HomeMy WebLinkAboutPOST-CONTRACTOR ELEVATION CERTIFICATEi
Id
OMB 026•R•00026
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
P DST CONSTRUCTION ELEVATION CERTIFICATE/FLOODPROOFING CERTIFICATE
IaUI��CJ� COMMUNITY NUMBER
St. Lucid
Co., F1, (UNINCORPORATED AREAS) f�M
120285
INS TRUCTIO0S1 II_p(��j('�jy
The registered
Section
rofessional engineer, architect, surveyor or community permit official completes Section I below.
II may
b,g completed by any of the professionals listed at the beginning of Section II, or by a similarly qualified
local permit officilal.
Print or type the information on this form. This form is to be used for new (POST -FIRM) construction
and for substan;al
improvements to existing structures in Zones Al-A30, AH and V1-V30 and existing (PRE -FIRM)
buildings to be
r, ted under POST -FIRM rules and rates.
li SECTION I
(TO BE COMPLETED BY' COMMUNITY PERMIT OFFICIAL)
ROPERTY ADDRESS (or
1lol and block numbers H address is unavailable) Dye �r Sundial Homes
6908 Bronte
arcle — MODEL LAND COTS l N�ME :Wynne Development Corp. BP# 50958
A MAP PANEL ON NYHI
H PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH PROPERTY IS LOCATED .
280
I!1
A6
A MAP EFFECTIVE DAT
I
BASE FLOOD ELEVATION AT THE PROPOSED SITE
January
5, 1984
10
[ART OF CONSTRUCTI
DATE
Name and Title _
PHONE (with Area Code)
I10/89
��
Terry L. Virta—Community Development Director
0
)DRESS
23-0.0 Vi_Iginia
Ave,, Ft, Pierce, F1. 33450
10 18 89
Date
SECTION II
INSTRUCTIONS
Complete only
Ithe Elevation Certification unless the building has been floodproofed at least to the base flood
elevation. If flc�odproofing
is used, complete only the Floodprc>ofing Certification. The Elevation 'Certification may be
completed by
registered professional engineer, architect, or surveyor. The Floodprooffng Certification may only be
completed by a
registered professional engineer or architect..
,I
ELEVATION CERTIFICATION,
I certify that
he building at the property location described above') has the lowest . -floor at an elevation of
A?,
feet, NGVD (mean sea level)..'r
FLOODPROOFING CERTIFICATION ' `
I' certi to t 'le best of m knowledge, information,
fY y ge, or atfon, a'nd beliet,`that the structure isdesigned so that the structure is
watertight to n elevation of t feet' NGVD'-(mean sea-''Ibvel), with 'walls substantially
impermeable t the passage of water and structural components having the, capability of resisting hydrostatic and
hydrodynamic oads
and effects of buoyancy that would be caused by the flood depths, pressures, velocities, impact
and uplift forc o associated with the base flood.
In the event oflllflooding, will this degree of floodproofing be achieved with human intervention?*
II
Will the structu e be occupied as a residence?
If he answer to both questions is Yes, the floodproofing cannot be credited for rating purposes and the elevation
certification must be completed instead.
*Floodproofed,l,lk•ith 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).
�I
RTIFIER'S NAME
AFFIX SEAL OR WRITE PROFESSIONAL
/�G 1T
L vLPEF'�'c?
LICENSE NO. BELOW:
LE
DRESS
�O.S
oyy'4112 14ve 'rls
C
(Signature) (Date)
The insur gIlnce agent attaches the second copy of the completed form to the flood insurance policy application
for new (LOST -FIRM) construction or substantial improvements. Be sure.thal the second copy Is certified.