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Home My WebLink AboutELEVATION CERTIFICATESJ.S. DEPARTMENT OF HOMELAND SECURITY :ederal Emergency Management Agency Jational flood Ins urance Program E /ATION CERTIFICATE �i�', -' B No. 1660-0008 Expires s February 26. 2009 Important: Read the instructions on pages 1-S. D,�Oq- 1Dl s SECTION A - PROPERTY INFORMATION I For Insurance Company Use: ) A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I company rvru; wumoer I 5912 Seagrape Drive City Ft. Pierce State FL ZIP Code ED A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 5, Block 66,1ndtan River Estates Unit 8 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential IgV, A5. Latdudell-ong'dude: Lat. _ Long. _ Horizontal Datum: A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood Insurance. A7. Building Diagram Number 1 , As. For a building with a crawl space or enclosure(s), provide As. 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 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State I 120285 UNINCORPORATED AREAS ST LUCIE FL 84. MaplPanel Number B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) (Zone Date EffectivelRevised Date Zone(s) AO, use base flood depth) 12111CO281 G 6130199 11/4/92 AH 17.0 110. 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) 111. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _ 112. Is the building located in a Coastal Barrier Resources System (CSRS) area or Otherwise Protected Area (OPA)7 ❑Yes []No Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) A. 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. ;2. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/AI-A30, AR/AH, AR/AO. Complete Items C2.a-9 below according to the building diagram specified in Item A7. SCANNED Benchmark Utilized SEE COMMENTS SECTION Vertical Datum NAVD1988 BY ConversionlComments 13.356 FT NAV01988 + 1.475 FEET = 14.831 FT NGVD1929. Check the measurement used. St. LUti1Q County 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) 21.74 ® feet ❑ meters (Puerto Rico only) NA._ ❑ feet ❑ meters (Puerto Rico only) NA._ ❑ feet ❑ meters (Puerto Rico only) 21_26- ® feet ❑ meters (Puerto Rico only) NA._ ❑ feet ❑ meters (Puerto Rico only) 212 ® feet ❑ meters (Puerto Rico only) 212 ® 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 arcnneer aurionzea oy raw ra ceiwy ear, information. I certify that the intormation 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. Certifiers Name ROLAND E. ROLLINS License Number 4945 Title PROFESSIONAL LAND SURVEYOR Company Name ROLAND E. ROLLINS, PROF. LAND SURVEYOR Address 3171 SW ANN ARBOR ROAD City PORT ST. LUCIE State FL ZIP Code 34953 nnnc sao rovorca gida fnr continuation. Replaces all previous editions IMPORTANT: In these spaces, copl - .,,, corresponding information from Section For InsuranceCompany Use: Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 5912 SEAGRAPE DRIVE SECTION D - SURVEYOR ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentfcompany, and (3) building owner. Comments BENCHMARK REFERENCE: FOUND 1/2" COPPER ROD IN CONCRETE MONUMENT WITH BRASS ACCESS PANEL V-403 LOCATED 272 FEET WEST OF THE CENTERLINE OF THE SOUTHBOUND LANES OF U.S. HIGHWAY NUMBER ONE AND 41.0 FEET SOUTH OF THE EXTENDED CENTERLINE OF EASY STREET. BENCHMARK IS V 403 1991. ELEVATr10N = tr1.356 NAVD 1988. AO AND ZONE A For Zones AO and A (without BFE), complete gems Et-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For gems El-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 L] 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 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. Property Owner's or Owner's Authorized Representative's Name Address city State ZIP Code Signature Date Telephone Comments �I�IFII�i7�di'drlt�Iil1 �Ir�I�7:L�►c�l[9�IC]�ILLid, rnd G of this Elevation Certificate. Complete the applicable gems) and sign below. Check the measurement used in Items G8. and G9. 31. ❑ 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.) 32. ❑ A community official completed Section E for a building located In Zone A (without a FEMA4ssued or communityAssued BFE) or Zone AO. 33. ❑ The following information (Items G4.-G9.) is provided for communityfloodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. 37. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement 38. Elevation of as -built lowest floor (Including basement) of the building:._ _ feet ❑ meters (PR) Datum _ 39. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ Official's Name Community Name Telephone Signature , . Date ❑ Check here if attachments 'EMA Form 81-31, February 2006 Replaces all previous editions U.S. DEPARTMENT OF HOMELAND SECURP ELEVATION CERTIFICAT OMB No. 1660-0008 Expires February 28. 2009 Federal Emergency Management Agency t- 5� National Flood Insurance Program Important: Read the instructions on pages 1-8. _. lot r-5 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Albertino and Adelaide Rodrigues Policy Number A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 5912 Seagrape Drive City Ft. Pierce State FL ZIP Code .Qne.,sa- Lot 5, Block 66, Indian River Estates Unit 8 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 27 DEG 21 MIN 23 SEC Long. 80 DEG 18 MIN 32 SEC Horizontal Datum: ❑ NAD 1927 ® NAD 1983 As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT 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) _ sq ft a) Square footage of attached garage 410 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 _ 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 1 120285 UNINCORPORATED AREAS I ST. LUCIE I FL B4. Map/Panel 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) 12111CO281 G 6130/99 11/4/92 AH 17.0 610. 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) all. Indicate elevationdatum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 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, V1-V30, V (with BFE), AR, ARIA, ARIAE, ARIA►-A30, ARIAH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized SEE COMMENTS SECTION Vertical Datum NAVD1988 Conversion/Comments 13.356 FT MAVD1988 + 1.475 FEET = 14.831 FT NGVD1929 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 stab) 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. 21.74 ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) _ ❑ feet ❑ meters (Puerto Rico only) 21.26 E feet ❑ meters (Puerto Rico only) 21.1 ® feet ❑ meters (Puerto Rico only) 20.7 ® feet ❑ meters (Puerto Rico only) 21.2 ® 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. I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. ® Check here if comments are provided on back of form. Certifiers Name Roland E. Rollins License Number 4945 Title Professional Land Surveyor Company Name Roland E. Rollins Professional Land Surveyor Address 3234 SW Crumpacker Street City Port St. Lucie State FL ZIP Code 34953 PLACE SEAL HERE i IMPORTANT: In these spaces, copy th_ __'!responding 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. Policy Number 5912 Seagrape Drive City Ft. Pierce State FL ZIP Code 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 BENCHMARK REFERENCE: FOUND 1/2" COPPER ROD IN CONCRETE MONUMENT WITH BRASS ACCESS PANEL VA03 LOCATED 27.2 FEET WEST OF THE CENTERLINE OF THE SOUTHBOUND LANES OF U.S. HIGHWAY NUMBER ONE AND 41.0 FEET SOUTH OF THE EXTENDED CENTERLINE OF EASY STREET. BENCHMARK IS V 403 1991. ELEVATION = 13.356 NAVD 1988. ' %o/ZC0_1;11 ❑ Check here If attachments 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 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. 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 property owner or owners 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 Owners or Owners Authorized Representative's Name Address Signature Date Telephone ZIP Code ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administerthe community's floodplain management ordinance can complete S� 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 architectwho 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) cr Zone AO. G3. ❑ The following information (Items G4: G9.) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I 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 Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ Local Official's Name community Name Telephone Date