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Home My WebLink AboutELEVATION CERTIFICATESCAN U.S. DEPARTMENT OF HOMELAND SECURITY ELEV Tt.01V yC RTJf ICATE FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood lm=a Program IMPORTANT: Follow the instructions on pages 1-9. 3 02 01 Vy OMB No. 1660-0008 Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name MR. & MRS. MACDONALD Policy Number A2. Building Street Address (including Apt, Una Suite, and/or Bldg. No.) or PO. Route and Box No. Company NAIC.Number: City JENSEN BEACH state FL ZIP Code 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 16, BLOCK "F", HOLIDAY OUT AT ST. LUCIE 1 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 97°18'02 4fl" Long. Sn°12'13.85" Horizontal Datum: ❑ NAD 1927 21 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 1 R A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace 0 b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade �0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b n sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ®No SECTION R - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NRP Community Name & Community Number B2. County Name B3. State I UNINCORP / 120285 ST. LUCIE FL B4. Map/Panel Number 65. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone Revised Date AO, use base flood depth) 12111 C 0314 J 02/16/2012 02/16/2012 AE 7.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ AS Profile M FIRM ❑ Community Determined ❑ Other/Source: B11.Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date: / / ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 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. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-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: 9477 A02 RM2 FLDT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as thati used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7 . 0 ® feet ❑ meters b) Top of the next higher floor N/A . ❑feet ❑ c) Bottom of the lowest horizontal structural member (V Zones only) N/A . ❑ feet ❑ B �� d) Attached garage (top of slab) N/A . ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A . ❑ feet ❑ meterMAY 1071" 1 (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 1 4 .4 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) ' 5 . 0 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters structural support I 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 or Imprisonment under 18 U.S. Code, Section 1001. ❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑p Check here if attachments. licensed land surveyor? ® Yes ❑ No Title CCURIGHT LAND SURVE' City; state STUART FL a e Telepho 04/29/2013 (772), 11►[0 34994 �0l3�1- i32U-2(o ;.� ?LACE Z. z- c (.7 44SC) FEMA Form 086-0-33 (Revised 7/12) See reverse side for continuation. Replaces:all previous editions. � t ELEVATION CERTIFICATE, page 2 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. 10725 SOUTH OCEAN DRIVE NO. 200 City State ZIP Code Company NAIC'Number. JENSEN BEACH FL 34957 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments 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, Band 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 ❑ 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 8-9 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 SECTION G - COMMUNITY INFORMATION (OPTIONAL) ❑ Check here if attachments. 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 138-G10. In Puerto Rico only, enter meters. 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 AD. G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued 96. 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 Officia600e' . , Title Commun* (Name, - - • Telephone Sig`riatare `' Date Comments -- - ❑ Check here if attachments. FEMA Form 086-0-33 (Revised 7/12) Replaces all previous editions. May. 14. 2013 12:38PM r ACCURIGHT LANo SURVEYING, INC. 1 501 DECKER AVENUE, UNIT 419 D STUART FL., 34994 0 is I: (772) 286-7694 Fax : (772) 220-7993 i No, 7200 . P. 1 send to: DAVE JOHNSON From: RAY STARKEY Attention: Date: Fax Number: 772-462-6443 Re: MACDONALD ❑ urgent ❑ Reply ASAP ❑ Please comment ❑ Please Review ❑ For your Information Total pages, including cover: 3 comments: DAVE, ATTACHED IS A COPY OF T LOT 16, BLOCK F HOLIDAY OUT. BECAUSE IT WASN�T FORMED WHEN xA&1rL%;'U4 A ELEV CERT FOR MACDONALD (MEL-RY CONST) E REASON THE GARAGE HAD'NO ELEV IS DID THE STEM WALL TIE IN. RECEIVED MAY 14, 2013