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HomeMy WebLinkAboutELEVATION CERTIFICATEr U.S. DEPARTMENT OF HOMELAND SECURITY SCANNF-® Federal[ Emergency Management Agency 13Y Nation Flood Insurance Program �o ���� CoonW ELEVATION CERTIFICATE j Important: Follow the instructions on pages 1-9. OMB No. 1660-0008' Expiration Date: November 30, 2018 all oases 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 7/yA1. Building Owner's Name Policy Number. D.R. Horton, Inc. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 8709 Cobblestone Drive City State ZIP Code Fort Pierce Florida 34945 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-600-0043-000-2, Lot 38 A4. Building 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. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawispace.or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0.00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in. A8.b 0.00 sq in d) 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 0 c) Total net area of flood openings in A9.b 0.00 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 St. Lucie County, 120285 1 St. Lucie B4. Map/Panel I B5. Suffix I B6. FIRM Index Number Date 12111CO170 1.J 102-16-2012 B7. FIRM Panel B8. Flood Effective/ Zone(s) Revised Date 02-16-2012 AE B10. Indicate the source of the Base Flood Elevation (BFE) data or base ❑ FIS Profile. ❑x FIRM ❑ Community Determined ❑ Other/Si B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 B12. Is the building located in a Coastal Barrier Resources System (CBRS) area o Designation Date: ❑ CBRS ❑ OPA 'X AA FEMA Form 086-0-33 (7/15) Replaces all previous editions. ► d � 1 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTA OT: 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 'lestone Drive 9 City 'l State ZIP Code Company NAIC Number Fort Pier I Florida 34945 lil SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) IIU C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A r�lew Elevation Certificate will be required when construction of the building is complete. C2. Ele I ations —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. Co i plete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Be chmark Utilized: AF6653 Vertical Datum: NAVD 88 Ind cate elevation datum used for the elevations in items a) through h) below. 11I ❑ NGVD 1929 Fx� NAVD 1988 ❑ Other/Source: Daum 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) 18.60 ❑x feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters N/A feet meters c) IBottom of the lowest horizontal structural member (V Zones only) ❑ ❑ d) ,Attached garage (top of slab) 17.93 ❑x feet ❑ meters e) '!Lowest elevation of machinery or equipment servicing the building 17.99 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 17AO ❑x feet ❑ meters g)I'I Highest adjacent (finished) grade next to building (HAG) 17.80 x❑ feet ❑meters h) I Lowest adjacent grade at lowest elevation of deck or stairs, including N/A ❑feet ❑'meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c 'lrtification 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 II"ent 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? Z Yes ❑ No ❑ Check here if attachments. Certifi" is Name License Number Thom's P. Kiernan 6199 ii Title 'A Profe ,sional Surveyor Com Name ,any Culp pper & Terpening. Inc. T Addr "ss 2980'South 25th Street City State ZIP Code Fort fierce Florida 34981 Sign ture Date Telephone Ext. 3 l:� f / 464-3537 206 (772) I Cop Jall pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Co ments (including type of equipment and location, per C2(e), if applicable) Equi i ment in C2(e) refers to Concrete A/C pad on rear of structure. i it FEM Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 �I LEVAT N CERTIFICATE E O 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 Steet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 Cobblestone Drive City State ZIP Code Company NAIC Number Fort Pierce' j� Florida 34945 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones i0 and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete S "ctions A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter mete . E1. Provid elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the higest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Tor of bottom floor (including basement, cra [space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Tor of bottom floor (including basement, crai'I Ispace, or enclosure) is El feet El meters El above or El below the LAG. E2. For Bu Iding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the ne higher floor (elevation C2.b in the diarams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. i E3. Attach I�i garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of latform of machinery and/or equipment servici ig the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone 40, only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodpl lin 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 propert community- owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or J sued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Ov rner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments �f I i ,I- ❑ Check here if attachments. FEMA Form 86-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVAT SON 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 St eet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 Cobb estone Drive i City State ZIP Code Company NAIC Number Fort Pierce Florida 34945 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local o I icial who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A iB, C (or E), and G of this Elevation Certificate. Complete the applicable item(s).and sign below. Check the measurement used in It s G8—G10. In Puerto Rico only, enter meters. G1. ❑ TII a information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, e ineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation d ata in the Comments area below.) G2 ❑ ��community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) o'I Zone AO. G3. ❑ e following information (Items G4—G10) is provided for community floodplain management purposes. I G4. Permit G5. Date Permit Issued G6. Date Certificate of IICompliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement t G8. Eleva of the jouilding: n of as -built lowest floor (including basement) ❑feet ❑meters Datum I G9. BFE o (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Com I'unity's design flood elevation: ❑ feet ❑ meters Datum Local Offici 'I's Name Title I Community Name Telephone Signature Date I Comments ('including type of equipment and location, per C2(e), if applicable) I I a i ❑ Check here if attachments. FEMA Form 86-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 1 ELEVAT ON CERTIFICATE BUILDING PHOTOGRAPHS OMB No.1.660-000s See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building St et Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8709 Cobb estone Drive City State ZIP Code Company. NAIC Number Fort Pierce,i Florida 34945 If using tie I Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructio 's for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View'; and, if required, 'Right Side View" and "Left Sid lView." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as it dicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. '. f'ys,. S �-- - Photo One Photo One (Caption Front 3/6/19 C(ear,Photo One° ,s k Photo Two Photo Tw qI Caption Rear 3/6/19 Clear Phoff,TW6'. FEMA Fo 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 i I ELEVATION BUILDING PHOTOGRAPHS OMB No. 1660-0008 CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTAOT', : 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 Cobb estone Drive City State ZIP Code Company NAIC Number Fort Pierce Florida 34945 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: dat l taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." 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