HomeMy WebLinkAboutELEVATION CERETIFICATE0 . C)q 31
U.S. D PARTMENT OF HOMELANi? __.2CURITY I OMB'No.1660.0008
Feder :i Emergency Management Agency SCANNED Expiration Date: November 30, 2018
-Nation Flood Insurance Program Fay
` -EILE- 'aATTN RTIFICATE
Important. Follow the instructions on pages 1-9.
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1,1 SECTION -A - PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
A1.CI Building Owners Name
Policy Number.
FIC�UERO
A2 Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number
IBox No!
Box No.
524 NETTLES BLVD.
State ZIP Code
Icity
JENSEN BEACH Florida 0 34957
All' Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LQT 524, NETTLES ISLAND PROJECT SECTION 2
A I, Building Use (a.g„ Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
Latitude/Longitude: Lai. 27°17'14.1" Long.-80013743" Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
I.
Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood insurance.
Building Diagram Number 5
8. For a building with a crawispace or enclosure(s):
a) Square footage of crawlspace or enclosures) NiA sq ft
b) Number of permanent flood openings In the crawlspace or enclosures) within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑ Yes 0 No
9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
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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? FJ Yes 0 No
SECTION B .- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP Community Name & Community Number
B2. County Name
B3. State
UNINCORP 120285
ST. LUCIE
Florida
B4, Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
Effective!
B8. Flood Zones)
39. Base Flood Elevation(s)
(Zone AO, use Base
Number
Date
Revised Date
Flood Depth)
12111 C 0311
J
02116/2012
02/16/2012
r
AE
6.0
B10. Indicate the source.of-theBase.Flood.Elevation-(BEE}.data.or-base.flood.depth. entered in Item B9:
❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source:
1311. 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 xQ No
Designation Date: ❑ CBRS ❑ OPA
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FEMA Form 086.0-33 (7115)
Kepiaces an prevwus VVIUU110.
OMB No.1660-0008
Expiration Hate. November, 30, 2018
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ELE ATION CERTIFICATE
1ME02 TT.4NT: In these spaces, copy the corresponding Information from Section A.
FOR INSURANCE COMPANY USE
l"3uldi' a�'Stm.e#Address (including Apt., Unit, and/or Bldg. No.) or P.O. Route, and. Bo�c No,•.
,Policy Number.
{Suite,
c Z— j-..k a �: �Z V 1>
City
State ZIP Code
Company NAIC Number
•
;�.� Sri•.! 5 �� ��c.,i-� �t.� � � `��' �7
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. �iuilding elevations are based on. ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction
new Elevation Certificate will be required when construction of the building is complete.
C2. levations —Zones Al—A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARiAE, AR/A1—A30, ARIAH, AR/AO.
omplete Items C2.a—h below according to the building diagram specified In Item A7, In Puerto Rico only, enter meters.
enchmark Ufilized; 94 77 A04 FLDT Vertical Datum: NAVD 1988
I �dicate elevation datum used for the elevations in items a) through h) below.
II ❑ NGVD 1929 ❑x NAVD 1988 ❑ OtherlSource:
D turn 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) 7.33 ❑x feet ❑ meters
b) Top of the next higher floor N/A. ❑ feet 0 meters
c) � Bottom of the lowest horizontal structural member (V Zones only) N/A . ❑ feet ❑ meters
d i Attached garage (top of slab) NIA. [] feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 7.5 0 feet ❑ meters
((Describe type of equipment and location in Comments)
f) !Lowest adjacent (finished) grade next to building (LAG) 4.3 RI feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 4.4 x[] feet ❑ meters
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h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA. ❑ feet ❑ meters
tructural support
SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This ce ° ication Is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 cerfffy at the information on this Certificate represents my best efforts to interpret the data available. I understand that any false
stateme 'k maybe punishable by fine or imprisonment under 18 U.S Code, Section 1001.
Were la It I ude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No Q Check here if attachments.
Certifies' Name License Number
EARLE STARKEY 004459
Title
PROFESSiONMAL LAND SURVEYOR
Place
Compan iNarne _ _ ___
ACCURI HT LAND SURVEYING INC.
Eeaai
Herne
Address III
1501 DE KER AVENUE #419
City I) State ZIP Code
ST q a '� 64994
Signature +I Date Telephone
12/01/2016 ,-772-286 7694
Copy all pa es of this Elevation Cale nnfl all affaghMqnts for (1) community official, (2) Insurance agent/company, and (3) building owner.
Comments (including type of equipment and location, per 02(e), if applicable)
C2 E A/C PLATFORM
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FEMA Form 006-0-33 (7115)
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Replaces all previous editions.
Form Page 2 of 6
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R—Hcing SV
524 NET
City oJEN �i
If using the E
the instruction
Side View" a
following.
Building Photographs W
See Instructions for Item A6.
t9►� For Insurance Company Use;
Aticress (including ArA.-i Uniti -S ite; andW.D • i'do_j or P.Q; Route a Box No. PONcy Number
TLES BLVD.
>EN BEACH State FLORIDA ZIP Code com ►r AEMimi er
34957
avabon Certificate to obtain. NFIP.flood insurance, affix at feast two building photographs below according to
s for it
A6. Identify all photographs with: date taken; "front View" and "Rear View"; and if required, "Fight
d "Left Side View." If submitting more photographs than will "fit..on this page, use. the Continuation Page,
FRONT 12/01/2016 REAR 12/01/2016
SIDE 12/M/2U16