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Home My WebLink AboutELEVATION CERTIFICATEU.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 � n y Conv all Pages of this Elevation Certificate and all attachments for 111 community official. 121 insurance agent/comnariv. an"d (31`6NIInner:.. - SECTION A —PROPERTY' INFORMATION., FOR INSURANCE.CO PANY USE '.. Al. Building Owner's Name (Note: Not Valid to use for any.other person 6reniity): Policy Numbers CIO t ou STANDARD PACIFIC HOMES, A2. 'Building StreetAddress (Including Apt., .Unit, Suite, and/or Bldg. No: or'P.O: Route and Company NAIC Number:.. . Box.No. ' . 3014 NW RADCLIFFE WAY City State ZIP Code PALM CITY FL . .. 34990. A3.. Property Description, (L& and'Block Numbers, Tax Parcel Number; Legal Description, etc.) - i LOT 5, "RIVERBEND." (P.-B.C.R. PBi 67 PG: 36 THROUGH 39) . A4. Building Use (e.g.,.Residential, Non=Residential, Addition, Accessory; etc:) RESIDENTIAL A5. Latitude/Lon etude: Lat. 27°13'24:45"N:. Lon 80°1T47.76"W Horizontal Datum: NAD:1927. NAD 1983 de/Ldhgitujde:, ❑ A6, Attach at least 2 photographs of the, building -if the Certificate is -being used to obtain flood insurance:: - A7. Building Diagram' Number:IB A8. For a building with a crawlspace of enclosure(s): a) Square footage of crawlspace or enclosure(s) N A sq. ft: • b) Number of permanent flood openings in the crawlspace or enclosure(s) Within. 1.6foot above adjacent grade 0: c) Total net,area.of flood openings in A8.b 0 sq; in. d) Engineered flood openings? ❑ Yes No ".. A9. ,For a building with. an attached garage:. a" Square footage of attached garage 680 sq: ft. b) Number of permanent flood openings in the attached garage within 1:0 foot.above adjacent grade 0 . . ,'c) Total, net are'a'of flood -open ings.in. A9.b 0 sq. in..-. d) Engineer'ed flood openings?- .❑ Yes.® No ,. . • SECTIONB— FLOOD. INSURANCE RATE MAP '(FIRM)INFORMATION B1.`NFIP CommLinity Name & Community.Number B2..County Name B3: State ST. CUCIE COUNTY; 12s1285 ST: LUCIE COUNTY .. FLORIDA B4. 'Nlap/Panel 65. Suffix B6. Firm Index 137. FIRM Panel . B8. Flood Zone(s) . : B9. Base Flood Elevation(§) . Number. . Date Effective/ .. (Zone AO, use Base , Revised Date: Flood Depth) 12111C 0406- 1 02/16/2012 LOMR-F 8/26/2614; . ..X ; .. - N/A -1310. Indicate the souece'of the Base Flood Elevation (BFE);data or.base.flood,depth'entered in. Item B9: FIS Profile ®. FIRM . ❑ Community Determined.'' Z Oiher/Source: LOMR-F Case #14-04-5434A B11. Indicate. Elevation Datum Used.for BFE in Item B9: ❑ 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 :❑:OPA . FEMA Form 086-0-33 (7/15) 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., .Unit, Suite, and/or:Bldg. No. or P.O.:R:oute and Box No.:: Policy. Number: 3014 NW RADCLIFFE WAY City State ' ': Zip Code Company NAIC Number: PALM CITY EL 34990. SECTION; C = BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building Elevations.are Based ori: :+ Q. CO- nstruction-Drawings* [DBuilding Under -Construction*.. Q. Finished Construction E .. 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 — h below according to the building diagram spec'ified.in Item.A7. InPuerto Rico'only, enter meters. Benchmark Utilized: TIDAL.BM ST. LUCIE COUNTY: 872 2334 TIDAL 4' EL= 2.60' Vertical Datum:NAVD1988 Indicate elevation datum used 'for the elevations in Items a) through h) below. Q NGVD 1929. NAVD 1988 . Q.Other/Source: 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, crawlspace, or enclosure floor) 70.42 :: ®feet. .0 meters'. b) .Top of Next Higher. Floor. :. N.A . 0 feet. Q meters c) Bottom of the lowest horizontal structural -member (V Zones only) N.A �. feet meters d) Attached garage (top of slab); 9,90 Z fleet. .0 meters e) Lowest elevationof machinery or equipment. servicing'the.building Describe a of a yi ment and location in Comments N.A 0. fleet _ 0 meters (. .. Comments),-. . tYP 4. p f):.Lowest adjacent (finished). grade next to building (LAG) 9:00 .: ® feet.:.[]. meters g) Highest adjacent (finished) grade next to building (HAG) 9.20 �. fleet meters h) Lowest adjacent grade:at lowest elevation of deck or stairs; including - N.A Q feet : Q. 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 certifyelevation information:.. l certify that the•informbdon on. thiYeertificate represents my, best efforts to interpret the data available.. /.understand that any false statement may be pun1shable by fine' or im. prisonment under 18 U.S...Code; Section -1001: Were latitude and longitude in.Section;A provided by a licensed land surveyor? . '. J Yes E . No .- ....Check here if attachments. Certifier' s Name: License Number: a 1 lace. David. P.-Lindley; PIS .. . L.S. 5005 S Title: ! Professional Land:Surveyor.. _ Company.Name: _; .LS DaP. Lind ey. t:5o0 Caulfield & Wheeler, Inc., 5; State'of Florida " •.07/17/201S. Address:'. - . '. .. 7.960_Glades Road -Suite 100 :. .. :. - "Not Valid without the signature and the original raised seal of d Florida ..City: ':; .. State:' `. Zip Code: .. Boca Rat on • FL :: .. 33434 -- ... . Licensed Surveyor & Mapper". Signature:. Date: Telephone: .. ' .' .. ' 07/17/2018 . 561=392-1991. Copyall Pages of this:EleVation "Certificate an.d.all attachments for (1) community. official, (2) insurance agent/company; and.'(3) building owner..- . Comments.(ificluding type of equipment and location, per C2(e); if applicable... Item AS) .Latitude& Longitudeobtained.by Magellen:GPS Blazer 12,. :: 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: 3014 NW RADCLI FFE WAY ..City State. Zip Code . Company NAIL Number: . PALM CITY FL 34990 SECTION E — BUILDING ELEVATION INFORMATION.(SURVEY NOT REQUIRED) 'FOR ZONE 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 and or'LOMR-F request, " complete Sections A, B, and C. For Items E17E4,,use natural grade,.if available. Check:the measuredient used. In Puerto Rico only, enter meters: E1. Provide elevation information for the"following.and cheek the.appropriate bones to show whether"the.el.evation'i .s above or below ' the highest adjacent grade (HAG) and the lowestadjacent grade (LAG); _ a) Top.of bottom floor (including basement;. 'IV A' feet. "- " meters above or below the HAG: crawlspace, or. enclosure) is b);TOO 'of bottom floor (including basement;: N A. -0 -feet : ❑•_meters: ❑.below.the.LACr crawlspace,orenclosure) is. .❑:"above,or- E2. For Building Diagrams 6=9 with: permanent flood openings provided in "Section A Items 8;arid/or.9 (see. pages 1-2.of instructions); the•next higheir`floor (elevation C2.b'in." N A. "❑ feet : Q. meters above or ❑ below the HAG the diagrams) of the 6uildirig is , .: .❑: E3. '.Attached, Garage (top of slab)❑feet ❑meters" ,❑ above or _]..below the HAG : E4: Top of:platform of machinery -and/or .: equipment.: " :.• • :" " N/A., ❑Meet " ❑. meters :❑ above or .❑:below the HAG .. :servicing the building is, ... . E5: .Zone AO only.: If no flood depth number is available; is the top of the floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes.'❑.' No - .❑ Unknown.. The "local"officia.I must certify this information in Section G.. SECTION F—PROPERTY:OWNER (OR OWNER'S REPRES.ENTATIVE) CERTIFICATION' The property owner or owner's au'thoriz.ed representative who completes Sections; A, B; and E for. Zone A (without a FEMA-issued or. . cOmm'unity-issued BFE) or•ZoneAO 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 E" •Check here 1f attachments :" OMB No-1660-008 Exoiration Date: November 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 Box No.:. ' Poliicy Number:: 3014 NW RADCLIFFE WAY . l City I State Zip Code Company NAIC Number: PALM CITY FL 349.90 i. SECLION:G- COMMUNITY. INFORMATION (OPTIONAL) -_ The local official who is authorized bylaw or ordinance to, administer the community's flood plain management ordinance can_complete Sections A, B; G (or E), and G.of this.Elevation Certificate: Complete the applicable item(s)and sign below.:Check the.measurement used in Items G8.-G10. In Puerto Rico only, enter meters. G1::❑ THe' information in Section-C was taken. from other documentation that has. been. signed and sealed bya licensed surveyor,_' engineer; or a'rchite.ct who is authorized by law to certify elevation information. (Indicate the•source and date of the elevation. data in.the Comments area.below): a . 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. r G3.' ❑: The following information'(ltems G4.-G10) is provided. for community fl.00dplain management purposes:. G4.. Permit Number .. G5. Date Permit. Issued 136c Date Certificate. of .' " Com pliance/Occupancy Issued' G7. This Permit has. been.issued for: ❑':NeWConstruction . ❑.Substantial Improvement,. G8. 'Elevation of as=built lowest floor (including basement), ❑. feet. ❑ Datum ,meters' of -the building: : G9. BFE-or (Zone: AO) depth of flooding at.the'building site:' ❑feet. ❑ meters Datum G10. Community's design flood elevation`. ❑ feet' ❑ meters Datum 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 Section's A, B,. and E are.correct'to the.best of my knowledge.' Local Off iciai'.s .Name'' . Title. .Comm'unity Name :: .Telephone. Signature' • Date . • .. a Comments ❑ .:Che ck here if attachments] ts FEMA Form 086-0733:(7/15) Replaces all previous editions Page4 of 6 BUILDING PHOTOGRAPHS OMB No: 1660-008. C.... 1...4 r. ...F:...:n L.:r 14...v. AC •,. xpira ion Pate: N.ovemoer. IMPORTANT: In these'spaces; copy:the corresponding informatioo: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: . .. 3014 NW RADCLIFFE WAY 1. City:' - State Zip Code, Company NAIL Number: PALM CITY: FL 34990 if using the -Elevation Certificate'to'o.btaih'NFIP: flood: insurance, affix at least 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 exarriples of the flood openings or -vents, as indicated in Section A8. If submitting rhore photographs.than will fit'on this page, use the Continuation Page...' Photo One Caption: Under Construction PhotoThree Caption.: } i Photo%.o Caption; Photo Four. Caption:. FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 5 of-6 q BUILDING PHOTOGRAPHS OMB No: 1660-008 ... e xplra ,.. ! o e, P. . IMPORTANT: In these �s •aces; co PY•'the corresponding information;from.:Section.A: •FOR aNSURANCECOMPANY.; USE Building Street Address (including'Apt<, Unit, Suite; and/or -Bldg.. No. or P.O.: Route and Box No.-, - Policy Number: 3014 NW RADCLI FIFE. WAY -City State. Zip Code Company NAIC Number: - PALM CITY. FL ..-34990 of Submitting photographs hotogra hs that.will fit;on the -preceding page;.affix the additional. photographs.below. identify all photographs .. P. with: date taken; "F[ont view" and "Rear view'; and, if required, "Right Side View". a'nd_".Left_ Side View." When applicable, photographs must show the foundation.with representative examples of the flood.openings or vents,as indicated in Section A8. i i f i 1 i f Photo One Caption:Photo'Three Caption:.. I • P I. Photo Two. Caption: Photo Four Caption:. . FEMIA Form 086 0 33 (7/15) . Replaces.all previous editions Page'6 of 6