HomeMy WebLinkAboutELEVATION CERTIFICATE 5-29-14U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATIDN U--K 11HUA I t
FEDERAL EMERGEN& MANAGEMENT AGENCY OMB No. 1660-0008
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Natio.�gl Flood fnsuran;le Program art `Read the instructions on page: (^ Expiration Date: July 31, 2015
ll� SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY U5E
Al. Building Ownej s Name �' Policy Number.
REEL DEAL VENTURE CAPITAL, LLC. 0 L
A2. Building StreeljAddress (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Conlpany:NAIC Number.
10193 & 10195 SOUTH OCEAN DRIVE
City State ZIP Code � Ad I�
JENSEN BEACH FL 34957
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) I ��
A PORTION OF PARCEL "G" AND PARCEL "H", ENGLAR PLAT, PLAT BOOK 7, PAGE 13 AS R?11UW8 IN`SP.0-D E COUNTY, FLORIDA
A4. Building Usel(Ie.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 27"16'38.0" N Long. 80°12'30.9" W Horizontal Datum: ❑ NAD 1927 N NAD 198,3
A6. Attach at least 2 photographs of the building if the:Certificate is being used to obtain flood insurance. _
A7. Building Diagram Number lB-
A8. For a buildi�� g with a crawispace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage _NA sq ft
b) Numberlof permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA
c) Total 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) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIP Commune Name & Community Number B2. County Name B3. State
ST. LUCIE UN�NCORPERATED AREAS 120285 ST. LUCIE FLORIDA
B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
12111CI 314 2-16-12 Effective/Revised Date Zone(s) AO, use base flood depth)
IP J 2-16-12 AE 8.0
B10. Indicate .fie source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
•Bl 1. Indicateilelevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 El Other/Source:
B12. Is the b�ilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes. ® No
Designation Date: [I CBRS ❑ OPA
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i SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building'Ielevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
'A new levation Certificate will be required when construction of the building is complete.
C2. ElevatioA's - 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 alocording to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: 94-87-A05-2 ELEV= 3.05 Vertical Datum: NAVD 1988
Indicatelelevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
Datumiused 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) 8.25 ® feet ❑ meters
b) TopfflIef the next higher floor 19.57 ® feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) NA Elfeet ❑ meters
d) Attached garage (top of slab) NA ❑ feet ❑ meters
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e) Lowest elevation of machinery or equipment servicing the building 8.33 ® feet ❑ meters
(Describe type of equipment and location in Comments)
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f) Lowest adjacent (finished) grade next to building (LAG) 6.16 ® feet ❑ meters
g) Hiighest adjacent (finished) grade next to building (HAG) 6.43 ® feet ❑ meters
h) Loo est adjacent grade at lowest elevation of deck or stairs, including structural support 5.50 ® feet El meters
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:111 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 certify that the information on this Certificate represents my best efforts to interpret the data available.
I underrstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® Ceck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifier's Name ALEXANDER J. PIAZZA
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License Number 6330
Title !I PRESIDENT
Company Name ALEXANDER J. PIAZZA PSM, INC.
Address 619 SW BI TMORE ST.
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City PORT ST. LUCIE State FL ZIP Code 34983
Signature
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Date ���y Telephone 772-340-7770
Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
C1.CVA1luim ii cm,-!1IrIVAI r-, page 'L
IMPORTANT: In tl'ese spaces, cor—i•+.the "Sponding information from Section -N FOR INSURANCE COMPANY USE
Building Street Address (including Apt.i , t, Su?W_ d/or Bldg. No.) or P.O. Route and Box No. W Policy Number: ;' r
10193 & 101951SOUTH OCEAN DRIVE
City JENSEN BEACH State FL ZIP Code 34957 Company NAIC Number.
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of!this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments The h' use is in Floodzone AE, Base Flood Elevation = 8.0 / MACHINERY IS AN AIR CONDITIONING UNIT LOCATED ON THE SOUTH SIDE
OF BUILDING ELEVATION= 8.33. ALSO AN AIR CONDITIONING UNIT LOCATED ON THE NORTH SIDE OF BUILDING ELEVATION= 8.43.
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Signature !i Date
SECTION E�- B LDI LE I INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO I nd A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Ite 1bs E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide a evation 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 ofbottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top otlbottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG.
E2. For BuNing 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attaches¢ garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top ofiplatform of machinery and/or equipment servicing 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 floodplain management
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
IN SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The grope �ll owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without aFEMA-issued or community -issue 8
or Zone AOl must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge.
Property 01y ner's or Owner's Authorized Representative's Name
Address I,I city State ZIP Code
Signature jlll Date Telephone
Comments
II❑ Check here if attachments.
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SECTION G — COMMUNITY INFORMATION (OPTIONAL)
The local �fficial 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, enter meters.
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G1. ❑ 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.)
G2. ❑ I 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. ❑ iThe following information (Items G4-G10) is provided for community floodplain management purposes.
G4. P,ermit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued
G7. T Ais permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Eievation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum
G9. iBFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
G10. ,Community's design flood elevation: ❑ feet ❑ meters Datum
T1 - -
Loi6al Official's Name Title
Community Name Telephone
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Date
SigMiniature-
I'I1.
IN l'
i Comments
+� ❑ Check here if attachments.
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FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 3 11ding Photographs
m I See Instructions for Item A6.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE GOIUPANY USE.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy_Number:
10193 & 10195 SOUTH OCEAN DRIVE
City JENSEN BEACH State FL ZIP Code 34957 Company NAIC Number
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If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs
with: date tak ln; "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.
fl FRONT VIEW
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Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 Building photographs
I'I Continuation Page
IMPORTANT: Inithese 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
10193 & 10195 SOUTH OCEAN DRIVE
City JENSEN BEACH State FL ZIP Code 34957 Company NAIL Number
I� 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.
LEFT VIEW
RIGHT VIEW