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HomeMy WebLinkAboutELEVATION CERTIFICATEi USCANNED .S. DEPAR! MENT OF HOMELAND SECURITY Y OMB No. 1660-0008 e Federal Emency Management Agency �, �� Expiration Date: November 30, 2022 National Flood Insurance Program St. Luelploob 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. Buildin" Owner's Name Policy Number: WILLIAM A, LINDEN Buildin Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: �AZBox Noi 411 ATLAI� TIC BEACH BOULEVARD City State ZIP Code FORT TIERCE Florida 34949 A . Prope Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) P RCEL # 436-601-0071-000-5 A4. Buildin Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitud Longitude: Lat. 27°28'54.131"N Long. 80°17'53.856' W Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 A6. Attach It least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Buildin lI Diagram Number 1A A8. For a b, ilding with a crawlspace or enclosure(s): a) Squ �I re footage of crawlspace or enclosure(s) 0.00 sq ft b) Nurr1 er of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 0 c) Tota net area of flood openings in A8.b 0.00 sq in d) Engi ered flood openings? ❑ Yes ❑X No A9. For a b I Iding with an attached garage: a) Squ, I re footage of attached garage 430.00 sq ft b) Num er of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Tota net area of flood openings in A9.b 0.00 sq in d) Engi, eered flood openings? ❑ Yes R No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP C munity Name & Community Number B2. County Name B3. State ST. LUCIE O. UNINCORPORATED 120285 I SAINT LUCIE Florida B4. Map/Pan I B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) i Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111 C 018 K 02-19-2020 02-19-2020 AE 4' B10. Indic a the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIi' Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: B11. Indical elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: B12. Is the uilding located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑X No Desig ation Date: ❑ CBRS ❑ OPA FEMA Form 0 16-0-33 (12/19) Replaces all previous editions. Form Page 1 of 6 i ELEVATIC N CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IMPORTANT In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Stre't Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2411 AT_LAN IC BEACH BOULEVARD City State ZIP Code Company NAIC Number FORT PIERG Florida 34949 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buildin elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevati ins —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. Compll'I to Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Bench ark Utilized: USC&G SURVEY, D-307 Vertical Datum: NAVD 1988 i Indicat elevation datum used for the elevations in items a) through h) below. NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum ised for building elevations must be the same as that used for the BFE. Check the measurement used. a) Tor,I of bottom floor (including basement, crawlspace, or enclosure floor) 5.2 0 feet ❑ meters b) Toy of the next higher floor N/A 0 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet El meters d) Att ched garage (top of slab) 4.7 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.0 © feet ❑ meters (De cribe type of equipment and location in Comments) f) Lo' est adjacent (finished) grade next to building (LAG) 4.3 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.9 © feet ❑ meters h) Lowestw adjacent grade at lowest elevation of deck or stairs, including str N/A 0 feet ❑ meters tural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certifio tion is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify tha the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement ay be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitu a and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier's CHARLES me License Number RNOLD, PSM FL LS4971 - Title PRESIDEh I Play { Company ame ARNOLD RVEYING, INC. �r Address 4888 N KIN S HWY #425 City State ZIP Code FORT PIE CE Florida 34951 Signature l Date Telephone Ext. (772) 708-1819 4t 1 Copy all pa _ct��Z F'es of this Elevation Certificate and all attachments fo (1) c munity official, (2) insurance agent/company, and (3) building owner. 11 Comments including type of equipment and location, per C2(e), if applicable) A5 LATITUI� E/LONGITUDE OBTAINED USING THE GPS TEST APP ON A SMART PHONE; C2E REFERS TO A/C; PAGES 1, 2, 5 & 6 COMPLE I FED BY SURVEYOR; PAGES 3 & 4 LEFT BLANK INTENTIONALLY & IS NOT CERTIFIED BY SURVEYOR FEMA Form 86-0-33 (12/19) Replaces all previous editions. rurm rage c ur 0 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 IN IMPORTANT n these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Strer7i Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2411 ATLANiIIC BEACH BOULEVARD City State ZIP Code Company NAIC Number 1 FORT PIERC Florida 34949 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones A and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sec'ions A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters!i E1. Provide levation 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 , i bottom floor (including basement, craw, pace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b To p bottom floor (including basement ( 9 crawl 5pace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Bull ng Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the nexti the diag�[garge iigher floor (elevation C2.b in ms) of the building is ❑ feet ❑ meters E] above or ❑ below the HAG. E3. Attache a(topofslab) is ❑ feet ❑ meters E]above or ❑ below the HAG. E4. Topof ptform servicing of machinery and/or equipment the building is ❑ feet ❑ meters ❑ above or ❑ below the'HAG. E5. Zone A0 only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodpla'�i management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property wner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-H ued 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 Address City State ZIP Code Signature Date Telephone Comments THIS SPACE LEFT BLANK INTENTIONALLY & IS NOT CERTIFIED BY SURVEYOR e if E] Check her attach ments. FEMA Form I 86-0-33 (12/19) Replaces all previous editions. Form Page 3 of 6 I ELEVATICIN CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2022 iMPORTANT:,1111 n these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE ;Building Stree Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2411 ATLAN1 C BEACH BOULEVARD (City State ZIP Code Company NAIC Number IFORT PIERCE Florida 34949 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local offic al who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, BI C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items I 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, erg eer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation dat' in the Comments area below.) G2 ❑ A Immunity 2 official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or ne AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. :G4. Permit N ! mber G5. Date Permit Issued G6. Date Certificate of II Compliance/Occupancy Issued iG7. This per i it has been issued for: ❑ New Construction ❑ Substantial Improvement GB. Elevatio I of the b of as -built lowest floor (including basement) feet meters ing: ❑ ❑ Datum G9. BFE or �iI un Zone AO) depth of flooding at the building site. ❑ feet ❑ meters Datum G10. Commu� ity's design flood elevation: ❑ feet ❑ meters Datum !Local Official'" i Name Title 'Community NI me Telephone !Signature Date ,Comments (iri'i luding type of equipment and location, per C2(e), if applicable) THIS SPACE I I I EFT BLANK INTENTIONALLY & IS NOT CERTIFIED BY SURVEYOR I ❑ Check here if attachments. FEMA Form 0�-0-33 (12/19) Replaces all previous editions. Form Page 4 of 6 I . ELEVATIJN CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2022 IMPORTANT,, n these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE 'Building Stre e,'i Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 12411 ATLAN,IIC BEACH BOULEVARD I City State ZIP Code Company NAIC Number FORT PIERCi Florida 34949 If using the, Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions r Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side I16w." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as in cated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. ' Y I i 4 I t I I I � - Photo One Photo One C ption FRONT VIEW - PHOTO TAKEN DECEMBER 14/2022 Clear Photo One':` rt 3 I;. t I 1{{ d Photo Two Photo Two C ption RIGHT VIEW - PHOTO TAKEN DECEMBER 14/2022 Glear Photo Two FEMA Form 0 �i�6-0-33 (12/19) (Replaces all previous editions. Form Page 5 of 6 i i ELEVATIC N CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 Continuation Page Expiration Date: November 30, 2022 IMPORTANT II�n these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Stre'll Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 2411 ATLAN IIC BEACH BOULEVARD City State ZIP Code Company NAIC Number FORT PIERC I Florida 34949 I If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date t' ken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs !'must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. 6 a f�4. } q` X it y III ■ xY:j �hA■ i I Photo Three Photo Three'aption REAR VIEW -PHOTO TAKEN DECEMBER 14/2022 Clear Photo' Three: :.. _ I Photo Four Photo Four Ca: Oon LEFT VIEW - PHOTO TAKEN DECEMBER 14/2022 Clear Photo Four' FEMA Form 08 -0-33 (12/19) Replaces all previous editions. Form Page 6 of 6