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Home My WebLink AboutELEVATION CERTIFICATEI U.S. DEPARTMFWT OF HOMELAND SECURITY,,, ELEVATION CERTIFICATE Federaf-Emergency Management Agency E�wires FebruaN 28. 2009 National -Flood Insurance Program Important: Read the instructions on pages 1-8. SECTION A - PROPERTY INFORMATION I Fo'r Insurance Gompanv:Use ._.. ` WALTER AND A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. CompanyNAIC Number 2401 TILTON ROAD City PORT ST. LUCIE State FL ZIP Code A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) N.165' OF THE E.1/2 OF LOT 7, BLOCK 3, PLAT NO.1 ST. LUCIE GARDENS A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/ Longitude: Lat 27"19'48" Long. 80"17'59" Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide. a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage sq ft b) No., of permanent flood openings in the crawl space or ' b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq In I SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number I B2. County Name B3. State 120285 UNINCORPORATED AREAS ST. LUCIE FL B4. Map/Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevations) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 1211, CO283 F 8/19/1991 8/19/1991 AH 17.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered In Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) 1311. Indicate elevation datum used for BFE In Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the bailding located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No Design' von Date ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' 0-Building Under Construction' ® Finished Construction •A new 91evation 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, ARIA, AR/AE,. AR/A1 A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item A7. Benchmark Utilized SEE COMMENTS SECTION Vertical Datum NAVD1988 Conversion/Comments 14.961 FT. NAVD1988 + 1.475 FEET=16.457 FT. NGVD1929. Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 23.41 ® feet ❑ meters (Puerto Rico only) b) Top;of the next higher floor NA. ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) NA. ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) 21.33 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 20.9 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 20.6 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 21.3 ® feet [3 meters (Puerto Rico only) 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. Il certify that the Information on this Certificate represents my best efforts to interpret the data available. - I understands that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Tide Company 4945 F_1'LlI0&illZkTi:Qe] Address 3171 SW ANN ARBOR ROAD Citv PORT ST. LUCIE Telephone PLACE SEAL €°IER: IMPORTANT: In these spaces, copy. the Issponding information from Section A. Ak Forinsuran...... pant' use _..._ ::: Building Street Address (including Apt, Unit, Sui . d/or Bldg. No.) or P.O. Route and Box No. 11WPolicy Number 2401 TILTON ROAD City PORT ST. LUCIE State FL ZIP Code Company NAtC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/oompany, and (3) building owner. Comments BENCHMARK REFERENCE: T 403 IS A FOUND COPPER ROD INSIDE OF A CASING WITH NO CAP 144 FEET SOUTHEAST OF THE CENTER OF A DRIVEWAY LEADING TO BANK OF AMERICA AND 91.5 FEET SOUTHWEST OF AND LEVEL WITH THE CENTERLINE OF THE SOUTHBOUND LANES OF U.S. HIGHWAY NO.1 AND 77.4 FEET NORTHWEST OF THE CENTER OF A DRIVEWAY LEADING TO WASHINGTON MUTUAL BANK AND 2.5 FEET NORTHWEST OF UTILITY POLE 57D16. ELEVATION=14.961 NAVD 1988 AND 16.457 NGVD 1929. Signature Date 04/20/2006 ` ❑Check here if attachments SECTION E - ROILL ING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zon I 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 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, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The propel owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FEMA-issued or community -issued BFE) ty or Zone AO must sign here. The statements in Sections A, B, and E are connect to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments I ❑ Check here if attachments 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 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 Items G8. and G9. 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. ❑ Acommunity 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: G9.) 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. Elevatiin of as -built lowest floor (including basement) of the building: _E] feet [I meters (PR) Datum G9. BFE or in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title I Community Name Telephone I Signature Date Comments I I i I ❑ Check here if attachments CMRAA C...w. 04 04 C..L......... OAnG 0....1........ ..11 ..-........... ...17M...... `-=' Building Photographs�� Continuation Page i For.ansgranoe Company. Use; : , Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. :Policy Numbet.:::: ..' 2401 TILTON ROAD City PORT ST. LUCIE State FL ZIP Code CompanyNAICNumber:: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." pr'drr�oG�n.to�NS �K�>� �'t' I� Zob V, 6LA) V,�:� Rita pj(,R� Ae-,qp. VfEU)