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Home My WebLink AboutELEVATION CERTIFICATE 8-15-15Fi .s. pEPAR ITpAENTOF HOMELAND SECURITY ELEVATION CERTIFICATE EDERAL ERVENCY MANAGEMENT AGENCY % r "{ OMB No.1660-0008 Natonal`FIoQd Imurance Piii IrI Cant: Read the instructions on pages 1, , _ j Expiration Date: July 31=2015 III SECTION A — PROPERTY INFORMATION NMI SllN W—��E7; A Al. Buildi' g Owner's Name SEMINOLE MOBILE HOME PARK LLC c. r3 o x .I I - A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. a"NA N!� "liar 3318 ORANGE AVENUE - LOT 61 ; City I. PIERCE State FL ZIP Code 34947 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 61 BEING A PORTION OF HOME ACRES PLAT BOOK 7 PAGE 12 PARCEL ID:2408-243-0003-000-6 ��I �JVrr-n�j VU,,yrJ A4. Buildin�� Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitudongitude: Lat. N27 26 55 LonBY g. W80 21 38 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach _8t least 2 photographs of the' building if the Certificate is being used to obtain flood insurance. 81 Lucia I a A7. BuildindIDWgiam Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: .a) 8qu re footage of crawlspace or enclosure(s), Wei sq ft a) Square footage of attached garage n/a sq It b) Nunter of permanent flood openings in the crawlspace b) Number of permanentIflood openings in the attached garage or egclosure(s) within 1.0 foot above adjacent grade n/a . within 1.0-foot above adjacent grade n/a c) Totaji 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 d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes. ® No III SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Cormmunity Name & Community Number B2. County Name 03. State UNINCORPORATED AREA 120285. ST. LUCIE FLORIDA B4. MapipanPI Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12111 178 J 2/16112 Effective/Revised Date Zone(s) 1 AO, use base flood depth) ;.I 2/16/12 A NONE 610. Indicate t)ie source of the Base Flood Elevation (BFE) data or base flood depth, entered in Item B9. ❑ FiS Profile ® FIRM [ICommunity Determined ❑ Other/Source: Bl 1. Indicate elevation datum used for BFE in Item B9: '❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the buiiding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designatiliin Date: ❑ CBRS ❑ OPA I,I SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building el4ations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations iili Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFB), AR, ARIA, AR/AE, AR/Al—A30, AR/AH, AR/AO. Complete Items C2.a—h below acco Ing to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: LURE Vertical Datum: Indicate ale afion datum used for the elevations in items a) through h) below..❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum use ,for building elevations must -be the same as that used for the BFE. a) Top of bottom floor (including basement, crawispace, or enclosure floor) b) Top of th II next higher floor, c) Bottom the lowest horizontal structural member (V Zones only) d) Attached ilarage (top of slab) III e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest ad III (finished) grade next to building (LAG) g) Highest a4jacent (finished) grade next to building (HAG) h) Lowest adiacent grade at lowest elevation of deck or stairs, including structun Check the measurement used. n1a. ❑ feet ❑ meters n/a. ❑ feet ❑ meters n/a. ❑ feet ❑ meters nn/a. ❑ feet ❑ meters nn/a. ❑ feet ❑ meters n/a. ❑ feet ❑ meters Na. - ❑ feet ❑ meters lI,l SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION �r This certificat11 1is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. Ice rfy that the inlnmratlon on this Certificate represents my best efforts to interpret the data available. I understand tha Zany false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ® Check here comments are provided on back of form. Were latitude and longitude in Section A provided by a ® Check here, attachments. licensed land surveyor? ® Yes ❑ No Certifiefs Name %OBERT BLOOMSTER JR. License Number 4134 Title PRESIDENT/OWNER Company Name BLOOMSTER PROF LAND SURVEYORS, INC.'. Address 641 ENCER-STREET.-_,Ci : > NSEN BEACH State FL ZIP Code 34957 _ _.. Telephone 772-334-0868 FEMA Form See reverse side for continuation. Replaces all previous editions. �S.J_WW I w.■ r _W_ r IMPORTANT: In these spaces, copy the - ,isponding information from Section A.-IIrJcet P SNS Building Street Address(including Apt., Unit, Sul _ id/or Bldg. No. or P.O. Route and Box No.�.�6xL 3318 ORANGE AVENUE LOT 61 City FT. PIERCE, State FL ZIP Code 34947 �Gpay[ICtDIie� {'�r� SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments THIS RESIDENCE IS A MANUFACTURED HOME THAT HAS NON STRUCTURAL VINYL SKIRTING. THE LOWEST�EVATION OF THE ELECTRIO. BOXES ON THE ELECTRIC PANEL IS 21.29 Date 8/20/15 SECTION E - BUILDING 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 orLOMR-F request, complete Sections A, B, and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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, crawlspace, or enclosure) is 1.1 ® feet ❑ meters ® above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 4.1 ® feet ❑ meters ® above or ❑ below the LAG. E2. For Building' Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9'(see pages 8 of Instructions), the next. higher floor (elevation C2.b in the diagrams) of the building is n/a. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is Na. ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 1.3 ® 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 ZIP Code Signature Date Telephone Comments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain'management ordinance can complete Sections A, B, CI(or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor; 'engineer, or rchitect who is authorized by law to certify elevation info►mation. (Indicate the source and date of the elevation data in the Comments area below.) G2. [IA community official completed Section E for a building located in Zone A (without a FEMA-issued or dommunity-issued BFE) or Zone A G3. ❑ The following information (Items 64-G10) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy. Issued 1137- n issued for: f-1 New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters, Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: []feet' ❑ meters Datum Local'Officiars Name, Title Community Name Telephone Signature R. Date Comments . - ❑ Check here, if attachments. - I I FEMA Form 086-0-33 (7/12) Replaces all previous editions. I ELEIAT1,OMCERTIFICATE, page 3 ag,f;if;nn Phntnnranhs I .�----------v - --- --.�---.---- WWI See See Instructions for Item A6. ' IMPORTA T: In these spaces, copy the corresponding information from Section A. FOR`INSURANCE COMPANY USE Building Strget Address (including Apt., Unit, Suite, and/orBldg. No.) or P.O. Route and Box No. Policy'Number' 3318 ORANbE AVENUE LOT 61 City FT. PIERCE State FL ZIP Code 34947 Company NAIC Numoer. If using themm Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and `Rear View"; and, if required, "Right Side View" and "Left Side View." Whfn applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated i � Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. I ' FRONT VIEW r- REARVIEW EW T. is III FEMA Form'080-33 (7/12) Replaces all previous editions. jb.r�tir�/nln{!� • �� jy .�'�j[• i k�� j � h M� � ` k4F Y: ' � JI�� ti Y'J• + �T"�R�Y•�� `R'� I��W 'i f", r+'. `.. � 5 "l .�t��`" _ _ Uld- VAOK t- rw s -. i'A�-•j' w ._`,�++K" -.- - MIAL� tit - r,� w -1 S T ,� x jYC 1 ',. `%r %. Ten '• "yR 't.� 3� ...�, g +� ,, "T z 1 , .'-' > : Sn. {�:' iNE37ZGERRb a t """"'�.y _ . —.-,.: v }'.+.�� v*a. 'Y-"+`w Y• ',.�E -: ,7� �"c'�"a°�'�C•siC'�' ��i`'`- s ��PfF�"r- �.''. 5r4sr "..,` s _- _ __ _ _ '�/��_��\� _ _ _ - _ - _ _ _ - _ - _ .^a g�h a 1 _ ' N lu Luu�ll Y�V �i r `` MAP SCALE 1" = 500' ,,...�., a� a., '' 1• Y� i, x^" „i {..� 4 r ,� -� hAl4 �� Q ZJGD JOQ %JL O 1,000 I ti , by E k k Sl I FEET f' I f 4 y a=w_r ebb °`""1 iVIA"RI`A�HrCIRy a z R Z# f# C�� er��at 1 g yP 4r s w r. aa'x �, tI• e. "' 3• ..t - r .,T x{' ,�++ 7 L}ai W P^.aa,� ? "•ice i .Nf'1 xyF $t�i t4 9 a ' �A,``'^'�7 �! .Vx•4T fin,. �k .Ytte~�$.: ►-t 1a �t 4k �cr I MM� LI'U�� D1 11 (f f� PANEL 0178J 'v.,�"t-. J ,4 � �.`, ^;w_ 'p-j �i21� Vie'.' h K'i �SE .ay f.a� ^� I�,. <' as C. -r i .• a �• k'°t�y4 tr' F 7 Z fa ^'ter' Yst,., ca �`°} `a. :E�' p`t 4' S'+-'F$5. L� t -, It, ,lii FIRM f z ,A.�Y' , ah ate'.�cv �Hr a :1 xe0, pfS ll. FLOOD INSURANCE RATE MAP �- t 5 AVENUEiC.. 2 xa��g� rig crr: AVENUE M. �I ST. LUCIE COUNTY, r� g�1 "f '1��Q x � kk�r g 5 1 i ti• �,H �' d, �,.. r� c�:,� `t"�a,�� '�^r.`�`�'s � C,x✓ � �e '�i.,� a r : �g2 1,�=� lf'fu� +fit k�: L { ^� IY �,+"" 1'3 �-•�Ce. eF"�:Ta..� d.'.�*:m.`w'rrriti p f - 1 "j lij 1 11 ,,, ! O o �;! �. , ' �; FLORIDA AND INCORPORATED AREAS a a DALE;PL PI t';) ar r y� 1. f PANEL 178 OF 420 (SEE MAP INDEX FOR FIRM PANEL LAYOUT) �' _ ,, rt : 1 +"`�',' x 4`3s�t:,�).z-a. -r i.4y.; �✓ ry ,1"lr 4�" '�" ✓sss Isis 4AVENUAhw5 `� 3 .L - f� ¢t �t op}1�fr a s s a c rr4b', L • 4F: tTi Y r T /�i,' �f< .,>• u a"x 4 �x I1�j1 1 j t Q{ COMMUNICONTAINST, Y NUMBER PANEL SUFFIX PIERCE. CITY OF 120286 0178 J ST, LUCIE COUNTY 120285 0178 J v Zf `3'a+ f ft 11 } - ✓ caD^.F '� -, (" L Ai' V K, s ,J' "`T' N r .,� J x a T $Zal� t` aof G s If l it ti , a Y •t. Y J' .d, O MY' �.w. tEi - ss �r.Pri A P k I f! l) to User, below -...-..,.. ,G .. s } h. r .vyf dt i 1 r >r' one q' ------ •t Ijl ,j„� I I f I 1 Notice The Map Number shaven shook be used v.Tm paorg map an s; the Community Number sthe above should be used an lreurance eppllcapons for the sutyecl com emiy. ..`, C"'"" r ,• ..?, ^-,# ,: +; r L ,..-Tr YT z g` )fis"t n�. ASS F.? >tiF' « % / it "'Tk fii.it.,c kk 1 + ,� rp F' "' :s.-t ;3 r `a' 7 v,x�P 41 r M �„ Fs1L•, —tc�+� x ' �'' ,j'1fi� ilfll Illfi, �i li�l ! f t rtl{�� d t- fjf ' , MAP NUMBER F,pAAT,1, o��F'rT 0 12111C0178J z x: �' •-;'' , `a _ [ j' ;�z MAP REVISED FEBRUARY 16,2012 "Tonixv ' r �l Aw S 36THkCT� R M r xx Y fri a Federal Emet ency Management envy 6' g F 4s ODLN � �°� S: Y� ��f z. +x. s'.Y �' '�' •' � � � 3 �" aC r j1 f� f.-1 uz 'M e ms This is an official co of a portion of the above referenced flood ma It - �..�f r.'� --,,, M �' was extracted using F-MIT n-Line. This map does not reflect changes or amendments which may have been made subsequent to the date on the tyZs .M,.:a`.J'k'" ' tt"+*„":-,'•+`'> „p . z "'' title block. For the latest product Information about National Flood Insurance- .�,'is _ •� n.`s-_. �. ,:,t, i�, K"•" Program flood maps check the FEMA Flood Map Store at wewv. msc.fema.gov 0