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Home My WebLink AboutELEVATION CERTIFICATET OF FEDERAL EMERGENCY MANAGEMENT AGENCY ELEVATION CERTIFICATE FEDERALEMERGENCY MANAGEMENT AGENCY Naband Flood Inmomce Program IMPORTANT: Follow the instructions on pages 1=8 SECTION A - PROPERTY INFO ni 0U6 Expiration Date: July 31,.2015 Job#: 13-157C FOR INSURANCE COMPANY USE Al. Building Owner's Name Seminole Mobile Park, LLC vullov N�meer: A2. Bulldmg Street Address (Including Apt., Unit, Suite, antl/or Bldg. No.) or P.O. Route and Box No. company NAIc Numoec —� 3318 Orannw Park. Avpnnp Int 3F "I Ft. Pierce State Fl ZIP Code 34947 (Lot A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Let. 2Z 4477 N Long, 80.3603 W Horizontal Datum: I] 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 R A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq it b) No. of permanent iiood openings In the crawlspace or 0 enclosure(s) within 1.0 foot above adjacent grade b) Number of permanent flood openings in the attached garage c) Total net area of flood openings in A8.b N/A sq in within 1.0 foot above adjacent grade 9 c) Total net area of flood openings In A9.b MIA sq in d) Engineered flood openings? ❑ Yes Z No d) Engineered flood openings? ❑ Yes Z No SECTION B - FLOOD INSURANCE RATE MAP NPIRMI INFORMATION 61. NFIP Community Name & Community Number St. Lucie Count Unincor orated Areas 120285 B2. Count, Name St. Lucie B3. State Florida B4. Map/Panel Number B5. Suffix 86. FIRM Index Date 67. FIRM Panel Effective/ B®, Flood Zone(s) 59. Base Flood Elevation(s) (Zone 12111CO178 J 02/16/2012 Revised Date 02/16/2012 AD, use base flood depth) A N/A 810. Indicate the source or the ease Flood Elevation {BFE) data or base flooddepth entered in Item 60: ❑ FIS Profile Z FIRM ❑ Community Determined ❑ Other/Source: Bll. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 Z NAVD 1988 ❑ Other/Source: B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes Z No Designation Date: _/ / ❑ CBRS ❑ CPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: Z Construction Drawings* El 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, VS-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. Benchmark Utilized: "LURE" Vertical Datum: 20.385' NAVD Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE a) Top of bottom floor (including basement, crawlspace, 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 and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, Including structural support ' Check the measurement used. 21 7' Z feet ❑ meters N A Z feet ❑ meters N A Z feet ❑ meters N A Z feet ❑ meters N , A ® feet ❑ meters 18 5 Z feet ❑ meters —18. 7 Z feet ❑ meters N . A Z feet ❑ meters aeU I IUIN u - 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. I 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. Were latitude and longitude in Section A provided by a ❑ Check here If attachments. licensed land surveyor? Z Yes ❑ No J 445 9th Street SV�W "' state ur coae 'I Vero Beach FI 32962 -4416- my FEMA Form 086-033 (7/12) See reverse side for continuation. Replacesall previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding 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. Polley Number: 3318 Orange Park Avenue lot 35 City State ZIP Code Company NAIC Nur bee Ft. Pierce FI 34947 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 First floor elevation represents a proposed structure to be placed on the site %f SECTION E - BUILDING 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 E1-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, craw(space, or enclosure) is _ . [great ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) Is _ . 19feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams. 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 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 property owner orowner'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. Property Owner or Owners Authorized Representative's Name William E. Hayhurst Address 445 9th Street SW, Unit 7 city Vero Beach State FI ZIP Code 32962 Signature Date Telephone (772) 569-6680 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, B, C (or E), and G of this Elevation Certificate. Complete the applicable items) and sign below. Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters. GS. ❑ The Information in Section C was taken from other documentation that has been signed and sealed by a ilcensedsurveyor, 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 AD. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. 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 Datum. G9. BFE or (in Zone AO) depth of flooding at the building site: — . _ ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Signature Comments ❑ Check here if attachments. FEMA Form 086-0.33 (7/12) Replaces all previous editions.