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HomeMy WebLinkAboutELEVATION CERTIFICATEU.S. DES ll RTMENT OF HOMELANDS'-••JRITY OMB No. 1660-0008 Federal •E ergency Management Agenc_; _, SCANNED � Expiration Date: November 30, 2018 National FI od Insurance Program BY ELE�IXIT1 4 ERTIFICATE Important: Follow the instructions on pages 1-9. �I Copy all p 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: PAUL & JANE MESSENGER A2. Bui'I ing Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Bo No. 10851 SOUTH OCEAN DRIVE, #30 Ci State ZIP Code JE, SEN BEACH Florida 34957 A3. Pr iperty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) P 1 D 4511-8.10-0037-000-6 A4. Budding Use (e.g., Residential; Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. La Rude/Longitude: Lat. 27015'59.25" N Long. 80°12'21.59" W Horizontal Datum:. ❑ NAD 1927 ❑X NAD 1983 A6. A each at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Bu Iding Diagram Number 8 A8. Foil a building with a crawispace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1,097 sq ft b) umber of permanent flood openings in the craw ispace or enclosure(s) within 1.0 foot above adjacent grade 6 c) otal net area of flood openings in A8.b 768 sq in d) Engineered flood openings? ® Yes ❑ No A9. Fo a building with an attached garage: a) j Square footage of attached garage na sq ft b) Number 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) Engineered flood openings? ❑ Yes No f SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NI 1P Community Name & Community Number B2. County Name B3. State ST. LL CIE COUNTY, UNINCORPORATED 120285 ST. LUCIE FL B4. Ma'/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) N ber Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111'1 C0314 J 2-16-12 2-16-12 AE 7.0 B10. ndicate the source of the' Base Flood Elevation (BFE) data or base flood depth entered in Item 69: FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: na B11. ndicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑X NAVD 1988 ❑ Other/Source: na B12. Is the building located in.a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: na ❑ CBRS ❑ OPA .. FEMA Jorm 086-0-33 (7/15) Replaces all previous editions. Form Pagel of 6 ELEVX ION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORT I' 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 N BEACH Florida 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Bu on: Construction Drawings* Building Under Construction* X Finished Construction ding elevations are based ❑ 9 ❑ ❑ *A ew Elevation Certificate will be required when construction of the building is complete. C2. EIE ations — 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. CoFmark lete items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Be Utilized: L-NET Global Navigation Satellite System Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. [i❑ 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) 3.8 ❑X feet ❑ meters b) Top of the next higher floor 8.85 ❑X feet ❑meters c) Bottom of the lowest horizontal structural member (V Zones only) NA ❑feet ❑meters d) Attached garage (top of slab) NA ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 8.13 ❑X feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 3•8 ❑X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.2 X❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.1 ❑X feet ❑ meters structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c ification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I cert' that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statem'' nt may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were Ititude I, and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Certifi Alex s Name License Number nder J. Piazza #6330 D AT �1' 22, ,P":. Title Pres ent '- 831 v Comp ny Name Alex nder J. Piazza PSM, Inc. _ NA Address 619 W Biltmore Street j ,-f"`'-•`�L .t�.. FL,y 1=tyT}`#s33o City State ZIP Code3°.Q" 34983 Port,lSt. Lucie Florida Signa' re Date Telephone Ext. 1-21-19 772-340-7770 Copy 'tl pages o his Elev n nd all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Com (including type of equipment and location, per C2(e), if applicable) IFnts MACHINERY SERVICING THE BUILDING IS AN AIR CONDITIONING UNIT LOCATED ON THE NOR H SIDE OF THE BUILDING. The Q MART vents (Model FFNF08) openings are 128 sgin/each and can cover 220sf of covered area each.l, 6 vents = 1,320sf covered area total. FEMA I!orm 086-0-33 (7/15) Replaces all previous editions. corm rage z b or ,II tLEVA ION 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 c Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: �reet 10851 SOUTH OCEAN DRIVE, #30 City State ZIP Code Company NAIC Number JENS TIN BEACH Florida . 34957 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zonei AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete 3ections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter met irs. E1. Prov Je elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the f }ghest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) T p of bottom floor (including basement, wlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) p of bottom floor (including basement, wlspace, or enclosure) is ❑ feet, ❑ meters ❑ above or ❑ below the LAG. uilding Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 1-2 of Instructions), E2. Foril!xt the higher floor (elevation C2.b inthe agrams) of the building is ❑ feet ❑ meters ❑above or E] below the HAG. E3. Atta hed garage (top of slab) is []feet ❑ meters ❑ above or ❑ below the HAG. E4. Top'' f platform of machinery and/or equipment se cing the building is []feet ❑ meters ❑ above or ❑ below the HAG. E5. Zon 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 pro46rty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Prope !Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signatui Date Telephone Comme 'Its I ❑ Check here if attachments. FEMA 16rm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 FLFVA ON 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 S 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 I State ZIP Code . Company NAIC Number JENS BEACH 'Florida. 34957 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local fficial 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 It ims G8—G10. In Puerto Rico only, enter meters. G1. ❑ he 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.) ❑ A community official completed Section E for a building located in Zone A (without a FEMA-Issued or community -issued. BFE) G2. , or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Pe 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. EI ation of as -built lowest floor (including basement) ❑ feet ❑ meters Datum oft a building: G9. BF or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Col munity's design flood elevation: ❑ feet ❑ meters Datum Local Of cial's Name Title Commul ity Name Telephone Signatu Date Comme Its (including type of equipment and location, per C2(e), if applicable) i • ❑ Check here if attachments. FEMA I,prm 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 1=LFVATION BUILDING PHOTOGRAPHS. OMB No. 1660-0008 CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTA O T: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building S 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 JENSE BEACH Florida 34957 If using li he Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instruct; s for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and examples of the flood openings or "Left Side View." When applicable, photographs must show the foundation with representative vents, a$ indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. . i - a1 17 iS, Photo One Clear Photo One Photo One Caption Front VI@W 2..0 . C 1'Fcti.�A +; U ' �— r Photo Two Photo wo Caption Back View Clear Photo Two FEMA ,orm 086-0-33 (7/15) Replaces all previous editions. Form Page b of b ELO-V AT ON BUILDING PHOTOGRAPHS CERTIFICATE _J Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTA 111 : In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building S eet 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 JENSE ', BEACH Florida 34957 If submi Ing more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: dat' taken; "Front View" and 'Rear View'; and; if required, 'Right Side View" and "Left Side .View." When applicable, photogra hs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. r� man: p.rriu� 'Gain ■i7iiL ou.r uur nnu unu nuo uu.... uu.: r o.o ,r■u■■ .uo■■ >Me ...4, .. 01 .�^1 ...� ■u■rr- •. u.u-:}:uuu+■run.:uuuo.u. iiou i uu. � uuo uoMMMMMo =uuo. u.u■: nu■ -■uu??uu.■I`o■■rr -:u■or ■uur u... 'r.ur'rlir.r rrrru .ur■�r .rrrrr" ■urr ' u■ ■ u■■.. moms*0.02M All c Photo Three Photo T �ee Caption Vent View (Typical) :Cleacl?l oto TF ree. <, 2 1 jj i� a: IL t. r Photo Four Photo lour Caption Vent Info Cleat Photo Four FEMA Jrm 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6