HomeMy WebLinkAboutPROPERTY INFORMATION6a# ocga3 -,Di ��
BOARD OF COUNTY
COMMI'SS I O'N ERS
PUBLIC WORKS
CODE COMPLIANCE
DIVISION --
In accordance with participation in the NFIPfCRS program, all elevation certificates are required to be, reviewed for correctness. and
completion prior to acceptance by the community. This completed form shall be attached to all elevation certificates maintained on 'tile
and provided with requested copies of elevation certificates,
X
The attached elevation certificate requires corrections by the surveyor of section(s)
acceptance by the community.
The attached elevation certificated is complete and correct.
Minor corrections have been made in the below marked sections by the authorized Community Official.'
At, Building Ownei s Name
prior to
SECTION. A - PROPERTY INFORMATION For.lnsorance Company Use:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company
City Stale ZIP Code
Fort Pierce FL -34982 .
and Block Numbers, Tax
A4. Building Use (e.g., Residential, Nan-ResidenOal, Addition, Accessory, etc.) Residential
A5. Latitude1ongitude: Lot. Long. Horizontal Datum: ❑ NAD 1927 Q NAD 1988
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number I
A8. For a building with a crawl space or enclosure(s), provldo: A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosures) ' N/A sq fl a) Square footage of attached garage 374 sq ft
b) No. of permanent flood openings In the crawl space or b) No. of permanent Rood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A
c) Total not area of Rood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM)INFORMATION
B1. NFIP Community Wan
120285 Unincorp
84. Map/Panel Number
es, Suffix
B6. FIRM Index,
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
DateEffective/Revised
Dale
Zones)
AD, use base flood depth)
12111CO281
G
6-30-99
AH.
17.0
1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 09.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
911. Indicate elevation datum used for BFE in Item eg: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date ❑ CBRS ❑ OPA
COMMENTS: B12 filled out, Building Diagram number. included..
❑ Yes ® No
Date of Review: / �.��0 Community Official:'
Aff elevation certificates shall be maintained by the community and copies with the attached memo made `vaflabfe upo�,,equ--t-
JOSEPH E. SMITH. District No. 1 DOUG COWARD; District No. 2 • PAULA A. LEWIS, District No-3 • CHARLES GRANDE. District No. 4 • CHRIS CRAFT. District No. 5
County Administrator - Douglos M. Anderson
2300 Virginia Avenue • Fr. Pierce, FL 34982
Permitting and Zoning-..(772) 462-1553 FAX (772) 462-1735
Contractor Licensing: (772) 462-1672 • Code Enforcement (772) 462-1571 • Inspections: (772) 462-2165
Fax: (772) 462-1148
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