HomeMy WebLinkAboutPOST CONSTRUCTION ELEVATION CERTIFICATEL--- --
' -- - ... — — — — -- OMB 02&R•00026
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM �_��'
A
_"O
R� CONSTRUCTION ELEVATION CERTIFICATE/FLOODPR ?EfJ' CERTIFICATE
COMMUNITY NUMBER
S;t. Lucie ,1i0.,
F1. (UNINCORPORATED AREAS)
120285
INSTRUCTIONS
The registered pr
fessional engineer, architect, surveyor or community permit official completes Section I below.
Section E may be
ompleted 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 substantial
improvements to existing structures in Zones Al-A30, AH and Vl-V30- and existing (PRE -FIRM)
buildings to be rat�d
under POST -FIRM rules and rates.
SECTION I
(TO BE COMPLETED BY COMMUNITY PERMIT OFFICIAL)
ROPERTY ADDRESS (or lot''and
block numbers H address is unavailable) Owner' Sundial Homes
6912 Bronte Cir ,,le
— MODEL LAND CO' S (NAME: Wynne Development Corp BP# 50957 )
IA MAP PANEL ON WHICH
PROPERTY IS LOCATED
FIA MAP ZONE IN WHICH PROPERTY IS LOCATED.
280 I
A6
IA MAP EFFECTIVE DATE
BASE FLOOD ELEVATION AT THE PROPOSED SITE
January 5 ,
1984
10
TART OF CONSTRUCTION D1
TE
frame and Title
PHONE (with Area Code)
10/89
i
Terry L. Virta—Community Development Direct
0
DDRESS
_23.0.0 Virgi'
s Ave., Ft. Pierce, F1. 33450
,
LiI
10/18/89
Date
SECTION H
INSTRUCTIONS '
Complete only the
Elevation Certification unless the building has been f)oodproofed -at •least to':;.the base flood
elevation. If flood l
roofing is used, complete only the Floodprooflng Certification. The Elevation Certification may be
completed by a re
i, istered professional engineer, architect, or surveyor. The Floodprooffng Certification may only be
completed by a re
'istered professional engineer or architect.
ELEVATION CERTIFICATION
i
I certify that the
[ building at the property location described above has the lowest floor at an elevation of
70
feet, NGVD (mean sea level).
/aT..�0
ray F
i
FLOODPROOFING CERTIFICATION
I certify to the b
f st of my knowledge, information, and belief,' that the structure is designed so that the structure is
watertight to an
levation of. feet NGVD (mean sea level), with walls substantially
imperrrjeable to th�
passage of water and structural components having the capability of resisting hydrostatic and
hydrodynamic load
and effects of buoyancy that would be caused by the flood depths, pressures, velocities, impact
and uplift forces as
oclated with the base flood.
In the event of flooting,
will this degree of floodproofing be achieved with human intervention?*
occupied as a residence?
i
Will the, structure ,
If the answer to b'1
th questions is Yes, the floodproofing cannot be credited for rating purposes and the elevation
certification must b;,
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 windowa.
ERTIFIER'S' NAME
i
AFFIX SEAL OR WRITE PROFESSIONAL
RC17
LICENSE NO. BELOW:
ITLE
DDRESSS
i
(Date)
($i9nature)
The insurance
the
a
ant attaches second copy of the completed form to the flood insurance policy application
for new (POST-
IRM) construction or substantial improvements. Be sure, that the second copy is certified. -•