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Home My WebLink AboutELEVATION CERTIFICATEr, U.S. DEPA I TMENT OF HOMELAND SECURITY SCANNED ;� OMB No. 1660-0008 Federal E I ergency Management Agency �� Expiration Date: November 30, 2018 National FloIod Insurance Program S, LUd4 CflJ; ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pall es of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. III SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al., Building Owner's Name Policy Number: r: 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. 8713 COBBLESTONE DR. Li City,' State ZIP Code FOIRT PIERCE Florida 34945 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-600-0044-000-9 LOT 39 0 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. L altitude/Longitude: Lat. 27°24'35.95" N. Long. 80°24'53.82" W. Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 11 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT B,i ilding Diagram Number 1A A8. FI r a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft a b ' Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A i c) Total net area of flood openings in A8.b N/A sq in �I) Engineered flood openings? El Yes ❑x No A9. or a building with an attached garage: 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 N/A l) Total net area of flood openings in A9.b N/A in sq d) Engineered flood openings? ❑ Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl[I NFIP Community Name & Community Number B2. County Name B3. State St IliLucieCounty 120285 Saint Lucie Florida B4. JMap/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood '. B9. Base Flood Elevation(s) iNumber Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12 111 CO170 J 02-16-2012 02-16-2012 AE 16.5 d B 0. 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: 8111. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source: I 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No �I Designation Date: ❑CBRS ❑..OPA FTI I= rnDV I FEMA Form 086-0-33 (7/15) Replaces all previous editions. Fo Pagel of 6 II II ELEVA I®N CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30. 2018 IMPORTAO,',',T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building SlIf eet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8713 C09BLESTONE DR. . City III State ZIP Code Company NAIC Number FORT PI I �CE Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) IIII C1. Buildding elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A Ilew Elevation Certificate will be required when construction of the building is complete. C2. Eleluations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/Al—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. iI Be chmark Utilized: AF6653 Vertical Datum: NAVD 88 Ind elevation datum used for the elevations in items a) through h) below. lto ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Da lum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) op of bottom floor (including basement, crawlspace, or enclosure floor) 18.40 ❑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 d) Attached garage (top of slab) 17.80 x❑ feet ❑ meters Q1 Lowest elevation of machinery or equipment servicing the building N/A 0 feet ❑meters (Describe type of equipment and location in Comments) f) ;I Lowest adjacent (finished) grade next to building (LAG) N/A ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) N/A ❑x feet ❑ meters h)I Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A ❑ feet ❑ meters I!I SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false state;' ent may be punishable by fine orimprisonment 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. Certi er's Name License Number Tho as P. Kiernan 6199 c= Title l Profe sional Surveyor r " + Com, any Name Culpepper & Terpening. Inc. =� , P !: Addr ss 2981 11South 25th Street'' City II State ZIP Code Fort Pierce Florida 34981 Sign'?ture Date Telephone Ext. �—� 0/0 (772) 464-3537 206 ,1;I Copi all 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) i FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 r 1'1� 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 S �ireet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8713 CO91BLESTONE DR. City I I State ZIP Code Company NAIC Number FORT PIRCE Florida 34945 ii li SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) 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 El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. 11 E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the hIIIghest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Tbp of bottom floor (including basement, 'awlspace, c or enclosure) is E]feet ❑ meters E]above or E]below the HAG. b) T p of bottom floor (including basement, °wlspace,or enclosure) is E]feet ❑ meters E]above or ❑ below the LAG. Elding E2. For 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 thediagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Atta Ihed garage (top of slab) is [:]feet ❑ meters ❑ above or E] below the HAG. E4. Top,�of platform of machinery and/or equipment serv�crng the building is ❑ feet ❑ meters ❑ above or E] below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's flooplain 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 property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or commun'ty-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property'Owner or Owner's Authorized Representative's Name Address '1 City State ZIP Code Signature Date Telephone Comme slits i i i I ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Paoe 3 of 6 ELEVA 11I0N 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 reet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8713 COf LESTONE DR. City I!I State ZIP Code Company NAIC Number FORT PI RCE Florida 34945 .111 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local ,�I fficial 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 Iti� ms 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, 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 ❑ I ,1 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. Per it Number G5. Date Permit Issued G6. Date Certificate of I Compliance/Occupancy Issued G7. Thi I permit has been issued for: ❑ New Construction ❑ Substantial Improvement $ G8. EI' of vation of as -built lowest floor (including basement) 6e building: ❑ feet ❑ meters Datum G9. B or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. C I i munity's design flood elevation: ❑ feet ❑ meters Datum Local 0 i icial's Name Title Commu' ity Name Telephone Signatu ie Date Comm'i I i I I I I I I is (including type of equipment and location, per C2(e), if applicable) • I I I I i I I ❑ Check here if attachments. FEMA,, m 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 i II � ELEVATION BUILDING PHOTOGRAPHS OMB No. 1660-0008 CERTIFICATE 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 8713 CO S''reet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 16LESTONE DR. Policy Number: City I I State ZIP Code FORT PI RCE Florida 34945 III Company NAIC Number If using instructions "Left Side vents, a I'the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and View." When applicable, photographs must show the foundation with representative examples of the flood openings or indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. i I I I i I it I I I Photo One Photo O j' a Caption Front I Clear'Photo One I I I i i i I I it Photo Two Photo two Caption Back ? Clear Photo Two., FEMA lform 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVAJION BUILDING PHOTOGRAPHS OMB No. 1660-0008 CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORT, , NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building' 8713 C Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. i 1 BBLESTONE DR. Policy Number: City FORT PIIIERCE I; State ZIP Code Florida 34945 Company NAIC Number If submitting with: photographs i more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs date taken; "Front View" and "Rear View'; and, if required, 'Right Side View" and "Left Side View." When applicable, 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 Tree Caption Right Side (Clear Photo Three i i� I i Photo Four Photo Four Caption Left Side ^Clear Photo Four, FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6