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HomeMy WebLinkAboutELEVATION CERTIFICATE 10-25-14U.S. D' PARTMENTOP OMELAWSECURnY""'' '` EVATION CERTIFICATE FEDE AL EMERGENCY MANAGEMENT -AGENCY `� s' OMB No. 1660-0008 Nat10 lFloodInsuranceProgra»i ':.:.::.:..... Important: Read the instructions on. pages 1-9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION'oil Al. $uilding Owner's Name SCOTT PURDIN A2. IlBuilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 107„5 SOUTH OCEAN DRIVE #140 City JENSEN BEACH State. FL ZIP Code 34967 A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) J U��JU��J6s LOT 10, BLOCK 1, HOLIDAY OUT np-V A4. Building Use (e.g.. Residential, Non -Residential, Addition, Accessory, etc.) 111ri�aR� �' anrts�� RESIDENTIAL A5. Latitude/Longitude: Lat. 27"IV04.39" N Longk80°12'21.06" W Horizontal Datum: NAD 1927 N NAD 1983 A6. L ttaeh at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number 8 A8. i or a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: ) Square footage of crawlspace'or enclosure(s) L86 sq ft " ' --a) -Squafe"footage of attached garage 0 sq ft Number of permanent flood openings in the crawispace b) Number of permanent flood openings In the attached garage or enGosure(s) within 1.0 foot above adjacent grade .4 within 1.0 foot above adjacent grade 0 Total net area of flood openings in A8.b 800 sq in c) Total'net area of flood openings in A9.b 0 sq in Engineered flood openings? © Yes ❑ No d) - Engineered flood openings? ❑ Yes No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl NFIP Community Name & Community Number B2, County Name B3. State UNI dORP 120285 1 ST. LUCIE I FL 134. ap/Panel Number B5. Suffix 136. FIRM Index Date B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 2111 C 0314 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth) II 02/162012 AE 7.0 B10. Idicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source: 1311. dicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 NAVD 1988 ❑ Other/Source: B12. ;the building located in a Coastal Barrier Resources System (CSRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No signation Date: �U CBRS ❑ OPA �I SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. B'J ilding elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* N Finished Construction *1 1 new Elevation Certificate will be required when construction of the building is complete. C2. E evations - Zones A1430, AE; AR. (with BFE), VE, Vi V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO. Complete Items C2.a-h bi °low according to the building diagram specified In Item A7. In Puerto Rico only, enter meters_ B nchmark Utilized: 94 77 A02 RM1 FL DT Vertical Datum: NAVD 88 1 irate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source: D itum used for building elevations must be the same as that used for the BFE. ' Check the measurement used. a)j op of bottom floor (including basement, crawlspaM or enclosure floor) 3.? N feet ❑ meters b) �op of the next higher floor 7.02 © feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) NA._ ❑ feet ❑ meters d) ;Attached garage (top of slab) NIA... ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.0 © feet ❑ meters (Describe type of equipment and location in Comments) f) owest adjacent (finished) grade next to building (LAG) 3.0 ❑X feet ❑ meters g) Ighest adjacent (finished) grade next to building (HAG) 3.2 N feet ❑ meters h) owest adjacent grade at lowest elevation of deck or stairs, including structural support > 31 ® feet ❑ meters II SECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFICATION This rtiftcation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to oertity elevation Infor I und lion, l certify that the information on this Certificate represents my best efforts to interpret the data available. that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Secfion 1001. 2009-01-01 ® lrstand heck here if comments are provided on back of form. Were latitude and longitude in Section A provided by a PLACE ❑ ftck here if attachments. licensed land surveyor? N Yes'- '❑ No Certi er's Name EARLE R: STARKEY '' ' ' ' "' ' ""' ' . , .' ' ....""' """""•""`....License'Nb Mber'004459 Title ROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. 06125/2014 Addr 'i s 1601 DECKER AVENUE #419 City STUART State FL ZIP Code 34994 PLS #4459 Signa ure EARLE R. STARKEY -- Date 06/26/2014 Telephone 772-286-7694 u i FEMA �rm 086-0-33 (7112) See reverse side for continuation. Replaces all previous editions. 0 ELEVA IT.ION CERTIFICATE page 2t, k�TANT: In theses aces, copy the corresponding information from Section A. �`"�� 2•.� • r a IMPO Buidino' Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. '- 10725 iSOUTH OCEAN DRIVE #140 WWI, City ANSEN BEACH State FL ZIP Code 34957 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. Comm nts AS-D FLOODVENT MODEL #1540-520 C2- I Signal �I re EARLE R. STARKEY Date 06/25/20 4 S CTION E - BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED FOR ZONE AO AND ZONE A ITHOUT BFE : For Z ............. . 'Ines AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Secti ons A, B, and For Items E1-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. rovide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent rade (HAG) and the lowest adjacent grade (LAG). Top of bottom floor (including basement, crawlspace, or enclosure) is _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. Top of bottom floor (including basement, crawispace, or enclosure) is �._ ❑ feet ❑ meters ❑ above or[] below the LAG. Ittached E2. or Building Diagrams 6-9 with permanent flood openings provided in Section A items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor levation C2.b in the diagrams) of the building is _ ❑ feet El meters ❑ above or ❑ below the HAG. E3. garage (top of slab) is � — ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. op of platform of machinery and/or equipment servicing the,building is _._ ❑ feet ❑ meters ❑ above or El below the HAG. E5. o Zone AO oni . If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management 9 rdinance? Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The p ° perry owner or owners authorized• representative who completes Sections A, B, and E for Zone A (without a FeMA-issues or community-rssuea rsrt) or Zo O AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Props Owner's or Owners Authorized Representative's Name Address City State ZIP Code Signal re Date Telephone Com 'gents ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The to I official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this ievatlon Certificate. Complete the applicable item(s) 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 architect who Is authorized by law to certify elevation'information. (Indicate the source and date of the elevation data in the Comments area below.) G2.01 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. III rmd Number 06. Data Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. is permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Ilevation of as -built lowest floor (Including basement) of the building: _ _ _ ❑ feet ❑ meters Datum G9. SITE or (in Zone AO) •depth of flooding at the building site: _ _ ❑ feet ❑ meters Datum _ G10. Community's design flood elevation: .+ _ ❑ feet ❑ meters Datum _ Loca iPfficial's Name Title Com ° unity Name Telephone Sign ��ure Date Comi ants ❑ Check here if attachments. Building ,Photographs See Instru_ctlons for 'Item A6. For Insurance Company -Use: BRidina Strant Addram lindudino Ant.. Unit. Suite. and/or BEE No:) or.P.O. Route'and Box No. Policy Number 10725 SOUTH OCEAN DRIVE #140 State ZIP Code Com erwNMNumber' City ENSEN BEACH FLORIDA .34957 'if using a Elevation, Certificate to obtain NFIP flood insurance, affix at least two, building photographs below according to the insti ictions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Sido Vol"w" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, fouowin. FRONT 06/25/2014 SIDE 06/25/2014 Building Photographs Continuation Page ;Fbr wranae:Company-Use: Building Street Address (including Apt:, Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No. Pottcy tvumber 10725 SOUTH OCEAN DRIVE #140 City State ZIP Code!P�7 JENSEN BEACH FLORIDA 34957 s: If subrrImnq more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photog phs with: date'taken, Front View° and .Rear View'; and, if`required, Right Side'View° and Left Side Yew. I1 REAR 06/25/2014 SIDE 06/25/2014 1 9 DIVISION: .08-00-00.�OPENINGS SECTION: .08 95:43 VNT;9/FOUR6AtiON-FLOOD VENTS REPORT HOLDER: SMARTVENT PRODUCTS, INC. 430 ANMBRO DRIVE'UNITt t:. PITM AN:,--NEWJERSEY---0 EVALUXW4-SUBJECT: SMART VENT9"AUTO . MATiC FOUNDATION fLOOD VENTS: MODELS #1540-520; #1540-521; #1540-5-7.0o k1540-511; #1540` 570 . ;41540-574; #.154.0- . 524: #1540-514 'CC ICC IN% C PM, HKED. Look for the trusted marks of Conformityl "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPQ Award in Excellence" ASubsidiaryof ]CC -ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically dd&asni-o"i-a-'ri"e- - th: ey ..:. to be - j . �d . i . i . Riiie"d the subject of the report or a recommendation for its use. There is no warranty by=Bvaluadon Service LLC, express or implied, as - —0�- to any finding or other matter in this report, or as to any product covered by the report. F6,0M.— Copyright Q 2016 ICC Evaluation. Service, LLC. All tights reserved. TA61E 1—MODEL- aMES MODEL NAME MODEL NUMBER MODEL SIZE (ln.] SmartVE 1540-620 FloodVir Overhead Door 1540-510 1540-524 1Fle X7'r4 SmartVENTwOverheadDoor 1540-514 1 la" X s " 18 l4 X 7'le Wood Well FloodVE 1540-570 14" X 8 /4. Wood Wall FbodVEN Overhead Door 1540-574 " l SmartVENr Stacker 1540-511 FloodVetlt Stacker 1540-521 Far SL• 1 loch = 26.4 mm;1 square foot - ma Cam•) _ - , f ..Fir' - -'- ��. ..�1.. .. Y....„....�........ �... . . . COVERA43E (sq. fL) '100 200 200 200 200 200 400 400