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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEPARTMENT OF HOMELAND SEC _'1Y Federal Emergency Management Agency National Flood Insurance Program OMB No. 1660-0008 Expiration Date: November 30, 2018 ELEVATION CERTIFICATE SGAMMED Important: Follow the instructions on pages 1-9. By St- L"(*99JURt Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenlycompany, a ding owner. S EC 'T ON A — PROPER `TF I NFORMA —R ON rum INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: Mathew J Callahan A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 504 E MIDWAY RD city State ZIP Code Fr)PT PIERCE Florirlp A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Parcel ID: 3402-605-0096-000-9 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) A5. Latitude/Longitude: Lat. 27.37694 N Long. 80.31444 W Horizontal Datum: E] NAD 1927 E] 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq ft I b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in a) lzrigmeered Rood openings r LJ Yes LJ No Ag. For a building with an attached garage: a) Square footage of attached garage 1970.00 sq It b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? E] Yes Z No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State WHITE CITY 120285 SAINT LUCIE Florida B4. Map/Panel B5. Suffix I B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AD, use Base Flood Depth) Revised Date 189 J 02-16-2012 02-16-2012 X NIA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: FIS Profile Z FIRM I—] Community Determined F� Other/Source: t?i I. inaicateeievaiiondaium used iorBFEin item B9: F1 NGGVD 1929 ®R NAIVID 19-0-0 LD U-111 I e_1 /Source; B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Yes No Designation Date: E] CBRS F-1 OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page I of 6 t)ep-artM t Cie C'Unt�r' 31""n nt erMlttr,(j,)ep' t [per L C'e C un St St. Lu IV ELEVATION CERTIFICATE P108 No. 1660-0008 -xpiration 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: 504 E MIDWAY RD city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: E] Construction Drawinge Z Building Under Construction* Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones AI—A30, AE, AH, A (with BFE), VE, VI—V30, V (with BFE), AR, ARIA, AR/AE, AR/Al—A30, AR/AH, ARIAO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: SAINT LUCIE COUNTY "TROY" Vertical Datum: NAVD 88 indicate elevation datum used for the ele%.,atimns in items �_) ih, h% "L'.%'. . 'ough, NGVD 1929 Ffl NAVD 1988 f-1 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) 19.7 feet [] meters b) Top of the next higher floor N/A feet E] meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet E] meters d) Attached garage (top of slati) 19. A' EX] I W Mt i—lialers e) Lowest elevation of machinery or equipment servicing the building 19.1 feet meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) 15.9 feet meters g) Highest adjacent (finished) grade next to building (HAG) N/A feet meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 16.5 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 intetprist the data available. I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? EDYes EJNo E] Check here if attachments. Certifier's Name License Number STEVEN D. MARSHALL 6376 Title SURVEYOR MAPPER Company Name MARSHALL SURVEYING INC. Z Address 321 HOLLY AVE. city State ZIP Code PORT SAINT LUCIE Florida Signature 4st4 P> Date Telephone Ext. 11-18-2019 940-1382 N/A (772) Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. Comment- :--IU4;-- 1 -1 equi.pment and locatiOn, per C9/-' W--- AIR CONDITIONER EQUIPMENT SERVICES BUILDING. FEMA Form 086-0-33 (7/ib) Replaces ail previous editions. Forni —rage 2 of 6 I ELEVATION CERTIFICATE OMB No.'1660-0008 'Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 504 E MIDWAY RD city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT -REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AD and A (without BFE), complete Items El�E& 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. 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, crawispace, or enciosure) is EJ feet E] meters [J— above or below the HA(3. b) Top of bottom floor (including basement, crawlspace, or enclosure) is El feet El meters El 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 El feet El meters El above or El below the HAG. E3. Attached garage (top of slab) is E] feet E] meters 0 above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is F] feet F1 meters E:1 above or E] below the HAG. E5. Zone AD 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? 0 Yes [—] No F-1 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 uonninunity-Issued BFE) or Zone AQ i-flust s I gn h ere.T 1-1 V Std-tiel-1-1 U-1-11S 11-1 —0 V UA U- HI b A, BD, d-1-10 E d-Ju W Fle Ct 'tU- PHIV bVbt U I n-I Y kno W I ed ye . Property Owner or Owner's Authorized Representative's Name Address city State ZIP Code Date Telephone Comments EJ Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 - Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 504 E MIDWAY RD city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 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—GIO. In Puerto Rico only, enter meters. G1. F� 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. 7 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. r_1 The following information (items G4—G10) is provided for community floodplain management purposes. ber G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: E) New ConstructionE] Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: E] feet Ej meters Datum G9. SFE or (in Zone AD) depth of flooding at the building site: E] feet meters Datum G10. Community's - design flood elevation: feet meters Datum Local Official's Name Title Community Name Telephone Comments (including type of equipment and location, per C2(e), if applicable) Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 -�:)ULDING PHOTOGRAPHS DMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 504 E MIDWAY RD city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item AS. 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. 2 P, �v 0. Photo One Caption FRONT VIEW Clear Photo One Z�x F Iz —7— PhWoTwo Photo Two Caption RIGHT SIDE VIEW Clear Photo Two FEMA Form 086-0-33 (7/1 5� Replaces all previous editions. Form Page 5 of 6 -IUILDING PHOTOGRAPHS DIVIB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A .... . FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 504 E MIDWAY RD city State ZIP Code Company NAIC Number FORT PIERCE Florida 34982 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. ........... —71 4,� z Ph� Th� Photo Three Caption LEFT SIDE VIEW Clear Photo Three ............. A — P�to F� Photo Four Caption REAR VIEW Clear Photo Four FEMA Form 086-0-33 C7/15) Replaces all previous editions. Form Page 6 of 6