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Home My WebLink AboutFEMA ELEVATION CERTIFICATEcorFH.�-cQppl- V OMB No. 1660-0008 Expiration Date: November 30, 2018 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of) Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. Privacy Act Statement Authority: Title 44 CFR § 61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. i Routine Use(s): The information on this form may be disclosedas generally permitted under 5 U.S.C. § 552a(b) of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA-003 — National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/ FEMA/NFIP/LOMA-1 — National Flood Insurance Program (NFIP) Letter of Map Amendment (LOMA) System of Records Notice 71 Fed. Reg. 7990 (February 15, 2006); and upon written request, written consent, by agreement, or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Purpose of the Elevation Certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill (LOMR-F). The Elevation Certificate is required in order to properly rate Post -FIRM buildings, which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, and AR/AO. The Elevation Certificate is not required for Pre -FIRM buildings unless the building is being rated under the optional Post -FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT EZ or MT-1 package, whichever is appropriate. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non- residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at https://www.fema.aov/media-library/assets/documents/3539?id=1727. FEMA Form 086-0-33 (Revised 7/15) Replaces all previous editions. F-053 I U.S. DEPARTMENT OF HOMELAND SEcuKITY Federal Emergency Management Agency National Flood Insurance Program 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: Sankara Rao & Rama Kothakota i A2. Building Street Address (including Apt., Unit, Suite, and/or Bldgl No.) or P.O. Route and Company NAIC Number: Box No. I5116 Water Song Way City State ZIP Code Fort Pierce Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Watersong South P.U.D. Plat No. One, Lot 5 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27.2311 Long.-80.1529 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 113 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 crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0.00 sq in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage '537.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A9.b 41.16 sq in d) Engineered flood openings? ❑x Yes ❑ 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 County 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 C0194 J 02-16-2012 02-16-2012 AE 6 & 7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ 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)? x❑ Yes ❑ No Designation Date: 10-01-1983 ❑x CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 5116 Water Song Way City State ZIP Code Company NAIC Number Fort Pierce Florida 34949 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑x Building Under Construction* ❑ 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, VI—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: B308 Vertical Datum: NAVD88 i 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) 7.77 ❑x feet ❑ meters b) Top of the next higher floor 19.47 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A x❑ feet ❑ meters d) Attached garage (top of slab) 6.75 ❑x feet ❑meters e) Lowest elevation of machinery or equipment servicing the; building N/A ❑feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.50 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.50 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 5.50 x 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. / certify that the information on this Certificate represents my best efforts to interpret the data available. 1 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 licensedland surveyor? Z Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Christian Fenex 5102 Title Surveyor lac Company Name Christian Fenex and Associates _ - ea -Here Address PO Box 2533 City State ZIP Code Palm City Florida 34991 Signature Date Telephone Ext. Christian Fenex Dal Bydao5zb 51atanF n,x 05-23-2018 (772) 283-2977 Copy all pages of this Ele ertificate 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) Structure (residence), does not fall in "V' zone. Second floor (Item C2b), is designed elevation based on plans. This certificate is revised on 5-23-18 to correct the community name and the flood zones for the residence only. Original field date of survey is 10-09-2017. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE I 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.) oriP.O. Route and Box No. Policy Number: 5116 Water Song Way City State ZIP Code Company NAIC Number Fort Pierce Florida I 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 E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—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 E]feet E]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. 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 City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November30, 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: 5116 Water Song Way 1 City State ZIP Code Company NAIC Number Fort Pierce Florida 34949 SECTION G — COMMUNITY INFORMATION (OPTIONAL) i 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. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. I 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. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued i G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title 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 ELEVATION CERTIFICATE See Instructions for Item A6. 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: 5116 Water Song Way 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 thad will fit on this page, use the Continuation Page. i I 1 t �r Photo One Photo One Caption Left side looking southeast Clear Photo One Jk. nyat IT L L— i�1_ , I yiiL ^w n r ? .�^ ➢Cy' '�� J F a'L"' .r Photo Two Photo Two Caption Right side looking northeast (Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 M -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: 5116 Water Song Way City State ZIP Code Company NAIC Number Fort Pierce Florida 34949 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. i i tI I �a"-�:i`� �:s 1516 },`.}ae s to-':. Kea a •�r'ii'+.�'d$-> Photo Three Photo Three Caption Front view looking south ! Clear Photo Three ��•; � fjM i ,� - f '-.•,, �.+'� 7 .r. r.L_. L_ 11 ..ram tit u. Photo Four Photo Four Caption Rear view looking West p Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 CCCL ELEVATIO. FLORIDA DEPARTMENT OF EN CERTIFICATE PROTECTION This certificat@,is required by section 3109 of the Florida Building Code for habitable structures built seaward of a coastal construction control line to ensure the lowest horizontal structural member of such structures is located above the local one -hundred -year storm elevation as published in the Florida Department of Environmental Protection's document titled, "One -Hundred -Year Storm Elevation Requirements for Habitable Structures Located Seaward of a Coastal Construction Control Line". The elevation -of the lowest horizontal structural, member is to be shown, in relation to National Geodetic Vertical Datum (N.G.V.D., 1929). NOTICE: This certificate shall be completed as part of the permitting process and submitted to the building official who Will note any deficiencies and notify the permit holder of any actions necessary to bring the structure into compliance with the elevation requirement. Any deficiencies found by the building official shall be corrected by the permit holder immediately and prior to proceeding with work. Any work undertaken prior to submission of this certification shall be at the property owner's risk. SECTION A Property Information PROPERTY OWNER'S NAME ' Sankara Rao & Rama Kothakota STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. BOX NUMBER 5116 Watersong Way OTHER DESCRIPTION (Lot and Block Numbers, etc) Lot 5 Watersong South PUD Plat No. One, Plat book 53, Page 1 CITY STATE ZIP CODE Ocean Drive - St. Lucie County PID#2532-803-0012-000-2 SECTION B One -Hundred -Year Storm Elevation Information I 1. Pursuant to the above document, the bottom of the lowest horizontal structural member must be located at or above 170 ' : '"fetNGVD 2. The bottom ofthe lowest horizontal structural member of the building is 18.5 3., Control elevation reference mark used: Benchmark ID 8'308 feet N.G.V.D. BM elevation: 3.61 feet N.D.V.D. Please refer to the diagrams on page 2 of this document for information regarding the location of the bottom of the lowest horizontal structural member. SECTION C Certification This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information and be submitted to and approved by the building official prior to commencing any additional work I certify that the information in Sections A, B, and C on thisl certificate represents my best efforts to interpret the data available. CERTIFIERS NAME: LICENSE NUMBER Christian Fenex PSM 5102 TITLE: - COMPANY NAME: President Christian Fenex And Associates, LLC ADDRESS: CITY. STATE: ZIP CODE: PO Box 2533 Palm City Florida 34991 SIGNATURE DATE: TELEPHONE: Christian Fenex j,°leaUy0aaedbyChdsaaaFina: 10l3l2017 772-283-2977 pate: 2017.1OM 1531A5-04W COMMENTS: Affix Seal: i DEP Form 73-501