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HomeMy WebLinkAboutELEVATION CERTIFICATESCANNED U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-0008 Federal Emergency Management Agency �$ Lucie County Expiration Date: November30, 2018 National Flood Insurance Program ELEVATIOiV CERTIFICATE Important: Follow thel instructions on pages 1-9. • bonv all nacres 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. Herbert &Kathleen Yancy I A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIL Number. Box No. 581 Beach Ave. I city Port Saint Lucie I state ZIP Code Florida 34952 A3. Property Description (Lot and Block Numbers, Tax ParcellNumber, Legal Description, etc.) 3421-1144)000-000-2 together with 3419-51"231-000-9 A4. Building Use (e.g., Residential, Non -Residential, Addition Accessory, etc) Residential A5. Latitude/Longitude: Lat 27 29 02.5' Long. I080 20' 03.0' Horizontal Datum: ❑ NAD 1927 © NAD 1983 the building if the Certificate is being used to obtain flood insurance. A6. Attach at least 2 photographs of A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) WA sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade WA c) Total net area of flood openings in A8.b N/A I sq in d) Engineered flood openings? ❑ Yes [n No A9. For a building with an attached garage: a) Square footage of attached garage 627 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade none c) Total net area of flood openings in A9.b none sq in d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number I B2. County Name B3. State St Lucie County 120285 Saint Lucie Florida B4. Map/Panel B5. Suffix B6. FIRM Index 67. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) i Revised Date X X = WA 0280 I February 16, 2012 AE-6 AEA = 6 B10. Indicate the source of the Base Flood Elevation (iBFE) data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM ❑ Community Deter ined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item I9: ❑ 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: WA El CBRS ❑ OPA Fffe FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 I OMB No.1660-0008 ELEVATION CERTIFICATE I 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. Route and Box No. Policy Number 581 Beach Ave. City State ZIP Code Company NAIL Number Port Saint Lucie Florida I 34952 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, VI--V30, V (with BFE), AR, ARIA, AR/AE, ARIA1-430, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagrjam specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: SLNF BM2 Vertical Datum: NAVD 1988 (elevation of 6.29 feet) Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑X 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 nclosure floor) 9.20 ® feet ❑ meters b) Top of the next higher floor I NIA ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zo es only) NIA El feet ❑ meters d) Attached garage (top of slab) 8.87 ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing thbuilding g 20 (air conditioner) ®feet ❑meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 8.7 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 8.8 [A feet ❑ metiers h) Lowest adjacent grade at lowest elevation of deck or s i irs, including 8.87 ® 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. I 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 orimprisonment under 181 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licenses) land surveyor? IN Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number ;} Herbert E. Yancy, PSM LS4274 Title Professional Surveyor & Mapper _ { Company Name- Yancy & crew, Inc. Address I 'Here` 4217 Sunrise Blvd. City State ZIP Code Fort Pierce Florida 34982 - i Signature Date Telephone Ext XP/01 /,,M 19 December 20, 2017 772-519-6398 N/A Copy all pagds of this Elevation Ce rate and chments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of eq*ment ar)d Ocation, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replacces all previous editions. Form Page 2 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-0008 Federal Emergency Management Agency i Expiration Data: 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) I mmunity official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMAT10N FOR INSURANCE COMPANY USE Al. Building Owners Name Policy Number. Herbert &Kathleen Yancy I A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 581 Beach Ave. city Port Saint Lucie I State ZIP Code Florida 34952 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 3421-114-0000-000-2 together with 13419-510-0231-000-9 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, eta) Residential A5. Latitude/Longitude: Lat 27 20' 02.5" Long. 086 20' 03.0" Horizontal Datum: ❑ NAD 1927 ❑X 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 1A A8. For a building with a crawlspace or encosure(s): a) Square footage of crawlspace or enclosure(s) WA sq ft b) Number of permanent flood openings in the crawlspace or endosure(s) within 1.0 foot above adjacent grade WA c) Total net area of flood openings in A8.b WA I sq in d) Engineered flood openings? ❑ Yes [n No A9. For a building with an attached garage: a) Square footage of attached garage 627 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade none c) Total net area of flood openings in A9.b none sq in d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State St Lucie County 120285 Saint 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) Revised Date X X = WA 0280 J i February 16, 2012 AE-6 AE-6 = 6 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ® FIRM ❑ Community Determined 1❑ 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 I stem (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: WA ❑ CBRS ❑ OPA FEMA Form 08640-33 (7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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. Route and Box No. Policy Number 581 Beach Ave. City State ZIP Code Company NAIC Number Port Saint Lucie Florida 34952 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 AT In Puerto Rico only, enter meters. Benchmark Utilized: SLNF BM2 Vertical Datum: NAVD 1988 (elevation of 6.29 feet) Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 [K 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) 9.20 ® feet ❑ meters b) Top of the next higher floor NIA ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA ❑ feet ❑ meters d) Attached garage (top of slab) 8.87 ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building di i 0 (air conditioner) (Describe type of equipment and location in Comments) 9.2). ® feet ❑ meters 0 Lowest adjacent (finished) grade next to building (LAG) 8.7 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 8.8 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 8.87 ®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. I certify that the information on this Certificate represents my best. of brts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Cade, 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 Herbert E. Yancy, PSM LS4274 Title Professional Surveyor & Mapper Company Name Yancy & crew, Inc. r Address r 4217 Sunrise Blvd. City State' ZIP Code Fort Pierce Florida 34982 Signature Date I Telephone Ext. December 20, 2017 772-519-6398 N/A Copy all paAs of this evation C cate an 1 attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of Wpment arWlocation, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6