The URL can be used to link to this page

Home My WebLink AboutELEVATION CERTIFICATEU.S.;DEP RTMENT OF HOMELAj Et ��%RITY SCANNED I OMB No. 1660-0008 Federal mergency Management Ageni�,— BY Expiration Date: November 30, 2018 National Food Insurance Program St. Lucie County ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. JON & D�OROTHY SNYDER A2. Bui ding Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Bo# No. 614 NETTLES BLVD. City I State ZIP Code UENSEN BEACH FLORIDA 34957 A3. Prc perty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 614 NETTLES ISLAND PROJECT SECTION 2 A4. Bui'll ing Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Lat tude/Longitude: Lat. 27°17'14" Long. 80°13'19" Horizontal Datum- ❑ NAD 1927 ® NAD 1983 A6. Attch at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Bui Diagram Number 5 'ding A8. Fo �la building with a crawlspace or enclosure(s): a) quare footage of crawlspace or enclosure(s) N/A sq ft b) lumber of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) "dotal net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) quare footage of attached garage N/A sq ft b) I umber 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) I ngineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFII Community Name & Community Number B2. County Name B3. State UNINCO P 120285 ST. LUCIE FLORIDA B4. Map/ anel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Num � er Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Z \ G J bzIiiz11Z. Revised Date ozj i to/ IZ /ate �• O I B10. In irate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: I FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. In Jicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 - ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: N/A ❑ CBRS ❑ OPA FEMA ForCn 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVA ION CERTIFICATE , OMB No. 1660-0008 `- Expiration Date: November.30,'2018 IMPORT ' WT: In these spaces, copy the �.v,iasponding information from Section A. FOR INSURANCE COMPANY USE Building treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 614 NETTLES BLVD. City II State ZIP Code Company NAIC Number JEN�SEN BEACH FLORIDA 34957 �� SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Ele I'Irations —Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR/AE, AR/A1A30, AR/AH, AR/AO. Coi Iriplete Items C2.a—h below according to the building diagram specked in Item A7. In Puerto Rico only, enter meters. Bier chmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 1988 Indi .I to elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Dat m used for building elevations must be the same as that used for the BFE. Check the measurement used a) I'op of bottom floor (including basement, crawlspace, or enclosure floor) 7.6 ® feet ❑ meters I b) op of the next higher floor N/A ❑ feet ❑ meters c) II.II ttom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) ttached garage (top of slab) N/p' ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7.5 ® feet ❑ meters (Describe type of equipment and location in Comments) f) �,bwest adjacent (finished) grade next to building (LAG) 4.0 ® feet ❑ meters g) I ighest adjacent (finished) grade next to building (HAG) 4.2 ® feet ❑ meters h) UII west adjacent grade at lowest elevation of deck or stairs, including 4.0 feet meters structural support ® ❑ 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false stateme may be punishable by fine.or imprisonment under 18 U.S. Code, Section 1001. Were lat' .I de and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ® Check here if attachments. Certifier''' Name License Number 2806-01-01 EARLE R STARKEY 004459 Title PR !IIFESSIONAL LAND SURVEYOR Compan ; Name ACCURIGHT LAND SURVEYING INC. Address 01 DECKER AVENUE #419 10/04/2018 City STU State ZIP Code RT FLORIDA 34994 I PLS #4459 Signature Date Telephone Ext. 10/04/2018 772-286-7694 II'ges Copy all p of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Commentsi (including type of equipment and location, per C2(e), if applicable) C2-E A/C PLATFORM FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ~ Building Photographs li See Instructions for Item A6. 614 FETTLES BLVD. city State J�ENSEN BEACH FLORIDA � 34957 �� If using f , Sevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the inst coons for Item A6. Identify all photographs with: date taken; "Front View' and "Rear View"; and, if required, "Right Side vie and "Left side View." ff submitting more photographs than will fit on this page, use the Continuation Page, following� FRONT 10/04/2018 REAR 10/04/2018 SIDE 10/04/2018