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HomeMy WebLinkAboutELEVATION CERTIFICATE 9-18-18U. DEPARTMENT OF HOMELARZ� �ECURITY WANWE® ~ ' OMB No. 1660-0008 Feceral Emergency Management Agency �� Expiration Date: November 30, 2018 Nat i' naI Flood Insurance Program s LAB 9 �� a ny ELEVATIO� Ct�TIFICATE Important: Follow the instructions on pages 1-9. Cory all Daqes of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. ur - III SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Building Owner's Name Policy Number: 1'1. 1ADE & ELIZABETH O'NEY u 4I60 Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. WATERSONG WAY Company NAIC Number: City State ZIP Code FORT PIERCE Florida 34949 3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) ,'ARCEL ID 2532-500-0060-000-3 LOT 46 WATERSON PUD PLAT NO. 1 4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A15. Latitude/Longitude: Lat. N 27 23 26.07 Long. W -80 15 37.77 Horizontal Datum: ❑ NAD 1927 0 NAD 1983 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. I6. Building Diagram Number 6 AV. 8. For a building with a crawlspace 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 Z No 9. For a building with an attached garage: a) Square footage of attached garage 0.00 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 1. NFIP Community Name & Community Number B2. County Name B3. State AINT LUCIE COUNTY, UNINCORPORATED 120285 SAINT LUCIE Florida B . Map/Panel B5. Suffix B6. FIRM index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1 111 C 0194 J 02-16-2012 02-16-2012 , AE 6 10. 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: 11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Z Yes ❑ No Designation Date: 10-01-1983 0 CBRS ❑ OPA F TA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 i E E IATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 III IM „ORTANT: 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: 48 0 0 WATERSONG WAY Ci� State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) �11. Building elevations are based on: ❑ Construction Drawings* ❑X Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. Elevations - 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. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: ST LUCIE COUNTY BM "B-308" Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum 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) 8.0 feet ❑ meters b) Top of the next higher floor N/A 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A feet ❑ meters d) Attached garage (top of slab) 6.0 N feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A Z feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.0 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.5 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A © feet ❑ meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION I is certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. -ertify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Ifatement Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑ Check here if attachments. e rtifier's Name License Number iIHA RLES ARNOLD, PSM FLORIDA LS #4971 " C = - V�tle ICE PRESIDENT ompany Name P)RNOLD SURVEYING, INC. :J ' Address �888 N KINGS HIGHWAY #425 II 1 'ity, State ZIP Code TORT PIERCE Florida 34951 ignature Date Telephone Ext. 09-16-2018 (772) 708-1819 Oiopy all pages of this *evatio6 Cerfificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. comments (including type of equipment and location, per C2(e), if applicable) P;�RT OBTAINED USING HANDHELD DEVICE; B9 LOT HAS SEVERAL ZONES BUT HOUSE LIES SOLELY IN ZONE AE-6; C2 ELEV IS FOR FORMBOARDS ONLY; C2A REFERS TO FLEX SPACE SEPARATED BY WALL FROM GARAGE MEANING GARAGE I 1 ATTACHED; C213 REFERS TO GARAGE SEPARATED BY WALL FROM FLEX SPACE MEANING GARAGE IS ATTACHED; PGS 1 2 & 5 COMPLETED BY SURVEYOR; PGS 3,4 & 6 LEFT BLANK INTENTIONALLY & IS NOT CERTIFIED BY SURVEYOR FE IA Form 086-0-33 (7/15) Replaces all previous editions. roan rage 2- of 6 i E i EVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 III I 'PORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE wilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 4.60 WATERSONG WAY 9ity State ZIP Code Company NAIC Number 11 F RT PIERCE Florida 34949 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) F u r Zones AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, c 6 mplete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, e ter meters. E Provide 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) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E For 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 the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E i . Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain 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 T 'e property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or c l munity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. P perry Owner or Owners Authorized Representative's Name 11il A dress City State ZIP Code Signature Date Telephone C mments I i ❑ Check here if attachments. FEIA Form 086-0-33 (7/15) Replaces all previous editions. corm rage 3 or o iEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 III IO PORTANT: 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: 11 860 WATERSONG WAY pity State ZIP Code Company NAIC Number IIbRT PIERCE Florida 34949 I� SECTION G — COMMUNITY INFORMATION (OPTIONAL) ,Ihe local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete ections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. i ❑ 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.) 12 ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. i3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. d4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued A G�k . This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) E] feet ❑meters Datum II of the building: G BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G 0. Community's design flood elevation: ❑feet ❑meters Datum L °hal Official's Name Title f I C "mmunity Name Telephone I' Si nature Date C � mments (including type of equipment and location, per C2(e), if applicable) i I V ll I f f ❑ Check here if attachments. I FEI A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 it II LEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 Expiration Date: November 30, 2018 1 ,', PORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE uilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: J860WATERSONG WAY Qity State ZIP Code Company NAIC Number 1ORT PIERCE Florida 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View'; and, if required, "Right Side View" and 'Left Iyents, Side 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. V V ON D V h Photo One P 'oto One Caption FRONT VIEW -PHOTO TAKEN SEPTEMBER 15, 2018 ClearP,hoto One I V' f { I ' THIS SECTION LEFT BLANK I V' Photo Two Ph 'to Two Caption Clear Photo FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 �ILEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 III 1 ,' PORTANT: 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: 1860 WATERSONG WAY , ity State ZIP Code Company NAIC Number TORT PIERCE Florida 34949 ��If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. I I THIS SECTION LEFT BLANK I ` Photo Three roto Three Caption Clear Photo Three I I THIS SECTION LEFT BLANK Photo Four P,i oto Four Caption ��,Glear Photo'Four F U'MA Form 086-0-33 (7/15) Replaces all previous editions. rorm rage o or 0