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Home My WebLink AboutELEVATION CERTIFICATE 10-1-18L i d U.S ,-EFARTMENT OF HOMELAND SECURFILE COr OMB No. 1660- Fede#al Emergency Management Agency lQ / l / 1 $ Expiration Date: Nove Nati nal Flood Insurance Program WANNM ELEVATION CERTIFICATE BY Important: Follow the instructions on pages 1-9. opy all pagof`t!i'iO3certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: % D.R. Horton A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 8625 Cobblestone Dr. City State ZIP Code Fort Pierce Florida 34945 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-600-0035-000-3 Lot 30 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27°24'36.5" N. Long. 80°24'47.1" 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 crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes Z 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 N/A c) Total net area of flood openings in A9.b d) Engineered flood openings? ❑ Yes ❑x No N/A sq in SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name St. Lucie County 120285 B3. State Saint Lucie Florida B4.•Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Number Date B9. Base Flood Elevation(s) Effective/ Zone(s) (Zone AO, use Base Flood Depth' 12111 Co170 Revised Date 02-16-2012 02-16-2012 AE / 16.5 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood,depth entered in Item B9: ❑ FIS Profile ❑x FIRM [J Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/c B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Designation Date: ❑CBRS Fj OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions f ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT TANT: 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 gobblestone Dr. City State ZIP Code Company NAIC Number Fort Pi rce Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. luilding elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *I new Elevation Certificate will be required when construction of the building is complete. C2. evations —Zones Al—A30, AE, AH, A (with BFE), VE, W—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. omplete 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 In dicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: D' turnused 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) 18.31 x❑ feet ❑ meters Top of the next higher floor N/A ❑ feet ❑ meters cl Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d Attached garage (top of slab) 17.71 ❑x feet ❑ meters e Lowest elevation of machinery or equipment servicing the building N/A ❑feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) N/A ❑ feet ❑ meters g Highest adjacent (finished) grade next to building (HAG) N/A ❑ feet ❑ meters h Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A ❑ feet ❑ meters. SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This rtification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certi that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were III titude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifi s Name License Number Thomas P. Kiernan 6199 ��`"°4*''• 'c �p,N • Jada�'; Title Profes ional Surveyor a .,. o • 4 .;®a,ce �. U) ; N o cr. Comp Oy Name Culpep er & Terpening. Inc. ' � �� ' _ '�: y. ' Addres§ 2980 S18uth 25th Street City State ZIP Code Fort Pi Irce Florida 34981 Signat fe Date Telephone Ext. %� 6 f f p (772) 464-3537 206 Copy al pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comm is (including type of equipment and location, per C2(e), if applicable) Elevatic i Shown in Section C2 are based upon Proposed Construction Plans. FFI140 Fnf_ nnr,_n_ga /7/1G\ r7.._._. n__> n _rn_ 4 ' ELEV,A, TION 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 Buildin6 Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8625 Cobblestone Dr. 11 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 Zo des AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, comple g Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter m ters. E1. Pr Vide 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, rawlspace, 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. E2. For uilding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (seepages 1-2 of Instructions), the text higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Aft I hed garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment se �cing the building is [:]feet ❑ meters ❑ above or ❑ below the HAG. E5. Zon AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floo Iplain 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 prop rty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or Cory -issue11d BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property wner or Owner's Authorized Representative's Name Address City State ZIP Code Signatur Date Telephone Comment i ❑ Check here if attachments. ELEV i TION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPOR ANT: 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 obblestone Dr. City State ZIP Code Company NAIC Number Fort Pi rce Florida 34945 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The to I official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sectio s A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used i Items G8—G10. In Puerto Rico only, enter meters. G1. ED 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 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. E The following information (Items G4—G10) is provided for community floodplain management purposes. G4. P rmit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. is permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. levation of as -built lowest floor (including basement) f feet the building: ❑ ❑ meters Datum G9. FE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. ommunity's design flood elevation: ❑ feet ❑ meters Datum Local 71� fficial's Name Title Comrr unity Name Telephone Signa re Date Comn 'ents (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. keen c___ nnn n — ELEVATION CERTIFICATE BUILDING PHOTOGRAPh'%,-12- OMB No. 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2018 IMPOR ANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildin 8625 Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1 bblestone Dr. Policy Number: City Fort Pi State ZIP Code rce Florida 34945 Company NAIC Number If I instru "Left vents, g the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the tions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and ide View." When applicable, photographs must show the foundation with representative examples of the flood openings or as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo OOe Caption Front Clear Photo One Photo Two Photo T Caption Back Clear�Photo�T'woy, I ELEV&TION BUILDING PHOTOGRAPHib OMB No. 1660-0008 CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORT ANT: 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 Cobblestone Dr. City State ZIP Code Company NAIC Number Fort Pi rce Florida 34945 If sub itting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: ate taken; "Front View" and 'Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, photo raphs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo Three Photo �ree Caption Right Side Clear Photo Th ee Photo Four Photo F ur Caption Left Side ClearpPhotoFour' U.S. DE �ARTMENT OF HOMELAN [G.,_r,CURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National F ood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all piages 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 Al. B'Iding Owner's Name Policy Number: D.R. I rton A2. B Idin Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: 8625 obblestone Dr. Cil State ZIP Code Fo Pierce Florida 34945 A3. P perty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2326-660-0035-000-3 Lot 30 A4. B ilding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. L titude/Longitude: Lat. 27°24'36.5" N. Long. 80°24'47.1" W. Horizontal Datum: ❑ NAD 1927 NAD 1983 A6. A ach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. B ilding Diagram Number 1A A8. F r a building with a crawlspace or enclosure(s): a} Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d Engineered flood openings? ❑ Yes ❑x No A9. F 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 N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. N IP Community Name & Community Number B2. County Name B3. State St. Lu ie County 120285 Saint Lucie Florida B4. M 'Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) N �nber Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) ` Revised Date 12111 0170 J 02-16-2012 02-16-2012 AE 16.5 610. ndicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. ndicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. GIs the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Fjprm 086-0-33 (7/15) Replaces all previous editions. Form Paae 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT '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 Co blestone Dr. i City I State ZIP Code Company NAIC Number Fort Pie �e Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bullilding elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Ell vations — 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. C mplete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. B nchmark Utilized: AF6653 Vertical Datum: NAVD 88 In irate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: D turn 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) 18.30 ❑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) 17.68 x❑ feet ❑ meters e Lowest elevation of machinery or equipment servicing the building N/A ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) N/A ❑ feet ❑ meters g Highest adjacent (finished) grade next to building (HAG) N/A ❑ feet ❑ meters h Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters structural support N/A SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c rtification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. / certi state that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false tent may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were ��titude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifi is Name License Number Thom �s P. Kiernan 6199 Title Profe Isional Surveyor i a Company Name Culpeper & Terpening. Inc. 1% Addre'' s 2980 outh 25th Street City State ZIP Code Fort erce Florida 34981 Signa ure Da Telephone Ext. X� 1 p (772) 464-3537 206 Copy II pages of this Elevation Certificate and all attachments for (4 community official, (2) insurance agent/company, and (3) building owner. Corn 'ents (including type of equipment and location, per C2(e), if applicable) Eleva on Shown in Section C2 are based upon Proposed Construction Plans. FEMA �,orm 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVAIII ION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT 'NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building 01treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8625 Co , blestone Dr. City State ZIP Code Company NAIC Number Fort Pie Fe 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 ters. E1. Pro ide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the ighest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) , op of bottom floor (including basement, rawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) op of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. 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), the, next higher floor (elevation C2.b in th diagrams) of the building is [:]feet [:]meters ❑ above or ❑ below the HAG. E3. Aft ched garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. To I of platform of machinery and/or equipment se icing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zo I e AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's flo dplain 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 pr �erty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or comrr ity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Prope Owner or Owner's Authorized Representative's Name Addresg Ire City State ZIP Code Signat Date Telephone Comm nts i ❑ Check here if attachments. FEMA j�orm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT j NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building jj��treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8625 Cdbblestone Dr. City State ZIP Code Company NAIC Number Fort Pie Fe Florida 34945 II 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 tems 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 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. G4. P mit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. T is permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) E] feet E] meters o the building: Datum G9. E or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. ommunity's design flood elevation: ❑ feet ❑ meters Datum Local fficial's Name Title Comm nity Name Telephone Signat re Date Comm nts (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMAlrorm 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEV TION CERTIFICATE BUILDING PHOTOGRAPHS,',---,' OMB No. 1660-0008 See'Instructions for Item A6. Expiration Date: November 30, 2018 IMPOR I NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildin 8625 C IStreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. bblestone Dr. Policy Number: City Fort Pi State ZIP Code ce Florida 34945 Company NAIC Number If usi instru "Left vents, g the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the 4ions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and ide View." When applicable, photographs must show the foundation with representative examples of the flood openings or I s indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo ne Caption Front 1 ,Clear Photo One Photo Two Phot I Two Caption Back Clear Photo Two FEMIForm 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 ELEVITIONI CERTIFICATE IMPOR NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildin 8625 Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. C bblestone Dr. Policy Number: City Fort Pi State ZIP Code rce Florida 34945 Company NAIC Number If sub with: photo itting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs ate taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, raphs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo Three Photo Three Caption Right Side kClear Photo Three Photo Four Photo Four Caption Left Side t, Clear Photo Four FEMPjForm 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6