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Home My WebLink AboutELEVATION CERTIFICATES0� G NAME CITY -fIONALFLOOD INSURANCE PROGRAM V `.EVATI01� CERTIFICATE Read the instructions on PROPERTYOWNER INFORMATION OR P.O. ROUTE AND BOX NO. 7; U.NI.1o. INU. 0001-U0I I Expires December 31, 2005 M NAIC Number BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, a necessary.) (jvru" v 5 2On.7 & ( 1NP-##'-##.#if' or ❑ NAD 1927 ❑ NAD 1983 SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ❑ Other: 81. NFIP COWUNITY NAME &COWUNRY NUWER�7 1%c,K d�U� B2.CWtJTY NA -_ 63. STATE / /� hrJ 6 B4. MAP AND PANEL B7. FlRMPANEL Q9. BASE FLOOD EIEVATION(S) NUMBER &S.SUF 136.E IND DATE EFFEC IS DDATE B8.FL D NE(S) (Caw AO, use depth ofibcding) IICo 3l 6 , 8 7• 10 Inri'valn Iha mmm� of IM Raw Fkvxi Fk.vafnn rRF data rhaw flexxi depth cote in B9. ❑ FIte theProfle el li yy�� FIRM �un ty Determined ❑ Other (Desabe): _ � /�� 811.Indicala Iheeleva8on daWriTused for the BFE in B9: NGVD 1929 ❑ NAVD 1988 ❑ Other(Descnbe):_ J B12. Is the budding boated in a Coastal BalderResou S m (CBRS) area orOthenvise Ploteded Area (OPA)? ❑ Yes ❑ No Designatio a SECTION C-BUILDIN VATION INFORMATION (SURVEY REQUIRED) C1. Buidirg elevations are based on: ❑ Construction gmwings' )N8 ing UnderConsUuctbn' ❑ Finished Construction A new Elevation CeifAbale will be required when construction ofTexMing is complete. C2 Budding Diagram Number (Select the budding diagram most similar to the buitdmg forwhich this oaff ate is being completed -see pages 6 and 7. If no diagram accuraldy represents the building, provide a sketch orphotograph.) C3. Elevations-%nesA1-A30, AE, AH, A (wlh SFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, ARIAO Complete Items C3.-a4 below according tothe bu8dirgdiagram specified nItem 02. State the datum used. If the datum isdifferent from the datum u for BFEin Section B, convert the datum to that used forthe SFE. Show field measurements and datum conversion calculation. Use the space provided or the Co men area of 1 SeclanDorSection G,asappropriate, todocument thedatummnversbn. NOTE: LOWEST & HIGHEST' ADJACENT GRA Datum_ Conversion/Comments— FINISHED GRADE & WILL CHANGE DURING Elevation reference mark usedDoes the elevation reference mark used appeuon the RM? ❑ Yes ;k No o a) Top ofbottom floor(indudirgbasemenlorencbsure) m) SEE -COMMENTS n ob)Topofne#hghertoor—ft(m)**** LI ONE oc) Bottom oflovvesthotizontalstructural member(Vzones only) ==it(m) "� P S o d) Alladted garage (top of slab) ±. Mm) 0 E o e) Lanestelevatbn of machinery andlorequipmenl - m servici g the budding (Describe in a Comments area) _fL(m) o 0Lowest adjacent grade (LAG) , oZ. ft(m) og) Highest adjacentjEXff&'�grade PG) .oZ.fl(m)± o h) No, of permanent openings (flood vents) within 1 R above adjacent grads--� o ) Tolal area of at pennanentopenings Qlood vents) in C3.h =-fsq. in. (sq. an) SECTION D- SURVEYOR, ENGINEER, ORARCHITECT CERTIFICATION\ This certification is to be signed and sealed by a land surveyor, engineer, orarchitect authorized bylaw to certify elevation rmation. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that anv false statement mav be ounishable bv line orimprisonment under 18 U.S. Code. Section 1001. r-\ ern A. MITCHELL / % P.S.M. # 3541 TITLE SURVI YDI� A�TB MAr x /// // CA MITQ41ELL &YASSOCIATES .INC� AN 0 5 ZOOS 772-878- rovoroo rar+f: ill tnese My mrorrnation iron Section A. ENGINEER, Copy both sides of this Elevation Certificate for(1) oommunilyoffciai, (2) insuranceagentloompany, and (3) building owner. THE ELEVATIONS REFLECTED ON THE OPPOSITE SIDE OF THIS FORM WERE OBTAINED WHEN THE BUILDING IS WAS UNDER CONSTRUC N. WILL C GE S GRADING AND FILLING PROCESS CONTINUES. T IS TH& TOP OF THE WOODEN FORMBOARDS .OR TOP :OF BLOCK STEMWALL SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT 13FE) ForZone AO and Zone A (Mlhout BFE),complete Items Ei through E4. If the Elevation Certificate is intended for use as suppoding information fora LOMA or LOMR-F, Section C must be completed. Et. Building Diagram Number_(Seled the buiding diagram most similar b Die building forwhich this certificate is being completed —see pages 6 and 7. If nd diagram accuraldy represents the building, provide a sketch orphotograph.) E2. The top of the bottom floor (including basomentor.endosufe) of the buklNim _IL(m)_in.(an)❑above or ❑ below (check one)lhetighesladjacent grade. (Use natural grade, if available). E3.ForBufld'ngDiagrams69vAhopenings(seepage7),Nnerdhigherfloororelevatedfleor(elevationb)ofthebuildingis_fL(m)_in.(an)above the highestadjacent grade. CompleleflemsC3.hand C3.ionfront ofform. E4. The top of the platform of machinery ard/orequipment servicing fhe building is _ IL(m) _in.(an) ❑ above or ❑ natural grade, if available). below (check one) the highest ad rb grade. (Use E5. ForZone A0 only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communiys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official mustcertdy this information in Section G. " F - PROPERTY OWNER The properly ownerorownefs authorbBd representative who completes Sad ons A, B, C Qrems C3.h and C3.i orJy), and E frZone A (without a FEMA-issued orcemmunity- issued BFE) orZone AO must sign here. The statements N Seckns A, B, C, andEam correct to the best ofmyklookcge, PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZPOODE SIGNATURE DATE TELEPHONE G - COMMUNITY The local official who is authorized by law or ordnance to administer the cemmuniVslloodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable ilem(s) and sign below. Gt. ❑ The information in Section C was taken from otherdoahmenlatlon that has been signed and embossed by a licensed suiveynr, engineer, or architect who is authorized by slate or local law to certify elevation information. Qndicate the source and date of the elevation data in the Continents area below.) G2 ❑ A cemmunity official oompleled Sedan E fora buflding located in Zone A (without a FEMA4ssued orcemmuniy-issued BFE) orZone AO. C3. ❑ The following information (Items G4-G9) is provided for community kodplain management purposes. G7. This permit has been issued for.. ❑ New Construction ❑ Substantial lmpmvement G8. Elevation of asbuilt luvwtfloor(indud'uhg basement) of the buiding is; Gg. BFE or(in Zone AD) depth of flooding at the building site is: _._fL(m) Datum:_ __13.(m) Datum:_ LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE r DATE T S L-J V' MIA I Ierelr aAdOnrrlBnrS FEMA Form e1-31, January 2003 "' P.rr'��nr. nll nr.+•.•inv� rrrli��n- U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program A2. JENSEN BEACH ELEVATION CERTIFICATE OMB No. 1660-0008 Expires February 28. Important: Read the instructions on pages 1-8. SECTION A- PROPERTY INFORMATION I For insurance-- Company Use: I Suite, and/or Bldg. No.) or P.O. Route and Box A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Arlo 11JZN_X.LHL A5. LatiAttach at least ph Lot Long. Horizontal Datum: NA A6. Attach al least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s), provide: Ag. For a building with an attached garage, a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq fl 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 Bl. NFIP Community Name & Community Number B2. Ceunty Name 83. State UNINCORPORATED 120285 ST.LUCIE FLORIDA B4. Map/Panel Number B5. Suffix 86. FIRM Index B7. FIRM Panel 88. Flood B9. Base Flood Elevation(s) (Zone 12 CO 313 F 6 / 3,6f 9 9 Effective/Revised Date e(s) AO, use base flood depth) 9 AZE B10. Indicate the source of the Base Flood Elevation (BFE) data abase flood depth entered in Item Bg. ❑ FIS Profile X® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item 89: DNGVO 1929 ❑ NAVD 1988 ❑ Other (Describe) B12. Is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes }® No Designation Dale ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Ct. Building elevations am based on: ❑ Construction Drawings' ❑ Building Under Construction' -TJ 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, V1430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, AR/AH, ARIAO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized 0 Vertical Datum N C+ V D —1 9 2 9 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor) 7.9 5 eet ❑ meters (Puerto Rico only) b) Top of the next higher floor Weet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) tJ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab)-�Z _L•9fee1 ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 6.7 4.1 feet ❑ meters (Puerto Rico only) f) (Describe type of equipment in Comments) Lowest adjacent (finished) grade (LAG) 5 • 9 _2�:o feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 6.6 _feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION /4I ( This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elev information. I certify that the information on this Cedificafe 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 bp* of form. 547 See reverse side for continuation. \,ReVl cds all previous editions _-r 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. Policy Number 94 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH FLORIDA 34957 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agem/oompany, and (3) building owner. ...........W MACHINERY ROOM IS THE AC PAD EL.=6.74 Date SECTION'E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (vvithout 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 E1•E4, use net 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 B-8 with permanent flood openings provided in Sectio Items 8 a Ifor 9 (see page 8 of Instructions). the next higher floor (elevation C2.b in the diagrams) of the building Is __ ❑feet 61metem above or (J below the HAG. E3. Attached gamge (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 cornmunitpissued 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 Signature Date Telephone ❑ Check hem 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 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 architect who is authorized by law to certify elevation information. (Indicate the source and date of the ehwation data in the Comments area below.) G2. ❑ A community official completed Section E fora building located in Zone A (without a FEMA-issued oroommunity-issued BFE) or Zone AO. G3. ❑ The following Information (Items G4: G9.) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of CompliancefOocupancy 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 Gg. BFE or (in Zone AO) depth of flooding at the building site: ❑ feel ❑ meters (PR) Datum Local Official's Name Title Community Name - Teleohnar, Comments ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions