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Home My WebLink AboutELEVATION CERTIFICATEO.M.B. No. 3067-0077 EL�VATION 4RTIFICATE Expires July 31, 1999 FEDERAL E ERGENCY IWANAGEMENT AGENCY NATIONAL F� DthleN: URANCE PROGRAM a112 s�ATTENTION: Use of this certificate does not provide alm I I ood insurance purchase requiremAt'Whis form is used only to pro . e I ( 't 'L vide elevation information necessary to ensure comp ianc With appli able community floodplain e(n), MAribes, to determine Nr le or e 1 0 the proper insurance premium rate,,and/or to supporl a request for a efter of Map Amendment in YM Wo rLOMR). You are. n-6t required to respond to this-pollection of information unless a valid = control number is displayed in the upper right corner of this form. I . nistructions for compi eting this form Ican be found on the following pages. SECTION A - PROPE �ITY INFORMAT�ON FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER STREET ADDRESS (including Apt., Unit, Suite and/or Bldg. OTHER DESCRIPTION (Lot and Block Numbers, etc.) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER CITY STATE ZIP CODE St. Lucie Countyl Florida I SECTION B FLOOD INSURANCE OATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See lnstrpctions): I 1. COMMUNITY NUMBER 2. PANEL NUMBER 3 SUFFIX 4.1.1ATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION (In AO Zones, use dEpth) 120285 0095 1A 8 7 /81 A8 (EL 7)' 7. Indicate the elevation datum system used on the Fl�, M for Base'F*d Elevations (BFE): W NGVD '29 LJ Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the bommunity has established a BFE for this building site, indicate the community's B'FE: feet NGVDI (or other FIRMIclaturn—see Section B, Item 7). I SECTION I BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level._�_ . 2(a). FIRM Zones Al-A30, AE, AH, * and A (with EIFE).1 The top of the reference level floor from the selected diagram is at an elevation of LJ 1 1 18 . [_01 feet NGVP (or other FIRM ditum—see Sect! n B, Item 7). - (b). FIRM Zones V1 430, VE, and V (with BFE). bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of feet NGVD (or other FIRM datum —see Section B, Item 7). (c). FIRM Zone A (without BFE). The floor used as he reference I vel from the selected diagram' is I I I. LJ feet above El or below 1:1 (check one) the highest grade adjace it to the building. (d). FIRM Zone AO. The floor used as the reference level from the I selected diagram is L—L. H feet aboveEl or belowEl (check one) the highest grade adjacent to the building. If no flood dep h number is available, is the building's lowest floor (reference level) elevated in accordance with the community'E - . Inagement ordinance? El Yes El No D Unknown 3. Indicate the elevation datum system used in deterT . ining the aboJe reference level elevations: X1 NGVD '29 0 Other (describe under Comments oh Page 2). (NOTE., If the elev tion datum used in measuring the elevations is different than that used on the FIRM [see Section B, Item 7], th6 elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: D Yes ID No (See Instructions on Page 4) 5. Th6 reference level elevation is based on: M Etch Ell construction' - El construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which case this certificate will only be valid for the building during the �course of construction. A post -construction Elevation Certificate will be required once construction is complete.) ot4 6. The elevation of the lowes I t grade immediately adjacent to thebu Wing is: feet NGVD (or other FIRM datum -see Section B, Item 7). IQ, q �r / J U SECTIQN D COMMUNITY INFORMATION 1. if the community official responsible for verifying b ilding elew SIC vel indicated in Section C, Itewm U 3stNal is not the "lowest floor" as defined in the communit 's floodplaill n e n rd a e, e 3 ition of the building's "lowest floor" as defined by the ordinance is: L_._1A_LLLL1 CLJ feet N( �r other FIRM datum—sl ation B, Item 7). 2. Date of the start of construction or substantial imp ovement A-19 FEMA Form 81-31, MAR 97 REPLACES ALL PR, EVIOUS EDI 016INS1 tE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION This certification is to be signed by a"land surveyor, engineer I , or architect who is 5uthorized by state or local law to certify elevation information when the elevation info`ri�riaiion for Zon s AI-A30, AE, AH, A (with BFE),V1-V30,VE, and V (with BFE) is required. Community offi.661s'who are authori�led by local la%A,'or ordinance to provide floodplain management information, may also sign the certification. In the c;a§e"o-f-Zones� AO'and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certificatign. Reference level diagrams 6, 7 and 8 - Distinguishin Features -If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, are use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments belowJ The diagram number, Section C, Item 1, must still be entered. / certify that the information in Sections B, and C on this certificate represents my best efforts to interpret the data available. / understand that any false statement may be punispable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) TITLE COMPANY NAME 'A' 14IXON LAND SURVEYING, INC., AIDDREE CITY S TATE ZIP T -3 1 _Ti T N.__D. S JUPITER, FLORIDA 33,158. ---------- :41DAIE PHONE A " 1 608 (561) 7117-60,16 is 5ptl'ificate munity official, 2) insurance agent/company, and 3) building owner. _d5o/es-siould be - rn"ade of t . h for. 1) [com COMMENTS: -f Lo-QK_ &Ieva t ion 5- - 0 ri ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v ZONES ZONES ZONES ZONES ZONES fRE_F_ERENC_E.j LEVEL BASE FLOOD REFERENCE LEVEL FREFERENCE ELEVATION w BASE A -FLOOD ELEVATION REFERENCE ADJACENT DJACE T GRADE FR_E F—E _RE `NC _Ej ��LEVE�L BASE FLOOD ELEVATION LEVEL GRADE The diagrams above illustrate the points at whi.-h the elevations should be measured in A Zones and V Zones. Elevations for all,A Zones should be medsurb.cl at, t1i6lo-p' b-T-th—er-e-ference level floor. Elevations for'all V2oihO§ should be m6a`sur�dcl at'the'bottom'of'the'lowest horizontal structural member. Page 2