The URL can be used to link to this page

Home My WebLink AboutELEVATION CERTIFICATEELEVATI N CERTIFICATE SCANNED �V OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT In these spaces, copy the corresponds `i fR ,'at( M" ection A. FOR INSURANCE COMPANY USE Building Str yet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3104 TROPIC BLVD City II State ZIP Code Company NAIC Number FORT PIERCE Florida 32946 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) f1I C1. BuildilIhg elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ❑x Finished Construction *A neVv Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/Al—A30, AR/AH, AR/AO. Corpplete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: SLC BM: PLAZA EL.=20.54' Vertical Datum: NAVD '88 Indicate elevation datum used for the elevations in items a) through h) below. 11 ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. IVI a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 21.50 ❑x feet ❑ meters b) Top of the next higher floor N/A ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑x feet ❑ meters d) Attached garage (top of slab) N/A ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 21.40 ❑x feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 20.90 ❑x feet ❑ meters g)Highest adjacent (finished) grade next to building (HAG) 20.70 ❑x feet ❑ meters I h)! Lowest adjacent grade at lowest elevation of deck or stairs, including N/A feet ❑ ❑ meters I' structural support II 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 certO that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false stateTent may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. Werel;latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifi'er's Name License Number Willi am E. Hayhurst 4416 Title I Ident Pres 1 Piave Company Name Hayfjjurst Land Surveying - Seal re Add ,.ess 445r9th Street SW, Unit 7 CNI State ZIP Code Verp Beach Florida 32962 Signature Date Telephone Ext. II / �� (772) 569-6680 Co �y all pages of this Elevation ertif ate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Co"' ments (including type of equipment and location, per C2(e), if applicable) A5restablished utilizing My NASA Data Latitude/Longitude Finder at: https:Hmynasadata.Iarc.nasa.gov/1atitudelongitude-finder/ Cle: CQNC. A/C PAD EL.=21.4' CENTERLINE OF ROAD EL.=19.7' II FE i A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 U.S. DEPARTMENT OF HOMELA 4Li SECURITY I r Federal Emergency Management Agency OMB No. 1 ate: Nov 9 Y 9 9 Y Expiration Date: November 30, 2018 National Flood Insurance Program 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 agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: RUBEN SMITH A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 3104 TROPIC BLVD City State ZIP Code FORT PIERCE Florida 32946 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 1432-805-0121-000-5 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27.4711 Long.-80.3567 Horizontal Datum: ❑ NAD 1927 ❑x NAD' 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): 1 a) Square footage of crawlspace or enclosure(s) N/A sq ft I b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number 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) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY, 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 CO176 J 02-16-2012 02-16-2012 X B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 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 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATI N CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT01 In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building St r t Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3104 TROPI BLVD City State ZIP Code Company NAIC Number FORT PIER E Florida 32946 II SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AD and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Se itions A, B,and C. For Items El—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 high st adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top f bottom floor (including basement, craw space, or enclosure) is x❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top f bottom floor (including basement, cra space, or enclosure) is x❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Build, ing Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diag ms) of the building is ❑X feet E] meters E] above or E] below the HAG. E3. Attache garage (top of slab) is ❑x feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicinf the building is ❑x feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AOI only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplai management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. I SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property 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 AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Ow'er or Owner's Authorized Representative's Name William E. H yhurst Address City State ZIP Code 445 9th Street SW, Unit 7 Vero Beach Florida 32962 Signature Date Telephone j (772) 569-6680 Comments j❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 I� ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3104 TROPIC BLVD City State ZIP Code Company NAIC Number FORT PIERCE Florida 32946 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local 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 Elevation 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 ❑ 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. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum j Local Official's Name Title Community Name Telephone i Signature Date Comments (including type of equipment and location, per C2(e), if applicable) i i ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6