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HomeMy WebLinkAboutELEVATION CERTIFICATE 3-20-16 U.S.DEPARTMENT OF HOMELAND SECURITY ,,-- ELEVATION CERTIFICAT'�Y �V b OMB No. 1660-0008 FEDERAL RALfMERGENCYMANAGEMENTAGENC Nadonal F Id huuraue rrognm IMPORTANT:Follow the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION `FOR INSURANCE COMPANY USE Al. Bu Iding owner's Name HUTCHINSON BY THE SEA, LLC Policy Number A2. Bui ding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route d B No. Company NAIC''Number:. !� 4434 NORTH A-1-A an Box CSnA r\l�n B r C' FORT PIERCE State FL �J� zlp Code 34949 A3. Pr perty Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LQT 5,QUEENS ISLAND PRESERVE St.Lude County A4. Bul Ing Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc,)-RESIDENTIAL A5. Lat,ude/Longitude:Lat.27 30'.55 91" Long,80 18'29.43" Horizontal Datum: ❑NAD 1927 21 NAD 1983 A6. AM ii Ch at least 2 photographs of the building If the Certificate is being used to obtain flood insurance. A7. Bui ling Diagram Number 5 A8. For p building with a crawlspace or enclosure(s): A9.For a building with an attached garage: a) quare footage of crawlspace or enclosure(s) 875.9 s ft q �Ilr q a) Square footage of attached garage 19�2•8 s ft b) umber of permanent flood openings In the crawlspace 0 b) Number of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 C) otal net area of flood openings In A8.b 0 sq in c) Total net area of flood openings in A9.b d) ngineered flood openings? El Yes N No sq In i d) Engineered flood openings? ❑Yes ®No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3.State UN NCORPORATED 120285 ST.LUCIE FL B4. Map Panel Number B5.Suffix 86.RRM Index Date B7.FIRM Panel Effective/ B8.Flood Zone(s) B9.Base Flood Elevation(s)(Zone Revised Date A0,use base flood depth) 1211 C 0093 J 02/16/2012 02/16/2012 AO 1,2 B10.Indi ate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: ❑F P Profile N FIRMElCommunity Determined ❑Other/Source: B11.Indic to elevation datum used for BFE in Item B9: ❑NGVD 1929 N NAVD 1988 ❑Other/Source: 612.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes N No Designation Date: / / ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Bulk ng elevations are based on: ❑Construction Drawings* N Building Under Construction* ❑Finished Construction *A n w Elevation Certificate will be required when construction of the building Is complete. C2. Mew'I ons-Zones Al-A30,AE,AH,A(with BFE),VE,VI-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1 A30,AR/AH,AR/AO.Complete Items C2, h below according to the building diagram specified In Item A7.In Puerto Rico only,enter meters. Benchmark Utilized: NGS N-633 Vertical Datum: NAVD 1988 Indi to elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 N NAVD 1988 ❑Other/Source: Datu used for building elevations must be the same as that used for the BFE Check the measurement used. a) T of bottom floor(including basement,crawlspace,or enclosure floor) 9 5 ®feet ❑meters b) T of the next higher floor 11 5 III N feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) 20 , 37 N feet ❑meters d) At ched garage(top of slab) 9 5 ®feet ❑meters e) L (West elevation of machinery or equipment servicing the building N A N feet ❑meters (D scribe type of equipment and location in Comments) f) L est adjacent(finished)grade next to building(LAG) 8 . 5 N'feet ❑meters g) Hi'hest adjacent(finished)grade next to building(HAG) 10 . 1 N feet El meters h) Lo est adjacent grade at lowest elevation of deck or stairs,including N A ®feet ❑meters st�,b, ctural support I SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certific on is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.;I certify that the Information on this Certificate represents my best efforts to interpret the data available. l understanc that any false statement may be punishable by fine or Imprisonment under 18 U.S.Code,Section 1001. IN Check he a if comments are provided on back of form. Were latitude and longitude in Section A provided by a ©Check he e if attachments. licensed land surveyor? N Yes ❑No Certifiers N #na License Number P E CHARLE ARNOLD,PSM LS 4971 EA (k' Title Company Name H E VICE PR (DENT ARNOLD SURVEYING,INC. p�. Address I 4888 N.KyINGS HIGHWAY#425 FORT PIERCE FLU 34951e �����///`��� Signature " Date Telephone I'd -44e� 03/20/20161(772)460-8211 FEMA Form C 36-G-33(Revised 7/12) See reverse side for continuation. Replaces all previous editions, ELEVATI I,N CERTIFICATE,page 2 IMPORTA Tc in these spaces,copy the corresponding information from Section A. FOR INSURANCE GONIPANY.OSE: Building treat Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 4434 ORTH A-1-A City State ZIP Code Company NAIC Number FORT IERCE FL 34949 SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy bot ',sides of this Elevation Certificate for(1)community official,(2)Insurance agenVcompany,and(3)building owner. Comment I LATITUDE/LONGITUDE WAS OBTAINED USING A HANDHELD GPS UNIT I Signature it Date 03/20/2016 SEC ION E—BUILDING ELEVATION WFORmAnON(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones 0 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 -E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. EL.Providi 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 pf bottom floor(including basement,crawlspace,or enclosure)is ❑feet []meters ❑above or ❑below the HAG. b)Top bf bottom floor(including basement,crawispace,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 ne;t higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3.Attach d garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4.Top of tatform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5.Zone � only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordina ce?❑Yes ❑No ❑Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The propel 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 " st sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property O er or Owner's Authorized Representative's Name Address j City State ZIP Code Signature Date Telephone Comments I ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local a cial 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 Eli vation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-MO-In Puerto Rico only,enter meters. G1. ❑ TA,information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect 4,o is authorized by law to certify elevation information.(indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A i ommunity official completed Section E for a building located In Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ TA following information(Items 134-1310)is provided for community floodplain management purposes. G4. Perm Number G5.Date Permit Issued G6.Date Certificate Of Compliance/Occupancy Issued G7. This I l rmit has been issued for: ❑New Construction ❑Substantial Improvement G8. Eleva Ion of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE c (in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Com iunity's design flood elevation: ❑feet ❑meters Datum Local Offic Vial's Name Title Community Name Telephone Signature Date i Comments! it ❑Check here if attachments- FEMA Form 86-0.33(Revised 7/12) Replaces all previous editions. I I I