HomeMy WebLinkAboutELEVATION CERTIFICATE(ANN o
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U.S. DEPARTMENT OF HOMELAND SECtI¢o:.1660_
Federal E '' Expiration Date:. November 30, 2018
ergency Management Agency . - .. ..
National Food Insurance -Program.
f.LEVAT•ION :CERTIFICATE
Important: Follow the instructions on Pages 1-
ll ., ',,:.ii 0.0 ',;f+hie Flnvntinn r'or .ifirn+a. nd nil n+tn'rtiman+c fnr I rrimmiinity nffirial 191incnranra aaant/rninnanv..and (31.huildine'nwner -
SECTION A —PROPERTY INFORMATION
FOR INSURANCE, COMPANY.USE ..
A1..Buildidg
Owners Name (NoteiNotValidto'usejoranyptherperson oren.6w.' "
Policy Number:
`STANDARD
PACIFIC HOMES . =
Al. Bu,ildi
g Street Address (Including Apt:, _Unit,_Suite, and/or•Bldg, No: ormP.O:'Route and.
Company NAIC.Number:,:..
Box N
.. .
. 3046 N
RADCLIFFE WAY
City
i.. State' .. ZIP -Code
PALM•CI
. FL . .: 34990 . • .
A3. 'Prop'hy
Description (Lotand-Block Numbers; Tax.Parcel Nuniber,•Legal Description, etc.) =
LOT 13; "I�IIVERBEND".
(M.C:R. PB. 67-PG. 36 THROUGH 39) -
A4. Buildi
I�g Use ((I Residential, Non_Residential, Addition, Accessory; etc[) RESIDENTIAL..
A5...Latitul
a/Longitude: Lat.27'13'22.92."N:. "Long:80°17'40.89"W Horizontal -Datum:-❑. NAP 1927. ® 'NAD 1983' . .
A6., Attach
at least.2 photographs of the- building if the Certificate is being used to'obfain flood insurance: ; ' • '
AT. Build�gDiagramNumber:l6.
A8. ,Fora
uildin with a crawls ace of enclosures
a) Sol)
, _ .
°I a footage of,crawlspace or enclosure(s) N A sq. ft; .:
b)'Numl
er of permanent flood openings in. the crawlspace or enclosure(s) Within, 1.0 foot above adjacent'grade 0
. c Tot
net area.of flood openings in A&b O. sq: in. --
d),Engi;
eeredflood. openIngs? .❑ Yes Z No '
A9. •For a,,
uilding with an attached: garage:.
a) Squ
`re footage•of attached garage 776 sq, ft... -- .
b) Nu
Ilber of.permarI flood openings in the attached garage -with 1 1.0 foct.above adjacent grade 0.
c) Tot
net area,-of.flood openings'iril 0 sq: in. -
:.•
'I
neeredkflaod openings?' .0 Yes .® :No "
. r ...i
C, ;.. i .. .SECTION B.— FLOODJNSURANCE RATE MAP (FIRM) INFORMATION.. '
61: NFIP
..
mmlAnity Mgme:&'.Community.Number': :
B2.-County Name ,.
BH State '
�'
S1.1NFi IE,
.. .
OUNTY;1;2Q285 • '
ST. LUCIE'COUNTY .
: FLORIDA.
B4..Ma
Panel %�•'.'
65". "Suffix.
B6. firm Index- -
87: FIRM Panel .. -
B8.' Flood. Zone(s) '
:'69. Base Flood.Elevation s
Number
;" •'. .:
Date
_Effective/'
(Zone AO,, use' Base.
,Revised' Date:
FI.00d'Depth)
1211
C 0406.
J.
02/11 12
LOMR-F 8/26/2014
: • '. - X •' .:
N/,A
B10. In
late the_source.of the Base Flood Elevation.(BFE):data or base flood:depth entered in Item.69:
❑ :IS
Profile FIRM ❑ Community Determined ®Other/Source: LOly1R-F Case #14-04=5434A :.
..B11.• Indi`late
Elevation Datum Used for BFE in Item B9: ❑ -NGVD'1929.'..® NAVD 1988 .' .❑ Other/Source:. -
B12: - Is t
building located'in'a'CoastaI Barrier Resources System (CBRS) area'o:r Otherwise.Protected Area (OPA)? - . ❑ Yes . ®: No '.. .
Des
nation Date: N A ❑CBRS FT OPA -
FEMA Form � 086-0-33 (7/15)
I
• i.
Ilil. •
ELEVATION CERTIFICATE
i
OMB No: 1660-008
Fvnirntinn Data N -• nvPmhar fin- 2018
IMPORTANT. In
these space
s,ecorrespondinginformation.fromSectioriA: .: " .'FOR INSURANCE."COMPANY. USE..
-Building Street"Address (Including Apt:, Unit; Suite; 'and/or Bldg.:No. or P.O. Route and Bois No. Policy Number:
3046 NW RADCLIFFE WAY
City " State Zip Code" " .. Company NAIC Number:
PALM CITY FL 34990: .
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY. REQUIRED) .. "
Cl'. Building Elevations are Based on: `: - ❑-Construction: Drawings* .. S 'Building Under Construction*.. ❑ Finished Construction
*-A new Elevation.Certificate will be, required when construction of the.building is complete. .
G2. Elevations - Zones A1- A30, AE, AH; A.(with .BFE), VE V1.7 V30,.V .(with BFE), AR, AR/A, AR/AE, AR/Al — A30, AR/AH, AR/AO.
Complete Items:C2:a-- h below,according to the Wilding'diagram specified in Item A7:.In Puerto Rico only, enter meters.
Benchmark Utilized: TIDAL BM.ST'. LUCIE COUNTY:872.2334 TIDAL 4. EL= 2.60' Vertical Datum:NAVD '1988
Indicate elevation datum. used fort heelevations in"Items a)'through h). below:
❑. NGVD 1929 0. NAVD.1§88 '❑ Other/Source:
Datum used for building elevationsmust be the same as that used for the BFE. Check the measurement used.
a) Top of Bottom, -Floor (including basement, crawlspace, or enclosure floor) 10.11. Z feet; ❑meters
b) Top.of Next Higher Floor . = N.A : 0 feet. - 0 I meters
c) Bottom of the lowest: horizontal structural member (V Zones only) .' N.A ❑. feet 'meters
d) Attached garage (top of slab) N.A .. ❑ Meet. ❑ 'meters-
e) - Lowest elevatiori of machinery or equipment,servicing'the.building
Describe type of equipment and location in. Comriients N.A ❑, feet .'❑ meters'
(. ypu).:
f), Lowest adjacent (fi.nished).grade next to building (LAG) 9.00 : feet:. ❑ meters
g) Highest adjacent (finished) grade.nekt to building (HAG) 8.40Z, "feet , ❑ meters
) Lowest djacent grade at lowest elevation of deck or stairs; including
ha
..
structural -support
N:A ❑ .feet:. ❑meters .
-.."SECTION,D.—SURVEYOR,ENGINEER, ORARCHITECTCERTIF.ICATION.: '
Thistertification'is to be. signe.d,and.'sealed by a.land surveyor, engineer, ,or architect authorized.by law to certifyelei)ation.'inforriiation.
l certify that the information on this'Certificate represents my.best efforts to interpret the delta available:' I.understand that any fdlae
statement may be punishable'by fine or imprisonment.under 18-U.S...Code, Section 1001.
Were latitude and longitude in Section A'Provided by a licensed land. surveyor? . Z ;Yes ❑ . No. ❑ . Check here if attachments: .
Certifier's Name: - License Number:
David:P. Lindley,. PLS .: : _ : I. S. 5005 a
. Plac
Title: -
Professional Land:Surveyor.. 7,�
Company Name: .David P::LinzileY. PLS - =
Caulfield & Wheeler, Inc.. .. L.S.'5005,State of Florida
Address: _ 07/17/2018
7900 Glades Road. -Suite 100 "Nc,t Valid without the signature and. .
Flo
City; :.: State:: `: .. Zip Codes . - .. PPerida
Boca Raton. • . . FL : 33434 ..
.
thr•originul raised seat of a_
Licensed Surveyor & Md
Signature:. bate: -• Telephone:.
07/ - - 17/.2618 :. 561 392 1991
Copy.all_'Pages of this Elevation Certificate and all. attachments for (1) community official, (2) insurance agent/company; and (3) building owner.
Comments.(including type of equipment and Iocation,:per C2(e); if applicable:
Item AS)' Latitude & Longitude obtained by Magel len GPS Blazer 12.
FEMA Form 086 0-33 (7/15) Replaces all previous editions Page 2-of 6
FEMA Form 086 0-33 (7/15) Replaces all previous editions Page 2-of 6
OMB No:1660-008.
ELEVATION CERTIFICATE Expiration Date:: November 30, 2018
IMPORTANT: In these spaces;copy the corresponding information.from.Section A: .'FOR INSURANCE. COMPANY'.USE
Buildirig Street Address (Including.Apt:, Unit, Suite;•and/gr-Bldg. No. or P.O. Route and Box No: Policy Number:
id4G'NWtADCLIFFE WAY
City State _ Zip code .. Company NAIC Number: .
:PALM CI II FL 34990.. .
SECTION E - BUILDING ELEVATION. INFORMATION.(SURVEY NOT REQUIRED)
FOR.ZONE.AOAND.ZONE A (WITROUT BFE) ;
For.Zones A ' and A (Without BFE), complete Items E1=E5. If the Certificate is intended to.support a LOMA and or"LOMR-F request,
complete Sections A, B, and C: For Items El-E4, Use natural grade, if available. Cheekthe measurement Used. -In Puerto Rico only,,'.
I _
ente
r mete
E1. Provide, levation-information for the.following.and check the appropriate boxes to show whether the:elevation is above or below .
the hig est adjacent grade (HAG) and the -lowest adjacent grade (LAG):
a) -Top f bottom floor (including basement;
p - N/A. ❑feet ❑meters ' ❑ •above or '❑ below the HAG
,I!pace, or. enclosure) is
b .To f bottom floor including basement;
craw ( N A: ❑feet : ❑. meters ❑above or: ❑.below the LAG
craw
space or enclosure) is '
E2. For BuilIIding:Diagrarris 6-9"with:peemanent flood operiings'provided in Section A Items 8_and/or9 (see pages 1-2. of instr'uctions);
the next higher floor: (elevation C2.b in N
�9 N/A.' ❑ feet ❑. meters . ❑ above or ❑ below.'the HAG
the'diagrams) of the building is. .. .
E3. ,Attached Garage.(top of slab) .: N A:.; ❑ feet-. ❑meters -:❑ above or ❑..below -the HAG
E4. Top of. latform of machinery a.nd/or .,
equipment; N A: ❑feet ❑- meters : ❑ .above or .❑;below the HAG
service 'g the; building is :.
flood only: If no'flood depth number is available; is the top of the floor elevated in accordance with the community s '
E5: ZoneP �in'management ordinance? ❑ .Yes ' ❑,No ❑. UnknoNrn., The'Iocal ofFicial must certify this information in Section G.
u .
SECTION F=,PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION'
The grope ,owner or owner's authorized representative who completes Section's, A; B; and E.for Zone A (without a FEMA-issued or
..
rt�v . .
community?issued BEE) or.Zone A0 must sign here. The statements in Sections A, B; and E.are' correct to the best of my. knowledge.
Property.0 ner or Owner's Authorized Representative's Name:
Address City .. State' ' :Zip Code ..
Signature j Date. Telephone
Comments
❑ Check here if attachments' .
FEMA•Form 0 6-0-33 (7/15) • . Replaces all previous editions -. Page 3.of 6
ELEVATION CERTIFICATE
OMB No: 1660-008
Fxniratinn Dates NnvP'mhar3n- ?n1 R.
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:
3646 NW RADCLIFFE WAY
City aState:. Zip:Code.
Company NAIC Number:
PALM CITY FL 3499.0
SECTION:G -COMMUNITY INFORMATION (OPTIONAL).'.-
-
The local official who is authorized by-law or ordinanceto.administer the communiity'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 1hat. 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 dateof 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.
G_ 4. Permit Number
G5. Date Permit Issued _
G6: Date Certificate of
Complia nce/Occupa ncy•Issued
G7. This Permit has.been.issued for: .. ❑ :New Construction ❑ Substantial Improvement
G8. Eleva.tion,&as=built lowest.floor (including.basement)-
feet El Meters batum
of the building'0
69. BFE or.(Zone:AO) depth of flooding at the-building.site: .. -..❑ feet E- meters Datum
G10. Community's design flood elevation: ❑ feet ❑meters ..batum
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 BIT) or Zone AO must sign here. The statements in Sections A, B, and E are, correct to the best of my knowledge. .
Local Official's Name. _ Title
i
Community Name :: -Telephone.
Signature Date
Comments
. ❑ -Check here if attachments:
FEMA Form 086-0-33 (7/15)' Replaces. all previous editions Page 4-of•6.