HomeMy WebLinkAboutELEVATION CERTIFICATE 11-26-18Ot. DE ARTMENT OF HOMELAND SE(11 TY
i � MI/ A 11 , - T
I,� '�� OMB No. 1660-0008
Federal mergency Management Agency I Expiration Date: November 30, 2018
National Food Insurance Program
OC BY E�� ELEVATION CERTIFICATE
M. Lucie cou., Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
!I SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. ByRilding Owner's Name
Policy Number:
D.R. �RTON INC.
ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
A2. B�bBBLESTONE
Company NAIC Number:
Bx No.
8709 DR.
y
Ci y State ZIP Code
F 'I RT PIERCE Florida 34945
A3. P1operty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
2326- 00-0043-000-2 LOT 38
A4. ;I ilding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. (latitude/Longitude: Lat. 27°24'35.87" N. Long. 80°24'53.09" W. Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A6. ttach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
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A7. Diagram Number 1A
'luilding
A8. or a building with a crawlspace or enclosure(s):
I) Square footage of crawlspace or enclosure(s) N/A sq ft
i
Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A
Total net area of flood openings in A8.b N/A sq in
�) Engineered flood openings? ❑ Yes ❑x No
A9. or a building with an attached garage:
it ) Square footage of attached garage 400.00 sq ft
II ) 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
'I SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61.;f NFIP Community Name & Community Number
B2. County Name
B3. State
St. tucie County 120285
Saint Lucie
Florida
B4. ap/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s)
umber
Date
Effective/
Zone(s)
(Zone AO, use Base Flood Depth)
Revised Date
121 1 CO170
i
J
02-16-2012
02-16-2012
AE
16.5
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139:
❑ FIS Profile ❑x FIRM []Community Determined ❑ Other/Source:
I
B tl Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source:
B 2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No
Designation Date: ❑ CBRS ❑ OPA
FE , A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
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ELE I,ATION CERTIFICATE
r- Ai
'�---'OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPO
TANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Buildi
"g Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
8709
TOBBLESTONE DR.
City
FORT�IfIERCE
State ZIP Code
Florida 34945
Company NAIC Number
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1.
wilding elevations are based on: ❑ Construction Drawings* 2]Building Under Construction* ElFinished Construction
I
i,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, ARM, AR/AE, AR/A1—A30, 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.
enchmark Utilized: AF6653 Vertical Datum: NAVD 88
i
ndicate 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) 18.55 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
j d) Attached garage (top of slab) 17.95 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building feet
N/A ❑ ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) N/A E] feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) N/A x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support N/A ❑ feet ❑ meters
u SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Ths
certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I c #rtify
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.
W Ire
latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes El No ❑ Check here if attachments.
Ce'l
ifier's Name License Number
Th6as
P. Kiernan 6199
4 �;.`p,S P
#• J`s �° •92
_
. o %• A E �r 4
Tit
Pr'fessional
e
Surveyor
Co 'inpany
C ipepper
Name
& Terpening. Inc.
A
2
ress
0 South 25th Street
�'�� 12/ •rveyo�a.`��
Ciiy
State ZIP Code
F lit
Pierce Florida 34981
Si"nature�
Date Telephone Ext.
xJ(772) 464-3537 206
C','by
all pages of this Elevation Certificate and all attachments for ( community official, (2) insurance agent/company, and (3) building owner.
C I'mments
I
F
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(including type of equipment and location, per C2(e), if applicable)
Form Pa e 2 of 6
FEf�IIA Form 086-0-33 (7/15) Replaces all previous editions. 9
ELE IIATION
CERTIFICATE
`OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPOF -TANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Buildi
b Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
8709
COBBLESTONE DR.
i
City
State ZIP Code
Company NAIC Number
FORT;I
IERCE Florida 34945
�J SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
V FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items El—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,
eters.
ente1'r
E1.vide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
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.
Top of bottom floor (including basement,
crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. IIgBuilding 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
Ithe diagrams) of the building is ❑feet ❑ meters ❑above or E] below the HAG.
E3. Ilttached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment
'lervicmg the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E5. one AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
oodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
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SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The
roperty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
corn
unity -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Pro
erty Owner or Owner's Authorized Representative's Name
�I
Add
,bss City State ZIP Code
Sig
ature Date Telephone
Co
i
ments
s
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u
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❑ Check here if attachments.
FEY"A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
ELE ;ATION CERTIFICATE
BOMB No. 1660-0008
Expiration Date: November 30, 2018
IMPO O� ANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Buildi g Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
8709 'COBBLESTONE DR.
City
State ZIP Code
Company NAIC Number
FORT,rlERCE
Florida 34945
!I SECTION G — COMMUNITY INFORMATION (OPTIONAL)
The
I cal official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Secti
ns A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement
used
Items G8—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,
it 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.
i
G4.
ermit Number
G5. Date Permit Issued
G6. Date Certificate of
I
Compliance/Occupancy Issued
G7.
This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
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G8.
Elevation of as -built lowest floor (including basement)
of the building: ❑ feet ❑ meters Datum
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G9.
BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
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G10
Community's design flood elevation: ❑ feet ❑ meters Datum
Loc
11�
I Official's Name Title
Co
' unity Name Telephone
Signature
11
Date
Co
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'ments (including type of equipment and location, per C2(e), if applicable)
i
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❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6
. h
ELE iATION
r-'
.IUILDING PHOTOGRAPHS
'OMB No. 1660-0008
CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018
IMPO ANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Buildi
g Street Address (including Apt., Unit, Suite, and/or Bldg. Nb.) or P.O. Route and Box No.
Policy Number:
8709�111OBBLESTONE
DR.
City
it State ZIP Code
Company NAIC Number
FORT;PIERCE
Florida 34945
If us'
g the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
mstr
'
y�ctions for Item A6. Identify all photographs with 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
�, indicated in Section A8. If than fit this the Continuation Page.
vent
as submitting more photographs will on page, use
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I Photo One
Phoo
One Caption Front Clear Photo One
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Photo Two
Photo
Two Caption Back ;Clear Photo Two
FEi,M Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
i s _ -WILDING PHOTOGRAPHS
ELE j, TION CERTIFICATE Continuation Page
OMB No. 1660-0008
Expiration Date: November 30, 2018
IMPO TANT: In these spaces, copy the corresponding inform.
tion from Section A.
FOR INSURANCE COMPANY USE
Buildi g Street Address (including Apt., Unit, Suite, and/or Bldg.
8709 1OBBLESTONE DR.
i
No.) or P.O. Route and Box No.
Policy Number:
City
FORT
4J State
iPIERCE Florida
ZIP Code
34945
Company NAIC Number
If su
with:
phot
i
�mitting more photographs than will fit on the preceding
!I date taken; "Front View" and "Rear View"; and, if required,
graphs must show the foundation with representative exa
A
page, affix the additional photographs below. Identify all photographs
'Right Side View" and "Left Side View." When applicable,
ples of the flood openings or vents, as indicated in Section A8.
7
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Photo Three
Pho
o Three Caption Right Side
[Clear Photo Three
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Photo Four
Ph ',to
Four Caption Left Side I
( Clear Photo Four
FEOA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6
1,2,3 = 1st, 2nd, 3rd Lift
ederal
gineering
esting, Inc.
_ 03 %5
RECEIVED Phone: 954-784-2941
E-Fax: 954-784.7875
admin@fed-eng.com
NOV 2 6 209 www.fed-eng.com
St. Lucie Cou tv
Field Density Tests of Compacted Soils Metiod D-6938
;. Proposed Residence Lot 38, Creekside Date: November 19, 2018
is: 8709 Cobblestone Drive, Fort Pierce, FL Order #: 18DR1027
ested: Building Pad Permit #: / '7- 3 3 5
3I Type: Brown Sand with. Traces of Shell Tech: BK
D.R. Horton, Inc.
1430 Culver Drive NE Compaction Req.: 95%
Palm Bay, FL 32907 Proctor Method: ASTM D-1557
Test
#
TEST LOCATION
Probe
Depth
-
Elev.
Moist
oi
Dry
Density-1
PCF
Proctor
Value
PCF
Optimum
Moisture
%
Compaction
Pass
1
1 Center of Building Pad
12"
FL
7.3 -
. 108.4
110.0
14.0
98.5%.
Yes
2
SW Corner of Building Pad
12"
FL
6.0
108.0
110:0
14.0
98.2%
Yes
3 1ll
NE Corner of Building Pad
12"
FL
6.7
108.1
110.0
14.0
98.3%
Yes
4�
5
I
6!I
7II
8
I
9,PI
10'
P
11,
I
1
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1 `I
p�4Diff
/j�
See Reverse Side (Page 2 of 2) for Additional Information for Disclaimer
This is a Compaction Test only on the top 12" of the pad and is not a verification of Soil
Elevatior
'roll
i
V 59394 0
gline FL = Final Lift Keith LeBlanc, P.E. :iftz
rade BG = Below Grade Federal Engineering r C.
course BOF = Bottom of Footing Florida Reg. No. 59394+,j '�`:dRID ',"X`F !\Z
of Pipe FG = Finished Grade Certificate of Authorization NAL S� ``\\\
irotection to clients, the public and ourselves, all reports are submitted as the confidential property of clients, and authorization for puh)lp jf jjN' �ifts,
r extracts from or regarding our reports is reserved pending our written approval. A density test determines the degree of compaction of the t 1t d layer of
A density does not replace a soil bearing capacity determination, These density tests do not certify the underlying soil materials below the proposed structure.
not preclude or guarantee that future settlement and cracking will not occur. A soil boring test Is required to certify that the underlying soils will support the
clure without settlement. If no soil borings have been performed to verify the underlying soils, we recommend that soil borings be performed to evaluate the
is underlying soil to support the proposed structure. After laying dormant for a period of 90 days or after heavy rain/storms, retesting must be performed on this
Submitted by::
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