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Home My WebLink AboutELEVATION CERTIFICATE (2)I U.S. DEPARTMENT OF HOMELAND SE�_G21TY OMB No. 1660-0008 Federal Emergency Management Agency I Expiration Date: November 30, 2018 National Flood Insurance Program SCANNED ELEVATION CERTIFICATE �.gg BY Important: Follow the instructions on pages 1-9. Copy all page``s"dit(il levQ0084fificate 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 I Policy Number. GREGORY & JODI PETERS A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 8036 S. OCEAN DR. City i State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 20, DIAMOND SANDS PLAT NO. 2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat 27.31689N i Long. 80.22506W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 i A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosures) 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 i c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑;Yes 0 No A9. For a building with an attached garage: a) Square footage of attached gara�e 1008.00 sq ft b) Number of permanent flood ope flings in the attached garage within 1.0 foot above adjacent grade 6 c) Total net area of flood openings in A9.b 768.00 sq in d) Engineered flood openings? �❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY UNINCORPORATED AREA'S 120285 ST. LUCIE COUNTY Florida B4. Map/Panel B5. Suffix 136i FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) J Revised Date 12111 C0303 J 02-16-2012 02-16-2012 AE 7' iI B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a; Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑x Yes ❑ No Designation Date: 10-01-1983 0 CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 8036 S. OCEAN DR. City 'State ZIP Code Company NAIC Number JENSEN BEACH j Florida 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑x Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al A30, AL, 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: FDOT A1A 94-08-BM121 Vertical Datum: NAVD88 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 enclosure floor) 18.67 ❑x feet ❑ meters b) Top of the next higher floor i 32.50 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) 16.50 ❑x feet ❑ meters d) Attached garage (top of slab) j 7.33 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.60 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.60 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A /A ❑ f❑ 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. 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? ❑x Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number CHARLES H. BLANCHARD, P.S.M. L.S.#5755 Title PROFESSIONAL LAND SURVEYOR AND MAPPER lace gg eag Company Name MERIDIAN LAND SURVEYORS /iiti'r Address 1717 INDIAN RIVER BLVD SUITE 201 1 b/'L I City State ZIP Code VERO BEACH Florida 32960 Signature Date Telephone Ext A 794-1213 IV-L (772) 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) PRIMARY BENCHMARK IS FLORIDA DOT MONUMENT A1A/94/08/BM12, ELEVATION = 3.51' NAVD '88. ON SITE BENCHMARK IS FD PK NAIL & DISK LB#6905, 16.4' SOUTH OF THE SOUTH PROPERTY LINE ALONG THE EAST SIDE OF THE ROAD, ELEVATION = 4.75' NAVD'88. NO A/C PAD TO DETERMINE C2-E. LATITUDE AND LONGITUDE DETERMINED USING HAND HELD GPS DEVICE. C2 A, B, C, & D ARE PROPOSED ELEVATIONS. i FEMA Form 086-0-33 (7/15) 1 Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE uMB No. 1660-0008 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: 8036 S. OCEAN DR. City State ZIP Code Company NAIC Number JENSEN BEACH ;Florida 34957 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 El—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 the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest 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 equipment servicing the building is ❑ 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 i 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 I Address City State ZIP Code i Signature I Date Telephone I Comments i i ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) 1 Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE BOMB No. 1660-0008 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: 8036 S. OCEAN DR. City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 SECTION G - COMMUNITY INFORMATION (OPTIONAL) i 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 Certifcate. 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 law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) I ❑ A community official completed Section Elfor a building located in Zone A (without a FEMA-issued or community -issued BFE) G2 or Zone AO. I G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. I G4. Permit Number G5. Date Permit Issued G6. Date Certificate of ICompliance/Occupancy Issued I G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet ❑meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title i Community Name Telephone Signature ! Date i Comments (including type of equipment and location, per C2(e), if applicable) I ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6