HomeMy WebLinkAboutELEVATION CERTIFICATEV10-5-18U.i'�eral
. DEPAkTMEN`T OF HOMELAND SEI ITY /aCAN � OMB No.1660-0008Fe Emergency Management Agency bot / /a �� Expiration Date: November 30, 2018
Na onal Flood Insurance Program r
ELEVATION CEftf EA11t
j� Important: Follow the instructions on pages 1-9.
Co' y all pages 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
i�1. Building Owner's Name
Y,VADE & ELIZABETH O'NEY
Policy Number:
. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number.
Box No.
i860 WATERSONG WAY
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
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4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N 27 23 26.07 Long. W -80 15 37.77 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
t 6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
7. Building Diagram Number 6
8. For a building with a crawlspace or enclosure(s):
ja) 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 0 No
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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 0 No
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j 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
8�4.
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
1211.1
C 0194
J
02-16-2012
02-16-2012
AE
6
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10. Indicate 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:
11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source:
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12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑x Yes ❑ No
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Designation Date: 10-01-1983 ❑x CBRS ❑ OPA
FdMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
11
E EVATION
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
B
ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
4860
WATERSONG WAY
i
Ci
' State ZIP Code
Company NAIC Number
F
ART PIERCE Florida 34949
'I SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
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I1. Building elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* ❑ Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
I2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1—A30, AR/AH, AR/AO.
Complete Items C2.a—h below according to the building diagram specified in Item A7. 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 ❑x feet ❑ meters
b) Top of the next higher floor N/A ❑x feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) 15.8 ❑X feet ❑ meters
d) Attached garage (top of slab) 6.0 ❑x feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building N/A ❑x feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 5.0 ❑X feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 5.5 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including feet N/A meters
❑ ❑
structural support
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.
l rtify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
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statement 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.
ertifiers Name License Number
HARLES ARNOLD, PSM FLORIDA LS #4971
-
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:. eta
itle
ICE PRESIDENT
ompany Name
SURVEYING, INC.
ARNOLD
_
&-e
Address
N KINGS HIGHWAY #425
1888
l D \
City State ZIP Code
TORT PIERCE Florida 34951
ignature Date Telephone Ext.
10-05-2018 (772) 708-1819
opy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner.
omments (including type of equipment and location, per C2(e), if applicable)
4�5 OBTAINED USING HANDHELD DEVICE; B9 LOT HAS SEVERAL ZONES BUT HOUSE LIES SOLELY IN ZONE AE-6; C2 ELEV
,,, ERT IS FOR FORMBOARDS ONLY, C2A REFERS TO FLEX SPACE SEPARATED BY WALL FROM GARAGE MEANING GARAGE
IS ATTACHED; C2C REQUESTED BY LOCAL INSPECTOR: HOUSE IS NOT IN V ZONE; C21D REFERS TO GARAGE SEPARATED
BY WALL FROM FLEX SPACE MEANING GARAGE IS ATTACHED; PGS 1, 2, 5 & 6 COMPLETED BY SURVEYOR; PGS 3 & 4 LEFT
BLANK INTENTIONALLY & IS NOT CERTIFIED BY SURVEYOR
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F4i A Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6
E '�'ll
EVATION
CERTIFICATE -
1 OMB No. 1660-0008
Expiration Date: November 30, 2018
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:
4
60 WATERSONG WAY
C
Ity State ZIP Code
Company NAIC Number
F
RT PIERCE Florida 34949
SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
F
'�r 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 E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
eater
E
meters.
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
II . Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E
Top of platform of machinery and/or equipment
servicing the building is ❑feet ❑ meters ❑ above or E] below the HAG.
i
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.
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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
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Immunity -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;'operty
Owner or Owner's Authorized Representative's Name
Idress
City State ZIP Code
S,
gnature Date Telephone
i
C'
i
mments
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❑ Check here if attachments.
FNMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
a
E ''EVATION CERTIFICATE
OMB No. 1660-0008
Expiration Date: November 30, 2018
IM
' ORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
B
'''ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
4
;60 WATERSONG WAY
C
State ZIP Code
Company NAIC Number
F
I RT PIERCE Florida 34949
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
Tie
local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections
A, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement
u
ied in Items G8-G10. In Puerto Rico only, enter meters.
G
. ❑ 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.)
G
° ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE)
or Zone AO.
G
❑ The following information (Items G4-G10) is provided for community floodplain management purposes.
G°
. Permit Number
G5. Date Permit Issued
G6. Date Certificate of
Compliance/Occupancy Issued
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. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8.
Elevation of as -built lowest floor (including basement)
of the building: ❑ feet ❑ meters Datum
G9.
l
BFE or in Zone AO) depth of flooding at the building site: feet ❑ ❑ meters Datum
110.
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Community's design flood elevation: ❑ feet ❑ meters Datum
L
"cal Official's Name Title
Community
Name Telephone
S
gnature Date
C''
i
mments (including type of equipment and location, per C2(e), if applicable)
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❑ Check here if attachments.
FIIMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6
i
E EVATION CERTIFICATE
';BUILDING PHOTOGRAPHS r OMB No. 1660-0008
See Instructions for Item A6. Expiration Date: November 30, 2018
IMOORTANT:
In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
B'ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
4 u160 WATERSONG WAY
C ty State ZIP Code
Company NAIC Number
F ' RT PIERCE Florida 34949
1
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using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
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structions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and
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deft Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or
nts, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
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Photo One
P
oto One Caption FRONT VIEW- PHOTO TAKEN OCTOBER 4, 2018 'Clear Photo Qne. "
. - M,. .
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Photo Two
P
oto Two Caption REAR VIEW- PHOTO TAKEN OCTOBER 4, 2018 -Clear: ,h6f6Two'='.
FjI A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6
E EVATION CERTIFICATE
t —
�� 1 BUILDING PHOTOGRAPHS �� j OMB No.16so-0008
Continuation Page Expiration Date: November 30, 2018
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:
4
60 WATERSONG WAY
City State ZIP Code
Company NAIC Number
FORT PIERCE Florida 34949
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f submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
ith: date taken; "Front View" and 'Rear View'; and, if required, 'Right Side View" and "Left Side View." When applicable,
hotographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8.
1`}Mth
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Photo Three
Photo
Three Caption LEFT VIEW - PHOTO TAKEN OCTOBER 4, 2018 ,Clear.l?hoto Three'.
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5 KTM
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Photo Four
P
oto Four Caption RIGHT VIEW- PHOTO TAKEN OCTOBER 4, 2018 'Clear Photo'Fou
F`1MA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6