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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.