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Home My WebLink AboutELEVATION CERTIFICATESU.S. DEPARTMENT OF HOMELAND S' '!�;RITY FedeiEl Emergency Management Agent, National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2018 ELEVATION CERTIFICATE Important: Follow the instructions an pages 1-9. Copy all pages of this Elevaton Certificate and all attayhments for (1) community official, (2) insurance SECTION A — PROPERTY INFORMATION A1: Building Owner's Name JOE MIRANDA Box No. 7916 SOUTH OCEAN DR ng Apt., Unit, Suite, and/or Bldg. or - -- RECEIVED I NOV 2 6 2019 ffI ST. Lucie County, Permitting � Igay-o�3o 1 ally _ State ZIP Code JENSEN BEACH Florida - 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BEING ALL OF LOT 5, AS SHOWN ON THE PLAT OF DIAMOND SANDS PLAT NO.2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL (SLAB) A5. Latitude/Longitude: Lat.27°19'12"N Long.80°13'35"W Horizontal D4%SfVV_D 1927 ❑X NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain fl ki AT Building Diagram Number 6 AS. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b d) Engineered flood openings? ❑ Yes 1. ❑x No A9. For a building with an attached garage: a) Square footage of attached garage NIA sq in 1226.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b. d) Engineered flood openings? ❑ Yes ❑x No 0.00 sq in SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY 120285 ST LUCIE COUNTY Florida B4. Map/Panel B5. SuT02-16-2012' , FIRM ndex B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zones) (Zone AO, use Base Flood Depth) Revised Date 1211C0303 J 02-16-2012 7'. 11' AE, VE B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑X FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 X❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Bafrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑X Yes ❑ No Designation Date: 10-01-1983 X1 CBRS ❑ OPA r. FEMA Form 086-0-33 (7/15) , Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30. 2018 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: 7916 SOUTH OCEAN DR J City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' Z 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, VI—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 specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: A1A94-08-BM12 Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑X NAVD 1988 ❑ 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, crawlspace, or enclosure floor) 8.51 0 feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) 16.04 0 feet ❑ meters d) Attached garage (top of slab) 8.08 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A ❑ feet ❑ meters f) Lowest adjacent (finished) grade next tvbuilding (LAG) 4.74 ❑X feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.25 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A ❑ feet ❑ 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 law to certify elevation information. 'certify l that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine orimprtsonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number MATTHEW CROWLEY, PSM LS#7214 Title PRESIDENT " Company Name MERIDIAN LAND SURVEYORSf�,- (, Address 1717INDIAN RIVER BLVD, STE 201 City State ZIP Code VERO BEACH Florida 32963 Sign re ate Telephone Ext. %� Z6 (772) 794-1213 Copy all pages of this Elevation Certificate and all attachm nts for ) c mmunity official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) PRIMARY BENCHMARK IS FLORIDA DEPARTMENT OF TRANSPORTATION MONUMENT "A1A94-08-BM12", ELEV.= 3.51' NAVD'88. SECONDARY BENCHMARK IS FD P/K NAIL & DISK LB#6905 ELEV. 4.86' NAVD88 LOCATED 37.14' EAST OF THE. NORTH PROPERTY LINE AT EDGE OF PAVEMENT. NO A/C PAD TO DETERMINE C2E. LONGITUDE AND LATITUDE DETERMINED USING HAND HELD GPS DEVICE. FEMA Form 086-033 (7/15) Replaces all previous editions. Form Page 2 of 6 ELE4ATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 E1—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 natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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 1-2 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 Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments J ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. I Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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-G10. In Puerto Rico only, enter meters. 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-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) ❑ feet ❑ meters of the building: Datum G9. BFE or (in Zone AO) depth of flooding at the building site: [-]feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date J Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. 'FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View'; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. , C d ^'r^•y} , w`=V i S � � -� ! sue% - 4 ^`` IWANS ice....-^��•�yi _✓ a .. • '�.v-. 'fie, � a"" `�- i +• r ,,.,: �: Photo One Photo One Caption FRONT VIEW Clear Photo One d phi e 'a Photo Two Photo Two Caption REARVIEW I Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. `T 'N �`.�C�4eLd�� Y 'a' Cy� 1.�Y�dCa1 �-��• �i 'R•`�11-- �� yJi � �'m--• z �, .ter � Tj�� .r 'c�n� Photo Three Photo Three Caption RIGHT SIDE VIEW f Clear Photo Three join -..•'ws _L. Photo Four Photo Four Caption LEFT SIDE VIEW (FRONT) I ClearP pto Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATEl�v��C7 Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: JOE MIRANDA A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 7916 SOUTH OCEAN DR City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BEING ALL OF LOT 5, AS SHOWN ON THE PLAT OF DIAMOND SANDS PLAT NO. 2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL (SLAB) A5. Latitude/Longitude: Lat.27019'12"N Long.80°13'35' W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq It b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 1226.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY 120285 ST LUCIE COUNTY Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AD, use Base Flood Depth) Revised Date 1211CO303 J 02-16-2012 02-16-2012 7'. 1V AE, VE B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑x Yes ❑ No Designation Date: 10-01-1983 ❑x CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE .,MB No. 1660-0008 Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ❑x 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 specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: A1A94-08-BM12 Vertical Datum: NAVD88 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 the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 8.51 0 feet ❑ meters b) Top of the next higher floor N/A ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 8.08 x❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) N/A ❑ feet ❑ meters f) Lowest adjacent (finished) grade next to building (LAG) 4.74 0 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.25 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A ❑ feet ❑ 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 law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes []No ❑ Check here if attachments. Certifier's Name License Number MATTHEW CROWLEY, PSM LS#7214 Title PRESIDENT Company Name MERIDIAN LAND SURVEYORS „ �g �1�� H Address 1717 INDIAN RIVER BLVD, STE 201 I City State ZIP Code VERO BEACH Florida 32963 Signat Date Telephone Ext. lD � 6? (772) 794-1213 Copy all pages of this Elevation Certificate and all attachments for (1) cominunity official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) PRIMARY BENCHMARK IS FLORIDA DEPARTMENT OF TRANSPORTATION MONUMENT "A1A94-08-BM12", ELEV.= 3.51' NAVD'88. SECONDARY BENCHMARK IS FD P/K NAIL & DISK LB#6905 ELEV.=4.86' NAVD88 LOCATED 37.14' EAST OF THE NORTH PROPERTY LINE AT EDGE OF PAVEMENT. NO A/C PAD TO DETERMINE C2E. LONGITUDE AND LATITUDE DETERMINED USING HAND HELD GPS DEVICE. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE . MB No. 1660-0008 Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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 Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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 1-2 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 E] 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 Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE FMB No. 1660-0008 Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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—G10. In Puerto Rico only, enter meters. 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 fora building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Loral Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 085-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE 3UILDING PHOTOGRAPHS FMB No. 1s6o-oo06 See Instructions for Item A6. Expiration Date: November 30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 If using the Elevation Certificate to obtain NAP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS. If submitting more photographs than will fit on this page, use the Continuation Page. Photo One Photo One Caption FRONT VIEW Clear Photo One Mu i 1 , • tY[:y L -4t r ..R i ; - � j * 4 F Y� `S��^ J1_ rt,�®s�1n94 14 4 � `4. r I I•./ �...i Photo Two Photo Two Caption REAR VIEW Clear Photo Two FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 3UILDING PHOTOGRAPHS vMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November30, 2018 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: 7916 SOUTH OCEAN DR City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. r �r J rs 1' y iq K �'fim��3t-LI•r�'."� ..' C A i •.A ��-35�� esrr •an+�i+`,+ �FC�u`y'.��,}�µ�.�]4\ti La's �� VI �,�e`Mr$ +"MY �K��.�`�r��*'Y-i�Rq-��+'�w `�i{'"RF\'j73#�• �y YY 1 f k a � t PhotoThree Photo Three Caption RIGHT SIDE VIEW clear Photo. Three f y �i [yam •� Photo Four Photo Four Caption LEFT SIDE VIEW (FRONT) 1 Clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6