HomeMy WebLinkAboutPOST CONSTRUCTION ELEVATION CERTIFICATEII h
_ _•_—._ OMB 026-R-00026
FEDERAL EMERGENCY 1 41N*S"NT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
POST CONSTRUCTION ELEVATION CERTIFICATE/FLOODPROOFING CERTIFICATE
COMMUNITY NUMBER
St. Luc,,e CO., F1. (UNINCORPORATED AREAS) � �
120285
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I INSTRUCTIONS _
The registered professional engineer, architect, surveyor or comrnl�nitj�� permftl''official completes Section I below.
Section II may completed by any of the professionals listed at the beginning of Section II, or by a similarly
.Ibe qualified
local permit official. Print or type the information on this form. This form is to be used for new (POST -FIRM) construction
and for substantial improvements to
existing structures in Zones Al-A30, AH and V1-V30 and existing (PRE -FIRM)
buildings to be �ii rated under POST -FIRM rules and rates.
SECTION I
(TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
IOPERTY ADDRESS (oiilot and block numbers H address is unavailable) Owner: Donald & Joanne Sanford
5811 Orangelbr. INDIAN RIVER ESTATES (NAME: Robert F. Ewe BP�50960 )
MAP PANEL ON WHICH PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH PROPERTY IS LOCATED .
280,B
AH
MAP EFFECTIVE DATES I
January
BASE FLOOD ELEVATION AT THE PROPOSED SITE
IS , 19 8 4
17
ART OF CONSTRUCTIOji DATE
Name and Title — _ _
PHONE (with Area Code)
10/89 �,
Terry L. Virta—Community Development Director553
DRESS II
2300_Virgllinia Ave., Ft.Pierce, F1. 33450
.
II
10/18/89
Dale
r SECTION II
i' INSTRUCTIONS
Complete only tile Elevation Certification unless_ the building has been floodproofed at least to the base flood
elevation. If flo dofi 'proofing is used, complete only the 'Roodprong Certification. The Elevation Certification may be
completed by a registered professional engineer, architect, or surveyor. The Floodproofing Certification may only be
completed by a registered professional engineer or architect.
ELEVATION CERTIFICATION
I certify that the bui ding at the property location e described above has the lowest floor at an elevation of
/, 1 7 feet, NGVD (mean sea level).
lip ,
Ili FLOODPROOFING CERTIFICATION
I certify to the bust of my knowledge, information, and belief,' that the structure is designed so that the structure Is
watertight to an eIlevation of feet NGVD (mean sea level), with walls substantially
impermeable
to the passage of water and structural components having, the' capability of resisting hydrostatic and
hydrodynamic loads and effects of buoyancy that would be caused by the flood depths, velocities, impact
pressures,
and uplift forces asspciated with the base flood.
In the event of flooding, will this degree of floodproofing be achieved with human intervention?*
I •
res
Will the structure be occupied as a residence?-
I the answer to both questions is Yes, the floodproofing cannot be credited for rating purposes and the elevation
ertification must be completed instead.
Floodproofed with Human intervention means that water will enter the structure when floods up to the base flood
level occur, unless Measures are taken prior to the flood to prevent entry of water (e.g. bolting metal shields over
doors and windows).
WTIFIER'S NAME II
G
AFFIX SEAL 5R WRI'dF PROFESSIONAL
LlOEfISE'FIt): BELOW:
/LliG/rAGI /� %11
L�
DRESS
3/y 7ah"e-C 1631
(Sipnatu (Date)
The insurance agentllattaches the second copy of the completed form to the flood insurance policy application
for new (POST -FIRM) construction or substantial improvements. Be sure.that the second copy Is certlfred.