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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEF�. RTMENT OF HOMELAND SECURITY SCANNED OMB No. 1660-0008 Federal E I ergency Management Agency By Expiration Date: November 30, 2018 National FI od Insurance Program St.00� ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. 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. Buif ing Owner's Name Policy Number: CORON A2. Bui' ing Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Bo No. 10701 SIUTH OCEAN DRIVE #655 Cq State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Pr�,perty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 56, ENTURE OUT IN AMERICA AT ST. LUCIE SECTION C A4. B 1iIding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. La tude/Longitude: Lat. 27°16'02" Long. 80°12'33" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. A ach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. �lding A7. B Diagram Number 5 A8. F 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 enclosures) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d Engineered flood openings? El Yes ® No A9. F 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 I Total net area of flood openings in A9.b N/A sq in d� Engineered flood openings? ❑ Yes ® No II SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. IP Community Name & Community Number 82. County Name B3. State UNIN iORP 120285 ST. LUCIE FLORIDA B4. M p/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) N mber Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) 2 � I j t✓ J Revised Date A --7. ti 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ® 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 ® No Designation Date: N/A ❑ CBRS ❑ OPA FEMIForm 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 IMPORTA �: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building St'feet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10701 SOiRH OCEAN DRIVE #655 City State ZIP Code Company NAIC Number JEN+N BEACH FLORIDA 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) I�II C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A r�ew 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. Co plete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. I Be?Iichmark Utilized: 94 77 A02 RM2 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datl m 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) 8.1 ® feet ❑ meters b) op of the next higher floor N/A ❑. feet ❑ meters c) ottom 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 8.2 meters ® feet ❑ (Describe type of equipment and location in Comments) 3.9 f) Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.0 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ® feet ❑ 3.8 meters structural support II SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c' rtification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certi that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false state I nt may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were titude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Certifiir's Name License Number 2802-01-01 EARLE� R. STARKEY 4459 - � Title R� OFESSIONAL LAND SURVEYOR Corn aany Name ACCURIGHT LAND SURVEYING INC. Addre s I�1501DECKER AVENUE #419 4/2019 t YCit State ZIP Code'NSEN•BE-AC—H---....�FLORIDA 34994 #4459 "Date Telephone Ext. S7:t--S= 4/2019 772-286-7694 Copyli II pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Com ents (including type of equipment and location, per C2(e), if applicable) C2-E A IC PLATFORM FEMAi Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVA ION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10701 S P UTH OCEAN DRIVE #655 City 11 State ZIP Code Company NAIC Number JEN EN BEACH FLORIDA 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bui ding elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* NJ Finished Construction *A �ew Elevation Certificate will be required when construction of the building is complete. C2. El tions — Zones Al A30, AE, AH, A (with BFE), VE, VI—V30, V (with BFE), AR, ARIA, AR/AE, AR/AlA30, AR/AH, AR/AO. Cc� Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Flete Belllrchmark Utilized: 94 77 A02 RM2 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum usod for the elevations in items a) through h) below. NGVD 1929 ® NAVD 1988 ❑ Other/Source: m used for building elevations must be the same as that used for the BFE. Di❑ Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.1 ® feet ❑ meters N/A ❑ feet ❑ meters b) Top of the next higher floor c)I Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters dI Attached garage (top of slab) N/A ❑ feet [J meters e) Lowest elevation of machinery or equipment servicing the building 8.2 ® feet ❑ meters (Describe type of equipment and location in Comments) 3 9 0Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters ghest adjacent (finished) grade next to building (HAG) 4.0 ® feet ❑ meters; Lowest adjacent grade at lowest elevation of deck or stairs, including 3.8 feet meters ® ❑ Jh structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c6dification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. l certi , that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false state ent maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.? ® ❑ Were atitude and longitude in Section A provided by a licensed land surveyorYes No ❑ Check here if attachments. Certffier's Name License Number EARL STARKEY 2802-01-01 R. 4459 Title PROFESSIONAL LAND SURVEYOR Comp�ny Name ACCURIGHT LAND SURVEYING INC. Addr ss 1501 DECKER AVENUE #419 01/14/2019 City State ZIP Code j�NSEN BEACH '- FLORIDA 34994 PLS #4459 Sign ture ' J� Date Telephone, ;Ext. [2019 772-286-7694 Copy, �II pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. ComZC ents (including type of equipment and location, per C2(e), if applicable) C2-E PLATFORM FEMAI�orm 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 IMPORTA , T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building S'i-eet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: City I State ZIP Code Company NAIC Number SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zo#AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete ections A, Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Prov e elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the adjacent grade (HAG) and the lowest adjacent grade (LAG). Ighest a) p of bottom floor (including basement, �awlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) p of bottom floor (including basement, �awlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For uilding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the ext higher floor (elevation C2.b in the iagrams) of the building is ❑ feet [:]meters ❑ above or ❑ below the HAG. E3. Atta I hed garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment se cing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zo AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's flo plain 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 pro erty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or commu I ity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Prope Owner or Owner's Authorized Representative's Name Addresi City State ZIP Code Signat� a Date Telephone Comm6hts ❑ Check here if attach) ents. FEMA I orm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTA ' T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building S eet-Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. - Policy Number: City I State ZIP Code Company NAIC Number IIII SECTION G — COMMUNITY INFORMATION (OPTIONAL) The locallbfficial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections , B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in It ms G8—G10. In Puerto Rico only, enter meters. G1. ❑ The' nformation 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) br Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Per it Number G5. Date Permit Issued G6. Date Certificate of ICompliance/Occupancy Issued G7. Th permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. El I vation of as -built lowest floor (including basement) ❑ feet ❑ meters of he building: Datum G9. BF or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. C mmunity's design flood elevation: ❑ feet ❑ meters Datum Local I r cial's Name Title Commdhity Name Telephone 11 Signat a Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEM Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB'No.1660-0008 TION CERTIFICATE See-Insi uctions for Item A6. F�piration Date., November 30, 2018 I140ORTANT: In these spaoes; copy the con�esponding infomidlian from Section A. FOR INSURANCE COMPANY USE Street Address (including Apt., Unit, Suite, and/or Bidg. Md.) or P.O. Route and Box`No. Policy Number. jilding 1 ! 701 SOUTH ❑CEAN, DRIVE 4655 iy State ZIP Code- C�JJENSEN Company NAIL Number BEACH FLORIDA 34957 using the Elevation. Certificate to obtain NFIP. flood insurance, affix at least 2- bu11ding photographs below according to the, stru�ons for Item A6' Identify all photographs with date taken, "Front ViW and "Rear-View'';:and, if required, "Right Side View" and Le8 :Side. mew,." When applicable, photographs must siiow:tlhe,foundatian with representative examples:of the flood openings or ents, as indicated in Section At3. If submitting more photographs -than will fit on this page, use the Continuation Page. t n � 5' L N Y 4 "f r t Esc s i PWO Oro hoto One Caption FRONT 01/14/2019 ti r g.' K t , P ,4 photo Iwo Photo Two Caption REAR 01/14/2019 FEIWA Form 08&0-33 (7/15) Replaces all-previous.editions. form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No.1660-aooa CERTIFICATE Continuation Page Expiration Date: November30, 20IS IM,pORTANT. in these spaces;.copythe cormsponding information from Section A. FOR INSURANCE.COMPANY USE B' .ldirig-tireeI Address (including Apt.; Unit, Suite, and/or Bldg. Ala.): oc PsO. Route and Bpx No. Policy Number. 1�0701 S❑UTH OCEAN DRIVE #655 city State ZIP Code- Company NAIC Number �� JENSEN BEACH FLORIDA 34957 submitting more photographs than will fit on the preceding page, affix the additionalphotographs below: Identify all ,photographs th: date taken;, "Front MeW and "Rear Viw�, and, if required,, "Right Side View' and "Leta Side Vew:" When applicable, hotographs. must show he foundation with representative examples ofthe flood openings or vents, as indicated in Section AS. qT T a � dpp FMtaThte hoto Three CaAI S / 1 / 2 019 r � d x r S „yid ,�� s err• - � PhOtd f011f. Photo Four Caption LEFT SIDE 01/14/2019 Form 086-0-33 (7/.1s5)- Replaces all previous editions. Form Page 6 of