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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEPARTMENTOF HOMELAND SECURITY , )ELEVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program important: Read the instructions on pages 1 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name NATIONAL NAVY SEAL MUSEUM MEMORIAL at PEPPER PARK 'Policy:Number ' - A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAICGNumber - 3300 NORTH HIGHWAY A1A - - City State FL ZIP _ A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) TAX PARCEL ID: 1425-220-0001-000-1 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) NON-RESIDENTIAL CANNED A5. Latitude/Longitude: Let _ Long. _ Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983 BY As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. St. Lucie County AT Building Diagram Number 1 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) _ sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade 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 d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST.LUCIE CO. UNINCORPORATED AREAS 120285 ST. LUCIE I FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index 137. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 0181 G Date Effective/Revised Date Zone(s) AO, use base flood depth) AUGUST 19 1991 NOVEMBER 4, 1992 X,AO1,AO2&VE A01 A02 VE14 1310. 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) _ B11. Indicate elevation datum 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 (CPA)? ❑ 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, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specked in Item AT Use the same datum as the BFE. Benchmark Utilized sfte olanVertical Datum NAVD 1988 Conversion/Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.0 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor N/A._ ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N/A._ ❑ feet ❑ meters (Puerto Rico only) d) Attached garage (top of slab) N/A._ ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 7.5 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 6.0 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 7.0 ® feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 7.5 ® feet ❑ meters (Puerto Rico only) SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION l ms certrrcetion 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.) understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ® No Certifier's Name RICHARD A. PUTZ, RLS License Number 4505 Title REGISTERED LAND SURVEYOR AND MAPPER Company Name B.L.S.&C., INC. PLACE: S�F�L 3efMIfk t SLG_ 10Ia _012A9 IMPORTANT: In these spaces, copy the cL s. -onding information from Section A. Building Street Address (including Apt., Unit, Suite, -Bldg. No.) or P.O. Route and Box No. 3300 NORTH HIGHWAY A1A City FORT PIERCEState FL ZIP Code 34949 SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both. sides of this Eleq on Ce icate for (1) community official, (2) insurance agent/company, and (3) building owner. IMPROVED ON OR A VEM ER 1991 - NOT USED IN A MANNER CONSISTENT WITH THE PURPOSE OF THE OTHERWISE PROTECTED AREAS:' SEE A HED SHEET ® Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items Ei-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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ 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 _ _ ❑ 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 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 Owners or Owner's Authorized Representative's Name Address City State ZIP Code Date SECTION G - COMMUNITY INFORMATION (OPTIONAL) r ne ivani umaai wnu is aumonzea oy iaw or ommance to aammister 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 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) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. Permit Number Permit Issued 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_ G10. Community's design flood elevation _ _ []feet ❑ meters (PR) Datum_ Local Official's Name Title Community Name Telephone Signature Comments Date Check here if attachments