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Home My WebLink AboutELEVATION CERTIFICATE 6-8-18U.S. DEPA�RRTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Errtiiergency Management Agency SCANNED Expiration Date: November 30, 2018 National Flo)d Insurance Program BY EL EVAT1hO'NaC'ERTI F I CAT E Important: Follow the instructions on pages 1-9. Copy all pagirs 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. Buil �ng Owner's Name Policy Number: D.R. HO TON INC. lIng A2. Build Box Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and �o. Company NAIC Number: 8709 CO • BLESTONE DR. City State ZIP Code FOR PIERCE Florida 34945 A3. Propp, Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-60010043-000-2 LOT 38 A4. Buil Ing Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latit I de/Longitude: Lat. 27°24'35.87" N. Long. 80°24'53.09" W. ' Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Aftac i at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Build g Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) S uare footage of crawlspace or enclosure(s) N/A sq ft b) N imber of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) T(ital net area of flood openings in A8.b N/A sq in d) E igineered flood openings? ❑ Yes 0 No A9. For a ouilding with an attached garage: a) Square footage of attached garage 400.00 sq ft b) N Imber 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) Er 'Igineered flood openings? ❑ Yes ❑x No I SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP:ommunity Name & Community Number B2. County Name B3. State St. Lucie 1 ,i ounty 120285 Saint Lucie Florida B4. Map/P nel B5. Suffix B6. FIRM Index B7. FIRM Panel - B8. Flood B9. Base Flood Elevation(s) Numb r Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 C01 0 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 69: ❑ IIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indi tate elevation datum used for BFE in Item 139: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source: B12. Is thle building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No DeE gnation Date: ❑ CBRS ❑ OPA I F rnpv FIL FEMA Form! 086-0-33 (7115) Replaces all previous editions. Form Page 1 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 Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 COB •iLESTONE DR. City State ZIP Code Company NAIC Number FORT PIE LCE Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Build g elevations are based on: ❑x Construction Drawings" ❑ Building Under Construction" ❑ Finished Construction "A ne Elevation Certificate will be required when construction of the building is complete. C2. Elev ions —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. Com l' lete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benc j mark Utilized: AF6653 Vertical Datum: NAVD 88 Indi a elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datu used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Tc of bottom floor (including basement, crawlspace, or enclosure floor) 18.40 ❑x feet ❑ meters b) Tc of the next higher floor N/A ❑ feet ❑ meters c) Bo om of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) At II i ched garage (top of slab) 17.80 x❑ feet ❑ meters e) Lol (D est elevation of machinery or equipment servicing the building scribe type of equipment and location in Comments) N/A 0 feet ❑meters f) Lo,est adjacent (finished) grade next to building (LAG) N/A x❑ feet ❑ meters g) Hi hest adjacent (finished) grade next to building (HAG) N/A 0 feet ❑ meters h) Lo�est adjacent grade at lowest elevation of deck or stairs, includingN/A str feet meters tural support ❑ ❑ SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifi tion is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify tha the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false 'ay statement be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitu'e and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. 11 Certifier's Thomas P. Name License Number iernan 6199 +.L=L1 ir. hl t �''l., Title Profession I Surveyor Tame .� J :s= f Company Culpepper Terpening. Inc. 4&�� r. Address 2980 South 25th Street City State ZIP Code Fort Pierce Florida 34981 Signatur I Date Telephone Ext. / $ JJV (772) 464-3537 206 Copy all pag' Is of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (ncluding type of equipment and location, per C2(e), if applicable) FEMA Form 46-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 � I ELEVA ,1ION 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 '4reet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 COOBLESTONE DR. City State ZIP Code Company NAIC Number FORT PI . RCE Florida 34945 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zon s AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complet A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, tSections enter m� ers. E1. Prol ide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) op of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) op of bottom floor (including basement, rawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. i E2. Fo Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), th next higher floor (elevation C2.b in El diagrams) of the building is feet ❑ meters El above or below the HAG. E3. Ali ched garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. T ,I' of platform of machinery and/or equipment s icing the building is E]feet E]meters ❑ above or ❑ below the HAG. E5. Z ,' ne AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's fl hodplain 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 p r operty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or coin nity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Prop y Owner or Owner's Authorized Representative's Name Addr ''ss City State ZIP Code II Sign i ture Date Telephone Comments ❑ Check here if attachments. F0MA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVAT ON 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 Still" et Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 COB ILESTONE DR. City State ZIP Code Company NAIC Number FORT PIE ICE Florida 34945 SECTION G — COMMUNITY INFORMATION (OPTIONAL) p The local o icial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,'B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Ite 's G8—G10. In Puerto Rico only, enter meters. G1. ❑ T e information 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 d to 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) o Zone AO. G3. ❑ T le following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit umber G5. Date Permit Issued G6. Date Certificate of I� Compliance/Occupancy Issued G7. This p I�mit has been issued for: E]New Construction ❑ Substantial Improvement G8. Elevati n of as -built lowest floor (including basement) of the ilding: ❑ feet ❑ meters Datum G9. BFE or, (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Comm I'nity's design flood elevation: ❑ feet E] meters Datum Local Official" Name Title Community ame Telephone I Signature Date Comments (ir bluding type of equipment and location, per C2(e), if applicable) I i ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Renlaces all nmvinim Prlitinnc Fnrm Pann d of R ELEVAT;ON BUILDING PHOTOGRAPHS OMB No. 1660-0008 CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTAT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Stf` et Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 COB LESTONE DR. City I State ZIP Code Company NAIC Number FORT PIE �CE Florida 34945 If using t 'e Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instruction for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side' iew." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as i dicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. I I Photo One Photo One Option Front j Clear, Photo One Photo Two Photo Two Ca 'tion Back r^Clear Photo Two, FEMA Form 08P-0-33 (7/15) Replaces all previous editions. Form Paqe 5 of 6 ELEVA ION BUILDING PHOTOGRAPHS OMB No. 1660-0008 CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTA ,IT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building St eet 8709 COB Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. LESTONE DR. Policy Number: City 'I FORT PIE State ZIP Code CE Florida 34945 Company NAIC Number If submitti', with: date' photograp i g more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, s must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. I i i I Photo Three Photo Three Caption Right Side ;Clear Photo Three. , i i Photo Four Photo Four Cale tion Left Side Clear Photo Four. FEMA Form 086-0-33 (7/15) Renlaces RII nmvirrtc Pritinnc Form Pane 8 of 6 NOTICE OF TERMITE PROTECTION is structure will receive a Bora-Care aatment during the construction of the ilding in lieu of a soil treatment prior to the uring of the concrete slab. PERMIT # DATE ADDRESS OF PROPERTY TO BE TREATED �10 5 Cobblestone DR, Fort Pierce, FL