HomeMy WebLinkAboutELEVATION CERTIFICATE�c, OMB 026-R-00026
FEDERAL EMERGENCY MANAGEMENT AGENCY Darr %j-00 V"_
BY
NATIONAL FLOOD INSURANCE PROGRAM
POST CONSTRUCTION ELEVATION CERTIFICATEIFLOODPROOFING-CF871FIL06,T,,EJNTY•
COMMUNITY NUMBER,
St. Lucie Co., F1. (UNINCORPORATED AREAS)
120285 .
INSTRUCTIONS
The registered professional engineer, architect, surveyor or community permit official completes Section I, below,
by the listed at the beginning of Section II, or by a similarly qualified
Section II may be completed any of professionals
local permit official. Print or type the Information on this form, This form Is to be used for new (POST -FIRM) construction
and for substantial improvements to existing structures in Zones Al-A30, AH and VI-V30 and existing (PRE -FIRM)
buildings to be rated under POST -FIRM rules and rates,
SECTION I
(TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
PROPERTY ADDRESS (or lot and block numbers It address Is unavailable) BPS )
(NAME. -
PANEL ON WHICH PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH PROPERTY 13 LOCATED
AE
FIA MA EF ECTIVE DAVE
BASE FLOOD ELEVATION AT HE PROPOSED SITE
.. Febtuary 19, ' 1991, Revised November 1, 1992
START OF CONSTRUCTION DATE
Name in Trite
1PHONE with Area e
Ter L. Virta-Communitye
ADDRESS
2300..VirSjDia Ave., Ft. _Pierce, F1, 33450
January 13, 1993
� Oale
SECTION II
INSTRUCTIONS
Complete only the Elevation. Certification unless the building has been floodproofed at least to the base flood
elevation. If floodproofing Is used, complete only the Floodproofing Certification. 'The Elevation Certification may be
completed by a registered professional engineer, architect, or surveyor. The Floodproofing Certifcation may only be
completed by a registered professional engineer or architect.
ELEVATION CERTIFICATION
I certify that the bullding at the pr a location described above has the lowest floor at an elevation of
Fin F 1. El = .66 Q NGVD (mean sea level),
D
Garage E1.= W4 7.10 Al
(Revised 4-1 3-93 )2
FLOODPROOFING CERTIFICATION
I certify to the best of my knowledge, information, and belief; that the structure Is designed so that the ,structure Is
watertight to an elevation of feet NGVD (mean sea level), with walls substantially
impermeable to the passage of water and structural components having the capability of resisting-hydrostatic and
hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, pressures, velocities, Impact
and uplift forces associated with the base flood.
In the event of flooding, will this degree of fioodproofing be achieved with human Intervention?*
Will the structure be occupied as a residence?
If the answer to both questions is Yes, the floodproofing cannot be credited for rating purposes and the elevation
certification must be completed Instead.
•Floodproofed with human intervention means that water will enter the structure when floods up to the base flood
level occur, unless measures are taken prior to the flood to prevent entry of water (e.g. bolting metal shields over
doors and windows).
:ERTIFIER'S NAME John G . Albritton P L S N o . 2791
AFFIX SE CENSWRITE
NO BELOW �IONA1
UTLE Owner- John G. Albritton & Associates.
AooREss
1404 South 28th St.- Suite D
' Fort Pierce, Florida 34947
3-1-93
(Signature) (Dalai
The Insurance agent attaches the second copy of the completed form to the stood Insurance policy application
for now (POST -FIRM) construction or substantial Improvements, Be sure, that the second copy Is certirlod.