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HomeMy WebLinkAboutELEVATION CERTIFICATEF�EVATION CERTIFICATE U.S. DEPARTM NT OF HOMELAND SECURITY OMB NO. 1.660-0008 FEDERAL E�IIER ENCY MANAGEMENT AGENCY l_ R Na�tiona[ Rj dI iiL;, ceProgrmn ' cant: Read the instructions on pages:, ;a�•• Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION`FOFt�INSI=JRANCOrllt?A YxSEs Al. -Building I eris Name PATRICK 8. MARY MARCELLO P.ofr y�Num6er E � A A2. '1uilding treet Address (including Apt., 'Unit, Suite, and/or Bldg. No.) or'P.O. Route and Box No.rPar� N/t1C;N in o z 1848 WILD AT COVE DR���tr� City FO f T PIERCE State FL ZIP Code 34949 A3. Property description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 43, RIN ERPOINTE AT THE SANDS, ST. LUCIE COUNTY A I .- .-- A4. Building i se (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL r A5. LatitudesSy longitude: Lat. 27.2 88340 Long. 80.301922 Horizontal Datum: ❑ NAD 1927 X NAD 1983 ' A6. Attach a I least 2 photographs of the building if the Certificate is being used to obtain flood insurance. ILWO ! Zl '39y A7. Building'Diagram Number: 16 A8. For a bu ding with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Squ �Ie footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage 625 sq ft b) Num jer of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or er 11 closure(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) Engi leered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No II SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Co 1 muniity Name & Community Number. B2. County Name St LUCIE i„ UNTY-120285 ST LUCIE COUNTY 63. State FLORIDA B4. Map/PA el Number B5. Suffix B6. FIRM Index bate B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Effective/Revised Date Zones) AO, use base flood depth) 5 ' 01 1 J 2/16/2012 211612012' A, B10.' Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ Profile X FIRM [ICommunity Determined ❑ Other/Source: B11. Indicate IIS elevation datum used for BFE in Item 139: ❑ NGVD 1929 X NAVD 1988 ❑ Other/Source: ' B12. Is the bi, ilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes X No Design lion Date: ❑ CBRS ❑ OPA SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: [I Construction Drawings' El Building Under Construction' X Finished Construction 'A new I'evation Certificate will. tie required when construction of the building is complete. C2. Elevatio 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 below a rding to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchm lrk Utilized: COUNTY Vertical Datum:. NAVD Indicate lllevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 X NAVD 1986 ElOther/Source: Datum u ed for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top o bottom floor (including basement, crawlspace, or enclosure floor) 6.1 X feet ❑ meters ' b) Top o next higher floor N/A ❑ feet ❑ meters c) Bottoi Ithe i of the lowest horizontal structural member (V Zones only) N/A. ❑ feet ❑ meters d) Attact ed garage (top of slab) 5_6 X feet ❑ meters e) Lowe 11 t elevation of machinery or equipment servicing the building 5_4 X feet ❑ meters (Desc'Iibe type of equipment and location in Comments) f) Lowe t Iadjacent (finished) grade next to building (LAG) 4_9 X feet' ❑ meters Highellt adjacent (finished) grade next to building (HAG) 5_1 Xfeet ❑ meters g) h) Lowe `I adjacent grade at lowest elevation of deck or stairs, including structural support 4_9 X feet ❑ meters 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 information. III certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understan that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. x Check �i ere if comments are provided on back of form. Were latitude and longitude in Section A provided by a JOB#1301.2907 x Check here if attachments. licensed land surveyor? x Yes ❑ No Revised 4.14.2014 11 Revised 4.16.2014 Revis 4.17.2014. Certifier's P ame REGINA KARNER License Number 4363 Title Pres 'dent Company Name KARNER SURVEYING INC Address 40 SN MARTIN D NS BLVD.#333 City PALM CITY State FL ZIP Code 34990 Signature Date 2/19/2014 Telephone (772) 288 7206 FEMA Fo ,° 6- -33 (7/12) See reverse side for continuation. Replaces all previous editions. IMPORTANT: In these spaces, copy the corresponding information from Section A. hOR iNSt)k�ANCE COfJPANY USE,,, Building Stre ;t Address (including Apt., Unit, `a, !or Bldg. No.) or P.O. Route and Box No. Po6cyNumber `1848 WILDI„ AT COVE DR. City FORT ^4 IERCE State FL ZIP Code 34949 Company NAIC. Number b SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sicias of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments doe Story Residence with a screened_ pool and. patio at elevation 5.5. Utility pads are as follows: A/C pad at elevation 5.4, Pool Equip ent at Elevation 5.4 Signatur Date .2M912014 (Revised 4.14.2014, 4.16.2014, 4.11.2014) SECTIC E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones A I!I and A (without BFE), -complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For It ms E1-E4, use natural grade; if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below, the highest adjacent grade ( G) and the lowest adjacent grade (LAG). a) Top f bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top f bottom, floor (including basement, crawlspace, or enclosure) is ❑-feet ❑ meters ❑ above or ❑ below the LAG. E2. For Bui ding 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 (elevat C2.b in the diagrams) ofthe building is E]feet ❑ meters ❑ above or ❑'below the HAG. E3. Attach �garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of latform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below, the HAG. E5. Zone A only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplairi management ordina ce? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property I� wner 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 ust sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Ow hers or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local offici '' 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 Elevatio 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 formation in Section C. was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is aL horized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A co IIIII munity official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The' I{ ollowing information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit N I tuber G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This pernrit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevationiof as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or (i Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Communl 's design flood elevation: ❑ feet ❑ meters Datum Local Official Name Title Community Ilame Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 86-0-33 (7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 :��guilding Photographs e See Instructions for Item A6. IMPORTAN I : In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY lJ$E Building Stre ,Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number; 1848 WILD AT COVE DR City FORT ERCE State FL ZIP Code 34949 Company NAIL Numbec 1 If using the IIElevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6 il Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Wh applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. NFL"} FEMA Fo ° 086-0-33 (7112) Replaces all previous editions. ELEVATIO CERTIFICATE, page 4rBuilding Photographsi " f.... r nnfirn infinn Pnnp IMPOK I AF T: in these spaces, copy the corresponding information from Section A. 2FOR INSURANCE COMPANY USE Building Stre ° t Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 1848 WILD AT COVE DR _ � Ra e•.L i. Y City FORT IERCE State FL ZIP Code 34949 Company NA1G Numbers If submittin' ° more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date aken; "Front View" and "Rear View"; and, if required, "Right Side . View" and "Left Side View." When applicable, photograph must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. . I Ri ht Fro J'ash f4 et'`i.�dT J�f i yf. i Z� 1 Left Rear II FEMA For 086-0-33 (7/12) Replaces all previous editions.