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Home My WebLink AboutELEVATION CERTIFICATESCANNED U.S. DE!'ARTMENT OF HOMELAND SE UTY BY OMB No. 1660-0008 Federal Emargencyr Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program St. Lucie County ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy allages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. II SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Puilding Owners Name Policy Number: D R Horton Inc 15-141.100.120 A2. ilBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 3111P YELLOWSTONE CIRCLE City State ZIP Code FORT PIERCE Florida 34935 Al Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 11 2326-600-0125-000-1 Lot 120 n 1 . Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential 5. Latitude/Longitude: Lat. 27°24'31.53" N. Long.80°24'36.94" W. Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 II6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. 7. Building Diagram Number 1A 18. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A i c) Total net area of flood openings in A8.b N/A sq in id) Engineered flood openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 400.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A 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 Saint 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) Revised Date 12111 C0170 J 02-16-2012 02-16-2012 AE 16.5 1310. 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: B11. Indicate elevation datum used for BFE in Item B9: ❑ 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 Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 r I ELEV„ TION 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: 3101 YELLOWSTONE CIRCLE City I State ZIP Code Company NAIC Number FORTh IERCE Florida 34935 II SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1.1 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. C211 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. 1 Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: AF6653 Vertical Datum: NAVD 88 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) 18.35 ❑x feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 17.75 ❑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) N/A ❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) N/A ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A ❑ 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. 1 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 licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Thomas P. Kiernan 6199 ;,o+�o,cJsF+Q�/� DePe9e oQ�',. •. Rif, o, Title Professional Surveyor ^• Company Name r Culpepper & Terpening. Inc. _o � ��,'•, �� w Address 2980 South 25th Street City State ZIP Code Fort Pierce Florida 34981 Signature Date Telephone Ext. 7 (772) 464-3537 206 Copy all pages of this Elevation 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) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEV4!TION 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 BuildinglStreet Address (including Apt:, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3101 YELLOWSTONE CIRCLE City II State ZIP Code Company NAIC Number FORT PIERCE Florida 34935 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) II FOR ZONE AO AND ZONE A (WITHOUT BFE) For Aries AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, comp'4ete Sections A, B,and C. For Items El—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 he highest adjacent grade (HAG) and the lowest adjacent grade (LAG). 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 E]feet E]meters E]above or ❑ below the LAG. I E21 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. E. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E�4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. I5. 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. I it 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 iI' ommunity-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 ELEV_ jj ION 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'IStreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3101 YELLOWSTONE CIRCLE u City II State ZIP Code Company NAIC Number FORT ,FIERCE Florida 34935 II SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete 11 Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used jn Items G8—G10. In Puerto Rico only, enter meters. The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, G1IF 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. G , Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued GII . This permit has been issued for: ❑ New Construction ❑ Substantial Improvement Elevation of as -built lowest floor (including basement) ❑feet ❑meters 18. of the building: Datum I IG9. BFE or (in Zone AO) depth of flooding at the building site:• ❑ feet ❑ meters Datum I IIG10. Community's design flood elevation: ❑ feet ❑ meters Datum ILocal Official's Name Title Community Name Telephone Signature Date 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 ELEVPJION CERTIFICATE 'BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTi�NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE BuildindiStreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 3101 YjLLOWSTONE CIRCLE Policy Number: City 11 State ZIP Code FORT1PIERCE Florida 34935 Company NAIC Number If us�ing the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instr ctions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Lefti Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or ven�' , as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. I I i i i I Photo One Photo One Caption Front 07/21/2017 1 Clear Photo One Photo Two Photo Two Caption Back 07/21 /2017 t, Clear Photo Two , FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 i ELEVIATIO•N CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page 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. 3101 YELLOWSTONE CIRCLE Policy Number: City I State ZIP Code FORT PIERCE Florida 34935 Company NAIC Number II If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs withil 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. f I I I i I I. I I 1 I I IPhoto Three (Photo Three Caption Right Side 07/21 /2017 Clear Photo Three I I Photo Four Photo Four Caption Left Side 07/21/2017 ; Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6