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Home My WebLink AboutELEVATION CERTIFICATE 12-12-18U.S. DEPIRTMENT OF HOMELAND SURITY SCANNED is OMB No. 1660-0008 /2,� �� Federal E ergency Management Agee:= ' BY Expiration Date: November 30, 2018 National Fli od Insurance Program ELEVATION CERTIFICATE _- Important: Follow the instructions on pages 1-9. Copy all p d es 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 Al. Bui ing Owner's Name Policy Number: (I, PAUL & JANE MESSENGER A2. Bui Bo Oing Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and � No. Company NAIC Number: 10851 SOUTH OCEAN DRIVE, #30 Ci JE ( State ZIP Code SEN BEACH Florida 34957 A3. Pr erty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) P I N j4511-810-0037-0.00-6 A4. Bu (ding Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. La itude/Longitude: Lat. 27015'59.25" N Long. 80°12'21.59" W Horizontal Datum: ❑ NAD 1927 ❑X NAD 1983 A6. Atl ch at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Budding Diagram Number 5 A8. Fo a building with a crawlspace or enclosure(s): a) quare footage of crawlspace or enclosure(s) 1,097 sq ft b) umber of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade na c) rotal net area of flood openings in A8.b na sq in d) ngineered flood openings? ❑ Yes ® No A9. Fo 'a building with an attached garage: a) quare footage of attached garage na sq ft b) umber of permanent flood openings in the attached garage within 1.0 foot above adjacent grade na c) Total net area of flood openings in A9.b na sq in d) ngineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NF� P Community Name & Community Number B2. County Name B3. State ST. LUIII IE COUNTY, UNINCORPORATED 120285 ST. LUCIE FL B4. Ma Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Nu ber Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1211 C0314 J 2-16-12 2-16-12 AE 7.0 B10. I dicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: iI FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: na B11. 1 idicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 X❑ NAVD 1988 ❑ Other/Source: na B12. li the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No esignation Date: na ❑ CBRS ❑ OPA FEMA Ft rm 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 i ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTA T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building f reet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: �j 10851 SOUTH OCEAN DRIVE, #30 City II State ZIP Code Company NAIC Number JENSE�N BEACH Florida 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bui �Iing elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* ❑ Finished Construction *A i liew Elevation Certificate will be required when construction of the building is complete. C2. 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. CoPlete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Be Ichmark Utilized: L-NET Global Navigation Satellite System Vertical Datum: NAVD 1988 Indiate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: na Da m 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) 8.85 ❑X feet ❑ meters b) fop of the next higher floor NA ❑ feet ❑ meters c) IlBottom of the lowest horizontal structural member (V Zones only) 7.12 ❑X feet ❑ meters ttached garage (top of slab) NA ❑ feet ❑ meters d)rowest e) jelevation of machinery or equipment servicing the building 8.13 feet meters ❑ ❑ (Describe type of equipment and location in Comments) f) owest adjacent (finished) grade next to building (LAG) 3•8 ❑X feet ❑ meters g) jl ighest adjacent (finished) grade next to building (HAG) 4.2 ❑X feet ❑ meters h) jLowest adjacent grade at lowest elevation of deck or stairs, including 4.1 ❑X feet ❑meters tructural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This ceh ification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certi that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statem Int may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ElNo ❑ Check here if attachments. Certifier,s Alex Name License Number nder J. Piazza #6330 DATEa�IM 1a—n2BUreSd;ratg 01 Digitally ihbiaO Title Presl ent P8 ADlfef"xc zzay AwexA � ZP q p r, ti 4o�Unaffl teat Comp y Name Alex der J. Piazza PSM Inc. hi der /��ou=A01427E000001 6581EE3c990000a:9 prRA�r '. �" ', v / r cmAlezar2ei v Piazza �; `i Addre § 619 W Biltmore Street , ,� Date-2018.12ai2 ,ia-zza.:,.... � `! Sur�57;5�y�°�� City State ZIP Code Port �Plt. Lucie Florida 34983 FL CER1TAWN330 Signat re Date Telephone Ext. I 12-12-18 772-340-7770 Copy al pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comm nts (including type of equipment and location, per C2(e), if applicable) MAC INERY SERVICING THE BUILDING IS AN AIR CONDITIONING UNIT LOCATED ON THE NOR SIDE OF THE BUILDING. FEMA F�rm 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEV ION CERTIFICATE Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10851 SOUTH OCEAN DRIVE, #30 City State ZIP Code Company NAIC Number JENS N BEACH Florida 34957 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zon AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complet Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter m ers. E1. Pro ide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the riighest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) op of bottom floor (including basement, rawlspace, or enclosure) is [:]feet ❑ meters ❑ above or ❑ below the HAG. b) op of bottom floor (including basement, rawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For 3uilding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), the ext higher floor (elevation C2.b in the iagrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Att4,hed garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. To of platform of machinery and/or equipment ser icing 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 floo plain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY -OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The prolie owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or commu ty-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Propert Owner or Owner's Authorized Representative's Name Address) City State ZIP Code Signatu'.' Date Telephone Comme is ❑ Check here if attachments. FEMA Irm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVA ION CERTIFICATE -- OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT, T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building reet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10851 SOUTH OCEAN DRIVE, #30 City State ZIP Code Company NAIC Number JENSlI. N BEACH Florida 34957 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The loca official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections , B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in 11 ms 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. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G3. G4. Per it Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. Thi permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. EIE of fation of as -built lowest floor (including basement) ie building: ❑ feet ❑ meters Datum G9. BF or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Co munity's design flood elevation: ❑ feet ❑ meters Datum Local Of cial's Name Title Commui ii ty Name Telephone Signatur6 Date Comme its i (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Firm 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVA ION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORT4 T: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10851 SOUTH OCEAN DRIVE, #30 City State ZIP Code Company NAIC Number JENS IN BEACH Florida 34957 If usingl' the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructi ) ns for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Si' a View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, al indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. F I _ :I Photo One Photo O j a Caption Front View Clear Photo One v 1 • Photo Two Photo T�II'� o Caption Back View Clear Photo Two FEMA Firm 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 ELEVA nON CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building treet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 10851 SOUTH OCEAN DRIVE, #30 Policy Number: City JENS State ZIP Code N BEACH Florida 34957 Company NAIC Number If subm'ting with: d photo gr' more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs ate taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, phs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo Three Photo Toee Caption Left View Clear Photo Three. i Photo Four Photo F r Caption Right View ClearPhoto;Four' FEMA FoI m 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6