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HomeMy WebLinkAboutELEVATION CERTIFICATE 6-13-13U.S. DEOARTM NT OF HOMELAND SECURITY ELEVATION CERTIFICATE,,;';'-.,:'_: FEDERAL EME GENCY MANAGEMENT AGENCYr Z ' OMB NO. 1660-0008, National Flood ii urance Program li irtant' Read the instructions on pages Expiration Date: July 31; 2015 III SECTION A - PROPERTY INFORMATION ,FOR:YNSURANCE COMPANY¢,USE�;; Al.' Building 'IOwner's Name PATRICK & MARY MARCELLO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No:) or P.O. Route and Box No. ,Company;NAIC Number `� 1848 WILD AT COVE DR.. • `'` + r [ .F ,d, Y ,C.7 , City FORT PIERCE c: State FL... r ZIP -Code, 34949 A3. Property�,'Description .(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 43, RI ERPOINTE AT THE'SANDS , ST. LUCIE COUNTY A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL _ A5. Latitude l ongitude: Lat. 27.228340 Long. 00.301922 Horizontal Datum:. ❑ NAD 1927 X NAD 1983 A6. Attach a least 2 photographs of the building if the Certificate is being used to,obtain flood insurance A ._ . . A7. Building Diagram Number 1 B A8. For a building with a'crawlspace or enclosure(s): A9. For a building with an attached 'garage: a) Squc 'te footage. of crawlspace or enclosure(s) N/A sq ft a)•• Square footage of attached garage 625 sq ft " b) Num er of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or er closure(s) within 1.0 foot above adjacent grade .. N/A within 1.0 foot above adjacent grade N/A c) Tota 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) Engi leered flood openings? ❑', Yes. ❑• No. ;, d) Engineered flood openings? [I Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION. _ B1. NFIP CoAmunity Name & Community Number B2. County Name B3. State St LUCIE COUNTY-120285 - 'ST, LUCIE COUNTY FLORIDA B4. Map/Pael'Number B5. Suffiz 66. FIRM Index Date 'B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 1 - I Effective/Revised Date : Zone' AO, use base flood depth) - 01111 - J1 6130/1999 8119191-211612012 AEE 5 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ ' a IS,Profile `X FIRM ElCommunity Determined ❑ Other/Source: B11. Indicate elevation datum bsed for BFE in Item B9:' ❑ NGVD 1'929 X NAVD 1988 ❑ Other/Sou'rce: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected'Area (OPA)? ❑ Yes 'X No Designation Date: ❑ CBRS - ❑ OPA II SECTION C - BUILDING -ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building a ievations are based on: ❑ Construction Drawings* X Building Under Construction• ❑ . Finished Construction . "A new Elevation Certificate will be required when construction of the building is complete. C2. Elevation - 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. Benchma Utilized: COUNTY. Vertical Datum:_ NAVD Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 NAVD `1988 ❑ Other/Source: pX Datum us B d for building elevations must be the same as that used for the BFE: Check the measurement used:, ' a)'Top of lottom' floor (including -basement, crawlspace, or enclosure floor) ' 6.2 X feet . ❑ meters b) Top of he next higher floor N/A ' El - ❑ meters c) Bottorr'lof the lowest horizontal structural member (V Zones only) NIA. ❑ feet ❑ meters d) Attachi Id garage (top of slab) N/A ❑ feet' ❑ meters e) Lowesl elevation of machinery or equipment servicing the building, NIA ❑"feet ❑ meters o (Descri e type of equipment and location in Comments) f) Lowes adjacent (finished) grade next to building (LAG) 4.5 - X feet ❑ meters g) Highes I adjacent (finished) grade next to building (HAG) 5.0 Xfeet ❑ meters h) Lowes ladjacent grade at lowest elevation of deck 'or stairs, including structural support N/A ❑ feet ❑ meters SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifica information. + I understand x Check t x Check t on is to be signed and sealed by a land surveyor, engineer; or architect authorized by law to certify elevation ;ertify that the information on this Certificate represents my best efforts to interpret the data available. hat any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.- ire if comments are provided on back of form. Were latitude and longitude in Section A provided by a ire if attachments. licensed land surveyor? x Yes ❑ No Certifiers Na�a REGINA KARNER License Number 4363 Title Company Name KARNER SURVEYING INC Address 2749 SW M TIN DOWNS BLVD.#333 City PALM CITY State FL ZIP Code 34990 Signature I Date 6/14/2013 Telephone (772) 288 7206 EMA Form ,I -0-33 (7/12) .. See reverse side for continuation. F JOB#1301.2905 previous editions. 'IMPORTANT: I In n . these es . e spaces, copy-tfie corresM .Building Street Address (including -Apt.:, Unit, Suite, an(' :184.8 WILDCAT COVE DR, City FORT PIERCE, 19 information froit Section -A. No.) or P.O. Route and Box No. A State FL',ZIP.Code 34W 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 One Story Residence with a screened pool and patio at elevation 12.4. Utility pads are as follows: A/C pad at elevation 12.9, Pool Equipment at Elevation 12.6 and Pool Heater at Elevation -12.9 - Note: The c red feet of and ha '10s; se Flood Elevation determined is within alew huria the pirope'rtj has,a Base, Flo6d,'Elevation"oK ,6 7'. Sign u --D.ate-512212,013. SE&ION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT E) For Zones AO and K(without BFE),, complete Items EI-ES. If the Certificate is intended to'supoort a LOMA or LOMR-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, tenter meters. ,E1. Provide elevation iriformation'f& the fbllowi6g�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, crawlspgc6; or enclosure) is EI feet � El meters' 0❑-above or. El below the HAG. -b) Top of bottom -floor (including basement, crawlspPce, orenclosure) is". - Elfeet El meters El above or El below the LAG. E2. For Building Diagrams 6-9 with permarierifflocidop6filribs provided in Section A Items 8 and/or 9 (66e.6ages. 8-9 of Instructions),.the next higher floor (elevation C2.b in the diagrams) of the building is EI feet 0 meters .0 above or El below the HAG. E3. Attached garage (top of slab) is El feet [I meters ,[I,abo - �e6r- Elbelowthe HAG. E4. 'Top of platform of machin6ryairild/or equipment servicing the building is: 'feet [].meters [I above or 0 below , the HAG E5. Zone Ab only: If no flood,d.epth number is available, is the top of the bottom floor elevaded'1101a�rdance with the community's floodplain management, ordinance? -0 Yes El No' El Unknown. The local official must certify -this information in Section G. SECTION F _ PROPERTY OWNER (OR OWNER'S . REPRESENTATIVE) CERTIFICATION The property owner or owners 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 Owners or Owners Authorized Representative's Name. Address City State ZIP Code -Sign'ature- Date teIe'pfiohe-- Comments E] Check here if attachments. SECTION G­r 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 I of this Elevation Certificate. Complete the,applidable'item(s) and sign below. Check the measurement used in Items G8-G1 0. In Puerto Rico only, enter meters. P1. E] 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 bylaw to.certify,elqvation information. (indicate the source and datd of the elevation data in the Comments area below.) G2. El 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. [I The following information (ItemsG4-G1 0) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued - G6.' Date Cditificat6 Of Corhpliince/Occupancy Issued G7. This permit has been issued for: El New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the,building- 0 feet 0 meters Datum G9. BFE or n Z Ij fe m­e'ie'rs Datum (i one AO) -depth of at the building site: et G10. Community's design flood elevation: "D feet 0 meters C .."Datum Lo6al Official's Name Title Cor6unity Name Telephone , Sighature Date' Comments ❑ Check here if attachments.' FEMA Form 086-0-33 (7/12)'-'. Replaces all- previo'us! editions. ELEVATION i d CERTIFICATE, page 3 Building Pi10tOgiapilS See .Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR.INSURANCE COMPANY USE Building Str ;et Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No,. t Policy Number: 1848 WILEM1CAT COVE DR City FORT , PIERCE State FL ZIP Code 34949 Company NAIL Number If using thE Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A I. Identify all photographs with, date taken; "Front View" and "Rear View"; and, if required, 'Right Side View" and "Left Side View." Wh n applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated ir i Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. FROM v� y, c'f, Al "'° ate_ Q REAR 1.1 FEMA Form 986-0-33 (7/12) Replaces all previous editions. i ELEVATI �N CERTIFICATE, page 4 Building Photographs, Continuation Paoe IMPORTA O', T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE. Building St r 1848 WIL °et Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. CAT COVE DR .Policy -Number. City FORT PIERCE State FL ZIP Code 34949 i Company. NAIC Number. If submitti with: date photograph g more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs 'itaken; "Front View" and "Rear View"; and, if required, "Right Side View' and "Left Side, View:" When applicable, s must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. nt FEMA Form 0�6-0-33 (7/12) Replaces all previous editions.