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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency f Liitlonal Flndd Ihsurance Program J. OMB No. 1660-0008 Expiration Date: November 30, 2022 SCANNED, ELEVATION CERTIFICATE Important: F 6 Ilow the instructions on pages 1-9. Copy all page's'of ttii�Ele a ion Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. C463737 SECTION/A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: JANELL DUPEPE / A2. Building Street Address (including Apt., Unit, Su'te, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 4804 El Nueva Avenue ----- — - City State ZIP Code Fort Pierce FL 34946 / A3. Property Description (Lot and Block Number/S, Tax Parcel Number, Legal Description, etc.) LOT 7 AND THE EAST 1/2 OF LOT 8, Block B, HARMONY HEIGHTS ADDITION NO. 3, Plat Book 9, Page 46, St Lucie County A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27.4724723 I Long.-80.3734986 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 1-A / A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or en!closure(s) N/A sq ft b) Number of permanent flood opens/gs in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings i A8.b N/A sq in d) Engineered flood openings? ❑Yes ®No A9. For a building with an attached ga ,age: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood opening I ❑Yes ®No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY UNINCORPORATED AREAS & 120285 St Lucie County FL B4. Map/Panel B5. Suffixi B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number K Date Effective/ X (Zone AO, use Base 12111 CO176 02/16/2012 Revised Date Flood Depth) 02/16/2012 N/A 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑FIS Profile SFIRM ❑Community Determined ❑Other/Source: B11. Indicate elevation Lum used for BFE in Item 69: ❑NGVD 1929 ®NAVD 1988 ❑Other/Source: P 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'(12/19) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE ....._...,.......v...�.�...,—.�...—...,.,..wpm.:�.atrs�:.vs:..--...,....-e.a..,�........:......--.,.—.•.�..:.�.<, W.::w^w OMB No. 1660-0008 Expiration Date: November 30, 2022 C463737 IMPORTANT: In these spaces, copy the corresp nding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or B dg. No.) or P.O. Route and Box No. Policy Number: 4804 El Nueva Avenue City State ZIP Code Company NAIC Number Fort Pierce FL / 34946 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings* ❑Building Under Construction* ®Finished Construction *A new Elevation Certificate will be required whet]/construction of the building is complete. C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. --Complete Items C2.a-h below,according tothe building diagram specified in Item A7. In Puerto -Rico only; enter meters. - Benchmark Utilized: ST LUCIE BM KIRBY-19.79' Vertical Datum: NAVD88 Indicate elevation datum used for the elevation in items a) through h) below. ❑NGVD 1929 ®NAVD 1988 ❑i Other/Source: Datum used for building elevations must be t I same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspece, or enclosure floor) 20.18 ®feet ❑meters b) Top of the next higher N/A. ®feet ❑meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ®feet ❑meters d) Attached garage (top of slab) N/A. ®feet ❑meters e) Lowest elevation of machinery or equ)ment servicing the building 19.90 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade neat to building (LAG) 19.30 ®feet ❑meters g) Highest adjacent (finished) grade next to building (HAG) 19.70 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ' SECTION D -1 SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and seajed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine o imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section provided by a licensed land surveyor? ®Yes ❑No ❑Check here if attachments. Certifier's Name License Number Kenneth J. Osborne 6415 i -J- p s� �0,j F I 1 C ; +A, Title Registered Professional Surveyor / �r No. 6415 4r y Company Name COMPASS ja '41 J �,a � �.�� 202/,'a; Address / 6250 N Military Trail #102 STA OF ��y i� -U ` city State ZIP West Palm Beach FL 33407ode g Signature Date Telephone 9 P 03/04/2021 561 640-4800 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) AT AND LONG PROVIDED BY GOGGLE EARTH C2:E= A/C EQUIP PAD — (NORTHERLY SIDE OF BLDG) FEMA Form 086-0-33 (1 2%19) Replaces all previous editions. Form Page 2 of 6 FI _FVATION CERTIFICATE OMB No. 1660-0008 Exniration Date: November 30. 2022 C463737 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or B dg. No.) or P.O. Route and Box No. Policy Number: 4804 El Nueva Avenue City Stat6 ZIP Code Company NAIC Number Fort Pierce FL l 34946 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 j 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 thefollowing -an check the appropriate boxes to show whether the"elevation is above or below — the highest adjacent grade (HAG) and the lowes adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑feet ❑meters ❑above or ❑below the HAG b) Top of bottom floor (including basement crawlspace, or enclosure) is ❑feet ❑meters ❑above or ❑below the LAG E2. For Building Diagrams 6-9 with permanent 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 the diagrams) of the building is ❑feet ❑meters ❑above or []below the HAG E3. Attached garage (top of slab) is ❑feet ❑meters ❑above or ❑below the HAG E4. Top of platform of machinery and/or equip ent servicing the building is T ❑feet ❑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 Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature / Date Telephone Comments ❑Check here if attachments FEMA Form 086-0-33 (1�/19) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 C463737 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE B ` Building Street Address (including Apt., Unit, Suite, and/or dg. No.) or P.O. Route and Box No. Policy Number: 4804 El Nueva Avenue City State ZIP Code Company NAIC Number Fort Pierce FL / 34946 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance 10 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—G10. In Puerto Rico only, enter meters. 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 aw 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—G1 p) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement g basement) G8. Elevation of as -built lowest floor (incluTat of the building: ❑feet ❑meters Datum G9. BFE or (in Zone AO) depth of flooding the building site: ❑feet ❑meters Datum G10. Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name J Title ! Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑Check here if attachments FEMA Form 086-0-33 (1'/19) Replaces all previous editions. Form Page 4 of 6 ,:. .� �, ,..fe.,....nnr ..n,...�.r..—.�..w u,.w.a�.F.._.�—�:Im,n.ar.s.....w,«.....�. . uwc+ '._. .4✓. .:6, :r. ., .: �.........�« .., . wv :. �•_,...t i. r....u.. .........r.�.... iau,u....d. KYa-i.....Wr,,.er..ud..m..,.....,._..—...�.-...... �w BUILDING PHOTOGRAPHS OMB No 1660-000$ ELEVATION CERTIFICATE See l9structions for Item A6. Expiration Date: November 30, 2022 C463737 IMPORTANT: In these spaces, copy the corresdonding 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: 4804 El Nueva Avenue /I City Sta e ZIP Code Company NAIC Number Fort Pierce FL 34946 If using the Elevation Certificate to obtain NFIP fl od 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 mist show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. r Photo One Photo One Caption FRONT VIEW — 02J08/2021 i' 4 Photo Two Photo Two Caption SIDE VIEW — 02/08/2021 1 FEMA Form 086-0-33I(12/19) Replaces all previous editions. Form Page 5 of 6 G PHOTOGRAPHS OMB No. 166 . BUILDING 0-0008 EJ-EVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2022 C463737 IMPORTANT: In these spaces, copy the corresp4nding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or BIg. No.) or P.O. Route and Box No. Policy Number: 4804 El Nueva Avenue � City State ZIP Code Company NAIC Number Fort Pierce FL 1 34946 If submitting more photographs than will fit on the precbding page, affix the additional photographs below. 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 representati4 examples of the flood openings or vents, as indicated in Section A8. j 71 Photo One I Photo One Caption REAR VIEW — 02/08/2021 1 1 Photo Two Photo Two Caption SIDE VIEW — 02/08/20211 1 FEMA Form 086-0-33 (12/19) 1 Replaces all previous editions. Form Page 6 of 6