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HomeMy WebLinkAbout22020536- ELEVATION CERTIFICATE 4-26-05BY X, mM*voL>-- FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM '' f ELEVATION CERTIFICATE Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION O.M.B. No. 3067-0077 Expires December 31, 2005 ftoM ollgnd /4unoo 91onl ' S BUILDING OWNER'S NAME - O ��Y WP Grand Isle of Hutchinson Island, Ltd d BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. urn _ L4, 3702 North AEA a] � R� � I ral CITY STATE ZIP CODE"" North Hutchinson Island FL 34949 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 440-0004-000/2 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##° - ## - ##.## or ##.#*ffi1#1) ® NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION MUNIT NAME 120285ITY NUMBER I B2 Eocene Cot un y I FI Florida B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREMSED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding) 12111C 0089 G & cn 11-4-92 VE EL14 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: M NGVD 1929 ❑ NAVD 19BB ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 6 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AWAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3.-a-i below according to the building diagram specified in Rem C2. State the datum used. 9 the datum is different from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum ConversioniComments Elevation reference mark used EL 14 Does the elevation reference mark used appear on the FIRM? ®Yes ❑ No o a) Top of bottom floor (induding basement or enclosure) 9. 67 ft(m) o b) Top of next higher floor 19.00 ft(m) ` o c) Bottom of lowest horizontal structural member (V zones only) NA . _Min) c n" o d) Attached garage (top of slab) NA. _ft.(m) M g o e) Lowest elevation of machinery and/or equipment w ro servicing the building (Describe in a Comments area) NA. o f) Lowest adjacent (finished) grade (LAG) 9.10 ft(m) Z s o g) Highest adjacent (finished) grade (HAG) 9. 60 L(m) o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NA o i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) 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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that anv false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME Robert F. Kemerson LICENSE NUMBER 6285 TITLEProfessional Surveyor & Mapper COMPANY NAME Velcon Group, Inc. ADDRESS CITY STATE ZIP CODE 702 SW Port St. Lucie Blvd. Port St Lucie FL 34953 SIGNATURE , DATE TELEPHONE r 4/26/05 (772)879-0477 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information froniZectign-Afalnsut j>cet:otrrpanyUse BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and(c' Ao.) OR P.O. ROUTE ANC BOX N0. � Po4g�Numtrer 3702 North A1A- CITY STATE ZIP CODE CanpanyNAlCNun''' North Hutchinson Island FL 34949 .. SECTION D - SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) u Copy both soles of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. 9 the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. Building Diagram Number _(Soled the building diagram most similar to the building forwhich this certificate is being completed — see pages 6 and 7. ff no diagram aocurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is natural grade, I available). _ ft.(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use B. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(an) above the highest adjacent grade. Complete items C3:h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the commun'ityrs 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 owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or community - issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of mylarowfedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized bylaw,,dr ordinance to administer the communitys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or loci law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A oommunity official completed Section E for a building lasted in Zone A (without a FEMA-issued or oommunity-issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPUUWCEIOCCUPANCY ISSUED G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-buitt lowest flax (including basement) of the building is: ft (m) Datum: G9. BFE or (n Zone AO) depth of flooding at the building site is: _. _ fL(m) Datum: LOCAL OFFICIAL'S NAME TITLE . COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS FEMA Form 81-31, January 2003 Check here if attachments Replaces all previous editions