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
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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�.
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•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