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Home My WebLink AboutELEVATION CERTIFICATE 11-5-13U.S. DEPARTMENT OF HOMELAND SECURITY FEDEnL EMERGENCY MANAGEMENT AGENCY • National Flood Insur-nce Program � or ELECrVA 1 IC)N Gt,K I IrIUA I C 'rtant: Read the instructions on pages OMB No. 1660-0008 Expiration Date: July 31, 2015 SECTION Al- PROPERTY INFORMATION �t=yt7tYSi?t3AfilGEo!vt>'A[V t'�?5 ;,, Al. Building Owner's Name DAVID & LANA MACDONALD A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. NoJ or P.O. Route and Box No 10725 SOUTH OCEAN DRIVE #200 City JENSEN BEACH State FLIP .�dife'Y3.495')� n A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 16, BLOCK F, HOLIDAY OUY. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat 27"16'02.4" N Long. 80°12'13.9" W 1 Horizontal Datum: ❑ NAD 1927 0 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 1A A8. For a building with a crawlspace or enclosure(s): i A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq it a) Square footage of attached garage 351 sq ft b) Number of permanent flood openings in the crawlspace j b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 626 sq in d) Engineered flood openings? ❑ Yes ❑ No I 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 UNINCORP 120285 1 ST. LUCIE FL B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12111 C 0314 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) I 02/16/2012 AE 7.0 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ElNGVID 1929 0 NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources SystemRS) area or Otherwise Protected Area (OPA)? ElYes 0 No Designation Date: _ I MBCBRS ❑ OPA SECTION C - BUILDING' ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction *A new Elevation Certificate will be required when constri. C2. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, *v below according to the building diagram specified in Item Benchmark Utilized: 94 77 A02 RM1 FLDT Indicate elevation datum used for the elevations in items Datum used for building elevations must be the same as 1 rawings* ❑ Building Under Construction* Finished Construction ion of the building is complete. V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h ►. In Puerto Rico only, enter meters. Vertical Datum: NAVD 88 through h) below. ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: it used for the BFE. I a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. 7.0 0 feet ❑ meters 16.45 0 feet ❑ meters N/A. ❑ feet ❑ meters 5.2 0 feet ❑ meters 7.2 0 feet ❑ meters 4.5 0 feet ❑ meters 5.1 0 feet ❑ meters N/A. ❑ 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable; by fine orimprisonment under 18 U.S. Code, Section 1001. 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? 0 Yes ❑ No (- Certifier's Name EARLE R. STARKEY License Number 004459 Title PROFFSSIONAL LAND SURVFYOR Company Name ACCURIGHT 1 AND SURVEYING INC. Address 1501 DECKER AVENUE #419 City State FL ZIP Code 34994 j Sign ate 11/05/2013 Telephone 772-286-7694 1320-36-01 S /1105/2013 PLS #4459 FEMA Form 086-0-33 C7712) See reverse side for continuation. RECEIVED NOV 06 1016 Replaces all previous editions. y � ` , . �. .y \. ELEVATION CERTIFICATE, page IMPORTANT: In these spaces, copy the_ ,esponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 10725 SOUTH OCEAN DRIVE #200 City JENSEN BEACH FL ZIP Code 34967 SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) communi official, (2)' insurance agent/company, and (3) building owner. Signature EARLE R. STARKEY Date 11/05/2013 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 the Certific and C. For Items El—E4, use natural grade, if available. Check the measi E1. Provide elevation information for the following and check the appror grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosur b) Top of bottom floor (including basement, crawlspace, or enclosur E2. For Building Diagrams 6-9 with permanent flood openings provided (elevation C2.b in the diagrams) of the building is _ _ ❑ f E3. Attached garage (top of slab) is ❑ feet ❑ meters E4. Top of platform of machinery and/or equipment servicing the buildin E5. Zone AO only: If no flood depth number is available, is the top of th ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must is intended to support a LOMA or LOMR-F request, complete Sections A, B, nent used. In Puerto Rico only, enter meters. e boxes to show whether the elevation is above or below the highest adjacent I is _._ ❑ feet ❑ meters ❑ above or ❑ below the HAG. I is ❑ feet ❑ meters ❑ above or ❑ below the LAG. i Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor :t Elmeters Elabove or ❑ below the HAG. ❑ above or ❑ below the HAG. is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. bottom floor elevated in accordance with the community's floodplain management Brtify 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, 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 Owners 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 by law or ordinance to administer the community's —�-` ---I - - -'- _L, floodplain management ordinance can complete Sections A, B, C (or E), and G __L A .. t . ,t ;. 1t., r_o r±4 n 1 0.. .t,, o; . 1.. . t- ,t UI U115 CICVcLL1011 VC1411L:dLt% 1..U111FACLC Me E1PP ,4UIC JLCI11kJJ d11U aIUJJ UCIUM L 11Vl n Lllo L1lc00-111 llL UaU 1" ILc1110 . III I U�IL.. I.L... V" Y, �.1.�... 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 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: _ _ ❑ feet ❑ meters Datum _ G10. Community's design flood elevation: __ ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments.