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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEPARTMENT OF HOMELAND SECURITY rederal Emergency Management Ageng? National,Flood Insurance Program SCANNED ELEVATION CERTIFICATE BY I Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30. 21YT8.1, tit Lucie W131111 I Copy all pages of this Elevation Certificate and all attachments ipr (1) community official, (2) insurance agenticompany, 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. Ll UCIE A4. Building Use (e.g., Residential, Non -Residential, Additiop, Accessory, etc.) RESIDENTIAL A5. Latftude/Longitude: Lat.27*16'11" Long. 00-1224" Horizontal Datum: E] NAD 1927 X] 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 crawispace 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 NIA c) Total n et area of flood openings in A8.b N/A sq in d) Engineered flood openings? El Yes Al 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 garage within 1.0 foot above adjacent grade 3 c) Total net area of flood openings in A9.b 600 sq in d) Engineered flood openings? IX Yes r-1 No SECTION B - FLOOD INSURAf4CE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number �B2. County Name B3. State UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effectivel Zone(s) (Zone AO, use Base Flood Depth) J oz/16117- Revised Date AF_ '7. LJ B10. Indicate the source of the -Base Flood Elevation (BFE) dat al or base flood depth entered in Item 139: FIS Profile Z] FIRM E] Community Determined F-1 Other/Source: Bl 1. Indicate elevation datum used for BFE in Item B9: NGVD 1929 X] NAVD 1988 D Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? El Yes N No Designation Date: N/A r-1 CBRS E] OPA FEMA Form 086-0-33 (7/15) Replaces all.previous editions. Form Pagel of6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 I I IMPORT -ANT: In these spaces, copy theff ,___�ipondinq information from Section A. FOR INSURANCE COMPANY USE BuildiAg 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 FLOR IDA 34957 I SECTION C — BUILDING ELEVA, TION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: Construction D I rawings* Fj Building Under Construction* Z] Finished Construction I *A new Elevation Certificate will be required when construction of the building is complete. I C2. Elevations —Zones Al—A30, AE, AH, A (with BFE), VE, IVI—V30, V (with BFE), AR, AR/A, AR/AE, AR/Al—A30, ARIAH, ARIAO. 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 A02 RM2 FDOT I Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items� a) through h) below. E] NGVD 1929 Z] NAVD 1988 F] Other/Source: Datum used for building elevations must be the same asithat used for the BFIF Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.02 K feet D meters b) Top of the next higher floor 17.4 F1 feet El meters c) Bottom of the lowest horizontal structural member (V.(-ones 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 8.2 feet meters (Describe type of equipment and location in Comments) 4.2 i) Lowest adjacent (finished) grade next to building (LAG) N feet D meters g) Highest adjacent (finished) grade next to building (HAG) 4.6 N feet El meters I h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.3 ZI feet E] 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 Cerfificate 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, Sectfon 1001. Were latitude and longitude in Section A provided by a licensed land surveyor.? X Yes El No Check here if attachments. I Certifier's Name LicePse Number 1320-107-01 EARLE R. STARKEY 440U Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 T� 12/13/2018 city State ZIP Code STUART FLORIDA 34994 PILS #4459 Signatuh_�., Date� Telephone Ext. 12/1.3/2018 772-286-7694 Copy all pages of this Elevation Certificate and all attachmeRg��ommunity official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), -if applicable) A9-D FLOOD VENT MODEL #1540-520 (SEE ATTACHED) C2-E A/C PLATFORM FEMA Form 086-0-33 (7/15) Replaces all'previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 IMPORTANT: In these spaces, copy thef �In�orma�fion fro�mSeciionA. 70—R INSURANCE COMPANY USE Buildiing Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number city State ZIP C ode Company NAIC Number SECTION E - BUILDING ELEVATION INFORM�TION (SURVEY NOT REQUIRED) FOR ZONE AO ANID 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 EI-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. I El. Provide elevation information for the following and check ithe appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (I AG) a) Top of bottom floor (including basement, crawlspace, or enclosure) is [-J feet L-J meters LJ above or EJ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is F1 feet F1 meters n above or E] 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 El feet El meters El above or E] below the HAG. E3. Attached garage (top of slab) is EJ feet E] meters E] above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is feet R meters R above or [] below the HAG. E5. Zone AO only: If no flood depth number is available, is the.itop of the bottom floor elevated in accordance with the community's floodplain management ordinance? [:] Yes F] No E] Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION 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, 8, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments El Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 -IMPORTANT: In these spaces, copy the( information from Section A. FOR INSURANCE COMPANY USE Buildirig Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: city State ZIP Code Company NAIC Number SECTION G - COMMONITY INFORMATION (OPTIONAL) 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 Certificate. C&nplete the applicable item(s) and sign below. Check the measurement used in Items G8-G1 0. In Puerto Rico only, enter meters. G1. The information in Section C was taken from other d I ocumentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is auth0d7ed b, y law to cehify elevation information (indicate the source and date of the elevation data in the Comments area below.) I G2. A community official completed Section E for a buildi ng located in Zone A (without a FEMA-issued oi community -issued BFE) or Zone AO. I I The following information (Items G4-G10) is provide� for community floodplain management purposes. G3. I G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy issued G7. This permit has been issued for E] New Construct I ionE] Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet El meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet Ej meters Datum G10. Community's design flood elevation: El feet n meters Datum Local Official's Name Title Communfty Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) n Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all Previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item AS. Expiration Cwe: November 30, 20118 IMPORTANT. In these spaces, cdPy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address lincluding Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Policy Number 10725 SOUTH OCEAN DRIVE' #103 city State , ZIP Code Company NAIG Nuniber JENSEN BEACH F',LORIDA 34957 If using the Elevation Certificate to obtain NFIP flood ins . urance, affix at least 2 budding photographs below according to the iristructions for Item AS. Idenfify all photographs with date tak�n; "Front View"and "Rear VWW� and, if required, "Right Side View' and 'Uft Side View." When applicable, photographs must shcmil, the'fioundation with rep;�;� examples of the flood openings or ventsi as Indicated In Section A8. if submitting more photographs than will fit on this page, use the Continuation Page. -V,NW.M11V 4, .4t 14"'Ij �A N,- g -PV PhOWOM Photo One Caption FRONT 12/13/2018 W -Moto Two Caption REAR 12/13/2018 FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-MOS ELEVATION CERTIFICATE Continuation Page E.Wration Date., November 30,2018 nA!PdRTANr. hi tfi"ds'pa"6w',`6opy the corre4ionding 106nnatiOufrOm Section A- FOR INSURANCE COMPANY USE Buildino Street Address (includ1mg ApL. Unit Suite, and/or Bldg. NM) Or P.O. Route and Box No. Poky Number 10725 SOUTH OCEAN DRIYE #103 city $Wle I ZIP Code Company NAIC Number JENSEN BEACH F�LDRIDA 34957 If submitfing more photographs than VWII fit on t1he preceding page, aft the addillopal photographs below. Identify all photographs with: date taken; "Front Vlevf and uReeffi arid. N required, "Right Side V1eW and "Left Side View." When applicable, View". photographs must show foundali n with repre entativ6 exitniples olthe flood openings or vents, as indicated in Section A8. -the foundation with 3 ........... . ............. . . . . . . . . . 4'� Vf . . . . . . . . . . - l"4 Photo -Mrse Caption RIGHT SIDE- P/13/2018 g [ xig, -"�v .............................. . 5'. 4 �4 , � ;" �' !, -zv; 'nq z. 20 '�� x it ail: RA .......... _Photo Four CapfionLEFT SIDE 12/13/2018 FEMA Form 086-0-33 (7/15) Replaces all previous edlitions. Form Page 6 of 6 wppp- DIVISION: 08 00 00—OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: SMARTVENT PRODUCTS., INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 EVALUATION SUBJECT: SMART VENT@ AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-S21; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC 1CC 1CC PMG cQ"'— Look for the trusted marks of Conformity! kmll "2014 Recipient of Prestigious Western States Seismic Policy Council 9MMOM (WSSPC) Award in Excellence" A Subsidiary of CODECOUNCH! (0 —TC—CA—.d?Wd ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not C"15 II specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as [$011EC17065 to anyfinding or other matter in this report, or as to any product covered by the report. PmduL1CefUf-6- Body 01000 Copyright @ 2017 ICC Evaluation Service, LLC. All rights reserved. ESR-2074 I Most Widely Accepted and Trusted Page 2 of 5 installed with a minimum of one FV for every 5.2 The Smart Vento FVs must not be used in the place 400 square feet (37.2 M2) of enclosed area. of "breakaway walls" in coastal high hazard areas, but N Below the base flood elevation. are permitted for use in conjunction with brealkaway walls in other areas. N With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart VenO FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent! FV's must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govern. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC-ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENr models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR-2074). TABLE 1—MODEL SIZES MODELNAME MODELNUMBER MODEL SIZE (in.) COVERAGE (sq. ft.) Wb&IVENTgo %$91,5261 P-1 SmartVENTO 1540-510 15 3/4,. X 73/4" 200 FloodVENTO Overhead Door 1540-524 153/4-1 X 7 3/e 200 SmartVENTO Overhead Door 1540-514 15 3/4,� X7 3/e 200 Wood Wall FloodVENTO 1540-570 14" X 8 3/4,, 200 Wood Wall FioodVENT6 Overhead Door 1540-574 14" X 83/4" 200 SmartVENT0 Stacker 1540-511 16" X 16" 400 FloodVento Stacker 1540-521 16" X 16" 400 For SI: I inch = 25.4 mm; 1 square foot = m'