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Home My WebLink About0704-0263-ELEVATION CERTIFICATE�vrt" V d U.S. DEPA ITMENT OF HOMELAND SECURITI, ELEVATION GERTIFICATF '? OMB No. 1660-0008 ' Federal Em rgency Management Agency r Exaires February 28. 2009 National Flo d Insurance Program Important: Read the instructions on pages 1-8.. SECTION A - PROPERTY INFORMATION For Insurance Company User Al. Building Owner's Name BARBARA STAHL JOB# 4058-32 Policy Number A2. Buildi g Street Address (including. Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 10701 SO TH OCEAN DRIVE #866 City ,,ENSEN BEACH State FL ZIP Code 34957 A3. Propeqy Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.), �a LOT 866 V NTURE OUT SECTION 3 Wit. 'L1.1Ide CoUd9j 4 A4. Build ilare Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitu/Longitude: Let. Long. _ Horizontal Datum: ® NAD 1927 ❑ NAD 1983 A6. Attact least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT BuildiDiagram Number 5 A8. For ailding with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Sfootage of crawl space or enclosure(s) N/A sq ff a) Square footage of attached garage N/A sq ft b) Nod. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage en losure(s) walls within 1.0 foot above adjacent grade N/A walls'within 1.0 foot above adjacent grade NIA c) To al net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in 11 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE VNINCORPORATED 120285 ST. LUCIE FLORIDA B4. Map/P ' nel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone �C0313 Date Effective/Revised Date Zone(s) AO, use base flood depth) 1211 H 6/30199 6130199 AE 8.0 B10. Indicat 11 the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ tIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) Bl l . Indicat4l elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the b' ilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ®No Designation Date ❑ CBRS ❑ OPA Ill SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building levations are based on: ❑ Construction Drawings• ElBuilding Under Construction" ® Finished Construction `A new E�,Ievation Certificate will be required when construction of the building is complete. C2. Elevatio -Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below ac lording to the building diagram specified in Item AT Benchm ' k Utilized N/A Vertical Datum NGVD 1929 Conversi NComments NONE Check the measurement used. a) Top of bo om floor (including basement, crawl space, or enclosure floor)_ 10.21 ® feet ❑ meters (Puerto Rico only) /' C b) Top f the next higher floor N/A. ®feet [I meters (Puerto Rico on l C c) Bott of the lowest horizontal structural member N Zones only) N/A._ ® feet ❑ meters (Puerto Rico onl d) Attahed garage (top of slab) NIA. ®feet [I meters (Puerto Rico onl e) Low, t elevation of machinery or equipment servicing the building 8.07 ® feet ❑ meters (Puerto Rico onl) AUG(Describe type of equipment in Comments) AUG ! 9 6 2006 f) Low25t adjacent (finished) grade (LAG) 5.9 ® feet ❑ meters (Puerto Rico on ) PUBLIC WORKS g) High st adjacent (finished) grade (HAG) 6.4 ® feet ❑ meters (Puerto Rico on ST. LUCIE COUNTY,, FL !� SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certificat ' n is to be signed and sealed by nd surveyorengineer, or architect authorized by law to certify elevation information. Pcertify that the informafion on rs Certificate represents my best efforts to interpret the data available. 1 understand at a tatement ma a p un*le by fine orimprisonment under 18 U.S. Code, Section 1001. ❑ Check h e if comments re pr i d o <. Certifier Na I e :Stephen ro License Number: # 4049 Title : urve or & Mapp Company Name : Stephen J. Brown, Inc. Ad re `s 1 61 E 5 tr City : Stuart State FI ZIP Code : 34994 ! /e9 Signa re I' Date 8116/07 Telephone (772) 288-7176 - FEMA Form 8,,,1-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy th. ,responding information from Section A. Building Street Address (including Apt. Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 10701 SOUTH OCEAN DRIVE #866 City JENSEN BEACH State FL 7jfP Code 57 For insurance Company. .uh: Policy Number I S O`TIO -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this EIW ati¢n rtificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments C2/ISE AC NITll, Signature S77 N 17TROWN Date 8/16/07 ❑ Check here ifattachments kE E - BUI DING ELEVATION INFORMATION (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. 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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 City State FL ZIP Code Signature Date Telephone Comments SECTION is - COMMUNITY INFORMATION (OPTIONAL) I i The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections Ai'B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, oi 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: G9.) is provided for community floodplain management purposes. i 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 (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments FEMA Form 81-31, February 2006 Replaces all previous editions I; Building Photographs See Instructions for Item A6. t9 tFor Insurance Company Use: Building Street 10701 SO I Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. TH OCEAN DRIVE #866 Policy Number City JEN$EN BEACH State FL ZIP Code 34957 Company NAIC Number If using t,le the instr Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to ctions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side Vie ' and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following.' DATE OFALL PHOTOS: 0811512007 FRONT/RIGHT FRONT/LEFT , I: 1 _ �1. r I A/C UNIT REAR