HomeMy WebLinkAboutELEVATION CERTIFICATE 7-2-18U.S. DEPARTWtANT-CIF HOMELAND( JRII�Y GC N ED 111210
OMB No. 1660-0008
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Federal Emergency Management Age>A� - Expiration Date. November 30, 2018
National Flood Insurance Program St�tl p"61m'h/
ELEVATION CERTIFICATE
Impoi ant: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1,) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number.
JEAN-LOUIS & GERTRUDE PARENT ' I
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
2044 NETTLES BLVD. I
City State ZIP Code
JENSEN BEACH FLORIDA 34957
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 44 NETTLES ISLAND PROJECT SECTION 1
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5 Latitude/Longitude- Lat. 27°17'09" Long 80°12'51" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
III
A6. Attach at least 2 photographs of the buildi�' g if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1 B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or encl Isure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑ Ye I ® No
A9. For a building with an attached garage:
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 A91b N/A sq in
d) EngirieOred flood openings? El Yes ® No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
UNINCORP 120285 ,_ I
ST. LUCIE
FLORIDA
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s)
Number
Date
Effective/
Zone(s)
(Zone AO, use Base Flood Depth)
I ZO k 6,
J
Z 'I
Revised Date
Oz (Ico�Iz.
n
AF_
031 Z
in
B10. Indicate the source of the Base Floodi Elevation (BFE) data or base flood depth entered Item 69:
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 139: ❑ 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 j ❑ CBRS ❑ OPA
I
FEMA Form 086-0-33 (7/15) 1 Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE
OMB No. 1650-0008
Expiration hate: 146Tember 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.
2044 NETTLES BLVD.
City State';..... ZIP Code
Company NAIC Number
JENSEN BEACH FLORIDA 34957
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 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/A1A30, AR/AH, AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ® NAVD 1988 ❑ 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) 7.0 ® feet ❑ meters
b) Top of the next higher floor N/A ❑ feet F] 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 equipment servicing the building N/A ❑ feet ❑ meters
(Describe type of equipment and location in Comments)
{ 4.3
f) Lowest adjacent (finished) grade next to building (LAG) ®feet meters
g) Highest adjacent (finished) grade next to building (HAG) 4.6 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A feet
❑ ❑ 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 certify elevation information.
l cerW that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false
statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if. attachments.
Certifier's Name License Number
1320-102-01 UC
EARLE R. STARKEY I;
Title
PROFESSIONAL LAND SURVEYOR
Company Name
ACCURIGHT LAND SURVEYING INC.
i
Address
1501 DECKER AVENUE #419
2nnionionioSTUART
City State 'I ZIP Code
FLORIDA 34994
#4459
SignatuZZ2Date I Telephone Ext.
06/26,/2018
Copy al es of a on Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
i
Comments (including type of equipment and location, per C2(e), ifjapplicable)
;
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
U,S.kDEPARTMENT OF HOMELAND SIJ 11 ITY'
OMB No. 1660-0008
Federal Emergency Management Agency y Expiration Date: November 30, 2018'
National. Flood Insurance Program
ELEVATION, CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owner's Name
Policy Number:
PARENT I
A2. Building Street Address (including Apt.; Uriit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
2044 NETTLES BLVD.
City State ZIP Code
JENSEN BEACH I FLORIDA 34957
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 44, NETTLES ISLAND PROJECT SECTION 1
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27°17'09" I Long. 80*12'51" Horizontal Datum: ❑ NAD 1927 NAD 1983
A6. Attach least 2 the building if the Certificate is being used to obtain flood insurance.
at photographs of
AT Building Diagram Number 1 B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or encli sure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A81b N/A sq in
d) Engineered flood openings? ❑ Yes ® No
I
I
A9. For a building with an attached garage: I
I
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings I 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 -floor 60enings? ❑ Yes ® No
r
''SECTION B—J'FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name.& Community Number
B2. County Name
B3. State
UNINCORP 120285 I
ST. LUCIE
FLORIDA
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s)
Number
Date
Effective/
Zone(s)
(Zone AO, use Base Flood Depth)
Z I I 1 G
J
az-�lle�lz
Revised Date
0312
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/Source:
I '
B11. Indicate elevation datum used for BFEi in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
Is building located in Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
B12. the a
Designation Date: N/A I ❑ CBRS ❑ OPA
i
I
FEMA Form 086-0-33 (7115) I Replaces all previous editions. Form Page 1 of 6
ELEVATION,CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30,.-2018
IMPORTANT' In these spaces. ,copythe, corresponding ip,formationfro m Section A.
FOR INSURANCE COMPANY USE
Building, Street Address (including 11 Apt., Unit;` Suite, and/or B�dg. No.) or P.O. Route and Box No.
Policy Number:
2044 NETTLES' BLVD.
City State I ZIP Code
Company NAIC Number
JENSEN-BEACH FLORIDA 34957
1
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 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 specified in Item A7. In Puerto Rico only, 'enter meters.
Benchmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 ® NAVD 1988 ❑ 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) 7.0 feet ❑ meters
b) Top of the next higher floor 16.4 ® feet ❑ meters
!
c) Bottom of the lowest horizontal structural member (V iZones only) N/A ❑ feet ❑ meters
d) Attached garage (top of slab) !! N/A ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) g,57 ®feet ❑meters
4.10
f) Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 4.50 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
4 2
structural support ® ❑ feet meters
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.
/ certify that the information on this Certificate represents my best efforts to interpret the data available. l 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 a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments.
Certifier's Name License Number
1320-102-01
EARLE R. STARKEY I4459
Title !
PROFESSIONAL LAND SURVEYOR
_
Company Name
ACCURIGHT LAND SURVEYING INC.
I
_
Address
1501 DECKER AVENUE #419 !
_.
City Statd, ZIP Code
ST
FLO'IRIDA 34994
PLS #4459
Si nature Date' Telephone Ext.
12/03/2018 772-286-7694
Copy all pag is 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), applicable)
C2-E A/C PLATFORM
i
I
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6
uildhig Photographs
See Instructions for Item A6.
For Insurance
or.P.O_ Route and Box No.
2044 NETTLES BLVD.
City JENSEN BEACH I state FL❑RIDA ZIP34957
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs* below according to
the instructions The Item A6. Identify all photographs.with: date taken; "Front View" and "Rear View"; .and, if required, "Right
side view" and "Left Side. View." If submitting more photographs than will, fit on this page, use the Continuation Page,
following. FRONT 12/03/2018 REAR 12/03/2018
SIDE 12/03/2018