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Home My WebLink AboutELEVATION CERTIFICATE 5-01-17`ELE'JA 10N CERTIFICATE S H660-0008 V �_. _ Expiration OMB No. l Date November 30, 20,18 IMPORT 'NT: In these spaces, copy the corresponding in'WWAr (m S �L ion A. FOR INSURANCE COMPANY USE Bue!ding :;•!feet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: E II .7 v 1 S d G rp i fZ J V0. J*&-7 7 City State ZIP Code Company NAIC Number iA rNsal'i L. 0 3q(i s �I SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) i C1. I uilding elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2 Elevations —Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A02 RM1 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: i Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.5 ❑x feet ❑ meters b) Top of the next higher floor 16.9 0 feet 0 meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 3.8 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 10.0 0 feet ❑ meters I(Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3.7 x❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.1 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.1 0 feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑x Check here if attachments. Certifier's Name License Number EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR Place Company Name ACCURIGHT LAND SURVEYING INC. �� Here Address 1501 DECKER AVENUE #419 City State ZIP Code STUART Florida 0 34994 4 4 5 Signature Date Telephone Ext. 05/01/2017 772-286-7694 Copy all pages of this evation 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) A9-A IS A 3 SIDED CARPORT .A9-D THERE IS 1 FLOOD VENT MODEL #1540-520 (200 SQ. FT.) I USED 12" HIGH BY 8.5' OF CARPORT OPENING FOR OTHER VENTING (1224 SQ. FT.) C2-E HOT WATER HEATER FEMA Form 086-0-33 (7115) Replaces all.previous editions. Form Page 2 of 6 ' ELtVAj ION CERTIFICATE OMB No. 1660-0008 Expiration Date: Novembgr 30, 2Q.18 IMPORT ,'NT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building iDtfeet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: t 0 1 S )i fZ1 V1Z.. &-7-7 City State ZIP Code Company NAIC Number r �15 F" 9 FL . 19 3 k-( (I S j SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bul llding elevations are based'on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction A: ew Elevation Certificate will be required when construction of the building is complete. C2. El Nations - Zones Al A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1 A30, AR/AH, AR/AO. C nplete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Be' chmark Utilized: 94 77 A02 RM1 FDOT Vertical Datum: NAVD 1988 i In sate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑Other/Source: D um used for building elevations must be the same as that used for the BFE. j Check the measurement used. a) op of bottom floor (including basement, crawlspace, or enclosure floor) 7.5 ❑x feet ❑ meters b) Top of the next higher floor 16.9 ❑x feet ❑x meters c) i'Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 3.8 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 10.0 ❑x feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3.7 ❑x feet ❑ meters g) i Highest adjacent (finished) grade next to building (HAG) 4.1 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 41 feet ❑meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c I ce ' ification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statem nt may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were I Ititude and longitude in Section A provided by a licensed land surveyor? Z Yes ❑ No ❑x Check here if attachments. Certifie' s Name License Number EARL R.STARKEY 004459 Title PROF SSIONAL LAND SURVEYOR 11 Pace Seal Comp by Name ACCU,, IGHT LAND SURVEYING INC. Here o .� Addr § ;ECKER AVENUE #419 1501 91 City State ZIP Code STUAI Florida 0 34994 LS y 5 Signat re Date Telephone Ext. 05/01 /2017 772-286-7694 Copy a i I pages of this L6 evation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comm 'i nts {including type of equipment and location, per C2(e), if applicable) A9-A 1 A 3 SIDED CARPORT A9-D THERE IS 1 FLOOD VENT MODEL #1540-520 (200 SQ. FT.) I USED 12" HIGH BY 8.5' OF CARP I RT OPENING FOR OTHER VENTING (1224 SQ. FT.) C2-E HOT WATER HEATER FEMA F�rm 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 I ilding Photographs See Instructors for Item A6. 10701 j� SOUTH OCEAN DRIVE #677 city _ 1,FNRFN RF'AM state FLORIDA 3 957 N WnW If using I e Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the inM coons for Item A6. Identify all photographs with: date taken; "Front Vieve and "Rear View'; and, if required, "Right side Via and *Left Side View.' Ef submitting more photographs theft will fit on this page, use the Continuation Page, following! FRONT 05/01/2017 REAR 05/01/2017 SIDE 05/01/2017