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Home My WebLink AboutELEVATION CERTIFICATE 7-17-18SCANNEDw. 7117 -Y.S U.S:,'DEPARTMENT .OF HOMELAND SECURITY St.Lue(2�lJf71U : OMB No::1660 008 Federal Emergency Management Agency r 30, 2018_ Expiration _Date:. Noverribe National Flood Insurance Program ELEVATION: CERTIFICATE. Important: FolloW the instructions oirPages 1-9 Cnn'v all Baaas of thicFlPvation [ertifirafa and'all attarhments forY11 community official. (2) insurance aeent/cbmoanv..and (31 buildine owner: :SECTION A— PROPERTYINFORMATION FOR INSURANCE,COMPANY.USE .. Al. Building Owner's Name.- (Note: Not.Volidto usefor anyothe.rpersonofentity)." . Policy -Number: - STANDARDPACIFIC HOMES Al. Bu..ilding Street Address (including'Apt:, Unit;.Suite, and/or.Bldg,,No: or:p.O. Route and ' ';: Company NAIC.Number:.. - .3014 NW RADCLIFFE WAY. City .:: :. State :: :. ZIP Code PALM. CITY . FL . .:. 34990. .: A3. '.Property Description _(Lotand'Block Numbers, Tax.Parcel Number; Legal Description, etc.) LOT•5; "RIVERBEND" (P.B.C.R. PB: 67 PG..36 THROUGH 39) A4..Building Use.(e.g:, Residential, Non=Residential, Addition, Accessory,. etc:) RESIDENTIAL AS.. Latitude/Longitude: Lat. 27"13'24.45."N:." Long:80°17'47.76'W . Horizontal Datum:'❑- NAD 1927. ® .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:l6. :. . A8..For a building with.'a crawlspace of endosure(s): .. a S dare foots a of,crawls ace or enclosure s N A s ft; b) Number of permanent flood openings in -the crawlspaed or enclosure(s) within 1.0foot above adjacent grade 0:: c) Toni net:area.of flood operiings.(n A8•b O.sq:'in. : d.) Enginee red'flood.open ings? 0 Yes Z No A9::For a building with,ari attached;garage:. a) Square footage:of attached garage 680 sq. ft._ b) Niunber of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 . . c)Total net-area•offlood'openings in.A9.b 0sq: in.,. . . d) Engineered flood -openings. - ❑ Yes .® No i -;.;SECTION B•— FLOOD.INSURANCE RATE MAP (FIRM) INFORMATION.. 61. NFIP C.ommunitycName &.Community Number. 62.•County Name B3. State ST: LUCIE COUNTY; 12Q28S �, ST. LUCIE COUNTY . : FLORIDA B4, 'f ,ap/Panel . 6:5: 'Suffix . 136, .Firm Index '. 137:. FIRM Panel - A& Flood, Zone(s) . ' B.9. Base Flood. Elevation(s)" _ Number ` Date .. - Effective/ . ' ' �, ' � � ' '(Zone AO,use.Base Revised Date: Flood Depth) 12111C 0406. A02/16/2012 : LOMIt. 8/26/201'4 X . - N/A "1310: -Indicate the,source.of the. Base Flood Elevation (BFE):data or, base .flood:depth entered.iri Item.69: .:❑ FIS Profile ' N -FIRM".' 0 Community Determined . Z• Other/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):areaor.Otherwise Protected Area (OPA)? .❑ Yes ®.No .• : Designation Date: N A ❑ CBRS .❑ OPA •• � 7 OMB No:1660-008 Fxniratinn Mitw NnvPmhPr 30_ 901R IMPORTANT: In these spaces,, copy the corresponding information. from.Section A: FOR INSURANCE. COMPANY •USE . . Building Street Addres's (Including.Apt:, Unit, Suite, and/or-Bldg.:No. or'P:O. Route and Bois No: Policy Number: 3014 NW RADCLIFFE WAY Cit ya State Zip:Code Company NAIC Number: _. .PALM CITY- FL 34990.". BECTIONC-BUILDING ELEVATION INFORMATION (SURVEY.REQUIRED) ". C1. Building Elevations are Based -on: 0. Construction. Drawings* .. Z -Building'UnderConstruction* Q 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/Al - A30; AR/AH,:AR/AO, . - Complete Items:C2.a - h.below a' ccording to the,building diagram specified.in Item A7. In Puerto Rico only, enter meters; Benchmark Utiliied: TIDAL BM.ST. LUCIE COUNTY:•872.2334TIDAL 4.' EL=.2.60' : Vertical Datum:NAVD 1988 Indicate:elevation datum. used for the:elevations in lterris a) through h) below: E]. N6VD.1§29. Z 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). 10.42 . . -feet. 0 ;meters b) Top.of Next Hi her. Floor g N:A . 0 feet 0 meters c) Bottom of the lowest. horizontal structural member (V Zones only) : N.A 0 feet meters d) Attached garage (top of slab)v N.A. Q feet . 0 meters e): Lowest elevation of machinery or equipment servicingthe"building.. .: N.A 0 feet 0 "meters (Describe type'of equipment arid location in. Comments) f) Lowest. adjacent(finished)-grade next to buildin LAG J g (LAG) : 9:00 ..: feet.: meters g) Highest adjacent (finished) grade nett to building (HAG) 9.20 Z. feet - meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including . N:A 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,.orarchitect authorized.by law to certifyelevation.iinforr►iation. I certify that the information on.this Certificate represents my.liest efforts to interpret the data available:. I. 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 licensed land: surveyor? . . E ;Yes, Q . No. Q .Check here if attachments: . Certifier's Name:.. License Number: " - David P. Lindley, PLS .. L.S. 5005 - Place S Title: Professiooal' Land:Surveyor.. Company.Narner ".. .-Davi. . ; d'P.1ired ley, PLS Caulfield & Wheeler, Inc.: Ls, 5005, State of Florida 07/17/2019 ` Address: '.. _ .. 7900 Glades Road. -Suite 100 :: ` . ei btValidwltiioutthesignatLreand_ thewriginal raised seal gf a Florida City: State:_ ::: .. Zip Code:.. .. Boca Raton... . FL : - " . 33434 ... . Licensed SurveyorA Illdpper" Signure:.. atDate:.. ; Telephoner .. 01/17/.2018.. S61=392-1991 Copy.'all Pages ofthis Elevation'Certificate and all attachments for (1) community official, (2) insurance agent/company; and.(3) building owner: (' g type of a ui ment and location; e� C2 aOif applicable. . Comments (including equipment P , PP Iterrm AS) Latitude &•Longitude obtained by MagelIen:GPS Blazer 12. Replaces all previous editions Page 2 of& FI_FVAT16N CERTIFICATE J. OMB No: 1660-008 Fmiratinn 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: Policy Number: 3014 NW RADCLIFFE 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 BEE), 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 El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,.' enter meters: E1. Provide elevation information fort I he following.and check the appropriate boxes to show whetherhe:elevatio.n 'is above:or below 'the. highest -adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top. of bottom floor (including basement,. ' N ❑feet '. El meters .❑ 'above or ❑, below the HAG . crawlspace; or.enclosure) is b) Top. of bottom floor (including basement; N/A. E]feet : 0 meters . 0 above or. ❑ below the LAG crawlspace, or -enclosure) is .. E2. ,For Building:Diagrams 6-9 with.peemanent 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 N/A.' ❑ feet ❑. meters . 0 above or. ❑ below the HAG -the diagrams) of the building is .: . E3. Attached Garage (fop of slab) N A'.. 0 _feet 0 meters_" .:❑ above de -,.below -the HAG E4. Top of platform of machinery and/or - - e ui ,ment N A. feet meters above or .E 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 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.Section's. 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. Names . Address City. State:'- -Zip Code Signature ' : Date. Telephone Comments .". . :.. ❑..Che ck here if attachments. FEMA Form 086-0-33 (7/15).. - Replaces all previous editions Page 3 of 6.. ELEVATION CERTIFICATE OMB No: 1660-008 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 RADCLIFFE WAY City State Zip.Code Company NAIC Number: PALM CITY FL 34990 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 68 -G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section .0 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 dateof 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 — G10). is provided for community floodplain.managementpnrposes: G4. Permit Number G5. Date Permit Issued G& 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) El feet El meters Datum 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 Sections A, B, and E are. correi±to the best of my knowledge. . Local Official's Name _ 'Title Community Name Telephone 1. Signature Date Comments .. ❑ -Check here if attachments FEMA Form 086 0-33 (7/15) Replaces all previous editions Page 4 of b ELEVATION. CERTIFICATE' Expiration Date: Noyember.30, 2018 IMPORTANT: In these spa.ces, copy.the corresponding information from Section A. 1011 :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 City State Zip CodeCompany NAIC Number: PALM CITY.: FL 34990. If using the.Elevation Certificate to -obtain 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'foufidation with. representative examples of the•flood.openings - or vents, as indicated in Secti6n'A8. -If submitting -more photographs'than will .fiton this page; use the Continuation.Page_ Photo One Caption> Under Construction " Photo Three Caption:' I i i i Photo .Two Caption; Photo Four. Caption: FEMA Form 086-0-33.(7/15). Replaces -'all previous editions " Page 5 of 6 1