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HomeMy WebLinkAboutELEVATION CERTIFICATE1.1 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Err'e'IIrgency Management Agency ELEVATION CERTIFICATE OMB No. 1660-0008 Expires March 31, 2012 .......,...... �� ......................�...... .. .r,,,........ ..........w n wu uvuvi w vi i Nayca I -a. SECTION A -PROPERTY INFORMATION For Insurance Company 0# Al. Buildi g Owners Name REEL DEAL VENTURE CAPITAL, LLC Policy N limberp Z. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company' NAIL Number " IDl93 & 10195 SOUTH OCEAN DRIVE City JENSEN _ BEACH State FL ZIP Code 34957 � l�GviJ�Jli�. ply ..ti. ...,....�.� ................... ��.............................,,�, .man. o...�.uuc, �cyai vwuiNu�n,aeic: •A PORTIO, OF PARCEL "G" AND PARCEL "H", ENGLAR PSURVEY PLAT, PLAT BOOCfth ORDED IN ST. LUCIE COUNTY, FLORIDA Iq �: A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL ��� A5. Latitude/Longitude: Lat. 27°16'38.0" Long. 80*12'30.9" Hotiizontat,Datum: ❑�D 197 ❑ NAD 1983 A6. Attac.�',Iat least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 b A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a S I'uare footage of crawlspace or enclosures NA s ft a Square footage of attached garage NA s ft q 9 P () q ) q 9 9 9 q b) No! of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage E. losure(s) within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA c) -Ill . net area of flood openings in AB.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 B1. NFIP Community Name & Community Number ST. LUCIE COUNTY UNINCORPERATED B2. County Name B3. State 120285 ST. LUCIE Florida B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 1211 ] C0314 J Date Effective/Revised Date Zone(s) AO, use base flood depth) 2-16-12 2-16-12 AE 8.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ I'IFIS Profile ® FIRM ElCommunity Determined [IOther (Describe) B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building lelevations are based on: ® Construction Drawings* ❑ Building Under Construction* ❑Finished Construction r, new mravauon uemncaw wul De regwrea wnen construction or the Du mmg is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items below according to the building diagram specified in Item A7. Use the same datum as the Benchmark BFE. C2.a-h Utilized 94-87-A05-2 ELEV= 3.05 Vertical Datum NAVD 1988 Conversion/Comments Check the measurement u a) Top,of bottom floor (including basement, crawlspace, or enclosure floor) 8.00 b) Top the higher floor ® feet ❑ meters (Puerto Rico ly of next 19.44 c) Bottom of the lowest horizontal structural member (V Zones only) NA. ® feet ❑ feet Elmeters (Puerto Rico ly) ❑ meters (Puerto Rico only) d) Attached garage (top of slab) NA. e) Lowest elevation of machinery or equipment servicing the building NA. El feet [I feet [I meters (Puerto Rico only) El meters (Puerto Rico only) (Describe type of equipment and location in Comments) 11 f) Lowest adjacent (finished) next to building NA._ grade (LAG) g) Highest adjacent (finished) grade next to building (HAG) NA._ ❑ feet ❑ feet ❑ meters (Puerto Rico only) ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including NA. ❑ feet ❑ meters (Puerto Rico only) structural support lil 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 iefoanation. , certify that the information on this Certificate represents my best efforts to interpret the data available. 1 knderstand'that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. r � Check he'le if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certifier's Name Alexander J. Piazza License Number 6330 Ill Title President Company Name Alexander J. Piazza PSM, Inc. Address 619 ,ISW Biltmore Street City Port St. Lucie State FI ZIP Code 34983 Signature Date 6-18-13 Telephone 772-340-7770 FEMA Form 81-31,War 0 See reverse side for continuation. Replaces all previous editions r IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 10193 & 10195 SOUTH OCEAN DRIVE City JENSEN BEACH State FI ZIP Code 34957 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) 1 Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments The house is in Floodzone AE, Base Flood Elevation = 8.0 Q. , .. . Signature Date 6-18-13 ❑ Check here iflattachments SECTION E - B LDIN LE FORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and 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 Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. i El. 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 ❑ 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 r`iry c►.ro 71D r .,.1e i Signature Date Telephone Comments ❑ Check here lif 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, anii,iG of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. ni}` r 1 . B, C (or E), -- _--------__._.. _..__ ..__ ---.. ­..__ _.._ _ _. y yn c� , v O1l 1IIlCl L W11V is`auth6rized: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-G9) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum G10. Community's design flood elevation ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name _ Telephone - P Signature Date Domments! I 4 i 1 ❑ Check here if attachments FEMA Form,81-31, Mar 09 Replaces all previous editions