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HomeMy WebLinkAboutELEVATION CERTIFICATE 10-19-18U.S. DEPARTMENT OF HOMELAND 6cvJRITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance ViCANNED ELEVATION CERTIFICATE BY Important: Follow tlje instructions on pages 1-9. at LUCu() County 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: GWENDOLYN LANDERS I A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 4570 S OCEAN DRIVE I City State ZIP Code FORT PIERCE Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Nimber, Legal Description, etc.) PARCEL ID 2529-343-0003-010-2 A4. Building Use (e.g., Residential, Non -Residential, Addition, AdIcessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N 27 23 45.78 Long. W -80 15 47.16 Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 2 the building if the Certificate is being used to obtain flood insurance. A6. Attach at least photographs of AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0.00 sq ft b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade 0 1 c) Total net area of flood openings in A8.b 0. PO sq in d) Engineered flood openings? ❑ Yes ❑X No A9. For a building with an attached garage: a) Square footage of attached garage 0.00 sq ft b) Number of permanent flood openings in the attached garage) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State SAINT LUCIE COUNTY, UNINCORPORATED 120285 SAINT LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel ,i B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 C 0194 J 02-16-2012 02-16-2012 I AE 6 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: i B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 16,29 ❑X 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: 10-01-1983 FX_J CBRS ❑ OPA i FEMA Form 086-0-33 (7/15) Replaces'all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE Y 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: 4570 S OCEAN DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida I 34949 SECTION C — BUILDING ELEVATiON INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Dray ings ❑X Building Under Construction' ❑ Finished Construction "A new Elevation Certificate will be required when construe-tion of the building is complete. C2. Elevations — Zones Al A30, AE, AH, A (with BFE), VE, V' 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: SAINT LUCIE CO BM " B-308" I Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source] used for the BFE. Datum used for building elevations must be the same as that Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9.7 © feet ❑ meters b) Top of the next higher floor N/A Z feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) 16.5 0 feet ❑meters d) Attached garage (top of slab) 8.3 ❑X feet ❑ meters e) Lowest elevation of machinery or equipment servicing t e building 9.2 0 feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3.2 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG), 5.5 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or st ❑ ❑ irs, including N/A 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. l certify that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 0. 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 CHARLES ARNOLD, PSM FLOR IDA LS #4971 Title VICE PRESIDENT Place Seal Company Name ARNOLD SURVEYING, INC. Here Address 4888 N KINGS HIGHWAY #425 I City State ZIP Code FORT PIERCE Florida 34951 Signature Date I Telephone Ext. 10-18-2018 (772) 708-1819 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) A5 OBTAINED USING HANDHELD DEVICE; B9 LOT HAS SEVERAL ZONES BUT HOUSE LIES SOLELY IN ZONE AE-6; C2 EC IS FOR STEMWALLS ONLY; C2A REFERS TO FLEX SPACE SEPARATED BY WALL FROM GARAGE MEANING GARAGE IS ATTACHED; C2D REFERS TO GARAGE SEPARATED BY WALL FROM FLEX SPACE MEANING GARAGE IS ATTACHED; PGS 1, 2 & 5 COMPLETED BY SURVEYOR; PGS 3,4 & 6 LEFT BLANK INTENTIONALLY & IS NOT CERTIFIED BY SURVEYOR 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 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: 4570 S OCEAN DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 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 thg Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—E4, use natural gr�de, 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 glade (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. ((OWNER'S SECTION F — PROPERTY OWNER (OR 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 statemeints in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address I City State ZIP Code Signature I Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE IMPORTANT: In these spaces, copy the corresponding infor Building Street Address (including Apt., Unit, Suite, and/or Bldg. 4570 S OCEAN DRIVE City State FORT PIERCE Florida SECTION G — COB The local official who is authorized by law or ordinance to Sections A, B, C (or E), and G of this Elevation Certificate. used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other do( engineer, or architect who is authorized by law to cerd data in the Comments area below.) G2 ❑ A community official completed Section E for a buildin or Zone AO. G3. ❑ The following information (Items G4—G10) is provided OMB No. 1660-0008 Expiration Date: November 30, 2018 ►n from Section A. FOR INSURANCE COMPANY USE or P.O. Route and Box No. Policy Number: ZIP Code Company NAIC Number 34949 INFORMATION (OPTIONAL) the community's floodplain management ordinance can complete the applicable item(s) and sign below. Check the measurement nentation that has been signed and sealed by a licensed surveyor, elevation information. (Indicate the source and date of the elevation located in Zone A (without a FEMA-issued or community -issued BFE) community floodplain management purposes. G4. Permit Number G5. Date Permi Issued G6. Date Certificate of Compliance/Occupancy Issued 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: G10. Community's design flood elevation: Local Official's Name I Title Telephone Signature I Date Comments (including type of equipment and location, per C2(e), if'applicable) ❑ feet ❑ meters Datum ❑ feet ❑ meters Datum ❑ 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 A6. 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: 4570 S OCEAN DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. 1 ,f a. P oto One Photo One Caption FRONT VIEW -PHOTO TAKEN OCTOBER I17, 2018 •Clear Photo one,,.; k, Photo Two Photo Two Caption RIGHT VIEW TAKEN ON OCTOBER 17, 2018I ` Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No.1660-0008 ELEVATION CERTIFICATE Continuation Page 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 1 No.) or P.O. Route and Box No. Policy Number: 4570 S OCEAN DRIVE City State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 If submitting more photographs than will fit on the precedinglpage, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"- and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative exai pies of the flood openings or vents, as indicated in Section A8. t4 j ._i _ cue_"'- ,�. �• Photo Three Photo Three Caption LEFT VIEW TAKEN ON OCTOBER 17 2018 Clear Photo Three �tfi• �' � .L- i t s �� t � J.,i� �� t ^i-t #1 az :Kn Photo Four Photo Four Caption REAR VIEW TAKEN ON OCTOBER 17, 2018 f Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all pi revious editions. Form Page 6 of 6