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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. I 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 I .I r 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 i (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. i 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 I u i ❑ 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 i G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum i G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum i G10 Community's design flood elevation: ❑ feet ❑ meters Datum Loc 11� I Official's Name Title Co ' unity Name Telephone Signature 11 Date Co i i i I i 'ments (including type of equipment and location, per C2(e), if applicable) i i ❑ 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 I� i i i I i A I I i i I I, I i I i i i I Photo One Phoo One Caption Front Clear Photo One I i I i I i I i i I - 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 I I d I i 0 I I i I I i I I i Photo Three Pho o Three Caption Right Side [Clear Photo Three i I I j I I a I Q � 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 i 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:: PAGE 1 of 2