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Home My WebLink AboutELEVATION CERTIFICATE 2-26-17.1. k� SCANNED 2 U.$. DEPARTMENT OF HOMELAND SECURITYBy Fed gal Emergency Management Agency -� �� OMB No. 1660-0008 g y g ?( LUCia' CoUnV Expiration Date: November 30, 2018 Natio al Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy,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 A I Building Owners Name Policy Number H WTCHINSON BY THE SEA, LLC J Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 4434 NORTH A-1-A City State ZIP Code FORT PIERCE Florida 34949 A�1,Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) P RCEL ID 1414-704-0008-000-7 A . Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc } RESIDENTIAL A I . Latitude/Longitude: Lat. N 27 30 55.47 Long, W 80 18 29.42 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A • . Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A , Building Diagram Number 5 A For a building with a crawlspace or enclosure(s)- a) Square footage of crawlspace or enclosure(s) 876 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 sq in d) Engineered flood openings? ❑ Yes El No A For a building with an attached garage, a) Square footage of attached garage 1392 sq ft b) Number of permanent flood openings in the attached garage within 1 0 foot above adjacent grade 7 c) Total net area of flood openings in A9.b 1400 sq in d) Engineered flood openings? ❑x Yes ❑ No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BJ. NFIP Community Name & Community Number B2 County Name B3. State UI INCORPORATED 120285 SAINT LUCIE Florida 134I Map/Panel B5. Suffix B6 FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12 11 C 0093 J 02/16/2012 02/16/2012 AO 1,2 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source. 11 Indicate elevation datum used for BFE in Item 69 ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source 12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes x❑ No Designation Date: ❑ CBRS ❑ OPA FE A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 J ELEVATION CERTIFICATE OMB No. 1660-0008 �` Expiration Date: November 30, 2018 IMPOOtAlll In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buildil lg Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 4434 NORTH A-1-A FORT, IERCE Florida 34949 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) I C1. uilding elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction" ❑x Finished Construction new Elevation Certificate will be required when construction of the building is complete. C2. levations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/Al—A30, AR/AH, AR/AO. omplete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. enchmark Utilized: NGS N-633 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 01�tum used for building elevations must be the same as that used for the BFE. Check the measurement used. Top of bottom floor (including basement, crawlspace, or enclosure Floor) 11.5 ❑x feet ❑ meters Top of the next higher floor 22 5 x❑ feet ❑ meters Bottom of the lowest horizontal structural member (V Zones only) 20 4 x❑ feet ❑ meters Attached garage (top of slab) 9 5 ❑x feet ❑ meters Lowest elevation of machinery or equipment servicing the building 11 , 8 ❑x feet ❑ meters (Describe type of equipment and location in Comments) Lowest adjacent (finished) grade next to building (LAG) 8.4 ❑x feet ❑ meters Highest adjacent (finished) grade next to building (HAG) 9. 5 0 feet ❑ meters Lowest adjacent grade at lowest elevation of deck or stairs, including 11.9 ❑x feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This rtification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certil that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false Staten lent may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were aftude and longitude in Section A provided by a licensed land surveyor? 0 Yes 0 No ❑ Check here if attachments. Certifirs Name License Number CHA ES ARNOLD, PSM LS 4971 Title VICE RESIDENT/DIRECTOR OF SURVEYING %�. ComOny Name Rta e0 ARNC LD SURVEYING, INC. Addre s �1.A r4888 KINGS HIGHWAY #425 V city State ZIP Code ' V FOR PIERCE Florida 34951 Signa re,,, Date Telephone /_ 02/26/2017 (772) 460-8211 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) ITEM 5 WAS OBTAINED USING A HANDHELD GPS UNIT; ITEM A9C ARE SMART VENT ENGINEERED FLOOD OPENINGS RATEi AT 200 SQUARE FEET; ITEM C2C REQUESTED BY LOCAL INSPECTOR: HOUSE IS NOT IN V ZONE; ITEM C2E REFERS TO A/ ELEVATION FEMA Irm 086-0-33 (7115) Replaces all previous editions. Form Page 2!of 6 ELVATION CERTIFICATE OMB No 1660-0008 Expiration Date: November 30, 2018 IMPO TANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buil 'ng Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 443�NORTH A-1-A City State ZIP Code Company NAIC Number FOff PIERCE Florida 34949 SEGTlOPI El BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For ones AO and A (without BFE), complete Items El—E6. If the Certificate is intended to support a LOMA or LOMR-F request, com P lete Sections A, B,and C. For Items El—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). 6) 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 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. 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'1=PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION .— ----may Th property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or conimunity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Pro erty Owner or Owner's Authorized Representative's Name Address City State ZIP Code Si iature Date Telephone Co iments ❑ Check here if attachments. FEIViA Form 086-0-33 (7115) Replaces all previous editions. Form Page 3 of 6 'ATION 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 Buil ing Street Address (including Apt., Unit, Suite, and/or Bldg. No) or P.O. Route and Box No. Policy Number, 443 NORTH A-1-A City State ZIP Code Company NA1C Number FOR,,FOR,,T PIERCE Florida 34949 SECTION G — COMMUNITY INFORMATION (OPTIONAL) Thy local official who is authorized by taw 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 useld in Items G8—G10. In Puerto Rico only, enter meters. 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 ❑ 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—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 of as -built lowest floor (including basement) of the building; ❑ feet ❑ meters Datum G9 BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G1Q. Community's design flood elevation, ❑ feet ❑ meters Datum Lo - 7 l Official's Name Title Co'imunity'Name Telephone Sig ature Date Co ments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FE A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2d18 IMF, I RTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Bu ding Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.Q. Route and Box No. Policy Number 44 4 NORTH A-1-A Ci State ZIP Code Company NAIC Number F � T PIERCE Florida 34949 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the in tructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" acid " i ft Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or v Its, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. �£ M1.K T %k '*v -. a" � �,m4:.- �, � 'Eik i xrx I^F I .+6• I a I / i Photo One Ph to One Caption FRQNT VIEW - PHOTO TAKEN FEBR.UARY 10, 2017 i <.T I Y r4; I ' Ys I .Phototwo Ph to Two Caption REAR VIEW - PHOTO TAKEN FEBRUARY 1':0; 2017 FE A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 i BUILDING PHOTOGRAPHS OMB No.1660-0008 ATION CERTIFICATE Continuation Page Expiration Date November 30, 2018 IMPORTANT: in these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Suit ng Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P 0. Route and Box No. Policy Number: 443 NORTH A-1-A City State ZIP Code Company NAIL Number FOF, PIERCE Florida 34949 If s bmifting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs wit date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, ph ographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. wLL,, d a�x.r Photo One Ph to One Caption LEFT/NORTH SIDE VIEW - PHOTO TAKEN FEBRUARY 10, 2017 J r l Photo Two �Pn,to Two Caption RIGHT/SOUTH SIDE VIEW -PHOTO TAKEN FEBRUARY 10, 2017 f E A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 I