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Home My WebLink AboutELEVATION CERTIFICATESCANNEO U.P. DIEPARTMENT OF HOMELAND S-OURITY - Feder Emergency Management Agency 8 " OMB No. 1660-0008 Expiration Date: November 30, 2018 Nation Flood Insurance Program at. 6 04'.iF' coanv ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy al�'J pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. 11 SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. uilding Owner's Name Policy Number: HUT HINSON BY THE SEA, LLC A2. 3uilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and ox No. Company NAIC Number. S 4434NORTH A-1-A Ylty State ZIP Code SORT PIERCE Florida 34949 A3. I liroperty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PAR, EL ID 1414-704-0006-000-7 A4. I luilding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. I titude/Longitude: Lat. N 27 30 55.47 Long. W 80 18 29.42 Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. lttach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Iliuilding Diagram Number 5 A8. F 11 r a building with a crawlspace or enclosure(s): Square footage of crawlspace or enclosure(s) 876 sq It b Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 cell Total net area of flood openings in A8.b 0 sq in d Engineered flood openings? ❑ Yes 0 No i A9. Fpr a building with an attached garage: Square footage" of attached garage 1392 sq ft Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade Total net area of flood openings in A9.b 1400 sq in Engineered flood openings? ❑x Yes ❑ No 7 !I� SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. N IP Community Name & Community Number B2. County Name B3. State UNINCORPORATEDI� 120285 SAINT LUCIE Florida B4. Ma' /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) 12111 iC 0093 J 02/16/2012 02/16/2012 AO 11,2 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: lil FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Tdicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No esignation Date: ❑ CBRS ❑ OPA I FEMA F Pa 1rm 086-0-33 (7115) Replaces all previous editions. Form Page 1 of 6 '-ELEVNI ION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT `INT: 11n these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 4434 NOR TH A-1-A city I State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bui ding elevations are based on: - ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A i dew Elevation Certificate will be required when construction of the building is complete. C2. Elelations — Zones Al A30, AE, AH, A (with BFE), VE, V1 V/A 30, V (with BFE), AR, AR/A, ARE, ARIA A30, AR/AH, AR/AO. Co plete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Ber chmark 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: Datum used for building, elevations must be the same as that used for the BFE. III 11 Check the measurement used. a) ,lop of bottom floor (including basement, crawlspace, or enclosure floor) 11.5 x❑ feet ❑ meters b) op of the next higher floor 22 5 I' ❑x feet ❑meters c) I bottom of the lowest horizontal structural member (V Zones only) 20.4 0 feet ❑ meters d) ttached garage (top of slab) 9 �. 5 feet ❑ ❑ meters e) I owest elevation of machinery or equipment servicing the building 11 • 8 ❑x feet ❑ meters ( escribe type of equipment and location in Comments) i f)L owest adjacent (finished) grade next to building (LAG) 8.4 ❑x feet ❑meters g) ighest adjacent (finished) grade next to building (HAG) 9 , 5 ❑x feet ❑ meters h) west adjacent grade at lowest elevation of deck or stairs, including structural support g 119 x❑ feet ❑ meters III SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This ce •cation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. certify t at the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statemeri I may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitl de and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑ Check here if attachments. Certifie►'s;Name License Number CHARLE ARNOLD, PSM LS 4971 Title l VICE PREiSIDENT/DIRECTOR OF SURVEYING Company Name Pia e� ARNOLD SURVEYING, INC. I Address it it 4888 N KI GS HIGHWAY #425 City ZIP Code FORT PIERCE State Florida 34951 Signature Date Telephone i 02/26/2017 (772) 460-8211 Copy all pa jes of this Elevation Certificate and all attachments for (1) community official; (2) insurance agent/company, and (3) building owner. Comments j�(including type of equipment and location, per C2(e), if applicable) ITEM A5 AS OBTAINED USING A HANDHELD GPS UNIT; ITEM A9C ARE SMART VENT ENGINEERED FLOOD OPENINGS RATED A 200 SQUARE FEET; ITEM C2C REQUESTED BY LOCAL INSPECTOR: HOUSE IS NOT IN V ZONE; ITEM C2E REFERS TO A/C E !EVATIoti FEMA Form 86-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 i� EL7 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 Building 4434 Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ii ORTH A-1-A Policy Number: City State ZIP Code Company NAIC Number FOR iPIERCE Florida 34949 I� SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Z fines AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, " compl to Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter i eters. E1. P"ovide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below tt e 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. F r 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 thie diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Aliached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. T p of platform of machinery and/or equipment SE ivicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zc fine AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's fl odplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. III SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The pr,Iperty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without FEMA-issued a or COMML rnty-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. GI Proper Owner or Owner's Authorized Representative's Name Addre °s City State ZIP Code i I Signat "re Date Telephone Comm �I nts r ❑ Check here if attachments. -rnnn r'I -Irv"1 1 1111 VVV-V-JJ k/! IA) Replaces all previous editions. Form Page 3 of 6 II ELEATION \ CERTIFICA�'E �,__, OMB No.1660-0008 ,!I Expiration Date: November 30, 2018 IMPO ,TANT: In these spaces, copy the corresponding information from Section A. Buildi 44341io iig Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. ORTH A-1-A FOR INSURANCE COMPANY USE Policy Number. City FORT State ZIP Code IERCE Florida 34949 Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The lolpl ill official 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 i Items G8—G10. In Puerto Rico only, enter meters. G1. L 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.) u G2 61 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. 6 G3. EjII The following information (Items G4-1310) is provided for community floodplain management purposes. G4. P ';unit Number G5. Date Permit issued G6. Date Certificate of Compliance/Occupancy Issued 4 I'uIuis G7. Tt permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Eevation 'I of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BEE E or (in Zone AO) depth of flooding at the building site: El feet El meters Datum G10. C Ilmmunity's design flood elevation: ❑ feet ❑ meters Datum �I Local 01 ficial's Name Title II Commu ity Name Telephone �I Signatu '° Date I Comme V "ts (including type of equipment and location, per C2(e), if applicable) i li I I i� i �, ❑ Check here if attachments. 'EMA For, 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 I, p, BUILDING PHOTOGRAPHS OMB No. 1660-0008 EI,E ATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPO�, TANT: In these 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: 4434 NORTH A-1-A i City I State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 If u ing the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instr ictions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Le ]Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vent I, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo 1 Photo one Caption FRONT VIEW - PHOTO TAKEN FEBRUARY 10, 2017 Photo Two Photo Two Caption REAR VIEW- PHOTO TAKEN FEBRUARY 10, 2017 FEMA Fprm 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 EI ,Ei AT[ON CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPO TANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Build ng Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 4434 NORTH A-1-A City 11 State ZIP Code Company NAIC Number FORT PIERCE Florida 34949 If submitting miffing more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with:!I 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. I Photo One Photo One Caption LEFT/NORTH SIDE VIEW - PHOTO TAKEN FEBRUARY 10, 2017 Photo Two Photo T o Caption RIGHT/SOUTH SIDE VIEW - PHOTO TAKEN FEBRUARY 10, 2017 FEMA F irm 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6