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Home My WebLink AboutELEVATION CERTIFICATE 11-21-13U.S.aEPART ENT OF HOMELAND SECURITY r 9LEVATION CERTIFICATE FE .?RAL EMERGENCY MANAGEMENT AGENCY OMB No. 166010008 National Flood Insurance Program i,,,Nartant: Read the instructions on pages 1 9. Expiration Date: July 31, 2015 II .J" SECTION A - PROPERTY INFORMATION T F,OR 1NSURANCE3COMPANY Al. Building Owner's Name Pobcy Number REEL DEAL VENTURE CAPITAL, LLC.ln,& \tl�lE�G1 A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.Company NAIC Number 10193 �& 10195 SOUTH OCEAN DRIVE C' ' City State zip Aaebulde Wny JENSEN BEACH FL 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A PORI�ION OF PARCEL -G" AND PARCEL "H", ENGLAR PLAT, PLAT BOOK 7, PAGE 13 AS RECORDED IN ST. LUCIE COUNTY, FLORIDA A4. Buildi g Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitu a/Longitude: Lat. 27°16'38.0" N Long. 80°12'30.9" W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Sq�iare footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage _NA sq ft b) Nurpber of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or Inclosure(s) within 1.0 foot above adjacent grade NA ;within 1.0 foot above adjacent grade NA c) To al net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in d) En'ineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bi. NFIP C Immunity Name & Community Number __[62. County Name B3. State ST. LUCIE NINCORPERATED AREAS 120285 ST. LUCIE FLORIDA B4. Map/Panel Number 65.-Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12111C0314 5 2-16-12 Effective/Revised Date Zone(s) AO, use base flood depth) J 2-16-12 AE 8.0 B10. Indicl the source of.the Base Flood Elevation (BFE) data or base flood depth entered -in Item B9. ❑ FIS Profile ; ' ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicat � elevation datum:used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 [IOther/Source: B12. Is the ilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Design �'ition Date: ❑ CBRS ❑ OPA > SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building lelevations are based on; ❑ Construction Drawings* ® Building Under Construction* ElFinished Construction *A new Elevation Certificate will 6e required when construction of the building is complete. C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR6A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below a8cording to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchm rk Utilized: 94-87-A05-2 ELEV= 3.05 Vertical Datum: NAVD 1988 N Indicate levation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: °p Datum u ed for building elevations must be the same as that used for the BFE. 0 Check the measurement used. Z a) Top o bottom floor (including basement, crawlspace, or enclosure floor) 8.25 ®feet ❑meters � b) Top ofl the next higher floor NA ® feet ❑ meters Lu c) Bottom of the lowest horizontal structural member (V Zones only) NA ❑ feet ❑ meters d) Attached garage (top of slab) NA ❑ feet ❑ meters V e) Lowest elevation of machinery or equipment servicing the building NA Elfeet ❑ meters L 61 (Describe type of equipment and location in Comments) 0 Lowesit adjacent (finished) grade next to building (LAG) 4.54 ® feet ❑ meters g) Highe t adjacent (finished) grade next to building (HAG) 6.12 ® feet El meters h) Lowes� adjacent grade at lowest elevation of deck or stairs, including structural support NA ❑ feet ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifica ion is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. , certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check �re if comments are provided on back of form. Were latitude and longitude in Section A provided by a El Check I' re if attachments. licensed land surveyor? ® Yes ❑ No Certifier's Na a ALEXANDER J. PIAZZA License Number 6330 Title PRESI ENT Company Name ALEXANDER J. PIAZZA PSM, INC. I Address 61 IL OR T. City PORT ST. LUCIE State FL ZIP Code 34983 Signatur -Pate % �� Telephone 772-340-7770 FEMA Form 006-0-32((7/12) See reverse side for continuation. Replaces all previous ELEVATION CERTIFICATE, page 2 -` IMPORTANT: In these spaces, copy the col`:,:, w)onding information from Section A. FOR INSURANCECOMPANYUSE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:+ ` }F`n 4% 10193 & 10195 SOUTH OCEAN DRIVE ? N City JENSEN BEACH State FL ZIP Code 34957 CornQany NAIL Number x4z X;. SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate' for,(1) corrjm_unity official, (2) insurance agent/company, and (3) building owner. Comments The STEMWALL is in Floodzone AE, Base Flood Elevation = 8.0 Signature Date Z/so;�� SECTION E — UILD EL N 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 E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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; E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is El feet ❑ meters ❑ above or ❑ below the. HAG. E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ 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 floodplain 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 property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The 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 item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enterimeters. 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. ❑ t; 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. ❑ _�fa following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued; G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation cf as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or. (id Zonf�.AO),depth of flooding at the building site: ❑ feet ❑ meters Datum G10.-Community's,d'esign flood elevation: ❑ feet ❑ meters Datum Local Officiaft'ftame . Title Community fVamt �' Telephone /-, ' 'i5qature Date t Comments - Chock h6m, if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions.