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Home My WebLink AboutELEVATION CERTIFICATEU.S.DEPAR iMENTOFHOMELANDSECURITY - , ELEVATION CERTIFICATE, Federal Emergericy Management Agency - - National Flood Insurance Program Important: Read the instructions on pages -b. OMB No. 1660-0008 Exbires February 28.2009 I SECTION A - PROPERTY INFORMATION I For Insurance Company Use: Al. Buildind Owner's Name Savanna A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number I 3512 Red -Tailed Hawk Drive City Port St. Lucie State FL ZIP Code 34952 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot-18, Block-70 Fairways at Savanna Club 44 fa- A4. Building' Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude %Longitude: Lat. Long. Horizontal Datum: [INAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building 'IDiagram Number 5 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) 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 enclosures) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State Unincorporated Areas 120285 1 St. Lucie Florida B4. Map/Pahel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone Date Effective/Revised Date Zone(s) AO, use base flood depth) 12111 CO283 F 6/30/1999 8119/91 AH 17 610. Indicate ;the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. SCANNED ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) BY 611. Indicate'elevation datum used for BFE in Item B9:, ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) St Cle County B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes �No Designation Date - ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1430, 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 St. Lucie Countv Vertical Datum NGVD1929 Conversion/Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 22.76 ® feet ❑ meters (Puerto Rico only) N/A. ❑ feet ❑ meters (Puerto Rico only) N/A. ❑ feet ❑ meters (Puerto Rico only) 21.75 ® feet ❑ meters (Puerto Rico only) 22.02 ® feet ❑ meters (Puerto Rico only) 19.28 ® feet ❑ meters (Puerto Rico only) 21.03 ® feet ❑ 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand 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. Certifier's Name Gary Hollett License Number 5353 Title Owner Company Name Gary A. Hollett Land Surveying Address P.O. Box 12186 City Fort Pierce State FL ZIP Code 34979 1 Signature IMPORTANT: In these spaces, copy the,-esponding information .from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Sul,_ ;d/or Bldg. No.) or P.O. Route and Box No. Policy Number - 3512 Red -Tailed Hawk Drive City Port St. Lucie State FL ZIP Code 34952 Company NAIC Number' - SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments This Certificate is NOT to be used for Flood Insurance. This Certificate is issued for building purposes only and is the sofe property of Savanna Club, Joint Venture. Signature Check here if SECTION E: BUJ9DIhfG ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Ei-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. El. 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 prope, y.owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community -issued BFE) o'r Zone AO.rriust�sigh here. The statements in Sections A, B, and E are correct 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 ❑ 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, iB, 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. ❑ A community official completed Section E fora 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. Elevation of as -built lowest floor (including basement) of the building: _❑ feet ❑ meters (PR) Datum G9. BFE or (in ZoneAO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments fl Check here if attachments