HomeMy WebLinkAboutELEVATION CERTIFICATEUHI Y ELEVATION
FED RALEM RGE CY rlAM MANAGEMENT
FEDERAL EMERGENCY MANAGEMENT AGENCY
AGENCY
CERTIFICATE OMB No. 1660-0008
National Flood Insu�ce Progrwn IMPORTANT: Follow the
nstructions on pages 1-9. Expiration Date: July 31, 2015
Job#: 13-157B
SECTION A— PROPERTY
INFORMATION
FOR�L URANCEyCOMPANYl1SE*
Al. Building owners Name Seminole Mobile Park, LLC
Poficy Number
and/or Bldg. No.) or
A2. eu{Id3318 Orand a Park Avenue
0. Route and Box No.
Compant ytvNCber dN...,
lot 49ite,
City Ft. Pierce
State Fl ZIP Code 34947
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description,
etc.)
2408-243-0003-000-6, Lot 49
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
Residential
A5. Latitude/Longitude: Lat. 27 4477 N Long. 80 3
n W Horizontal Datum: ❑x NAD 1927 ❑ NAD 1.983
AS. Attach at least 2 photographs of the building if the Certificate is being,u
ed to obtain flood Insurance.
A7. Building Diagram Number R
A8. For a building with a crawlspace or enclosure(s):
AS. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A
sq 1t 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
enclosures) within 1.0 foot above adjacent grade
within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b N/A
sq in c) Total net area of flood openings in A9.b NIA sq in
d) Engineered flood openings? ❑Yes ®.No
d) Engineered flood openings? ❑ Yes ®No
SECTION B — FLOOD INSURANCE
RATE MAP (FIRM) INFORMATION
Bl. NFIP Community Name & Community Number
St. Lucie COun Unincorporated Areas 120285
B2. Co
St. LuyCie
my Name
83. State
Florida
84. Map/Panel Number
35. Suffix
BE. FIRM Index Date
B7. FIRM
Panel Effective/
88. Flood Zone(s)
B9. Base Flood Elevation(s) (Zone
Revised
Date
AD, use base flood depth)
12111C(
J
02/16/2012
2/16/2012
A
N/A
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/Sou
ce:
® NAVD 1988 ❑ Other/Source:
all. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929
B32. Is the building located in a Coastal Barrier Resources System (CBRS) art
a 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 bui
ding is complete.
C2. Elevations— Zones Al—A30, AE, AH, A (with BFE), VE, VI—V30, V (with BFE),
AR, AR/A, AR/AE, AR/Al—A30, AR/AH, AR/AO. Complete Items SCANN
C2.a—h below according to the building diagram specified in Item A7. In Puerto
Rico only, enter meters. BY
Benchmark Utilized: "LURE"
Vertical Datum: 20.385' NAVD S. Lucie C
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 th
BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floc,)
21 5' ® feet ❑ meters
b) Top of the next higher floor
N A ® feet ❑ meters
C) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
N A ® feet ❑ meter I�cccc..ia.eewwwe�n���sssTT``,,
N A ® feet ❑ meter
e) Lowest elevation of machinery or equipment servicing the building
N . A ® feet ❑ meter
(Describe type of equipment and location in Comments)
t!! t
f) Lowest adjacent (finished) grade next to building (LAG)
18 . 3 ®feet ❑meters
g) Highest adjacent (finished) grade next to building (HAG)
18_ . 5 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, Including
N A ® feet ❑ meters
structural support
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. 1 certify that the Information on this Certificate represents my best a
orts to Interpret the data available.
I understand that any false statement may be punishable by fine or Imprisonmen
❑x Check here If comments are provided on back of form. Were latitude an
under 18 U.S. Code, Section 1001.
longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor?
® Yes ❑ No
1
1 " 71
�ifE
I v I I
1
-4416-
Certifier's
William
Name
E. Hayhurst
License Number
4416
Title
President
Company Name
Hayhurst Lan
Surveying, Inc.
Address
445 9th Street SW, Unit 7
City
Vero Beach
State ZIP Code
FI 32962
Signature
Date
o ?�
Telephone
772 569-6680
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
jR ,
ELEVATION, CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding Information from
Section A. TFOFZ I(JSURANCE OOMJzANY,USE r}
Building Street Adtlress (including Apt., Unit, Suite, and/or Bldg. No.) or I.
3318 Oran a Park Avenue lot 49
Route and Box No. ;Polfdy Number .r>* �" ✓-r
),
City - -
State
4�-, - "s.gx D-U3 t caK kY �,,:
Ft. Pierce
FI
ZIP Code iCompabyNAIVNumber y,?" ftii' i
34947 r-� f'sti�c}"tF.� + t
-
SECTION-D =SUIRVEYOR,-ENGIN
ttza _
IN 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 tc
be placed on the site
GGG
Signature
Otte
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 Cc rtificat
Far Items ES-E4, use natural grade, if available. Check the
is intended to support a LOMA or LOMR-F request, complete Sections A, Band C.
measurement
El. Provide elevation information for the following and check the appropria
sad. In Puerto Rico only; enter meters.
a boxes to show whether the
grade (HAG) and the lowest adjacent grade (LAG).
elevation Is above or below the highest adjacent
a) Top of bottom floor (including basement, crawlspace, or enclosure) i
_ , _ 19feet []meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure I
-- • — ®feet ❑meters ❑ above or El below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in
action A Items 8 and/or 9 (see pages 8-9 of Instructions),
the next higher floor (elevation C2.b in the diagrams) of the bullding is
E3. Attached garage (top of slab) is
_ , ® feet ❑ meters El above or [I below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building I
---. — ®feet ❑meters E] above or ❑below the HAG.
E5. Zone AO only: If no flood depth number is available, is the top of the bc
_ ®feet El meters ❑above or El below the HAG.
ttom floor elevated in accordance
ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certly
with the community's floodplain management
this information in Section G.
SECTION F- PROPERTY OWNER (OR
WNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Se
Zone AO must sign here. The statements in Sections A B
Aions A, S, and E for Zone A (without a FEMA-Issued or community -Issued BFE) or
and E are corred
Property Owner or Owners Authorized Representatives Name
to the best of my knowledge
William E.
Hayhurst
Address 445 9th Street SW, Unit 7
city State FI ZIP Code
Vero Beach
signature
32962
Comments
Date Telephone
(772) 569-6680
❑ Check here if attachments.
SECTION G - COMMUNI
Y INFORMATION (OPTIONAL)
,'•-Tlje (Scal official who is authorized bylaw or ordinance to administer the corrin
�(G o{this Elevation Certificate! Complete the applicable item(s)
unity's floodplain management ordinance can complete Sections A.B. C (or E), and
and sign below
�'G•1.. ❑ Th rt.Section C was taken from
Check the measurement used in Items G8-G10. In Puerto Rico only, enter meters.
other documentationthat
6Is authorized
r 4' who is authorizeA by law to certify elevation Information. (Indicate
-❑
has been signed and sealed by a licensed surveyor, engineer, or architect
he source and date of the elevation data In
G2. A'dommun)ty-official completed Section E for a building located in Zone
the Comments area below.)
A (without a FEMA-issued
G3. ❑ The following information (Items G4-G9) is provided for communiti
or community -issued BFE) or Zone AD.
floodplain management
G4. Permit Number G5. Date Permit Issued
purposes.
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Subst
ntial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building:
_ ❑ feet ❑
G9. BFE or (In Zone AO) depth of flooding at the building site:
, _ meters Datum
' ❑ feet ❑
G10. Community's design flood elevation:
— meters Datum
❑ feet ❑ meters Datum
Local Official's Name
Title
Community Name
Telephone
Signature '
Date
Comments
❑ Check here If attachments.
FEMA Form 086-033 (7/12)
Replaces all previous editions.