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Home My WebLink AboutELEVATION CERTIFICATE 10-5-18U. DEPARTMENT OF HOMELAP'r' SECURITY OMB No. 1660-0008 F�, eral Emergency Management)". , ICY FILE Y Expiration Date: November 30,'2018 N ional Flood Insurance Program " SCANNED ELEVATION CERTIFICATE 1-0/5 f j 9 c Important: Follow the instructions on pages 1-9. Copy all pageitbf iMvat�o�n�C�e'Irtificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number: D.R. HORTON CT#15-141.100.002 III '2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 323 COBBLESTONE DRIVE City State ZIP Code FORT PIERCE Florida 34945 13. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 2 II326-600-0007-000-8 4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A Latitude/Longitude: Lat. 27°24'28.45" N. Long.80°24'51.54" W. Horizontal Datum: ❑ NAD 1927 0 NAD 1983 II . Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A Building Diagram Number 1A A For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1:0 foot above adjacent grade N/A i c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No A . For a building with an attached garage: a) Square footage of attached garage 400.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes 0 No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B NFIP Community Name &Community Number 62. County Name B3. State St Lucie County 120285 Saint Lucie Florida B4. ', ap/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 68. Flood B9. Base Flood Elevation(s) Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) ,Number Revised Date 121 1 CO170 J 02-16-2012 02-16-2012 AE 16.5 B1 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source: B1 Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: B1 . . Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEM i, Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 i E-EVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 I0�01RTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE B' ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8 23 COBBLESTONE DRIVE Co State ZIP Code Company NAIC Number F II RT PIERCE Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1. Building elevations are based on: ❑ Construction Drawings* x❑ Building Under Construction" ❑ Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. 2. Elevations — 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. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: AF6653 Vertical Datum: NAVD 88 I Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 18.38 ❑ feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 17.78 ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) N/A ❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) N/A ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet meters N/A ❑ structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION T i,s certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 ertify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false Cement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. 4st W re latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. C,i0fiers Name License Number Thiomas P. Kiernan 6199 `��°°°'N *'"Ap,�.- N Tit b PrIfessionalSurveyorCG c . C.a �r. Co'I Cu pany Name® �epper & Terpening. Inc. Address 2960 South 25th Street r�o `� at" State ZIP Code Fo Pierce Florida 34981 Sig ature Date Telephone Ext. (772) 464-3537 206 Co '' all pages of this Elevation Certificate and all attachments for (1) corkunity official, (2) insurance agent/company, and (3) building owner. Co ments (including type of equipment and location, per C2(e), if applicable) i FEMAIlForm 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 E -EVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 1 ORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Bilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8 23 i COBBLESTONE DRIVE C State ZIP Code Company NAIC Number F?RT PIERCE Florida ' 34945 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) F F Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, c plete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, e ter meters. E Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2 For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3' Attached garage (top of slab) is [:]feet ❑ meters ❑ above or ❑ below the HAG. E4' Top of platform of machinery and/or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5 Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. i SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION Th property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or co munity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Prol' erty Owner or Owner's Authorized Representative's Name Ad less City State ZIP Code Sig ature Date Telephone I Co ments I i i ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 E I�EVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMIQORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE B�ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8 ,?3 COBBLESTONE DRIVE City State ZIP Code F RT PIERCE Company NAIC Number Florida 34945 1 SECTION G — COMMUNITY INFORMATION (OPTIONAL) T e local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete S Ictions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement u edin Items G8—G10. In Puerto Rico only, enter meters. G I. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3 ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4: Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7 This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8 Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum i G9.; BFE or (in Zone AO) depth of flooding at the building site: E] feet E] meters Datum G1 . Community's design flood elevation: ❑ feet ❑ meters Datum I Lo I Official's Name Title Co munity Name Telephone Sig '' ture Date Co 'ments (including type of equipment and location, per C2(e), if applicable) i ❑ Check here if attachments. FEMAI,IForm 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 E. EVATION CERTIFICATE', See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE 9bilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8 23 COBBLESTONE DRIVE C�ty State ZIP Code Company NAIC Number F 1 RT PIERCE Florida 34945 I using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the i structions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and eft Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or ents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. i i I i Photo One Ph ,to One Caption Front > Clear Photo One I i Photo Two Phot j Two Caption Back u Clear Photo Two . FEMAJIForm 086-0-33 (7/15) Replaces all previous editions. \ Form Page 5 of 6 l BUILDING PHOTOGRAPHS OMB No.1660-0008 E 'I EVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 I QORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE B ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 8 123 COBBLESTONE DRIVE Policy Number: City State ZIP Code FqRT PIERCE Florida 34945 Company NAIC Number 1 ith: p, submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, otographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. I Photo Three Phdto Three Caption Right Side iClear-Photo Three i i Photo Four Phot Four Caption Left Side .Clear Photo Four, FEMI Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6