HomeMy WebLinkAboutPOST CONSTRUCTION ELEVATION CERTIFICATEOMB 026-R•OD026
FEDERAL EMERGE AGEMENT AGENCY
NATIONAL FL00�u'CE. PROGRAM
POST CONSTRUCTION ELEVATION CERTIFICATE/FLOODPROOFING CERTIFICATE
I
r�1d�Jd`lJ
COMMUNITY NUMBER
St. Lucie Co.`, F1.• (UNINCORPORATED AREAS) ���
120285
INSTRUCTIONS juG1W rUVr
The egistered professional engineer, architect,- surveyor or community permit official completes Section! I below.
Sectid'n E may be completed by any of the professionals listed at the)beginningof Section II, or by a similarly qualified
local I ermit official. Print or type the information on this form. This form is to be used for new (POST -FIRM) construction
and f r substantial improvements to existing structures in Zones Al-A30, AH and Vl-V30 and existing (PRE -FIRM)
buildings to be rated under POST -FIRM rules.and rates.
SECTION I
(TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
PROPER (ADDRESS (or lot and block numbers H address is unavailable) Jennah Blossom Corp.
8280-8298 Business Park Drive- (NAME: Catalfumo Const. Inc BP# 49965 )
FIA MAP P fJEL ON WHICH PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH PROPERTY IS LOCATED
0280—B
A6
=1A MAP E
FECTIVE DATE
BASE FLOOD ELEVATION AT THE PROPOSED SITE
" anuary 5, 1984
9'
START OF
30NISTRUCTI ON. DATE
Name.and.Twe
PHONE (with Area Code)
June
1989
Terry L. Virta—Community Development: Dire
0
ADDRESS
3.0.0._Virginia Ave., Ft. Pierce, F1. 33450
June 14, 1989
f � Date
(/ SECTION E
INSTRUCTIONS
Compete
only the Elevation Certification unless the building has been fioodproofed at least to the base flood
elevat
on. If floodproofing is used, complete only the Floodproofing Certification. The Elevation Certification may be
compl
a registered professional engineer, architect, or surveyor. The Floodproofing Certification may only be
comp)
ited'by
ted by a registered professional•engineer or architect.
ELEVATION CERTIFICATION
I certlfy that the building at the property location described above has the lowest floor at an elevation of
12.01' feet, NGVD (mean sea level).
(Lot 10 St. Lucie Business Park)
FLOODPROOFING CERTIFICATION
J
I to the best of m knowledge, information, an i
li ty Y g o d belief,, that the structure Is designed so that the structure Is
watertight to an elevation of feet NGVD (mean sea level), with walls substantially
impermeable to the passage of water and structural components having the capability of resisting hydrostatic and
hydrodIynamic loads and effects of buoyancy that would be caused by the flood depths, velocities, impact
pressures,
and uplift forces associated with the base flood.
In the event of flooding, will this degree of floodproofing be achieved with human intervention?*
I
Will th structure be occupied as a residence?
If the 'nswer to both questions is Yes, the floodproofing cannot be credited for rating purposes and the elevation
certification must be completed instead.
*Floodpllroofed with human intervention means that water will enter the structure when floods up to the base flood
f
level ur, unless measures are taken prior to the flood to prevent entry of water (e.g. bolting metal shields over
doorsr d windows).
:ERTIFIER'S
NAME
AFFIX SEAL OR'WRITE PROFESSIONAL
E. Brett
Culpepper
er
LICENSE NO. BEI.OW:
�- -
- , r
"ITLE
Registered
Land Surveyor
%DDRESS
I
Culppper
& Terpening, Inc.
P.O.1Box
1449
Ft.
Pierce, FL 34954-1449
8/3/89
(Signature) (Date)
The
insurance agent attaches the second copy of the completed form to the flood insurance policy application
for
new (POST -FIRM) construction or substantial improvements. Be sure•that the second copy is certified. -