The URL can be used to link to this page

Home My WebLink AboutELEVATION CERTIFICATEU.S .I, DEPARTMENT OF HOMELAND SECURITY ��Q�� OMB No. 1660-0008 Fed ral Emergency Management Agency Expiration Date: November 30, 2018 Nati 'nal Flood Insurance Program BY A'J�°�--1�ERTIFICATE ELEV i Important: Follow the instructions on pages 1-9. Cop all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A .Building Owners Name Policy Number: Df'.HORTON . Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: I Box No. 8 i 3 COBBLESTONE DR. City State ZIP Code FORT PIERCE Florida_ 34945 A . Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 226-600-0007-000-8 Lot 2 Ai. I Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential Al . Latitude/Longitude: Lat. 27°24'28.45" N. Long.80°24'51.54" W. Horizontal Datum: ❑ NAD 1927 0 NAD 1983 AlAttach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A I. Building Diagram Number 1A A 1 3. 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 c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes 0 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 ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Si. Lucie County 120285 Saint Lucie Florida B4 Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12 11 CO170 J 02-16-2012 02-16-2012 AE 16.5 BRIO. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B, 1. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Q No i, .:I Designation Date: ❑ CBRS ❑ OPA FILE COPY J Form Pane 1 of F/ FE41 Form 086-0-33 (7/15) Replaces all previous editions. EJ1 EVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMOORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Bt lding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 83,i 3 COBBLESTONE DR. City State ZIP Code Company NAIC Number F RT PIERCE Florida 34945 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) i1. Building elevations are based on: ❑x Construction Drawings* ❑ Building Under Construction* ❑ Finished Construction *A new Elevation Certificate will be required when.construction of the building is complete. 02. Elevations — Zones Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, ARM, AR/AE, AR/A1—A30, AR/AH, AR/AO. 1 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 ❑x 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) 18.30 ❑x 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) 17.70 x❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A ❑x 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 This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false tatement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. %'/ere latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes El ❑ Check here if attachments. ,I I,, Yertifier's Name License Number `' + homas P. Kiernan 6199 ' "J Title Professional Surveyor -_ `. i �1 ompany Name ulpepper & Terpening. Inc. r �' �i,ddress 2980 South 25th Street ity State ZIP Code fort Pierce Florida 34981 ignature Date Telephone Ext. (772) 464-3537 206 CJbpy 11 all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company. and (3) building owner. omments (including type of equipment and location, per C2(e), if applicable) i FE�A Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 • .IrA' ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMI�,ORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE 136�lding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3 8i 3 COBBLESTONE DR. Ci; State ZIP Code Company NAIC Number F i�T PIERCE Florida 34945 JI' SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) Fo Zones AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, co plete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, en r meters. E1 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. I 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 11, floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. 11 SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The ,property owner or'owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or corrl(nunity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Pro l''erty Owner or Owner's Authorized Representative's Name Add ess City State ZIP Code Sig ture Date Telephone Co ents I I ❑ Check here if attachments. FEMAForm 086-0-33 (7/15) Replaces all previous editions. Form Paqe 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPQRTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8323 ii COBBLESTONE DR. City, State ZIP Code Company NAIC Number FO I PIERCE Florida 34945 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Se ions A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement useij in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ 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.) G2 ❑ 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. ! ermit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. i ! 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 G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10 Community's design flood elevation: ❑ feet [:]meters Datum Loc Official's Name Title Corn unity Name Telephone Sign 'ture Date Com' ents (including type of equipment and location, per C2(e), if applicable) i ❑ Check here if attachments. FEMAII!Form 086-0-33 (7/15) Replaces all Drevious editions. Form Paae 4 of 6 E EVATION BUILDING PHOTOGRAPHS OMB No.1660-0008 CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 I QORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE B "I ilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 8 123 COBBLESTONE DR. Policy Number: CRY Fli State ZIP Code RT PIERCE Florida 34945 Company NAIC Number Ili i 'structions ", y using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the 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 nts, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption Front i Clear Photo One i i i I I I Photo Two Phot�, Two Caption Back ; Clear Photo Two FEMAIForm 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVATION BUILDING PHOTOGRAPHS OMB No. 1660-0008 CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMP, ORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE 13 8323 (ding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. COBBLESTONE DR. Policy Number: Ci F ' State ZIP Code RT PIERCE Florida 34945 Company NAIC Number it I phhotographs submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs ith: date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. i i it Photo Three Photo Three Caption Right Side i Clear Photo Three i i Photo Four Ph io Four Caption Left Side 1', Clear, Photo Four' FEMP Form 086-0-33 (7/15) Replaces all previous editions. Form Paqe 6 of 6