ELEVATION CERTIFICATE See Instructions for Item A6. ;,�+e; �, e,„,1e, ,,, ,,;; Q IMPORTANT: In these spaces, :copy -the corresponding informat'ionfrom: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:' ' 3054 NW RADCLIFFE.WAY City ' State Zip Code 'Company NAIC Number: PALM CITY. FL 34990 If, using' the• Elevation Certificate to 'obtain NFIP.'flood' insurance, affix at aeast' 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... '�yy y tt \-- I e ! Photo One CaptionUnder Construction . ,:: Photo Three Caption: . I I i � i i Fhoto.Two Caption; Photo Four Caption: r LIVIM f Vl111 V00-U-3J k//17]. -nepiaces an previous eamons - Page 5 of 6