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Home My WebLink AboutELEVATION CERTIFICATE 8-3-18U.S. DEPARTMENT OF HOMELAND SECURITY _&,44 N E D Federal Emergency Management Agency BY National Flood Insurance Program Lucia C_ ountv ELEVATION CERTIFICATE important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 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 THIEL A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 10725 SOUTH OCEAN DRIVE #103 city State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1, BLOCK K, HOLIDAY OUT IN AMERICA AT ST. LU6, IE, INC. A4. Building Use (e.g., Residential, Non -Residential, Addition, A I ccessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27'16'11" Long. ou-11224" Horizontal Datum: [_] NAD 1927 NJ NAD 1983 A6. Attach at least 2 photographs of the building 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 enclosure(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? El Yes 91 No A9. For a building with an attached garage: a) Square footage of attached garage 531 sq ft b) Number of permanent flood openings in the attached gar0ge 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 openings? [:]Yes W No �_SECTION IS - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NF1P Community Name-&.. b6m- munity Number B2. County Name B3. State UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel B5. Suffix', .86. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) 0-71111. t Revised Date 7— -7, B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: E] FIS Profile W FIRM E] Community Determined F1 Other/Source: BI 1. Indicate elevation datum used for BFE in Item B9: [] NGVD 1929 Z] NAVD 1988 E] -Other/Source: Bl 2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes No Designation Date: E] CBRS F-1 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 co ."spc?nding 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: 10725 SOUTH OCEAN DRIVE #103 city State ZIP Code Company NAIC Number JENSEN BEACH FLORIDA 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: F� Construction Drawings* Rfl Building Under Construction* E] Fin ished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones AI—A30, AE, AH, A (with BFE), VE, VI—V30, V (with BFE), AR, AR/A, ARIAE, AR/Al—A30, ARIAH, ARIAO. 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 A02 RM2 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum us6d for the elevations in items a) through h) below. F1 NGVD 1929 IM NAVD 1988 El bther/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) 8.02 X] feet [] meters b) Top of the next higher floor N/A E] feet El meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A E] feet meters d) Attached garage (top of slab) 4.38 feet meters e) Lowest elevation of machinery or equipment servicing the building N/A feet meters (Describe type of equipment and location in Comments) 4.1 9 Lowest adjacent (finished) grade next to building (LAG) Pfl feet meters g) Highest adjacent (finished) grade next to building (HAG) 4.2 N feet E] meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA feet 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. / certify that the inthrmation on this Certificate represents my best efibits to interpret the data available. I 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 1320-107-01 UC EARLE R. STARKEY Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 08/03/2018 city State ZIP Code STUART FLORIDA 34994 PLS #4459 pate Telephone' Ext. 08/03/2018 772-286-7694 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) FEMA Form 086-0-33 (7/15) Replaces all previous editions.. Form Page 2 of 6