HomeMy WebLinkAboutFEMA - ELEVATION CERTIFICATEt
FEMA
SCANNED
BY
St. Lucie County
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
AND
INSTRUCTIONS
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
PAPERWORK REDUCTION ACT NOTICE
Public reporting burden for the Elevation Certificate is estimated to average 3.5 hours per response. Burden means the
time, effort, or financial resources expended by persons to generate, maintain, retain, disclose, or provide information to
the Federal Emergency Management Agency (FEMA). You are not required to respond to the collection of information
unless a valid OMB control number is displayed in the upper Fight corner of the form. You may send comments regarding
the accuracy of the burden estimate and any suggestions for reducing the burden to: U.S. Department of Homeland
Security, Federal Emergency Management Agency, Mitigation Division, 500 C Street SW, Washington DC 20472,
Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. To obtain or
retain benefits under the National Flood Insurance Program (NFIP), you must respond to this collection of information.
PURPOSE OF THE ELEVATION CERTIFICATE
The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be
used to provide elevation information necessary to ensure compliance with community floodplain management
ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment
(LOMA) or Letter of Map Revision based on fill (LOMR-F).
The Elevation Certificateis required in order to properly rate post -FIRM buildings, which are buildings constructed after
publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones Al-A30, AE, AH, A (with BFE),
VE, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, and AR/AO. The Elevation Certificate is not
required for pre -FIRM buildings unless the building is being rated under the optional post -FIRM flood insurance rules.
As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt
a floodplain management ordinance that specifies minimum requirements for reducing flood losses. One such requirement
is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially
improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a
community to document compliance with the community's floodplain management ordinance.
Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F
from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a
lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring
flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a
LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be
required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be
submitted with either a completed FEMA MT-EZ or MT-1 package, whichever is appropriate.
This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the
NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE). A floodproofed
building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters)
below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the
community an -exception for residential floodproofed basements. The community must adopt standards for design and
construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-
residential buildings and residential floodproofed basements in communities that have been granted an exception by
FEMA, a floodproofing certificate is required.
Additional guidance can be found in the FEMA Floodplain Management Bulletin about using the Elevation Certificate,
available on FEMA's website at www.fema.eov/fima/fpmbul.shtm. Click on "FEMA 467-1 Elevation Certificate Cover
and Bulletin."
Federal Emergency Management Agency , - xDires a ruary
National Flood Insurance Program , lortant: Read the instructions on pages 1�
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name TONY DORAN AND ALICE KEIL Policy Number
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
703 RAMIE DRIVE
City PORT ST LUCIE State FL ZIP Code 34952
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
RIVER PARK UNIT 3 BLK 22 LOT 16 PARCEL#3419-515-0080-000/0
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) R
A5. Latitude/longitude: Lat. _ Long. _ Horizontal Datum: N NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number _
As. For a building with a crawl space. or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) _ sq ft a) Square footage of attached garage sq ft
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
Bt. NFIP Community Name & Community Number
B2. County Name
B3. State
UNINCORP/120285
SAINT LUCIE
FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
120285-0280
F
6/30/99
08/19/91
AE
7
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe) _
Ell. Indicate elevation datum used for BFE in Item B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes NNo
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' N 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, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item AT
Benchmark Utilized Vertical Datum
Conversion/Comments
a) Top of bottom floor (including basement, crawl space, or enclosure floor)_
b)Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment in Comments)
0 Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
Check the measurement used.
❑ feet ❑ meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
❑ feet ❑ meters (Puerto Rico only)
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 inferpret the data available.
I understand that any false statement may be punishable byline orimprisonmenf under 18 U.S. Code, Section 1001. '
❑ Check here if comments are provided on back of form
Certifier's Name License Number
Title Company Name
Address City State ZIP Code
Signature Date Telephone
fA`,E
SEAL
o-rcRE
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding. information from Section A. _ For Insurance Company Use:
Building Street Address (including Apt., Unit, Suad/or Bldg. No.) or P.O. Route and Box No. Policy Number
City Stale ZIP Code I Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner.
Signature Dale - -
Check here if attachments
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, B,
and C. For Items El-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, crawl space, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is _ _ ❑ feel ❑ meters ❑ above or ❑ below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is — _ ❑ feel ❑ 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's or Owner's Authorized Representative's Name
State ZIP Code
Signature Date Telephone
Comments
❑ Check here it attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administerthe community's floodplafn 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.
Number
G5. Date
Date
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
GB. 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: _ _ ❑ feel ❑ meters (PR) Datum _
Local
Title
Telephone
Signature _ Date
Comments
Issued
❑ Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
City State ZIP Code Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
I
INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE
The Elevation Certificate is to be completed by a land surveyor, engineer, or architect who is authorized by law to certify
elevation information when elevation information is required for Zones AI-A30, AE, AH, A (with BFE), VE, V I-V30, V (with
BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, or AR/AO. Community officials who are authorized by law or ordinance to
provide floodplain management information may also complete this form. For Zones AO and A (without BFE), a community
official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are
intended for use in supporting a request for a LOMA or LOMR-F. Certified elevations must be included if the purpose of
completing the Elevation Certificate is to obtain a LOMA or LOMR-F.
The property owner, the owner's representative, or local official who is authorized by law to administer the community
floodplain ordinance can complete Section A and Section B. The partially completed form can then be given to the land
surveyor, engineer, or architect to complete Section C. The land surveyor, engineer, or architect should verify the information
provided by the property owner or owner's representative to ensure that this certificate is complete.
In Puerto Rico only, elevations for building information and flood hazard information -may be entered in meters.
SECTION A — PROPERTY INFORMATION
Items AI: A4. This section identifies the building, its location, and its owner. Enter the name(s) of the building owner(s), the
building's complete street address, and the lot and block numbers. If the building's address is different from the owner's
address, enter the address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot
and block numbers, the tax parcel number, the legal description, or an abbreviated location description based on distance and
direction from a fixed point of reference. For the purposes of this certificate, "building" means both a building and a
manufactured (mobile) home.
A map may be attached to this certificate to show the location of the building on the property. A tax map, FIRM, or detailed
community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the
building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building
use, indicate whether the building is residential,_ non-residential, an addition to an existing residential or non-residential
building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of the appropriate section if
needed, or attach additional comments.
Item A5. Provide latitude and longitude coordinates for the center of the front of the building. Use either decimal degrees
(e.g., 39.50430,-110.7585°) or degrees, minutes, seconds (e.g., 39' 30' 15.5", -110' 45' 30.7) format. If decimal degrees are
used, provide coordinates to at least 4 decimal places or better. When using degrees, minutes, seconds, provide seconds to at
least 1 decimal place or better. The latitude and longitude coordinates must be accurate within 66 feet. If the Elevation
Certificate is being certified by other than a licensed surveyor, engineer, or architect, this information is not required. Provide
the type of datum used to obtain the latitude and longitude. FEMA prefers the use of NAD 1983.
Item A6. If the Elevation Certificate is being used to obtain flood insurance through the NFIP, the certifier must provide at
least two photographs showing the front and rear of the building taken within 90 days from the date of certification. The
photographs must be taken with views confirming the building description and diagram number provided in Section A. If the
building has split-level or multi -level areas, provide at least two additional photographs showing side views of the building.
All photographs must, be in color and measure at least 3"0". Digital photographs are acceptable.
Item A7. Select the diagram on pages 7-8 that best represents the building. Then enter the diagram number and use the
diagram to identify and determine the appropriate elevations requested in Items C2.a-g. If you are unsure of the correct
diagram, select the diagram that most closely resembles the building being certified.
Item A8.a Provide the square footage of the crawl space or enclosure(s) below the lowest elevated floor of an elevated
building with or without permanent flood openings. Take the measurement from the outside of the crawl space or enclosure(s).
Examples of elevated buildings constructed with crawl space and enclosure(s) are shown in Diagrams 6-8 on page 8. Diagram
2 or 4 should be used for a building constructed with a crawl space floor that is below the exterior grade on all sides.
Items A8.b-c Enter in Item A8.b the number of permanent flood openings in the crawl space or enclosure(s) walls that are no
higher than 1.0 foot above the adjacent grade. Estimate the total net area of all such permanent flood openings in square
inches, excluding any bars, louvers, or other covers of the permanent flood openings, and enter the total in Item A8.c. If the net
Instructions —Page I
1 r ,
area cannot be reasonably estimated, provide the size of the flood openings without consideration of any covers and indicate in
the Comments area the type of cover that exists in the flood openings. If the crawl space or enclosure(s) walls have no
permanent openings within 1.0 foot above adjacent grade, enter "0" (zero) in Items A8.b-c.
Item A9.a Provide the square footage of the attached garage with or without permanent flood openings. Take the
measurement from the outside of the garage.
Items A9.b-c Enter in Item A9.b the number of permanent flood openings in the attached garage that are no higher than 1.0
foot above the adjacent grade. This includes any openings that are in the garage door that are no higher than 1.0 foot above the
adjacent grade. Estimate the total net area of all such permanent flood openings in square inches and enter the total in Item
A9.c. If the garage has no permanent flood openings within 1.0 foot above adjacent grade, enter "0" (zero) in Items A9.b-c.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification.
The information for Section B is -obtained by reviewing the FIRM panel that includes the building's location. Information
about the current FIRM is available from the Federal Emergency Management Agency (FEMA) by calling 1-800-358-9616. If
a Letter of Map Amendment (LOMA) or Letter of Map Revision (LOMR-F) has been issued by FEMA, please provide the
letter date and case number in the Comments area of Section D or Section G, as appropriate.
For a building in an area that has been annexed by one community but is shown on another community's FIRM, enter the
community name and 6-digit number of the annexing community in Item B 1, the name of the new county in Item 132, and the
FIRM index date for the annexing community in Item 136. Enter information from the actual FIRM panel that shows the
building location, even,if it is the FIRM for the previous jurisdiction, in Items B4, 135, 137, 138, and B9.
Item Bl. NFIP Community Name & Community Number. Enter the complete name of the community in which the building
is located and the associated 6-digit community number. For a newly incorporated community, use the name and 6-digit
number of the new community. Under the NFIP, a "community" is any State or area or political subdivision thereof, or any
Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for
the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Book, available
on FEMA's web site at htto://www.fema.gov/fema/csb.shtm, or call 1-800-358-9616.
Item B2. County Name. Enter the name of the county or counties in which the community is located. For an unincorporated
area of a county, enter "unincorporated area." For an independent city, enter "independent city."
Item B3. State. Enter the 2-letter state abbreviation (for example, VA, TX, CA).
Items B4.-B5. Map/Panel Number and Suffix. Enter the I0-character "Map Number" or "Community Panel Number" shown
on the FIRM where the building or manufactured (mobile) home is located. For maps in a county -wide format, the sixth
character of the "Map Number" is the letter "C" followed by a four -digit map number. For maps not in a county -wide format,
enter the "Community Panel Number" shown on the FIRM.
Item B6. FIRM Index Date. Enter the effective date or the map revised date shown on the FIRM Index.
Item B7. FIRM Panel Effective/Revised Date. Enter the map effective date or the map revised date shown on the FIRM
panel. This will be the latest of all dates shown on the map. The cur -rent FIRM panel effective date can be determined by
calling 1-800-358-9616.
Item B8. Flood Zone(s). Enter the flood zone, or flood zones, in which the building is located. All flood zones containing the
letter "A" or "V" are considered Special Flood Hazard Areas. The flood zones are A, AE, Al-A30, V, VE, VI-V30, AH, AO,
AR, AR/A, AR/AE, AR/A 1-A30, AR/AH, and AR/AO. Each flood zone is defined in the legend of the FIRM panel on which
it appears.
Instructions — Page 2
Item B9. Base Flood Elevation(s). Using the appropriate Flood Insurance Study (FIS) Profile, Floodway Data Table, or
FIRM panel, locate the property and enter the BFE (or base flood depth) of the building site. If the building is located in more
than one flood zone in Item B8, list all appropriate BFEs in Item B9. BFEs are shown on a FIRM or FIS Profile for Zones A1-
A30, AE, AH, V 1-V30, VE, AR, AR/A, AR/AE, AR/A1-A30, AR/AH, and AR/AO; flood depth numbers are shown for Zone
AO. Use the AR BFE if the building is located in any of Zones AR/A, AR/AE, AR/Al-A30, AR/AH, or AR/AO. In A or V
zones where BFEs are not provided on the FIRM, BFEs may be available from another source. For example, the community
may have established BFEs-or obtained BFE data from other sources for the building site. For subdivisions and other
developments of more than 50 lots or 5 acres, establishment of BFEs is required by the community's floodplain management
ordinance. If a BFE is obtained from another source, enter the BFE in Item B9. In an A Zone where BFEs are not available,
complete Section E and enter N/A for Section B, Item B9. Enter the BFE to the nearest tenth of a foot (nearest tenth of a
meter; in Puerto Rico).
Item B10. Indicate the source of the BFE that you entered in Item B9. If the BFE is from a source other than FIS Profile,
FIRM, or community, describe the source of the BFE.
Item BII. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced as shown on the map
legend. The vertical datum is shown in the Map Legend and/or the Notes to Users on the FIRM.
Item B12. Indicate whether the building is located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected
Area (OPA). (OPAs are portions of coastal barriers that are owned by Federal, State, or local governments or by certain non-
profit organizations and used primarily for natural resources protection.) Federal flood insurance is prohibited in designated
CBRS areas or OPAs for buildings or manufactured (mobile) homes built or substantially improved after the date of the CBRS
or OPA designation. For the first CBRS designations, that date is October 1, 1983. An information sheet explaining CBRS
areas and OPAs may be obtained on FEMA's web site at httn://www.fema.gov/fhm/fmc cbrs.shtm.
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Complete Section C if the building is located in any of Zones AI-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE),
AR, AR/A, AR/AE, AR/A1-A30, AR/AH, or AR/AO, or if this certificate is being used to support a request for a LOMA or
LOMR-F. If the building is located in Zone AO or Zone A (without BFE), complete Section E instead. To ensure that all
required elevations are obtained, it may be necessary to enter the building (for instance, if the building has a basement or
sunken living room, split-level construction, or machinery and equipment).
Surveyors may not be able to gain access to some crawl spaces to shoot the elevation of the crawl space floor. If access to the
crawl space is limited or cannot be gained, follow one of these procedures.
• Use a yardstick or tape measure to measure the height from the floor of the crawl space to the "next higher floor," and then
subtract the crawl space height from the elevation of the "next higher floor." if there is no access to the crawl space, use
the exterior grade next to the structure to measure the height of the crawl space to the "next higher floor."
• Contact the local floodplain administrator of the community in which the building is located. The community may have
documentation of the elevation of the crawl space floor as part of the permit issued for the building.
• If the property owner has documentation or knows the height of the crawl space floor to the next higher floor, try to verify
this by looking inside the crawl space through any openings or vents.
In all three cases, provide the elevation in the Comments area of Section D on the back of the form and a brief description of
how the elevation was obtained.
Item Cl. Indicate whether the elevations to be entered in this section are based on construction drawings, a building under
construction, or finished construction. For either of the first two choices, a post -construction Elevation Certificate will be
required when construction is complete. If the building is under construction, include only those elevations that can be
surveyed in Items C2.a-g. Use the Comments area of Section D to provide elevations obtained from the construction plans or
drawings. Select "Finished Construction" only when all machinery and/or equipment such as furnaces, hot water heaters, heat
pumps, air conditioners, and elevators and theirassociated equipment have been installed and the grading around the building
is completed.
Item C2. A field survey is required for Items C2.a-g. Provide the benchmark utilized, the vertical datum for that benchmark,
and any datum conversion necessary. Most control networks will assign a unique identifier for each benchmark. For example,
the National Geodetic Survey uses the Permanent Identifier (PID). For the benchmark utilized, provide the PID or other
Instructions — Page 3
A � �
unique identifier assigned by the maintainer of the benchmark. Also provide the vertical datum for the benchmark elevation.
Show the conversion from the field survey datum used if it differs from the datum used for the BFE entered in Item B9 and
indicate the conversion software used. All elevations for the certificate, including the elevations for Items C2.a-g, must be
referenced to the datum on which the BFE is based. Show the datum conversion, if applicable, in this section or in the
Comments area of Section D. For property experiencing ground subsidence, the most recent reference mark elevations must be
used for determining building elevations. However, when subsidence is involved, the BFE should not be adjusted. Enter
elevations in Items C2.a-g to the nearest tenth of a foot (nearest tenth of a meter, in Puerto Rico).
Items C2.a-d Enter the building elevations (excluding the attached garage) indicated by the selected building diagram (Item
A7.) in Items C2.a-c. If there is an attached garage, enter the elevation for top of attached garage slab in Item C2.d. (Because
elevation for top of attached garage slab is self-explanatory, attached garages are not illustrated in the diagrams.) If the
building is located in a V zone on the FIRM, complete Item C2.c. If the flood zone cannot be determined, enter elevations for
all of Items C2.a-g. For buildings in A zones, elevations a, b, d, and a should be measured at the top of the floor. For buildings
in V zones, elevation c must be measured at the bottom of the lowest horizontal structural member of the floor (see drawing
below). For buildings elevated on a crawl space, Diagram 8, enter the elevation of the top of the crawl space floor in Item C2.a,
whether or not the crawl space has permanent flood openings (flood vents). If any item does not apply to the building, enter
"N/A "for not applicable.
BUILDING ON
SLAB
BUILDING WITH
BUILDING ON PILES,
BASEMENT
PIERS, OR COLUMNS
C2.a A ZONES V ZONES
/
C2.a
A 20NE5 V ZONES
`
ld ry�
AZONES
-
j
C2.a
C2.c
BASE FLOOD
� c
ELEVATION C2,0
BASE FLOOq
:'
ADJACENT
ELEVATION,j..,;
GRADE
.''GRADE
Item C2.e Enter the lowest platform elevation of at least one of the following machinery and equipment items: elevators and
their associated equipment, furnaces, hot water heaters, heat pumps, and air conditioners in an attached garage or enclosure or
On an open utility platform that provides utility services for the building. Note that elevations for these specific machinery and
equipment items are required in order to rate the building for flood insurance. Local floodplain management officials are
required to ensure that all machinery and equipment servicing the building are protected from flooding. Thus, local officials
may require that elevation information for all machinery and equipment, including ductwork, be documented on the Elevation
Certificate. If the machinery and/or equipment is mounted to a wall, pile, etc., enter the platform elevation of the machinery
and/or equipment. Indicate machinery/equipment type in the Comments area of Section D or Section G, as appropriate. If this
item does not apply to the building, enter "NIA "for not applicable.
Items C2.f-g Adjacent grade is defined as the elevation of the ground, sidewalk, patio slab, or deck support immediately next
to the building. If the certificate is to be used to support a request for a LOMA or LOMR-F, provide in the Comments area the
lowest adjacent grade elevation measured at the deck support or stairs if that elevation is lower than the building's lowest
adjacent grade. For Zone AO, use the natural grade elevation; if available. This measurement must be to the nearest tenth of a
foot (nearest tenth of.a meter, in Puerto Rico) if this certificate is being used to support a request for a LOMA or LOMR-F.
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Complete as indicated. This section of the Elevation Certificate may be signed by only a land surveyor, engineer, or architect
who is authorized by law to certify elevation information. Place your license number, your seal (as allowed by the State
licensing board), your signature, and the date in the box in Section D. You are certifying that the information on this certificate
represents your best efforts to interpret the data available and that you understand that any false statement may be punishable
Instructions — Page 4
by fine or imprisonment under 18 U.S. Code, Section 1001, Use the Comments area of Section D, on the back of the
certificate, to provide datum, elevation, or other relevant information not specified on the front.
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO
& ZONE A (WITHOUT BFE)
Complete Section E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C instead.
Explain in the Section F Comments area if the measurement provided under Items El.- E4. is based on the "natural grade."
Items ELa and b Enter in Item El.a the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico) of the top of
the bottom floor (as indicated in the applicable diagram) above or below the highest adjacent grade (HAG). Enter in Item
El .b the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico) of the top of the bottom floor (as indicated in
the applicable diagram) above or below the lowest adjacent grade (LAG). For buildings in Zone AO, the community's
floodplain management ordinance requires the lowest floor of the building be elevated above the highest adjacent grade at
least as high as the depth number on the FIRM. Buildings in Zone A (without BFE) may qualify for a lower insurance rate if
an engineered BFE is developed at the site.
Item E2. For Building Diagrams 6-8 with permanent flood openings (see page 8), enter the height to the nearest tenth of a foot
(tenth of a meter in Puerto Rico) of the next higher floor or elevated floor (as indicated in the applicable diagram) above or
below the highest adjacent grade (HAG).
Item E3. Enter the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico), in relation to the highest adjacent
grade next to the building, for the top of attached garage slab. (Because elevation for top of attached garage slab is self-
explanatory, attached garages are not illustrated in the diagrams.) If this item does not apply to the building, enter "N/A"
for not applicable.
Item E4. Enter the height to the nearest tenth of a foot (tenth of a meter in Puerto Rico), in relation to the highest adjacent
grade next to the building, of the platform elevation that supports the machinery and/or equipment servicing the building.
Indicate machinery/equipment type in the Comments area of Section F. If this item does not apply to the building, enter
"NIA "for not applicable.
Item E5. For those communities where this base flood depth is not available, the community will need to determine whether
the top of the bottom floor is elevated in accordance with the community's floodplain management ordinance.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
Complete as indicated: This section is provided for certification of measurements taken by a property owner or property
owner's representative when responding to Sections A, B, and E. The address entered in this section must be the actual
mailing address of the property owner or property owner's representative who provided the information on the certificate.
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
Complete as indicated. The community 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. Section C may be
filled in by the local official as provided in the instructions below for Item G1. If the authorized community official completes
Sections C, E, or G, complete the appropriate item(s) and sign this section.
Check Item G1. if Section C is completed with elevation data from other documentation, including elevations obtained from
the Community Rating System Elevation Software, 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 of the elevation data and the date
obtained in the Comments area of Section G. If you are both a community official and a licensed land surveyor, engineer, or
architect authorized by law to certify elevation information, and you performed the actual survey for a building in Zones A1-
A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, AR/A, AR/A1-A30, AR/AE, AR/AH, or AR/AO, you must
also complete Section D.
Check Item G2. if information is entered in Section E by the community for a building in Zone A (without a FEMA-issued or
community -issued BFE) or Zone AO.
Instructions —Page 5
Check Item G3. if the information in Items G4: G9. has been completed for community floodplain management purposes to
document the as -built lowest floor elevation of the building. Section C of the Elevation Certificate records the elevation of
various building components but does not determine the lowest floor of the building or whether the building, as constructed,
complies with the community's floodplain management ordinance. This must be done by the community. Items G4.-G9.
provide a way to document these determinations.
Item G4. Permit Number. Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for
the building.
Item G5. Date Permit Issued. Enter the date the permit was issued for the building.
Item G6. Date Certificate of Compliance/Occupancy Issued. Enter the date that the Certificate of Compliance or Occupancy
or similar written official documentation of as -built lowest floor elevation was issued by the community as evidence that all
work authorized by the floodplain development permit has been completed in accordance with the community's floodplain
management laws or ordinances.
Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any
reconstruction, rehabilitation, addition, or other improvement of a building, the cost of which equals or exceeds 50 percent
of the market value of the building before the start of construction of the improvement. The term includes buildings that
have incurred substantial damage, regardless of the actual repair work performed.
Item G8. As -built lowest floor elevation. Enter the elevation of the lowest floor (including basement) when the construction
of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the
permit, the approved plans, and the community's floodplain management laws or ordinances. Indicate the elevation datum
used.
Item G9. BFE. Using the appropriate FIRM panel, FIS Profile, or other data source, locate the property and enter the BFE (or
base flood depth) of the building site. Indicate the elevation datum used.
Enter your name, title, and,telephone number, and the name of the community. Sign and enter the date in the appropriate
blanks.
Instructions — Page 6
BUILDING DIAGRAMS
The following eight diagrams illustrate various types of buildings. Compare the features of the building being
certified with the features shown in the diagrams and select the diagram most applicable. Enter the diagram
number in Item AT, the square footage of crawl space or enclosure(s) and the area of flood openings in square
inches in Items A8.a-c, the square footage of attached garage and the area of flood openings in square inches in
Items A9.a-c, and the elevations in Items C2.a-g.
In A zones, the floor elevation is taken at the top finished surface of the floor indicated; in V zones, the floor
elevation is taken at the bottom of the lowest horizontal structural member (see drawing in instructions for
Section C).
DIAGRAM 1
All slab -on -grade single- and multiple -floor buildings
(other than split-level) and high-rise buildings, either
detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature — The bottom floor is at or above ground level
(grade) on at least one side.'
SC2.b
NEXT HIGHER /
C2.a FLOOR
i
GRADE BOTTOM FLOOR
y �
s r u
4` l'
C2:'f (deterrnmpd by :. � .. M1 �
g' existing grade}
DIAGRAM 3
All split-level buildings that are slab -on -grade, either
detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature —The bottom floor (excluding garage) is at or
above ground level (grade) on at least one side .•
C2.a
HIGHER
FLOORS
NEXT HIGHER
FLOOR
C2.b
t
DIAGRAM 2
All single- and multiple -floor buildings with basement
(other than split-level) and high-rise buildings with
basement, either detached or row type (e.g.,
townhouses ' with or without attached garage.
Distinguishing Feature —The bottom floor (basement ar underground
garage) is below ground level (grade) on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram.'
SC2.a
C2.b
NEXT HIGHER
FLOOR
GRADE
\ BOTTOM FLOOR
\Y (BASEMENT)
4 y r
l
'' C2 f-g -existing get aaj
DIAGRAM 4
All split-level buildings (other than slab -on -grade),
either detached or row type (e.g., townhouses); with or
without attached garage.
Distinguishing Feature —The bottom floor (basement or underground
garage) is below ground level (grade) on all sides. Buildings constructed
above crawl spaces that are below grade on all sides should also use this
diagram.
C2.a C2.b
HIGHER
GRADE FLOORS
NEXT HIGHER
BOTTOM FLOOR FLOOR
BASEMENT
fw T
extshng grade)
" A floor that is below ground level (grade) on all sides is considered a basement even if the floor is used for living purposes, or as an office,
garage, workshop, etc.
Instructions — Page 7
DIAGRAM 5
All buildings elevated on piers, posts, piles, columns,
or parallel shear walls. No obstructions below the
elevated floor.
Distinguishing Feature —For all zones, the area below the elevated floor is
open, with no obstruction to flow of flood waters (open lattice work and/or
readily removable insect screening is permissible).
C2.b
NEXT HIGHER '
FLOOR
8C2.a11'x
ELEVATED
FLOOR
GRADE
(05 7.�:,;
(determined �. .. ( ,
F
existing gradee)) C2.c Forvzonesonly)nly)
DIAGRAM 7
All buildings elevated on full -story foundation walls
with a partially or fully enclosed area below the
elevated floor. This includes walkout levels, where at
least one side is at or above grade. The principal use
of this building is located in the elevated floors of the
building. '
Distinguishing Feature — For all zones, the area below the elevated floor is
enclosed, either partially or fully. In A Zones, the partially or fully enclosed
area below the elevated floor is with or without openings" present In the
walls of the enclosure. Indicate information about enclosure size and
openings in Section A— Property Information.
C2.b
S
NEXT HIGHER
FLOOR
GRADE
WALKOUTOSLEVEL C2•g
C2.f (ENCLURE)
is
A8.b-c A8.a
OPENINGS'
DIAGRAM 6
All buildings elevated on piers, posts, piles, columns,
or parallel shear walls with full or partial enclosure
below the elevated floor. -
Distinguishing Feature — For all zones, the area below the elevated floor is
enclosed, either partially or fully. In A Zones, the partially or fully enclosed
area below the elevated floor is with or without openings" present in the
walls of the enclosure. Indicate Information about enclosure size and
openings in Section A — Property Information.
i NEXT HIGHER i
FLOOR
C2.a S
ELEVATED
FLOOR
AS.a-c
GRADE " - p;Yi.'x"4,
Eac OSUR Determine
+°f,:-k enclosure size a
r,h s openings, if any.
(determined by`� • . s,
C2 f-g existing grade) C2.0 (For V zones only)
DIAGRAM 8
All buildings elevated on a crawl space with the floor of
the crawl space at or above grade on at least one side,
with or without an attached garage.
Distinguishing Feature —For all zones, the area below the f rst floor is
enclosed by solid or partial perimeter walls. In all A zones, the crawl space
is with or without openings" present in the walls of the crawl space.
Indicate information about crawl space size and openings in Section A —
Property Information.
i
I t
C2.a C2.b !
GRADE NEXT HIGHER
FLOOR
C2.f C2.g i
r
A9.6 c .. :. A8.a ...,...
OPENINGS"
•• An "opening" is defined as a permanent opening in a wall that allows for the free passage of water automatically in both directions without
human intervention. Under the NFIP, a minimum of two openings is required for enclosures or crawl spaces with a total net area of not less than
one square inch for every square foot of area enclosed. Each opening must be on different sides of the enclosed area. If a building has more than
one enclosed area, each area must have openings on exterior walls lo`allow floodwater to directly enter. The bottom of the openings must be no
higher than one foot above the grade underneath the flood vents. Alternatively, you may submit a certification by a registered professional
engineer or architect that the design will allow for the automatic equalization of hydrostatic flood forces on exterior walls. A window, a door, or
a garage door is not considered an opening.
Instructions — Page 8
Building Photographs
Continuation Paqe
- For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
City State ZIP Code Company NAIC Number
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."
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE,—
B. r,,;ortant: Read the instructions on pages 1
OMB No. 1660-0008
Expires February 28, 2009
703
SECTION A - PROPERTY INFORMATION i For Insurance Company Use: i
(including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
City PORT ST LUCIE State FL ZIP Code 34952
MIM
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
RIVER PARK UNIT 3 BLK 22 LOT 16 PARCEL#3419-515-0080-000/0 St. Lucie CnNnhir
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) R
A5. Latitude/Longitude: Lat. _ Long. _ Horizontal Datum: E NAD 1927 ❑ NAD 1983
As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number _
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) _ sq Ita) Square footage of attached garage sq ft
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 fool 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
UNINCORP/120285 I SAINT LUCIE I FL
84. Map/Panel Number
B5. Suffix
B6. FIRM Index
. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
EffecB7tive/Revised Date
Zone(s)
AO, use base flood depth)
120285-0280
F
6130199
08/19/91
AE
7
. B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe) _
B11. Indicate elevation datum used for BFE in Item B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ENo
Designation Date _ ❑ CBRS ❑ OPA
SECTION C -,BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' E Finished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations —Zones At-A30, AE, AH, A (with BFE), VE, VI-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item AT
Benchmark Utilized Vertical Datum
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)_
❑ feel
❑ meters (Puerto Rico only)
b)
Top of the next higher floor _
_ ❑ feet
❑ meters (Puerto Rico only)
c)
Bottom of the lowest horizontal structural member (V Zones only) _
_ ❑ feet
❑ meters (Puerto Rico only)
d)
Attached garage (top of slab)
❑ feel
❑ meters (Puerto Rico only)
e)
Lowest elevation of machinery or equipment servicing the building
❑ feet
❑ meters (Puerto Rico only)
(Describe type of equipment in Comments)
-
0
Lowest adjacent (finished) grade (LAG)
❑ feet
❑ meters (Puerto Rico only)
g)
Highest adjacent (finished) grade (HAG)
❑ feet
❑ meters (Puerto Rico only)
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 elegy
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 or imprisonment under 18 U.S. Code, Section 1001.
❑ Check here if comments are provided on back of form.
Certifier's Name License Number
Address City State ZIP Code
Signature Date Telephone
PLACE
SEAL
HERE
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces, copy thr - 7responding information from Section A. For Insurance Company Use:
Building Street Address (including Apt., Unit, Sr.. ,id/or Bldg. No.) or P.O. Route and Box No. Policy Number
City State ZIP Code rComoanv NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insuranceagent/company, and (3) building owner.
❑ Check here if attachments
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, B.
and C. For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
Et. 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 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 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 lop 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's or Owner's Authorized Representative's Name
Address City
Signature Date Telephone
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
-fire local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections
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.
Number
G5. Date Permit 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 _
Local Official's Name
Community Name
Telephone
Date
Issued
❑ Check here if attachments
FEMA Form 81-31, February 2006 Replaces all previous editions
ale- V
3ukirjj'it by Email : - Prfnt Form.
US. DEPARTMENT OF HOMELAND SECURITY - ELEVATION CERTIFICATE / OMB No. 1660-0008
Federal Emergency Management Agency I Expires February 28. 2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
_ SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owners Name I Poll" Numher
A2. Building Street Address (including Apt., Unit, Suite,
City
State
No.) or P.O. Route and Box No.
Number,
ZIP Code
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 27" 19' 41.8" N Long. 80' 19' 47.4" W Horizontal Datum: ❑ NAD 1927 ❑ NAD 1983
As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
As. For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) NA sq If a) Square footage of attached garage 400 sq It
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 NA walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
City of Port St. Lucie, 120287
St. Lucie
Florida
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Number
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
1
12111CO280
F
6/30/1999
8/19/1991
1 AE
7.0
13Da
all.
B12.
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 (Describe)
Indicate elevation datum used for BFE in Item 139: Z NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7
Designation Date ❑ BRS ❑ OPA
❑ Yes ❑x No
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, ARIA, AR/AE, AR/A1-A30, ARIAH, AR/AO. Complete Items C2.a-g
below according -to the building diagram specified in Item A7.
Benchmark Utilized PSL Benchmark #6010 EL=9.628 Vertical Datum: [q NAVD 1988 ❑ NGVD 1929 N ■
Conversion/Comments
a) Top of bottom floor (including basement, crawl space, or enclosure floor)
b) Top of the next higher floor
C) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (lop of slab)
e) Lowest elevation of machinery or equipment servicing Commentsth���
(Describe type of equipment in ) A
f) Lowest adjacent (finished) grade (LAG) �M
g) Highest adjacent (finished) grade (HAG) O, L.0 B YYde Co(jr
9
Check the measurement used.
11.78 9
feet
❑
meters (Puerto Rico only)
24.28 0
feel
❑
meters (Puerto Rico only)
NA._ ❑
feet
❑
meters (Puerto Rico only)
/�
CqL
11.24 HI
10.97 ❑x
feet
feet
❑
meters (Puerto Rico only)
❑
meters (Puerto Rico only)
10.74 0
feet
❑
meters (Puerto Rico only)
10.99 17
feet
❑
meters (Puerto Rico only)
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 elev
IMPORTANT: In these spaces, copy t,_ . !prresponding information from Section A. For Insurance Company We:
Building Street Addrms (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
(W Rarnte Court
City Stale ZIP Code Company NAIC Number
Port St. Lucie Florida 34952
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) Insurance agentrcompany, and (3) building owner.
_ Signature: Date: ❑ Check here if attachments
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 Et-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items Et-E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
Et. 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 _ ❑ feel ❑ 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 6-8 with permanent flood openings provided in Section A Items 8 and/or 9 (see �a9a 8 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _ El feet ❑ meters El above or LJ below the HAG.
E3. Attached garage (top of slab) is _ ❑ feel ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is ❑ feel ❑ 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
Signature
Comments
' "�` ❑ Check here if attachments
*• SECTION G - COMMUNITY INFORMATION (OPTIONAL)
local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Si
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.
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑ feel ❑ meters (PR)
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feel ❑ meters (PR)
Local Official's
Community Name' "• • Telephone
❑ Check he, if attachments
FEMA,Fortn 8.1-31, February 2006 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number ,
703 Ramie Court
city State ZIP Code Company NAIL Number
Port St. Lucie Florida 34952
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Front /
—. _ .._. _.....:I
r-
n.n• ��m n+m**
Back
Building Photographs
See Instructions for Item A6.
For Insurance company use:
Building. Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
703 Ramie Court
City State ZIP Code Company NAICNumber
Port St. Lucie Florida 34952
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
i
SIDE (LEFT)
I
a
SIDE (RIGHT)
T10 - IFICA14W OMB No.1660-0008
Feder ;PARYdENT a HOMELAND Agency
Expires February 28. 2009
' Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION 1 For Insurance Cmmnamv ttsp-
Al. Building Owner's Name Policy.Nurnhel- -
Ton Doran
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number
703 Ramie Court
City State ZIP Code
Port St. Lucie Florida 34952 RECEIVFn
A3. Property Description (Lot and Block Numbers. Tax Parcel Number. Leaal Description. etc.)
A4.
A5.
A6.
AT
A8.
- Unit 3
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
LatitudelLongilude: Lat. 27" 19' 41.8" N Long. 80" 19' 47.4" W
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
Building Diagram Number 1
Residential
Horizontal Datum: ❑
For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) NA sq ft a) Square footage of attached garage 400 sq it
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 NA walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b • NA sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIP Community Name & Community Number B2. County Name 93. State
City of Port St. Lucie, 120287 1 St. Lucie Florida
B4. Map/Panel
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Number
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
12111 CO280
F
6/30/1999
8/19/1991
AE
7.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other (Describe)
all. Indicate elevation datum used for BFE in Item 139: x❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)7 ❑ Yes E No
Designation Date ❑ BRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' 19 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, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, ARIAO. Complete Items C2.a-g
below according to the building diagram specified in Item AT
Benchmark Utilized PSL Benchmark #6010 EL=9.628 Vertical Datum: IE NAVD 1988 ❑ NGVD 1929
Conversion/Comments Converted to NGVD 1929 by adding 1.49, resulting elevation = 11.118
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment in Comments)
0 Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
11.78 0 feet ❑ meters (Puerto Rico only) /(►�
NA._ ❑ feet ❑ meters (Puerto Rico only) 0
NA._- ❑ feet ❑ meters (Puerto Rico only) `
[IElr
11.30 ❑x feet El meters (Puerto Rico only) 1 Q
NA._ feet meters (Puerto Rico only) \ ,r
9.6 ❑x feet ❑ meters (Puerto Rico only)
10.5 ❑x feel ❑ meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
I his certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify Wei
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
❑ Check here if comments are provided on back of form.
Certifiers Name License Number
Alexander J. Piazza #6330
Title Company Name
President Alexander J. Piazza PSM Inc
Address City State ZIP Code
FEMA Form 81-31, February 2006 See reverse side for continuation.
Replaces all previous editions
IMPORTANT: In these spaces, copy nding information from Section A "For Insurance Company,Use
Building Street Address (including Apt., Unit, SIMPOINFIVIdg. No.) or P.O. Route and Box No. IRFRWW licy Number'
703 Ramie Court
city State ZIP Code Company NAIC-Number, - -.
Port St. Lucie Florida 34952
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentl ompany, and (3) building owner.
Signature: Date: ❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (1MTHOUT 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, B.
and C. For Items E1-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, 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 6-8 with permanent flood openings provided In Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _ ❑ feet Ll meters ❑ above or LJ 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 owners 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 Owners Authorized Representative's Name
Address City State ZIP Code
Signature - Date Telephone
SECTION G - COMMUNITY
I ne local official who Is authorized by law or ordinance to administer me 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 Gg.
Gt., ❑ 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 bylaw to certify, elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Section Efor 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.
Date
G7. This permit has been issued for. ❑ New Construction
G6. Date Certificate Of Compliance/Occupancy
❑ Substantial Improvement
G8. Elevation of as -built lowest Boor (including basement) of the building: ❑ feet ❑ meters (PR)
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR)
Local
Irue
Community Name, ., ; •, Telephone
Signature ;`° Date
Comments
FEMA Form 81-31, February 2006 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box
703 Ramie Court
Port St. Lucie I Florida 1 34952
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
Back
b
8
a
m
a
C
.City of Port Saint Lucie Building Department
INSULATION CERTIFICATION CARD
SCANNED
Permit#: ('j`'!(��.t>`( BY
St. Lucie County
Insulation Contractor Name:.& ,e— gttQc�' osl
Jobsite Contractor: :rz o
Jobsite Address: rTo,-
Section: Block: Lot: l LP
Ceiling Insulation
Manufactures Name: ��a_�(�� �'d�rnu DQ
Insulation Type: V
R-Value of Insulation: n
Thickness of Insulation Installed: `ii .
Location of Insulation Installed:
Date of Installation: 4 /
��` Wall Insulation
�
Manufactures Name: �Q61 (�pv�c> rDry� Ke
Insulation Type:VIZ60-q �S
R-Value of Insulation: Q,�l
�rThickness of Insulation Installed: /` 1 1c�r P S L , bnCh-�5
Location of Insulation Installed:
Date of Installation:
Please Check One:
ElAttic insulation installed with ventilation per R806.1, R806.2 nd 806.3
Florida Residential Code 2004�/�
❑ Conditioned attic assembly insulation has been install)
Florida Residential Code 2004
NOV 18 2008
MUST BE POSTED IN A PROMINENT LOCATION AND RET�1�Rbf1�FtiD TO
orKs
NG DEYAI TMENT BEFORE YOUR FINAL INSPECTION -St. Luoie county;
Insulation Contractors Signature
PSL License #
si_0KA