HomeMy WebLinkAboutELEVATION CERTIFICATE.U.S. DEPARTMENT OF HOMELAND SECURITY No -0008
ELEVATION CERTIFICATE M rartl� 1660 2015
FEDERAL EMERGENCY MANAGEMENT AGENCY I OEXP�i n Date: July 31,
Nadonal Fhod h=ince Fixignim IMPORTANT: Follow the Instructions on pages 1-9. Job#: 13-157E
SECTION A - PROPERTY INFORMATION
Al. Building Owners Name Seminole Mobile Park, LLC
or 120. Route and BOX No.
State Fl zip L;oae 34947
City Ft. Pierce
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory� etc.) Nesloanlial
A5. Latitude/Longitude: Lat. 97 4477 N — Long. An 3FICIIA W — Horizontal . Datum: g NAD 1927 [1 NAD 1-983
As. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number -15
AS. 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 ft
b) No. of permanent flood openings In the crawlspace or 0 b) Number of permanent flood openings In the attached garage
enclosure(s) within 1.0 foot above aclacentgrade within 1.0 foot above adjacent grade -(�—
c) Total net area of flood openings in A8.b NIA sq In c) Total net area of flood openings in A9.b N/A sq In
d) Engineered flood openings? [I Yes NNO d) Engineered flood openings? [:j Yes %No
-QFrTinN R - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIP Community Name & Community NUM er
El$ Cc Name
1
B3. State
Florida
St. Luci C U t d Areas. 120:
9-�� 85
B4. Map/Panel Number B5. Suffix B6. FIRM Ir x Date
St LU
7 F1 �R anal Effective/
88, Flood Zone(s) B9. Base Flood Elevation(s) (Zone
Revi;ld D a
AD , use base flood depth)
121 11C 02/16/20* 12
0 Wa2tO , 2
A N/A
BID. Indicate the source of the Base Flood Elevation GFE) data or base flood deptri entereo in item bu:
El FIS Profile N FIRM [] Community Determined [I Other/Source:
1311. Indicate elevation datum used for BFE in Item 139: [1 NGVD 1.929 E9 NAVD 1988 [1 Other/Source:
B12. Is the building located In a Coastal Barrier Resources System (CEIRS) area or otherwise Protected Area (OPAP El Yes NNo
Designation Date: — / — / — E] CEIRS F1 OPA
SECTION 0 - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: 9 construction Drawings* C] Building Under Construction* El 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 SFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-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' NAVQ
Indicate elevation datum used for the elevations in items a) through h) below. ONGVD1929 MNAVD1988 E]Other/Source:—
Datum used for building elevations must be the same as that used for the BFE. Check the measurement used.
a) Top of bottom floor (including basement, crawispace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
dill Attached garage (top of slab)
a) Lowest elevaton 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
21 3 99 feet El meters
N A 9 feet . El meters
N A pg feet 0 rn
N A 9 feet D rn
N.A P9 feet El in - RM COP)
18 . 1 9 feet 0 meters
18 3 9 feet [I meters
N A 99feet 0 meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification Is to be signed and sealed by a land surveyor, engineer, or architect authorized by lawtO certify elevation
information. I certify that the information on this Certificate represents my best efforts to Interpret me data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CE Check here if comments are provided on back of form. Were latitude and longitude in SecUon A provided by a
G Check here If attachments. licensed land surveyorl N Yes El No
— -
Certifiers Name
nse Number
14e 6
William E. Hayhurst
Title
President
Company Name
Hayhurst Land Surveying, Inc.
Address
445 9th Street SW. Unit 7
city
Vero Beach
S ate
F!
ZIP Code
132962
signature/C,,
�r
Date
%%1%7.113 1
Te
ff72'hor69.6680
VJ tE
SEAL
HERE
lklahs
-4416-
FEMA Form 086-0-33 (7/12)
See reverse side for continuation.
Replaces all previous editions
ELEVATION CERTIFICATE, Page 2
IMPORTANT: In these spaces, copy the comes
Address (including Apt., Unit, Suite,
Ion from Section A.
No.) or PO. Route and Box No.
State Zip Code M-P-a Wfi6ar0-V,-1-4t"
34947 7
�"7
Ft. Pierce F1
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
—,, --, �,u-� -� mjb mievavon ueruncate Tor (i) community official, (2) insurance agent/company, and (3) building owner.
Comments First floor elevation represents a proposed structure to be placed on the site
46�2j
bignature Date
` ful6wimu C"VAIJUR INI-OHMATION (SURVEY NOT REQUIRED) FOR ZONE AD AND ZONE A (WITHOUT BFE)
For Zones AD 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.
EJ.. 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, crawlspace, or enclosure) Is CRfeet Elmeters E] above or [I below the HAG.
b) Top of bottom floor (including basement, crawJspace, or enclosure) Is 19feet Elmeters El above or 11 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 Ofeet E]meters above or El below the HAG.
E3. Attached garage (top of slab) Is C9 feet EJ meters above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building Is N feet 0meters El above or 0 below the HAG.
E5. Zone AD 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? E] Yes E] No E] 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 FEMA4ssued or community -issued BFE) or
Zone AD must sign here. The statements In Sections A, 13, and E are correct to the �est of my knowledge.
Property 0 vner or Owner's Authorized Representative's Name William E. Hayhurst
-------- 445 9th Street SW, Unit 7 City Vero Beach State FI ZIP Code 32952
Signature Date Telephone
(772) 569-6680
El Check here if attachments.
bk:UYIUN 6 - COMMUNITY INFORMATION (OPTIONAL)
,R_e 'o al offi8ial who 1� adihorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and
a of thl " Elevation Card , fSate. Complete the applicable item(s) and sign below. Check the measurement used in Items GS-GiO. In Puerto Rico only, enter meters.
bl.; 0 The In'folmna"
tl6n In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect
Ano ii� authorized by law to certify elevation Information. (Indicate the source and date of the elevation data In the Comments area below.)
V" '-G'2. community official completed SectJon E for a building located In Zone A (without a FEMA4ssued or communit)'Issued EIFE) or Zone AD.
G3. The following Information (items G4-G9) Is provided for community floodplain management purposes.
G7. This permit has been issued for: ED New
G8. Elevation of as-bullt lowest floor (including basement) of the building: 13 feet 11 meters Datum
G9. 8FE or (in Zone AD) depth of flooding at the building site; Dfeet El meters Datum
GiO. Community's design flood elevation: 13fefft Dmeters Datum
Local Official!s Name
Community
Signature
FEMA Form 086-0-33 (7/12)
El Check here If attachments.
Replaces all Previous editions.