HomeMy WebLinkAboutELEVATION CERTIFICATEU.S. DEPtjRTMENT OF HOMELAND SI'____,)RI OMB No. 1660-0008
Federal Er�iergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program ILE P
SCANNED ELEVATION CERT ICA E
BY Important: Follow the instructions on pages 1-9.
St. Lucie County
Copy all pa es 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.
WILLIAM.I;IBOYD
A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and
BoxINo.
Company NAIC Number.
1080 NETTLES BLVD.
City l State ZIP Code.
JENSEN BEACH FLORIDA 34957
A3. Prdarty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 108 , , NETTLES ISLAND PROJECT SECTION 2
A4. Buqding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Laii ude/Long' tude: Lat. 27°17'04" Long. 80°13'33" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Att11 lach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Buding Diagram Number 5
A8. Fo a building with a crawlspace or enclosure(s):
a) IlSquare footage of crawlspace or enclosure(s) N/A sq ft
b) umber of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A
c)otal net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑Yes ® No
A9. Fo a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) ' Number of -permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) ;Total netareaof flood openings in A9.b N/A sq in
d) Engineered flood openings? [:]Yes ® No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NtIP Community Name.& Community Number
B2. County Name
B3. State
UNINGi RP 120285'
ST. LUCIE
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)
J
Revised Date
B10.11I ndicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1968 ' ❑Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: N/A ❑ CBRS ❑ OPA
FEMAorm 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
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.
1080 NETTLES BLVD.
"`
Ciry State ZIP Code
Company NAIC Number
JENSEN BEACH FLORIDA 34957
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. Elevations —Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1A30, AR/AH, AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: 94 77 A04 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 that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.3 ® feet ❑ meters
b) Top of the next higher floor N/A ❑ feet ❑ metes
c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters
d) Attached garage (top of slab) N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 1
7.3 ® feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 4.1 ® feet Elmeterll
g) Highest adjacent (finished) grade next to building (HAG) 4.2 ® feet ❑meter
h) Lowest adjacent grade at lowest elevation of deck or stairs, including ® feet ❑ 4.0 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 certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any false
statement may be punishable by tine or imprisonment under 18 U. S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ® Check here if attachments.
Certifiier's Name License Number
2430-01-01
EARLE R. STARKEY 4459
Title
PROFESSIONAL LAND SURVEYOR
Company Name
ACCURIGHT LAND SURVEYING INC.
Address
1501 DECKER AVENUE #419
PLS #4459
PLS #4459
City State ZIP Code
STUART
FLORIDA 34994
/2018
Si a Date Telephone. Ext.
11/06/2018 772-286-7694
7all
Copy pages of this Nation 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-E A/C PLATFORM
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FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
Building Photographs
{ See Instructions for Item A6.
For Insurance Company Use:
Building Street Ao&ess (wxMing Apt., Unit Suite, and/or Bldg. No.) or P.U. Route and Box No. Poway Number
1080 NETTLES BLVD.
cry JE�NSEN BEACH state FLORIDA ZI 34957 I y�
If using th I Elevation Certificate to obtain NI=IP flood insurance, affix at least two building photographs below according to
the instruciions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear Vjew°; •and, if required, °Right
Side vie and 'Left side View." If submitting more photographs than will fit on this page, use the- Continuation Page,
following REAR .11/06/2018
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