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Home My WebLink AboutELEVATION CERTIFICATEELEVATI, OW) DMB No. 1660-0008 expiration Date: November 30, 2018 IMPORTA �;,T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building S Beet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 1 a 711P 1 -r'I--I -0 e, f d., J I� 2l V IF- J* 1-1-7 City II State ZIP Code Company NAIC Number SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑x Building Under Construction* ❑ Finished Construction *A n w Elevation Certificate will be required when construction of the building is complete. C2. Ele ations — 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. Con�l plete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Ben, hmark Utilized: 94 77 A02 RM1 FDOT Vertical Datum: NAVD 1988 I Indi late elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: _ Daft m 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) op of the next higher floor N/A , ❑ feet ❑ meters c) �ottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters d) Attached garage (top of slab) N/A. ❑ feet ❑ meters e) I lowest elevation of machinery or equipment servicing the building N/A. ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) lowest adjacent (finished) grade next to building (LAG) 4.0 x❑ feet ❑ meters g) I ighest adjacent (finished) grade next to building (HAG) 4. 1 ❑x feet ❑ meters h) I owest adjacent grade at lowest elevation of deck or stairs, including N/A. ❑ feet ❑ meters 111ructural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certif cation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. Ice t, at the information on this Certificate represents my best efforts to interpret the data available. I understand that any false state me it may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were lat iude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier' Name License Number r -- �y , EARLE ,,I . STARKEY 004459 Title 1I1 PROF MOO] ONAL LAND SURVEYOR - - - Place Compan Oame ACCUR GHT LAND SURVEYING INC. — _. Seal - Here Address') 1501 DICKER AVENUE #419 '; z` City 11 State ZIP Code S ,i Florida 34994 F>L-�. Ll LJ Sci Signatur " Date Telephone 12/01 /2016 772-286-7694 Copy all ages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comme is (including type of equipment and location, per C2(e), if applicable) FEMA For III 086-0-33 (7/15) ; ; Replaces all previous editions. Form Page 2 of 6 U.S. DEPARTMENT OF HOMEL;" SECURITY OMB No.1660-0008, Federal Emergency Management ^ancy Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: PUCKET A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 10701 SOUTH OCEAN DRIVE #677 City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 78, VENTURE OUT A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27°16'04.6" Long.-80°12"29.9" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 B A8. For a building with a crawispace or enclosure(s): a) Square footage of crawispace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No ".SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community'Name.&Community Number B2. County Name B3. State UNINCORP 120285 ' - ST. LUCIE FloridaEl B4. Map/Panel 85. 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 C 0314 J 02/16/2012� 02/16/2012 AE 7.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. I Form Page 1 of 6 Phone 954-784-2941 1 1919 ��Jeder 1 854-784-7875 Fax 354-78�4-7875 • �. TESTiitt6 Iiti7C. www.fed-eng.com fed-eng.com 250 SW 1*' Ave Pompano beach, FL 33069 Field Density Tests of Compacted Soils Method D-6938 Project Proposed Single Family Home Date: December 7, 2016 Addres : 10701 S. Ocean Drive, Lot 677, Jensen Beach, FL 34957 Order #: 16-3279 Area T i ill sted: Building Pad Permit #: 1610-0029 Materi I Type: Light Brown Sand with Traces of Rock Tech: TS Client: Mel-Ry Construction Addres : 10967 S. Ocean Drive Compaction Req.: 95% Jensen Beach, FL 34957 Proctor Method: ASTM D-1557 Test # TEST LOCATION Probe Depth Elev. Moist % Dry Density PCF Proctor Value PCF Optimum Moisture % Compaction Pass 1 NB Corner of Pad 12" FG 11.9 106.4 103.0 12.0 103.3% Yes 2 Celnter of Pad 12" FG 11.3 101.3 103.0 12.0 98.3% Yes 3 SUIV Corner of Pad 12" FG 9.8 102.4 103.0 12.0 99.4% Yes 4 5 6 7 8 9 10 11 12 L413 0 Remark,: See Reverse Side (Page 2 of 2) for Disclaimer 0®'"�\ K.�9Tfj JB�✓��' This is a Compaction Test only on the top 12" of the pad art t °a verMca6hj6 o �o` earing Capacity Legend fo' Elevation: ' -4; C� -� PR = Proo'roll 1,2.3 =1st, 2nd, 3rd Lift SEMB dlby. SL = Sprin�gline FL = Final Lift ;moo LeBl2nc, IZ -F SG = SubIIrade BG = Below Grade ®`.°�� 4e I Engi & Testing, Inc. BC = Bast:course BOF =Bottom of Footing ` °° orida fig." �io.�9394 TOP = To of Pipe FG =Finished Grade �o, iiorization #5471 Asa mutual protection to clients, the public and ourselves, all reports are submitted as the confidential propeR wal. and authorization for publication of statements, conclusions C extracts from or regarding our reports is reserved pending our written approval. A density test determines the degree of compaction of the tested layer of material only. density does not replace a soil bearing capacity determination. After laying dormant for a period of 90 days or after heavy rainstorms, retesting must be performed on his work. PAGE 1 of 2