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ELEVATION CERTIFICATE
RTMENTOFHOMELANDSECUR" EVATION CERTIFICATE EMERGENCY MANAGEMENT AGENCY f OMB No. 1660-0008 7aod lnsurance Program i _ _:taut:_ Read the instructions on pages ` � J. Expiration: Date: July 31, 2015 III ->SECTION A - PROPERTY INFORMATION Al. Building Owner's Name SCOTT PURDIN A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box NOWANN § 10725 "OUTH OCEAN DRIVE #140 UV C' ° JENSEN BEACH State FL ZIP Code 34957 LU f A3. Pr perty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) `''° ` �' �nuu(ly LOT 10 I BLOCK 1. HOLIDAY OUY II A4. Bu ding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Lai 1tude/Longitude: Lat. 27"16'04.4" N Long. 80°1221" W Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 A6. Aft A7. Bu A8. Foi 3ch at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. ✓ding Diagram Number 8 ila building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 786 sq ft a) Square footage of attached garage N/A sq ft b) iNumber of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) d) ITotal 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 Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? El Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFII� Community Name & Community Number B2. County Name B3. State UNINC RP 120285 ST. LUCIE FL B4. Map/PaneI Number 11 11 C 0314 B5. Suffix J B6. FIRM Index Date 02/16/2012 B7. FIRM Panel Effective/Revised Date 02/16/2012 B8. Flood Zone(s) AE B9. Base Flood Elevation(s) (Zone AO, use base flood depth) 7.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile © FIRM ❑ Community Determined ❑ Other/Source: B11. Ind elevation datum used for BFE in Item B9: ❑ NGVD 1929 0NAVD 1988 ❑Other/Source: B12. Is tule building located in a Coastal Barrier Resources System MIarea or Otherwise Protected Area (OPA)? El 0 No ❑ Dec.l1ilgnation Date: _ CBRS OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. 604,hg elevations are based on: El Construction Drawings* © Building Under Construction* El Finished Construction *A n iI Elevation Certificate will be required when construction of the building is complete. C2. Elev 'tions - Zones A1A30, 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 belo according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Ben mark Utilized: 94 77 A02 RM1 FLDT Vertical Datum: NAVD 88 lte Indi elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 © NAVD 1988 ❑ Other/Source: Datu used for building elevations must be the same as that used for the BFE. Check the measurement used. a) To of bottom floor (including basement, crawlspace, or enclosure floor) 7.02 © feet ❑ meters b) To II of the next higher floor N/A._ ❑ feet ❑ meters c) Botom of the lowest horizontal structural member (V Zones only) NIA._ ❑ feet ❑ meters d) A shed garage (top of slab) N/A.. ❑ feet ❑ meters I e) Lo st elevation of machinery or equipment servicing the building N/A., ❑ feet ❑ meters . (D cribe type of equipment and location in Comments) f) Lo st adjacent (finished) grade next to building (LAG) 4.0 0 feet ❑ meters g) Hi hest adjacent (finished) grade next to building (HAG) Al0 feet ❑meters h) Loi Il st adjacent grade at lowest elevation of deck or stairs, including structural support N/A.- ❑ feet ❑ meters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This cent u cation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation informati n. I certify that the information on this Cert�cate represents my best efforts to interpret the data available. 2084-01.41 1 underst 'Ind that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. 0 Che here if comments are provided on back of form. Were latitude and longitude in Section A provided by a PLACE ❑ Che II here if attachments. licensed land surveyor? © Yes ElNo , RE ' 10/2412013 Certifier' 1IName EARLE R. STARKEY License Number 004459 Title PR 'FES YOR Comp ame CCURIGHT LAND SURVEYING INC. Address 15 AVENUE #419 T State FL ZIP Code 34994 PLS #4459 Signat EAR ate IW4/2013 Telephone 772-286-7694 u FEMA Fo n 086-0-33 (7/1 See reverse side for continuation. Replaces all previous. editions. icc-E$ Eva Uaition Report ESR-2074 Reissued D6�cqMbor 1, 2012 This report is subject to renewal February 1, 2015. JCCWes.o (800) 42.3-6687 1 (56:2) 699-0643 A, Subsidiary of the Intemational- Code Council 1: 08.00 Ob-OPENINGS 08 95 004-Vents !S, INC. ATE 20 0.8071 VATIC FOUNDATION FLOOD VENTS: EL 620 A006W.NT'11A. #11540-62-1, 'SMARTVENTT" MODEL NT- STA61KING MODEL #1540411:. D MODEL 41540-5Z0; WOOD.WALL P DOOR 'MODEL #1540-614. RHEA15 DOOR MODEL #1540-524; HEAD DOOR MODEL #1540-514 AFFV.pivoting door is normally; held in the cl6sed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowiqg the plate to r out of the way and ... allow flow. The water level. stabilizes. equalkiin:g , the. lateral forces. Each. unit is, fabricated from stpintess-steel, and. Ida0 opening . .1. m 2) provides 76 square'incheg (49 032 m of I net free area for flood mitigation in the open position. The SmartVENTTIA Stacking Model . *1540-51.1 and Flo-o'dVENY- Stacking . Model .#15.40-52.1 units its each contain;two twov vertically ar-rang6d qpeninp. per unit,providing net free.-aret flood 1.5g- square inches (98 064 mm.) of for flood Mitigation in the -open position. 12 Engineered Opening: The AFFVs comply with the design principle noted in Section 2.6-2.2,of ASCEISEI 24 for a maximum rate of rise, and fall of 5.0 feet per 'Hour (0.42 . 3 mmfs). In order to comply with the engineered opening requirement of omp ASCEISEI -24, Smart Vent AFFVs must be installed in accordance with Section 4.0. 3.1 Model Sizes: TheFloodVENTT14 Model #1540=520, SmartVENTTR Model 1.0 EVALUA-TVON SCOPE #11.54M'10 , Ftood.VENTTm' ' Overhead Door Model #1540- Compriarif-p-wifii the following codes: 624.'and $martVEN . 71 Im Overhead .Door Model #1540:-514. '3 ■ 200g, 6, 7 and-206 k4eh7dtiond[Buddiog Godd (113C), units me6§u.r& 1.5�`h inches wide by M inches high :,i (400 by-1915.9, mm), The Wood Wall Flood'Modejit.1640- =5 and 209�. friternitional ReWdontjal Coder" (IRIC) 570 and a Wood Wait Flood Overhead -DDoor Model 1540- pv Properti al6ated: es L.. .00r .#1 ts measure 141 inches wide by .3 /4 inches 'high 574 units .(355.,6 by* 2212.25. mm). The SmartVEN Stacking Mp.01 IN Physical operakiori - ' #1 540�5 '1 1 and FIoodVENTT,'-1 'Statking Mod . 61 #1540-5 . 21 is: Water flow - units measure 1'6 incheswide b e, y 1.6 inches high (406.4 by 2.0 USES i 40614 frony Thq.,. Smart Ve.gir 'units are automatic foundation flood 4.4 Ventilation: Vents (AFF-Vs):qmployed to equalize hydrostatic pressure The -SmartVEN70' Model #1540-510 and -SrriartVENT4' ' on jnPrifire-resistance-rated foundation walls, rollihg4ype OVdrhead'DoorMod6I#1540-514 ry r both have screecovers OvOrhead doors! and building walls subject to rising or with�%inchiy A 'L -1144rich (6.35, by 6.3.5 mm) openings, : falling .flood waters The Sinart. Vent units are intended'f6r �.ieldlrig 5�1 tqqare inches -(32 903 MM)l of net free area to use where flood hazard, areas have been established in supply natural ventilation. The SmarL,* ENTTm Stacking accordance W�!� ;1.13C Section i61G 2.3 or IRSection M .. o.deI*#154G!5 V 1 consists of two Model #1.540610 units in R3222. 1.. Certain models also allow natural ventilation, in one assembly. and provides 162 square inches (65 806 accordance W ithi Section 1203 of the 18C or Section 408,.1 mrri-) of net free -area to Supply naturat ventilation. Other of the 10C. AFFVs: recognized in this report do not of natural 3.0 DESCRIPTION ventilation- U. General. 4.0 INSTALLATION When subjected to; pressure from rising I ng Water, the Smart SinartVENY' and FloodVENTTI` are designed to be Vent AFFVs disengage. then pivot open,to. allow -flow in -installed into wails or overhead doors of existing or new either direction ito equalize water level and hydrostatic construction from the exterior side. Installation of the vents pressure -from one side of the foundation to; the other- The must be 'in accordance With the manufacturer s repy's"ollint, acwhen, qw III, j7111.1 ofithrme,r jrritAl-Filri lab., Ii)I1,P-qC1i ,A dII 0141"rWille1IT'd tilt, '-sublect'!r the w- 0 I'le w 111 flit., e-vird In the rtv-wi C91)06ht il 2017 Page I of 2 6, SR-2074 I Most Widely Accepted dusted�� Page 2 of 2 - instructions, the applicable code and this report. The 5.1 The Smart Vent AFFVs must be installed in mounting straps allow mounting in wood, masonry and accordance with this report, the applicable code and concrete walls up to 12 inches (305 mm) thick. In order to the manufacturer's installation instructions. In the comply with the engineered opening design principle noted event of a conflict, the instructions in this report in Section 2.6.2.2 of ASCE/SEI 24, the Smart Vent" AFFVs must be installed as follows: ■ With a minimum of two openings on different sides of each enclosed area. v With a minimum of one AFFV for every 200 square feet (18.6 m') of enclosed area, except that the SmartVENI-TM Stacking Model #1540-511 and FloodVENTT"' Stacking Model #1540-521 must be installed with a minimum of one AFFV for every 400 square feet (37.2 m') of enclosed area. ■ Below the base flood elevation. ■ With the bottom of the AFFV located a maximum of 12 inches (305.4 mm) above grade. I.0 CONDITIONS OF USE The Smart Vent@' AFFVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: govern. 5.2 The Smart Vent' AFFVs must not be used in the place of "breakaway walls" in coastal high hazard areas, but are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC-ES Acceptance Criteria for Automatic Foundation Flood Vents (AC364), dated October 2007. 7.0 IDENTIFICATION The Smart VENT"' models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR-2074). FLFVATIIAM CFRTIFICOTE_ oaae 2 y IMPO R NT: In thgse s aFes, co the �, pondina information from Section A. 7, eet Address (including Apt., Unit, Sui6a, and/or Bldg. No.) or P.O. Route and Box No. UTH Building 10725 S OCEAN DRIVE #140 1W12 City JEN EN BEACH State FL ZIP Code 34957 1e a. L SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy bott sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Com 'I Signature! EAR A Date 10/24/2013 SEC ION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone; 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. Fc r Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. Pro ide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent gra a (HAG) and the lowest adjacent grade (LAG). a) p of bottom floor (including basement, crawlspace, or enclosure) is _._ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) 7Qp of bottom floor (including basement, crawlspace, or enclosure) is _ _ ❑ 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 8-9 of Instructions), the next higher floor ❑ Elmeters ❑ I_._J (ele E3. Attached fation C2.b in the diagrams) of the building is _ _ feet above or below the HAG. garage (top of slab) is — _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. ToplI IlIof platform of machinery and/or equipment servicing the building is — _ El feet ❑ meters ❑ above or El below the HAG. E5. Zo% AO onl : If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordi � ante? Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The propefty 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 A P must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property ees or Owner's. Authorized Representative's Name Address City; State ZIP Code Signature Date Telephone Commen ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local o cial 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 Elev l "on Certificate. Complete the applicable items) and sign below. Check the measurement used in items G8-G10. In Puerto Rico only, enter meters. G1. ❑ T e 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. ❑ A, mmunity official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ T e following information .(Items G4-G10) is provided for community floodplain management purposes. G4. Perm Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This p' rmit has been issued for. El New Construction El Substantial Improvement G8. Eleva on of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters Datum _ G9. BFE o (in Zone AO) depth of flooding at the building site: _ _ El feet El meters Datum _ G10. Com nity's design flood elevation: _ _ ❑ feet ❑ meters Datum Local Offs ai'.s Name- . _ Title CommunI Name Telephone Signature :" Date Commen ❑ Check here if attachments.