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Home My WebLink About0804-0166 ELEVATION CERTIFICATE 5-13-09u.s KIT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1.660-0008 Federal y Management Agency ExDires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A PROPERTY INFORMATION - For Insurance Company Use: Al. Building Owners Name MARY DIMEO AND BRIAN DIMEO Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No., Company NAIC Nuin • er 7659 PELICAN POINTE DRIVE _ - City JENSEN BEACH State FL ZIP Code 34957 H3. rroperty L)escription (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) �� LOT 3, PELICAN POINTE WEST A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory; etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 26 DEGREES 44'86.50" Long. 80 DEGREES 32,66.14" Horizontal Datum: ❑ NAD 1927 ® MAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage 1720 sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood 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 NIA c) Total net area of flood openings in A8.b WA 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 Name & Community Number B2. County Name B3. State JENSEN BEACH 120285 0303 ST. LUCIE FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 69. Base Flood Elevations) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12111 C0303 G 06/30/99 11 /04/92 AE 8.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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 Al A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized PK NAIL ON S P/L Vertical Datum NGVD 29 Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 7.50 ® feet ❑ meters (Puerto Rico only) 17.60 ® feet ❑ meters (Puerto Rico only) 7.1 ® feet ❑ meters (Puerto Rico only) 7.50 ® feet ❑ meters (Puerto Rico only) N.A ❑ feet ❑ meters (Puerto Rico only) 6.20 ® feet ❑ meters (Puerto Rico only) 6.60 ® feet ❑ meters (Puerto Rico only) 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. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. 4557 Title PROFESSIONAL LAND SURVEYOR Company Name TERRY L. MACDEVITT, PSM Address 1142 SW GOODMAN AVENUE City PORT ST. LUCIE State FL ZIP Code 34953 Date 05/13/09 Telephone (772)528-7192 FEMA Form 81-31,'February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the cohresponding information from Section A. For Insurance C Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 7659 PELICAN POINTE DRIVE City JENSEN BEACH State FL ZIP Code 34957 Company NAIC SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments f Signature I Date ❑Check here if attachments 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 to support a LOMA 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanentiflood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is . 1 ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet [Imeters [Iabove or [Ibelow the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? El 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, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Repre, entative's Name Address City State ZIP Code Signature Date Telephone Comments F pSECTION 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. and G9. 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 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., G9.) is provided for community floodplain management purposes. G4. Permit Number G5. 1 Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑INew Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including)) basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name i Title Community Name f Telephone Signature a Date Comments FEMA Form 81-31, February 2006 Check here if attachments Replaces all previous editions U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 PederaiEmergiricy Management Agency Expires February 28.'2009 National Mood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name MARY DIMEO AND BRIAN DIMEO o.,r.,, ni,�..,i,e� A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 7659 PELICAN POINTE DRIVE City JENSEN BEACH State FL ZIP Code 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 3, PELICAN POINTE WEST A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 26 DEGREES 44'86.50" Long. 80 DEGREES 32'66.14" Horizontal Datum: ❑ NAD 1927 N 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 1 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage 1720 sq ft b) No. of permanent flood openings in the crawl space or b) No. of permanent flood 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 net area of flood 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 o i . rvrir t ummunay ivame a L;ommuniry Number B2. County Name B3. State JENSEN BEACH 120285 0303 ST. LUCIE FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12111C0303 G 06/30/99 11/04/92 AE 8.0 �J�,o L110 0uU1%,W U1 me oase rioua tievauon (esrt) oara or oase now depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) Bl 1. Indicate elevation datum used for BFE in Item B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? []Yes NNo Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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 Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-9 below according to the building diagram specified in Item A7. Benchmark Utilized PK NAIL ON S P/L Vertical Datum NGVD 29 Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) SECTION D - SURVE• Check the measurement used. 7.50 ® feet ❑ meters (Puerto Rico only) 17.60 N feet ❑ meters (Puerto Rico only) Z.1 N feet ❑ meters (Puerto Rico only) 7.50 ® feet ❑ meters (Puerto Rico only) NA ❑ feet ❑ meters (Puerto Rico only) 6.20 N feet ❑ meters (Puerto Rico only) 6.60 N feet ❑ meters (Puerto Rico only) 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. I understand that any false statement maybe punishable by tine or imprisonment under 18 U.S. Code, Section 1001. ❑ Check here if comments are provided on back of form. uenitier's Name TERRY L. MACDEVITT License Number 4557 Title PROFESSIONAL LAND SURVEYOR Company Name TERRY L. MACDEVITT, PSM Address 1142 SW GOODMAN AVENUE City PORT ST. LUCIE State FL ZIP Code 34953 FEMA Forrh 81-31,'February 2006 See reverse side for continuation. Reolaces all nrpvinuc Prlitinnc 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 I , 7659 PELICAN POINTE DRIVE City JENSEN BEACH State FL ZIP Code M957 Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments Signature Date ❑ Check here if attachments 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 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. El. 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or [:1 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building Is ❑ feet E] meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom 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 Owners or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments SECTION 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. and G9. 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 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: G9.) is'provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here ff attachments FEMA Form 81-.31, February 2006 Replaces all previous editions d y � Building Street Address (includin 7659 PELICAN POINTE DRIVE City JENSEN BEACH State FL Building Photographs See instructions for item A6. Unit, Suite, and/or Elldg.`No.) or P.O. Route and E Code 34957 - Company If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below the instructions for Item A6. Identify all photographs -with: date taken; "Front View" and "Rear View"; and, if required, Tight according to Side View" and Left Side View. If submitting more photographs than will fit on this oaae nQa 4hc �,,.,.:...._� ., g following. RONT VIEW 05/13/09 - - - - - REAR VIEW 05/12/09 F lding Street Address (including Apt, Unit,9 PELICAN POINTE DRIVE JENSEN BEACH State FL ZIP Code Building Photographs Continuation Page site, and/or Bldg. No.) or P;O. Route and Box No. 94957 If submitting more photographs than will fit on the Preceding page, photographs with: date taken; "Front View" and °Rear View"; a d,if required,Right Side V ew" ands eft Side Viewentify all SIDE VIEW 05/12/09