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Home My WebLink AboutELEVATION CERTIFICATE 1-18-19U.S. tDEPARTMENT OF HOMELAND :JRITY / OMB No. 1660-0008 Federal P�mergency Management Agerr'_, , / �� i Expiration Date: November 30, 2018 National lood Insurance Program ELEVATION CERTIFICATE�d�f� Important: Follow the instructions on pages 1.-9. {{}} BY Copy all p,' ges of this Elevation Certificate and all attachments for (1) community official, (2) insurance agen�lcdmpaVieia 'b�iilding owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Bu,ding Owner's Name Policy Number: D.R. HItton A2. Bui (ding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Bo' No. 8625 C blestone Dr. City, State o e FortPierce - Florida 34945 A3. Pro erty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-60 1-0035-000-3 Lot 30 A4. Bull ing Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Lati de/Longitude: Lat. 27°24'36.5" N. Long. 80°24'47.1" W. Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Atta h at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Bull ng Diagram Number 1A A8. For building with a crawlspace or enclosure(s): a) S, uare footage of crawlspace or enclosure(s) N/A sq ft b) N mber of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade ,N/A c) T tal net area of flood openings in A8.b N/A sq in d) E gineered flood openings? ❑ Yes ❑x No A9. For a uilding with an attached garage: a) S are footage of attached garage 400.00 sq ft b) N ber of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) To I net area of flood openings in A9.b N/A sq in d) En "ineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP �ommunity Name & Community Number B2. County Name B3. State St. Lucie I unty, 120285 Saint Lucie Florida B4. Map/Pa, el Numbe B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) Revised Date 12111 CO17 J 02-16-2012 02-16-2012 AE 16.5 B10. Indic' a the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FI Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11. Indi a elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the uilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Desig', ation Date: ❑ CBRS ❑ OPA FEMA Form 06-0-33 (7/15) Replaces all previous editions. Form Pagel of 6 ELEVATION CERTIFICATE 1, �� I OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildin I Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8625 C bblestone Dr. City I State ZIP Code Company NAIC Number Fort Pie Ice Florida 34945 II SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. B� ilding elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction * new Elevation Certificate will be required when construction of the building is complete. C2. EI vations — Zones Al—A30, AE, AH, A (with BFE), VE, VI—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. C I mplete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. B 'hchmark Utilized: AF6653 Vertical Datum: NAVD 88 In�`cate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 Fx� NAVD 1988 ❑ Other/Source: Da um 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) 18.35 2] feet ❑ meters b) op of the next higher floor N/A ❑ feet ❑ meters c) ottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) I ttached garage (top of slab) 17.68 x❑ feet ❑ meters �owest e) elevation of machinery or equipment servicing the building 18.01 ❑ feet ❑ meters escribe type of equipment and location in Comments) f) owest adjacent (finished) grade next to building (LAG) 17.40 ❑ feet ❑ meters g) I ighest adjacent (finished) grade next to building (HAG) 17.70 ❑ feet ❑ meters h) I'owest adjacent grade at lowest elevation of deck or stairs, including N/A ❑ feet ❑ meters �ructural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This cert ication is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify tat the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false stateme may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ItI Were lath de and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifiers' Name - License Number Thomas . Kiernan 6199 Title Professio al Surveyor I' Place 7 e Company ame Culpeppe & Terpening. Inc. . Address 2980 Sou 25th Street City State ZIP Code Fort Pierc Florida 34981 Signature II -� Date Telephone Ext. (772) 464-3537 206 I Copy all pa es of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Commentslloncluding type of equipment and location, per C2(e), if applicable) Elevation S own in Section C2(e) refer to the A/C pad at the rear of the structure. FEMA Form-86-0-33 (7/15) Replaces all previous editions. Form [-age 2 of 6 ELEV TION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPOR NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildin Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8625 C bblestone Dr. City State ZIP Code Company NAIC Number Fort Pie' a 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 El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complet Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter m ers. E1. Pro j de elevation information for the following and check the appropriate boxes to show whether the elevation is above or below e II ig es adjacent grade and the lowest a jacen grade a) 7 p of bottom floor (including basement, awispace, or enclosure) is Elfeet ❑ meters ❑ above or ❑ below the HAG. b) p of bottom floor (including basement, awlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For uilding 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 the dliagrams) of the building is E]feet ❑ meters ❑ above or ❑ below the HAG. E3. Attac I ed garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top f platform of machinery and/or equipment servi ' ing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone' O only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's flood ,'lain 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 prope owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or comrT 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 City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 06-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEV „ TION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPOR NT: 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: 8625 C bblestone Dr. City State ZIP Code Company NAIC Number Fort Pie ce Florida 34945 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The loc �I official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Section A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in ems 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, ungillurcl, ul architect who is authorized by jaw to cei tify elevativil infdl Illation. (h idicate the suai ce ai id date of I! it: elevatiul I data in the Comments area below.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) G2 or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Per it Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This ermit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elev tion of as -built lowest floor (including basement) ❑feet E] meters Datum of th building: G9. BFE r (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Com l unity's design flood elevation: ❑ feet ❑ meters Datum Local Offic I's Name Title Communi Name Telephone Signature Date Comments 'ncluding type of equipment and location, per C2(e), if applicable) i i i ❑ Check here if attachments' FEMA Form 06-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEV I,•TION CERTIFICATE BUILDING PHOTOGRAPHS OMB No.1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2018 IMPOR NT: 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: 8625 C blestone Dr. City I State ZIP Code Company NAIC Number Fort Pie a Florida 34945 If usin the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instruct ons for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, 'Right Side View" ,and "Left Si, e View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. g4 S,''�yy�^ y 1. ^I'J2r(hT I I i r sy. j}."iF��• �, � �•��,?I+ �_;s �^'A �`��jeC +hTf+y ,� C tr � .{q -:. Photo One Photo One aption Front 1/17/19 Glear Photo One. I r is I Photo Two Photo Two C tion Back 1/17/19 CleartPhotoTwo FEMA Form 0 6-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEV TION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildin Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8625 C bblestone Dr. City State ZIP Code Company NAIC Number Fort Pi �ce Florida 34945 If sub I itting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: llate taken; "Front View" and 'Rear View'; and, if required, 'Right Side View" and "Left Side View" When applicable, photo aphs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. �. S,ty'' � 5 ��3:3 +�•.Trt� �k4�..GS%J ��Y"'q..'"�c+� , d v�5 ��siyu,� J' „y. � ' MOMM r;m 3 rl sv� , .f��,,. i T 5 I li yr I. I Photo Three Photo T ee Caption Right Side 1/17/19 GlearPtoto Thee -�- 46, #ri d 3 ti Flit 3`•Tit 'ttq 5'�....`!y L�O `C}� I I{ i I I' Photo Four Photo F. o Caption Left Side 1/17/19 .ClearPtiotolFour, FEMA For 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6