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Home My WebLink AboutELEVATION CERTIFICATEU.S. DE i� OF HOMELAND SE(.. �`�ITY National FederalIII, „ARTMENT mergency Management Agency` ood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. RFCFlL�O Copy all pges of this Elevation Certificate and all attachments for (1) community official, (2) insurance agen JAN l SECTION A — PROPERTY INFORMATION FC pest �4 �� 1 ?419 Owner's Name Pc %I uo'rr, I ns Al. Building PREVIT Iding Route ®� �� A2. Bu Bo" Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. and _ No. Co (� 10701 SOURH OCEAN DRIVE #824 ��— SOU Ci ' State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Pr''perty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SCANNED LO F 8241 VEN I URE OU1• A7 INDIAN RIVER, INC. 13Y A4. B "' �U�Is� GduliYj9 il gilding Use (e.g., Residential, Non -Residential, Addition, Accessory,etc.) RESIDENTIAL A5. L titude/Longitude: Lat. 27°16'16" Long. 80°12'26" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. A ,I ch at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. B Diagram Number 5 A8. F gilding r a building with a crawispace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) i IlNumber of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade N/A c),��l otal net area of flood openings in A8.b N/A sq in d)',' Engineered flood openings? ❑ Yes ® No A9. Fo � a building with an attached garage: a),11Square footage of attached garage N/A sq ft b) IlNumber of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) �ITotal net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No l SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. N IP Community Name & Community Number B2. County Name B3. State UNINC1, RP 120285 ST. LUCIE FLORIDA B4. Ma' °/Panel Nu " ber B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) 89. Base Flood Elevation(s) (Zone AO, use Base Flood Depth) 0.il�� J oz� «a �z Revised Date vL�1�c�IZ 1�� -7. c> 1310. i11,l dicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: 17 FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ® NGVD 1929 ❑ NAVD 1988 • ❑ Other/Source: B12. i the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No esignation Date: N/A ❑ CBRS ❑ OPA FEMA F° 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 IMP0RT4'N7: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building itreet Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 10701 S ,` URH OCEAN DRIVE #824 City State ZIP Code Company NAIC Number JENI� EN BEACH FLORIDA 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) i C1. Bu iIding elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction* ® Finished Construction *A II ew Elevation Certificate will be required when construction of the building is complete. C2. El. vations — 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. 11 Be'' chmark Utilized: 94 77 A02 RM2 FDOT Vertical Datum: NAVD 1988 In icate elevation datum used for the elevations in items a) through h) below. NGVD 1929 ® NAVD 1988 ❑ Other/Source: _ Dat❑ um used for building elevations must be the same as that used for the BFE. I� Check the measurement used. a) 'ITop of bottom floor (including basement, crawlspace, or enclosure floor) 8.65 ® feet ❑ meters b) IITop 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) N/A ❑ feet . ❑ meters e) Lowest elevation of machinery or equipment servicing the building .1 (Describe type of equipment and location in Comments) 8® feet ❑ meters . f) Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters g)' i Highest adjacent (finished) grade next to building (HAG) 4.4 ® feet ❑ meters h) I Lowest adjacent grade at lowest elevation of deck or stairs, including 4.4 feet meters ® ❑ structural support SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This c I certif}�j itification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 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 I '�titude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Certifi s Name License Number 1320-88-01 EARLE. R. STARKEY 4459 Title 111 PROFESSIONAL LAND SURVEYOR ` �- CompdIlll'Ilny Name ACCURIGHT LAND SURVEYING INC. Addre "s 1501 DECKER AVENUE #419 01/28/2018 City State ZIP Code S iU FLORIDA 34994 PLS#4459 Signa I Date Telephone. Ext. 01 /28/2019 772-286-7694 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. tents Com (including type of equipment and location, per C2(e), if applicable) ' C2-E C PLATFORM FEMA �brm 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 i ELEVA ,11I0N CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the con .rending 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... i� Policy Number:. City State ZIP Code I Company NAIC Number SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone'' AO and A (without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter me ers. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the I ighest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, or enclosure) is El feet El meters ❑ above or ❑ below the HAG. �&awlspace, b) liop of bottom floor (including basement, rawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For uilding 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 6agrams) of the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Atta''hed garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment se icing 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. I SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The pro erty owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or commu ity-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Propeo,'!Owner or Owner's Authorized Representative's Name I Address,l City State ZIP Code I. Signatu�re Date Telephone I Comme I! i I is I� I i� �I a ❑ Check here if attachments. FEMAorm 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 I [11 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the con Minding 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... V Policy.Number: City State ZIP Code III Company NAIC Number SECTION G — COMMUNITY INFORMATION (OPTIONAL) The loca'official �i who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in I ems 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.) i G2 ❑ 'I 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. ❑ j 'li The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Per"' it Number G5. Date Permit Issued G6. Date Certificate of l �I Compliance/Occupancy Issued �s G7. permit has been issued for: E] New Construction ❑ Substantial Improvement 2,�ylation G8. of of as -built lowest floor (including basement) he building: ❑ feet ❑ meters Datum G9. B IE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Cgmmunity's Ii design flood elevation: ❑ feet ❑ meters Datum Local O icial's Name Title I Commu ity Name Telephone Signatu I� it a Date Comme 0 Its (including type of equipment and location, per C2(e), if applicable) it i I ,III ❑ Check here if attachments. FEMA jolmn 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS. ,TION CERTIFICATE See Instructions for Item AS. OMB N6.1660-0006 Expiration Date: November 3D, 2018 IMPORTANT: in these'spaces; copy the corresponding information. from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite} andlof Bldg. No:} or P.O. Route and Box No. Policy Number., 10107 SOUTH OCEAN DRIVE `#824 State, ity State ' ZIP Code' Company NAIC Number JENSEN BEACH 34957 if using- the Elevation Certificate to obtain NFIP. flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. l4erifify'all photographs with date -taken; "Front Mew'and "R@ar VieW" and, if required; "Right Side View -'and �'Led.Side View." When applicable, photographs must show the foundation with representative examples of the. flood :openings or wants, as Indicated'in Section A8. if submitting more photographs than will fit on This page, use the. Continuation Page. I i ��'•� RYr'/�V�Yf Y�'C Y 2 u ^ .:i � A"`1��X. C r ' k Y�2;fir Y 54 �, 1 1 { i Plm[o 000 . hoto One -Caption FRONT 01/28/2019 r r r r ✓�a fl I� II it Photo Two l' hotoTwo.Caption REAR 01/28/2019, Form 086-0=33 (7/15) , replaces aQ previous editions. Form Page 5 of 6 .BUILDING PHOTOGRAPHS OMB No. 1660-0008. TION CERTIFICATE 'Continuation Page Expiration Date: N6vember $0, 2018 MPORTANT: In those:§paces; coj y the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address (Including Apt:; Unit; Suite, andfor Bldg: No.)' or P.O. Route and Box No. Policy Number. 40107, SOUTH OCEAN DRIVE #824 City Code company tvAlc Number I JENSEN BEACH FLORIDA 34957 If submitting more photographs than will fit on the preceding page affor the additiopal photographs below. Identify all photographs With- date taken; "Front View" and "Reap Views end; if required, "Right: Side View" and "Left Side View." When applicable, photographs must'showthe foundellon with representative exarnpfes of the Rood openings or vents,. as indicated in Section AK t O,� • Eli ��,�� 4f G.J�a1 Xv" j} t '�' i it III j . � 13dq N�""u !t ;,, , •Al Na; c?, 4t3 . ,`PiatQme4' IPhotoThree caption RIGHT SIDE 01/28/2019 it V[++.�. 2V"y`Q�bN {k'�'� �h'.nkRt*t ktt� p1 7i V,1..�] i21 I � e tINS 1 f d 7� 9S f t � � 4 I� PAEiQ%Q{R _ Jhoto Four Caplon LET SIDE 01/28/ 019 Form OMO-33 (1115) :Replaces all previous editions. Form Page 6 of 6