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Home My WebLink AboutELEVATION CERTIFICATE 4-11-18SCANNED U.S. DEPARTMENT OF HOMELAND SECURITY Sy �, OMB No. 1660-0008 Federal Emergency Management Agency uCi'e C®a �' Expiration Date: November 30, 2018 at National Flood Insurance Program ELEVATION CERTIFICATE; Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. SECTION A -- PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Michael and Logan Dedrick A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No,) or P.O. Route and Company NAIC Number. Box No. 2314 Atlantic Beach Blvd City State ZIP Code Fort Pierce Florida 34949 -A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 18, Block 30, revised Plat of Fort Pierce Shores Unit 4, PB 9 PG 35, St Lucie County, FL A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27D 28M 46.75S N Long.80D 17M 47.88S 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) 0 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 sq in d) Engineered flood openings? ❑ Yes Z No A9. For a building with an attached garage: a) Square footage of attached garage 554 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes ❑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 County 'Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12111 CO181 J 02/16/2012 02/16/2012 X & AE 5 810. 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: Bl 1. Indicate elevation datum used for BFE in Item 69: ❑ 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 Film 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 I 'I� 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: 2314 Atlantic Beach Blvd City State -ZIP Code -Company-NAIC Number Fort Pierce Florida 34949 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑x 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/Al—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: SLCBM 94 77 A 27 FLDT Elev 5.85 Vertical Datum: NAVD 1988 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) 6 50 ❑x feet ❑ meters b) Top of the next higher floor N/A. ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NIA. ❑x feet ❑ meters d) Attached garage (top of slab) 01 ❑x feet ❑ meters e) . Lowest..elevation of machinery or equipment;;s6Nicing the building N/A ❑x feet ❑ meters ,(Describe, type of equipment and location in •Comments). f) Lowest adjacent (finished) grade next to building (LAG) $.. 8 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6: 0 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ;NfA. ❑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. I cerfify,thaf the information on this Certificat646presdh1s my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment cinder 18 U. S. Code, Section 1001, Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Robert Kemerson 6285 Title Prof. Surveyor & Mapper Place Company Name Velcon Engineering & Surveying, LLC Seal Here Address 702 SW Port St Lucie Blvd City State ZIP Code Port St Lucie Florida 34953 ' Signature �/ Date Telephone ` 04/11/2018 (772) 879-0477 Copy all pages of this Elevators 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 - Benchmark Used is St Lucie County Benchmark Designation 94 77 A 27 FLDT., having a published elevation of 5.85' NAVD 1988 Section D - Lattitude and Longitude determined by measure from Geo- Referenced Digital Ortho FEMA F'i rm 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 IMPQRTADIT:•In.these spaces,. copy the corresponding•Information from-SectionA;- FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. -No.) or P.O. Route and Box No. Policy Number: ' 2314 Atlantic Beach Blvd City State ZIP Code Company NAIC Number Fort Pierce Florida 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 Ei—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, I 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 (top of slab) Is ❑ feet ❑ meters ❑ above or ❑ below the HAG. *4. 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 Thee property owner or owner's authorized represeHihilVe ,who'�:completes'Sections A, B, and E forrZohe A (without' a FEMA=issued or community -issued BFE) or Zone AO must sign here, `fhe•statementsan Sections A, B, and E are correct•to the: `b'est of rh Nnowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments - i I` ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) I I I Replaces all previous editions. Form Page 3 of 6 I � { I 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: 2314 Atlantic Beach Blvd City State ZIP Code Company NAIC Number Fort Pierce Florida 34949 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by taw 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 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) E] feet E] meters Datum of the building: - 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 (including type 'of equipment and' location, per C2(e), if applicable) i i I ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) i Replaces all previous editions: Form Page 4 of 6