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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEPARTMEN OF HOMELAND SECURITY ,tVA I ION C:tK I If IAA 1 t FEDERAL EMERG NCY MANAGEMENT AGENCY ` OMB No. 1660-0008 National Flood Ins °trance Program Important: Read the instructions on pages 1-8Y' Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION ON'. Al. Building 01 "ner's Name FLOYD A2. Building St eet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.� 10701 SOUTH OCEAN DRIVE #740 r a ' x, :, ma` " City JENS N BEACH State FL ZIP Code 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) -j rWnu' N122 rd LOT 141, VEN ORE OUT IN AMERICA AT ST. LUCIE ING. II St, L uds (��j�j j��g RESIDENTIAL A4. Building U e (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27°16'03.8" N Long. 80*12'30.4" W ' Horizontal Datum: ❑ NAD 1927 0 NAD 1983 A6. Attach at I ast 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Di °gram Number 1B A8. For a buildi ` g with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attached garage 76 sq ft b) Numbe lof permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or encl sure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total 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) Engine fired flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes 0 No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Com unity Name & Community Number B2. County Name B3. State UNINCORP 12 285 I ST. LUCIE I FL B4. Map/PanellNumber B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12111 C 0 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) I14 02/16/2012 AE 7.0 B10. Indicate th lsource of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FISIProfiile 0 FIRM ❑ Community, Determined ❑ Other/Source: Bl 1. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: _ B12. Is the buildiil g located in a Coastal Barrier Resources System fBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No ' Designatio Date: _ CBRS ❑ OPA L SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building ele4,la tions are based on: ❑ Construction Drawings* 0 Building Under Construction* ❑ 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 accor( rng to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark I Jfilized: 94 77 A02 RM1 FLDT Vertical Datum: NAVD 88 Indicate elev ` tion datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: 1. Datum used or building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bot b) Top of the I, om floor (including basement, crawispace, or enclosure floor) 7.0 next higher floor N/A._ 0 feet ❑ feet ❑meters ❑ meters c) Bottom of a lowest horizontal structural member (V Zones only) N/A.. ❑ feet 1-1meters d) Attached C e) Lowest el (Describe garage (top of slab) 4.3 vation of machinery or equipment servicing the building N/A... Y pe of equipment and location in Comments) Z feet ❑ feet ❑ meters ❑ meters 0 Lowest ad scent (finished) grade next to building (LAG) 4.1 0 feet ❑ meters g) Highest a h) Lowest ad Li jacent (finished) grade next to building (HAG) 4.2 i scent grade at lowest elevation of deck or stairs, including structural support N/A._ II 0 feet ❑ feet ❑ meters ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification information. / ce I understand tha ❑ Check here is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation �fy that the information on this Certificate represents my best efforts to interpret the data available. II any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. if comments are provided on back of form. Were latitude and longitude in Section A provided by a JOB# 2246-01 -01 -UC ❑ Check here if attachments. licensed land surveyor? 0 Yes ❑ No LAC II ERE Certifier's Name EARLE R. STARKEY License Number 004459 Title P �iNALLA Co am ACCURIGHT LAND SURVEYING INC. 06/29/2016 PL5 #4459 Address 1 i� R AVENU City ST State FL ZIP Code 34994 SignaW R. ST to 06/29/2016 Telephone 772-286-7694 0 FEMA Form 08 I 0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page_2 IMPORTANT: In these spaces, copy th rresponding information from Section A. (I INw$CO MPAiiYE `'.i Building Street Address (including Apt., Unit, E Rw-. and/or Bldg. No.) or P.O. Route and Box No. - 'tie 10725 SOUTH OCEAN DRIVE #15 : a City JENSEN BEACH State FL ZIP Code 34957 +�i 3�Ttirr r a j k tc SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2 . urance agent/company, and (3) building owner. Comm ... i Signature EARLE R. STARKEY Date 06/29/2016 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 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. Ell. 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 _._ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _._ ❑ feet ❑ meters El above or ❑ ' below the LAG. E2. For Building Diagrams 6-9.with permanent flood openings provided in Section A Items 8 and/or Usee pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. I E3. Attached garage (top of slab) is _ _ Elfeet Elmeters ❑ above or Elbelow 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 onl : If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplaih 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 I I ❑ Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized bylaw or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8-1310. 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, i or 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—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ 1:1 feet ❑ meters Datum G10. Community's design flood elevation: _ _ ❑ feet ❑ meters Datum _ Local Official's Name Title Community,Name -4 Telephone Signature., ,, Date . Comments,-_ ❑ Check here if attachments. '_ . • it 9 I 1 U.S. pEPARII MENT OF HOMELAND SEC" edTY OMB No. 1660-0008 Federal Eme, gency Management Agency,, Expiration Date: November 30, 2018 National Floo ! Insurance Program ELEVATION CERTIFICATE -li:: portant: Follow the instructions on pages 1-9. Conv all nanP_� of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. 1s SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Buildin' Owner's Name Policy Number: FLOYD 1 A2. Buildin" Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. SO Ill10701 ITH OCEAN DRIVE #740 City State ZIP Code JENS N BEACH Florida 34957 A3. Propeity Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 141, YIENTURE OUT IN AMERICA AT ST. LUCIE A4. Buildi g Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitu li /Longitude: Lat. 27°16'03.8" Long.-80°12'30.4" Horizontal Datum: ❑ NAD 1927 x❑ NAD 1.983 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 liwilding with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number I� of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade NIA c) Tot li I net area of flood openings in A8.b N/A sq in d) En, 'i neered flood openings? ❑ Yes No i A9. For a Ii ilding with an attached garage: a) Sq are footage of attached garage 76 sq ft b) Nu V ber of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 2 c) To III net area of flood. openings in A9.b 1463 sq in d) En ineered flood openings? x❑ Yes ❑ No II SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Iliommunity-Name & Community Number B2: County Name B3. State UNINCORi1 120285 ST. LUCIE Florida B4. Map/Pa `gel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Numbe it Date Effective/ (Zone AO, use Base i Revised Date Flood Depth) 12111 C 0314 J 02/16/2012 02/16/2012 AE 7.0 B10. Indic p to the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item_B9: ❑ AS Profile 0 FIRM' ❑ Community Determined ❑ Other/Source: . B11.. Indi �te elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑x NAVD 1988,.❑ Other/Source: B12. Is th E� building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Des i lnation Date ❑CBRS ❑ OPA I� ��MA Form l 86-0-33 (7/,15) Replaces all previous editions. Form. Page 1 of 6 ELEVATION CERTIFICATL- OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMf=ANY U,9E ..Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, _ Policy Number: City State ZIP Codce� R!*Z& Company NAIC Number —31 t-IS I-.►J 1-1 L O R—1 M4, SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Linder 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, AR/A, 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: Datum used for building elevations must be the same as that used for. the BFE. Check the measure M�lent used. I a) Top of bottom floor (including basement, crawispace, or enclosure floor) 7 .. 0 0 feet ❑ eters b) Top of the next higher floor 16 , 4 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters d) Attached garage (top of slab) 4. 2 ❑x feet ❑ meters I' e) Lowest elevation of machinery or equipment servicing the building 7. ❑x feet ❑ meters (Describe type of equipment and location in Comments) 4.0 f) Lowest adjacent (finished) grade next to building (LAG) ❑x feet ❑ I tern g) 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 N/A. ❑ feet ElI eters 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 iA rmation. l ceriifythat the information on this Certificate represents my best efforts to interpret the data available. l 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? Z Yes ❑ No ❑x Check here if attachments. I L' Certifier's Name License Number �! o - ZZ qb EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR Place Company Name ACCURIGHT LAND SURVEYING INC. Seal Here Address 1501 DECKER AVENUE #419 / + j Z (Or / Z n ► C� City State ZIP Code STUART Florida [ 34994 it 4 f t J S Signature Date Telephone 12/11/2016 772-286-7694 Copy all pages of this Elevation 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 IS A 3 SIDED CARPORT A9-C THERE IS 1 ENGINEERED FLOOD VENT, MODEL NAME FLOODVENT, MODEL NUMBER 1540-520 (200 SQUARE INCHES) AND I USED 12" UP X 109.92" WIDE OF CARPORT OPENING (1319 SQUARE INCHES) C2-E A/C PLATFORM FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of c Building Photographs See Instructions for Item A6. suite_ and/or Bldg. No3 or P.O. Route and Box f su=(;e Compand Use: Number 10701 SOUTH OCEAN DRIVE #740 state FLORIDA �� 34957 city JE RISEN BEACH If using the levation Certificate to obtain .NF1P flood insurance, affx at least tuvo building photographs below according to the instructidns for Item AB.: identify all photographs with: date taken; "Front VieuW' and "Rear view ; and, if required, "Right side View" �nd "left Side View." If submitting more photographs than will fit on this page, use the CordinUation Page, following. FRONT 12/11/2016 REAR 12/11/2016 SIDE 12/11/2016