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Home My WebLink AboutELEVATION CERTIFICATE17 U.S. DEPARTMENT OF HOMELAND SECURITY SCANNED 008 Federal Emergency Management Agency , E�lil ,.}�, ExpirationO o. 1Da Date: 30, 2018 National Flood Insurance Program StQ Lucie ' ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. i Copy all pages of this Elevation Certificate and all attachments for(l) community official, (2) insurance agent/company, and (3) buildino owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name I Policy Number: William A. Bunting and Gail M. Bunting CT#15-141.100.031 A2. Building Street Address (including Apt., Unit, Suite, and/,or Bldg. No.) or P.O. Route and Company NAIL Number: Box No. ; 8629 Cobblestone Drive City f State ZIP Code Fort Pierce II Florida 34945 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-600-0036-000-0 I Lot 31 A4. Building Use (e.g., Residential, Non -Residential, Addi ition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27°24'36.54" N Long. 80°24'47.87" W 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 enclosure(s): a) Square footage of crawlspace or enclosure(s) I 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 I N/A sq in d) Engineered flood openings? ❑ Yes ❑x No I or a building with an attached garage: Square footage of attached garage 400.00 sq ft I �) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b I N/A sq in d) Engineered flood openings? ❑ Yes �i❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State St. Lucie County 120285 St. 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 12111 C0170 J 02-16-2012' 02-16-2012 AE 16.5 B10. 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: B11. Indicate elevation datum used for BFE in Item B9: ❑ 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)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-Q-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: 8629 Cobblestone Drive City State ZIP Code Company NAIC Number Fort Pierce Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x 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, V11 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: AF6653 I Vertical Datum: NAVD 88 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) 18.34 ❑x feet ❑ meters b) Top of the next higher floor I N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zi ones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) I 17.74 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 17.67 ❑ feet ❑ meters 70 . 17meters f) Lowest adjacent (finished) grade next to building (LAG) ❑ feet ❑ g) Highest adjacent (finished) grade next to building (H IG) 17.90 ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck orlstN/A airs, including structural support ❑ 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. / 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 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 Thomas P. Kiernan 6199 Title Professional Surveyor Place Company Name Culpepper & Terpening. Inc. 3 <' Address 2980 South 25th Street�I} City State ZIP Code Fort Pierce Florida 34981 Signature_ Date � ry Telephone Ext. c� 464-3537 206 (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) C2(e) refers to the A/C pad along the rear of the building 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: 8629 Cobblestone Drive City State ZIP Code Company NAIC Number Fort Pierce Florida 34945 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO ANDIZONE 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 to of slab is 9 9 (top ) � ❑feet ❑meters El above or El 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 tIp 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 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 Address I City State ZIP Code Signature I Date Telephone I Comments i I I i i i I I I ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces! all previous editions. Form Page 3 of 6 I 41 ELEVATION CERTIFICATE IMPORTANT: In these spaces, copy the corresponding inform Building Street Address (including Apt., Unit, Suite, and/or Bldg. n 8629 Cobblestone Drive City State Fort Pierce Florida SECTION G — The local official who is authorized by law or ordinance to admin Sections A, B, C (or E), and G of this Elevation Certificate. Coml used in Ite GS— ation from Section A. o.) or P.O. Route and Box No OMB No. 1660-0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Policy Number: ZIP Code Company NAIC Number 34945 INFORMATION (OPTIONAL) the community's floodplain management ordinance can complete the applicable item(s) and sign below. Check the measurement ms G10. In Puerto Rico only, enter meters. I 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.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) 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 Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Constructioin ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet El meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum I G10. Community's design flood elevation: I ❑ feet ❑ meters I 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) ❑ 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: 8629 Cobblestone Drive City State ZIP Code Company NAIC Number Fort Pierce Florida 34945 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. Photo One Photo One Caption Front 1-9-19 Clear Photo One• Ya A�s s I Photo Two Photo Two Caption Back 1-9-19 :Clear;Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 N 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. No.) or P.O. Route and Box No. Policy Number: 8629 Cobblestone Drive City State ZIP Code Company NAIC Number Fort Pierce Florida 34945 If submitting more photographs than will fit on the preceding page, 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 examples of the flood openings or vents, as indicated in Section A8. f Photo Three Photo Three Caption Right Side 1-9-19 Clear Photo Three; :w Photo Four Photo Four Caption Left Side 1-9-19 Clear Photo Four• FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6