The URL can be used to link to this page

Home My WebLink AboutELEVATION CERTIFICATESU_5. DEPARTMENT OF HOMELAND SF - RITY ��® OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program BY ELEVAT10�fWF6CATE ;SCANNED Important Follow the instructions on pages 1-9. BY St. LudeCoun4Y Copy all pages of this Elevation Certificate and all attachments far (1) community official, (2) insurance agent/company, and (3) bui ding owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owners Name Policy Number. PHOEND( REALTY HOMES A2 Budding Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 121 QUEEN GUINEVERE COURT j City State ; ZIP Code FT. PIERCE Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT E, BLOCK 2, QUEENS COVE UNIT 1 AC Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc) RESIDENTIAL i A5. Latitude/Longitude: Lat.27.51551N Long.80.32235W 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 1B A8. For a building with a crawlspace or endosure(s): a) Square footage of crawlspace or endasure(s) NIA 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 0.00 sq in i d) Engineered flood openings? ❑ Yes 21 No i A9. For a building with an attached garage: j a) Square footage of attached garage 630.00 sq It 4 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 i d) Engineered flood openings? ❑ Yes 0 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 i Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevations) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12111CO089 J 02-16-2012 02-16-2012 AE 5 i 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: i i B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Sburce: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 0 No Designation Date: ❑ CBRS ❑ OPA I FEMA Form 086-0-33 (7/15) Replaces all previous editions. 4 Form Page 1 of 6 ELEVATION CERTIFICATE OMB Nb. 1660-0(108 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. 121 QUEEN GUINEVERE COURT i City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ❑x 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�A1A30, AR/AH, AR/AO. Complete items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico inly, enter meters. Benchmark Utilized: K-633 Vertical Datum: NGVD 29 Indicate elevation datum used for the elevations in items a) through h) below. ❑x 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, crawispace, or enclosure floor) 6.80 I ❑x feet ❑ meters b) Tap of the next higher floor 18.16 x❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 6.25 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 6.75 feet ❑ ❑ meters 0 Lowest adjacent (finished) grade next to building (LAG) 6.10 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6.20 ❑x 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 u derstand that any false statement may be punishable by fine or imprisonment under 18 U.S_ Cade, Section 1001. i Were latitude and longitude in Section A provided by a licensed land surveyor. ZYes ❑ No ❑'Check here if attachments. Certifier's Name License Number CHARLES H. BLANCHARD PSM5755 j Title PRESIDENT lace I 0u Company Name MERIDIAM LAND SURVEYORS Address Here 1717 INDIAN RIVER BLVD, STE 201 City State ZIP Code VERO BEACH Florida 32960 Signature Date Telephone ExLI '' 794-1213 �, (772) Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) PRIMARY BENCHMARK IS USGS MONUMENT K-633, ELEVATION 19.1&NGVD 29. SECONDARY BENCHMARK IS FOUND PK NAILBDISK (ILLEGIBLE) CENTELINE CUL-DE-SAC QUEEN GUINEVERE COURT, ELEVATION 4.33' NGVD 29_ XC PAD NORTHWEST SIDE OF BUILDING USED TO DETERMINE C-2-E. LONGITUDE & LATITUDE DETERMINED USING HANDHELD GPS DEVICE. THE CONVERSION FACTOR BETWEEN NGVD 1929 AND NAVD 1988 IS-1.48'. THIS WAS DETERMINED USING CORPSCON FOR WINDOWS VER. 6.1.1. FEMA Form 086-0-33 (7f15) Replaces all previous editions. I Form Page 2 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 WSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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 Ei-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 Rica 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, crawispace, 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 CZb in ❑ below the HAG. the diagrams) of the building is ❑ feet ❑ meters ❑above or E3. Attached garage (tap of slab) is ❑ feet ❑ meters ❑above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment Love sennung the building is ❑ feet ❑ meters [I 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 tiis 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 (wtithout 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. i Property Owner or Owner's Authorized Representatives Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-033 (7115) Replaces all previous editions_ j Form Page 3 of 6 0008 ELEVATION CERTIFICATE ExpiirraSloo 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 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIL Number FT. PIERCE Rarida 34949 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain manageme�ht 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 GB--G10_ In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and seated by a licensed surveyor, engineer, or architect who is authorized bylaw to certify elevation information. (Indicate the sourcg and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zane A (without a FEMA4ssued or community4ssued BFE) or Zone AO. G3. ❑ The following information (items G4—G10) is provided for community floodplain management purpi ses. G4. Permit Number 65. 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 (ncuding basement) meters of the building: El feet ❑ Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ miters Datum G10. Community's design flood elevation: ❑ feet ❑ m i ers Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) i i i I ❑ Check here if attachments_ FEMA Form 086-033 (7115) Replaces all previous editions_ I Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008 See Instructions for Item AS. Expiration Date: November 30, 2018 IMPORTANT:• • Building Street Address (including Apt, Unit Suite, and/or Bldg. No.) or P.O. Route and Box No. 121 QUEEN GUINEVERE COURT city State ZIP Code Company FT. PIERCE Rorida 34949 . - ..• ..- � yye ''y},_ 'tom 'Ate ' -"u+� `�.•p ��i 4;1 '�l£sa ,�. {1 ..�"n.:•-�, •&tea 'y*-E �yycd•3k�i` S�IaS. YYVii.]� i s, • 1{ F 3 r .Ti r ua7 - i •: . p ,� t ,. • ��s ''� is ;� a FEMA Form O86-033 (I115) Replaces all previous editions. 1 Form Page 5 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS Continuation Page OMB No. 1660-0008 Expiration Date: November 30, 2018 •"M., MIT WE• • .. :.• •Policy Number. ..-Company w � s •s -31 to i rt r e t � •.. • tK sr: d Y �1 d§•LLL •-*i My�£�71 �.w Y�'.yY �f erg r2' i k•ts e:G':ia :9�."a r��f'fa 4-9+ �, .,�F ;. �_ 3 x4 �e t rr. < a eiF � .s''�j�Y Y 4 '-•J• � Y, Yr� � y �. � i i'r �' y F i'y'p *•F �-. -•'Y � .Cf. ry. ,..v ��r/+y��Y G�� ii� 1Y 4i+vy 41 y�v )S. � $ iR t��' Y i .1 h.'F' K •.��`Y s.c �v �g�., '��'C4";�'+u, Snv+.w �;, ti.v�wv^.s_ �- n�ai. '�. v.."i.• Photo Four Caption LEFF SiDE\AEVV (SIDE) FEMA Form 086-0-33 (7115) Replaces all previous editions. I Form Page 6 of 6 '�" �9 �pR ego ��c Qec S�V,�yCP U.S. DEPARTMENT OF HOMELjW 'ECLI"--/ SAC �O Z - O 374 Federal.Emergency Management A__y Lzi• f`IMB No.1660-0008 National'Flood Insurance Program I.'Jxpiration Date: Novemher 30, 2018 SCANNED ELEVATION CERTIFICATE StLucie CountyImportant Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official (2) insurance agent/compan and (3) buildin own SECTION A — PROPERTY INFORMATION Y. g er. FOR INSURANCE COMPANY USE Al. Building Owners Name Policy Number. PHOENIX REALTY HOMES A2. Building Street Address Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number. 121 QUEEN GUINEVERE COURT city State ZIP Code FT. PIERCE Florida 34949 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT E. BLOCK 2, QUEENS COVE UNIT 1 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL (SLAB) A5. Latitude/Longitude: Lat. 27.51551 N Long.80.32235W 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. A7. Building Diagram Number I A8. For a building with a crawlspace or enciosure(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 WA c) Total net area of flood openings in A8.b 0.00 sq in d) Engineered flood openings? ❑ Yes ❑x No A9. For a building with an attached garage: a) Square footage of attached garage 630.00 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 Bi. NFIP Community Name & Community Number B2. County Name B3. State B4. Map/Panel Number B5. Suffix B6_ FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 1211100089 J 02-16-2012 02-16-2012 AE 5 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: 1311. Indicate elevation datum used for BFE in Item B9: ❑ 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)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE JIB No. 1660-0008 •'piration 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. 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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 BFQ, VE, Vt—V30, V (with BFE), AR, ARIA, ARIAE, ARIA1—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: K-633 Vertical Datum: NGVD 29 Indicate elevation datum used for the elevations in items a) through h) below. ❑x 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) 6.80 ❑x 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) 6.24 ❑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) 5.40 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.80 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters structural support N/A 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. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑ Yes ❑ No ❑ Check here if attachments. Certifiers Name License Number CHARLES H.BLANCHARD PSM5755 Title PRESIDENT Place Company Name MERIDIAM LAND SURVEYORS Seal �9 erp Address 1717 INDIAN RIVER BLVD, STE 201 � ([� ►, �'Y y�i 0V City State ZIP Code A /"\Uy� VERO BEACH Florida 32960 Sign to Date Telephone Ext. /2L l7 (772) 794-1213 Copy all pages of ftils Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) PRIMARY BENCHMARK IS USGS MONUMENT K-633, ELEVATION 19.18'NGVD 29. SECONDARY BENCHMARK IS FOUND PK NAIL&DISK (ILLEGIBLE) CENTELINE CUL-DE-SAC QUEEN GUINEVERE COURT, ELEVATION 4.33' NGVD 29. NO AIC PAD TO DETERMINE C-2-E. LONGITUDE & LATITUDE DETERMINED USING HANDHELD GPS DEVICE. THE CONVERSION FACTOR BETWEEN NGVD 1929 AND NAVD 1988 IS-1.48'. THIS WAS DETERMINED USING CORPSCON FOR WINDOWS VER. 6.1.1. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE AB No.1660-0008 piration 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. 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIL Number FT. PIERCE Florida 34949 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. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 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 ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE - J . �._piirrafionlDate: 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. 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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 fallowing information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number Date Permit Issued G6. Date Certificate of ]_65. 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 Local 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 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6 �' 11LDING PHOTOGRAPF- 4B No.1660-0008 ELEVATION CERTIFICATL Confinuation Page Vration 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: 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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 I ;y LUi -.(. .�.� $` t e _ k?. _� Y _ i �=^.5•'w i Y Photo Thr Photo Three Caption RIGHT SIDE VIEW (REAR) zClearPhoto Threes ,erg w c a� st t Photo Fow Photo Four Caption LEFT SIDE VIEW (SIDE) a ClearPhgtofour FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6 111-DING PHOTOGRAK " „46 No.1660-0008 ELEVATION CERTIFICATL See Instructions for Item A6. oiration 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. 121 QUEEN GUINEVERE COURT City State ZIP Code Company NAIC Number FT. PIERCE Florida 34949 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. 1 1 t: 1 ji ~� ,MAO One Photo One Caption FRONT VIEW ,Clear Photo, One: h � Ile T'•1'' t n —� IFl _ �:y � L it a ti Photo Two t Photo Two Caption REARVIEW : -OearEnotoiTxo-a-. FEMA Form 086-033 (7/15) Replaces all previous editions. Forth Page 5 of 6