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HomeMy WebLinkAboutELEVATION CERTIFICATEU.S. DEPARTMENT OF HOMELAND SECURITY F-�-I ELEVATION CERTIFICATE., Federal Emergency Management Agency National Flood Insurance Program , .::jportant: Read the instructions on page -j OMB No. 1660-000$ Expires February 28. 2009 SECTION A - PROPERTY A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAI(. Number 594 HIDDEN RIVER DRIVE City PORT ST. LUCIE State FLORIDA ZIP Code 34983 ., H A3. Property Description (Lot and Block Numbers, I ax varcel Numoer, Legal uescnpnon, erc.l LOT 1 /BLOCK 2, 3427-701-0024-000/6 r , n /n /// A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. _ Long. _ Horizontal DaturPtuloc tQ&Ik927 ❑ NAD 1983 As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. St. Lucie County, FL AT 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) sq ft a) Square footage of attached garage 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 _ 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 B1. NFIP Community Name & Community Number B2. County Name B3. State ST LUCIE COUNTY 120285 ST. LUCIE FLORIDA. 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) 12111 CO280 F 08/19/1991 081191991 AE 1 7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile , ® FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: ® 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 ®No Designation Date _ ❑ C6RS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. 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 the A3 ding , AH, m(with BFE), I ere A7./�„ ( /A 30, V (with BF E, AR/Al-A30, AR/AH, AR/AO. Complete Items C2.a-g below according Benchmark Utilized LOCAL BENCHMARK Vertical Datum 13Y Conversion/Comments _ St. birJANiliYiftr Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)_ 10 . 0 ® feet ❑ 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) 9 . 5 ® feet ❑ 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) f) Lowest adjacent (finished) grade (LAG) 9 . 1 ®-feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 10._ 0 ® 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. l 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. ❑ Check here if comments are provided on back of forth. PLACE SEAL Certifier's Name RICHARD C. LAVENTURE License Number FLORIDA 5209 HERE Title VICE-PRESIDENT Company Name LAVENTURE & ASSOCIATES, INC. Address 1840 SE PORT ST. LUCIE BLVD. City PORT ST. LUCIE State FL ZIP Code 34952 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. ,_ ., Far tnsunance CompanyUse ' Building Street Address (including Apt., Unit, Sui' `d/or Bldg. No.) or P.O. Route and Box No. i Pohcy Number, 594 HIDDEN RIVER DRIVE PORT ST.LUCIE State FL SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUEDI Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. 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. 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 ❑ 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 Signature ZIP Code ❑ Check here If attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) i ne form orriciai wno is aurnonzea by iaw or ordinance to administer the community's floodplain management ordinance can complete S, 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 Issued Certificate Of 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 Title Community Name Telephone Signature Date ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions U-2422PARTMENT OF HOMELAND SECURITY. . ELEVATION CERTIFICATE Federal Emergency Management Agency , National Flood Insurance Program `--„tlportant: Read the instructions on pages-�. OMB No. 1660-0008 Exoires February 28. 2009 SECTION A - PROPERTY INFORMATION Vti br.f6iuiahc'e,CompanX:Use ') Al. Building Owners Name RICHARD & LORRAINE LEWIS L'_Fohcy Number f iI A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 594 HIDDEN RIVER DRIVE City PORT ST. LUCIE State FLORIDA ZIP Code 34983 LOT 1/BLOCK A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL o 7WFN_D ('(106 A5. Latitude/Longitude: Lat. _ Long. _ Horizontal Datum: El NAD 1927 ❑ 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 1 AS. For a building with a crawl space or enclosure(s), provide j A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) �,A sq ft a) Square footage of attached garage "LZQO sq ft b) No. of permanent -flood openings in the crawl space or I b) No. of permanent flood openings in the attached garage enclosure(s) walls within 1.0 foot above adjacent grade N�(P— walls within 1.0 foot above adjacent grade At A c) Total net area of flood openings in A8.b IIJI sq in c) Total net area of flood openings in A9.b N 1A sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY 120285 1 ST. LUCIE I FLORIDA 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) 12111CO280 F 08/19/1991 08/19/1991 AE 7 B10. Indicate the source of the Base Flood Elevation (BF() data or base flood depth entered in Item B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Describe) _ all. 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)7 ❑Yes NNo Designation Date _ ❑ CBRS ❑ ORA 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 -AN, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT SCANNED Utilized LOCAL BENCHMARK Vertical Datum Mgv]k V Conversion/Comments Check the measurement used. ��; I I I01G%A1111p1/ 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) 10 . 1 E feet ❑ meters (Puerto Rico only) N/A._ E feet ❑ meters (Puerto Rico only) N — E feet ❑ meters (Puerto Rico only) 9 . 7 E feet ❑ meters (Puerto Rico only) 9 . 4 E feet ❑ meters (Puerto Rico only) 9 . 1 N feet ❑ meters (Puerto Rico only) 9 . 6 E 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 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. Certifiers Name RICHARD C. LAVENTURE License Number FLORIDA 5209 Title PRESIDENT Company Name LAVENTURE & ASSOCIATES, INC. Address 1840 SE PORT ST. LUCIE BLVD. City PORT ST. LUCIE State FL ZIP Code 34952 PLACE SEAL HERE Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the cr,.r nSponc ing information from Section A. Building Street Address (including Apt., Unit, Suite, x Bldg. No.) or P.O. Route and Box No. � City PORT ST. LUCIE State FL ZIP SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. 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 EI-E4, use natural grade, if available. Check the measurement used. In Puerto Rion 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 _ _ ❑ 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 top of the bottom floor elevated in accordance with the communitys 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 Efor 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 Date Comments State Telephone ❑ Check here if attachments 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. 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 isauthorized 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: _ _ _❑ feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ Title Community Name Telephone Date ❑ Check here if attachments FEMA Form 81-31, February 2006 Replaces all previous editions