HomeMy WebLinkAboutPOST CONSTRUCTION ELEVATION CERTIFICATEI� �I ,•_ - OMB 02E-R•00026
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD
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INSURANCE PROGRAM =
ELEVATION CERTIFICATE/FLOODPROOFING CERTIFICATE
COMMUNITY NUMBER
St. Lucie
Co., F1, (UNINCORPORATED AREAS)
120285
INSTRUCTIONS
The registered
professional engineer, architect, surveyor or community permit official completes Section I below.
Section II may
e completed by any of the professionals listed at the beginning of Section II, or by a similarly 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 substa
hal improvements to existing structure's in Zones Al-A30, AH and V1-V30 and existing (PRE -FIRM)
buildings to be
Dated under POST -FIRM rules and rates.
SECTION I
(TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
30PERTY ADDRESS (oi lot and block numbers if address is unavailable) Owner: Sundial Homes
6904 Bronte Circle MODEL LAND CO' S (NAME: Wynne Development Corp. BP# 50955 )
k MAP PANEL ON WHI
H PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH PROPERTY IS LOCATED .
280
A6
k MAPEFFECTIVE DAT€j
BASE FLOOD ELEVATION AT THE PROPOSED SITE
January
, , 1984
10,
'ART OF CONSTRUCTION DATE Name and Title —
_
PHONE (with Area Code)
'10/89 I I Terry L. Virta—Community Develo ment Dire
0
)DRESS
23.0.0 Virginia
Ave,, Ft. Pierce, F1. 33450
I
10/18/89
Date
•
SECTION II
INSTRUCTIONS
Complete only
If flo
she Elevation Certification unless the building has been floodproofed at least' to the base flood
!,dproofing 'only
elevation.
is used, complete the Floodproofing Certification. The Elevation Certification. may be
completed by a
'registered professional engineer, architect, or surveyor. The Floodprooffng Certification may only be
completed by a
,egistered professional engineer or architect.
ELEVATION CERTIFICATION
I certify that the
building at the property location ;'described above has the lowest floor at an elevation of
,S'T
L.vrar feet, NGVD (mean sea level),
FLOODPROOFING CERTIFICATION
I certify to the
best of my knowledge, information, and belief,' that the structure is designed so that the structure is
watertight to an
elevation of feet NGVD (mean sea level), with walls substantially
impermeable to
hydrodynamic to
re passage of water and structural components having the capability of resisting hydrostatic and
ds
and effects of buoyancy that would be caused by the flood depths, pressures, velocities, impact
Issociated
and uplfft forces
with the base flood.
In the event of fl
�oding, will this degree of floodproofing be achieved with human intervention?*
i
I '
be occupied as a residence?
Will the structure
If the answer to
both questions is Yes, the floodproofing cannot be credited for rating purposes and the elevation
-edification must
completed instead.
`Floodproofed with
,fie
human intervention means that water will enter the structure when floods up to the base flood
eve[ occur, unless
Doors and windo
measures are taken prior to the flood to prevent entry of water (e.g. bolting metal shields over
S).
I
tTIFIER'iS NAME
AFFIX SEAL OR WRITE PROFESSIONAL
I
LICENSE NO. BELOW:
LE
S!/ry pro
DRESS
_
I
—�
(Signature) (Date)
The insurance
gent attaches the second copy of the completed form to theflood insurance policy application
tor new (POST;kIRM)
_ ..—.__.- •--
construction or substantial improvements. Be sure,thal the second copy is certified.
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