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Home My WebLink AboutELEVATION CERTIFICATEU.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE OMB Control E Number. 1113MG18 IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Fxpialion' 11/392018 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2l insurance agendeompany, and (3) building owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Ownefs Name Policy Number. Power A2. Building Street Address (including Apt, Unit Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC 6667 S Ocean D;;ive Number. City Jensen Beach State Fl ipCode 4957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, elc-) BY Parcel ID # 3508-111-002-000-3. St. A4. Building Use (e.g., Residential, Non-Residenfial, Addition, Accessory), etc) Lucie County `glpng!y, s�'34^orizontal Datum: laL AS. Latitude/Longa?de: ("NAD 1927 NAD 1983 AS. Attach at least 2 photographs of the building ifthe Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A A8. For a building with a crawlspace or endosure(s): A9. For a budding with an attached garage: a) Square footage of crawlspace or enclosure(s) sq It a) Square footage of attached garage sq It b) Number of permanent flood openings in the b) Number of permanent flood openings crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade 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 d) Engineered flood openings? (-Yes (No d) Engineered flood openings? (^ Yes K..No SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name & Community Number Bra County Name B3. State Un-Incorporated S_t_Lucie120285 I St Lucie FL 04. Map/Panel Number BS_ Suffix B6. FIRM Index Date I B7_ FIRM Panel Effective/ B8. Flood Zone(s) B9_ Base Flood Elevation(s) Revised Date (Zone AO, use base flood 0284 J 02/16/2012 02/16/2012 AE depth 7 B10. Indicate the source of the Base Flood Devation (BFE) data or base flood depth entered in Item B9: C FIS Profile §r FIRM (- Community Determined ('Other/Source B11. Indicate elevation datum used for BFE in Item B9: (- NGVD 1929 ff•NAVD 19B8 (- OlhedSource: B12. Is the building located in a Coastal Border Resources System (CBRS) area or Otherwise Protected Area (OPA)? 4-Yes D(. No Designation Date: C- CBRS (7 OPA SECTION C- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: r Construction Drawings (- Building Under Construction' . 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/AI-A30, AR/AH, AR/AO. Complete Items C2a-h below according to the building diagram specified in Item A7. In Puerto Rim only, enter meters. Benchmark Utilized: Y-307 Vertical Datum: NAVE) 88 Indicate elevation datum used for the elevations in items a) through h) below. C. NGVD 1929 (XNAVD 1988 C Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check tthe measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 21 - 52 S. feet C. meters b) Top of the next higher floor (' feet (- meters c) Bottom of the lowest horizontal structural member (V Zones only) (' feet C meters d) Attached garage (top of stab) (' feet (' meters b) Lowest elevation of machinery or equipment servicing the building 21 52 u u (Describe type of equipment and location in Comments) feet (' meters 0 Lowest adjacent (finished) grade next to building (LAG) _ 17 - 8 3 jj' feet ( meters 9) Highest adjacent (finished) grade next to building (HAG) 20 - 1 2 (feet meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including . structural support ('feet (''meters } ELEVATION CERTIFICATE, page 2 OMB Control Number:166MOOB Expiration: 11f30/2018 IMPUK IANT: 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. 6667 S. Ocean Drive Policy Number. Ci " " Slate ZI Code Company NAIC Jensen Beach FL 34957 N„k— This certification is to be signed and seale;ala,d rveyor, engineer, or architect authorized by law to cer ily elevation information. I certifythat the infomration on Nis Certifcate reprst efforts to interpret the data available. I understand that any false statement may bepunishable by fine or imprisonment under, Section 1001. latitude antl longitude in Section A Check hem if attachments. ed try a licensed )and surveyorl X(es (': NoCertifier's Name Ucense NumberElizabeth A. Lind 4724 PLACE SEAL Title Company Name President etsy Lindsay, Inc. HERE . Address City State Zip Code D Stuart FL 34997 Date Telephone1 W7997-fZSWJames 6/10/16 286-5753 n Certificate for(1) communiy official. (2) insurance agent/company, antl (3) building owner.equipment and beaten. per C2(e), if applicable) Section C C2-e) Concrete air conditioning pad 1(Q Signature Date SECTIO -B ING ELEVATIO RM N(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones A and A (without BFE), complete Items El -ES. 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 Rica 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 adjecx rt grade (LAG). a) Top of bottom floor (ncluding basement, crawlspace, or enclosure) is (7 feet ( meters ❑ above or 0 below the HAG. b) Top of bottom floor (including basement, rsawlspace, or enclosure) is (''feet (' meters ❑ shove or below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or9 (see Page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is (7 feet (� meters ❑ above or below the HAG. E3. Attached garage (top of slab) is C-feet C meters above or below the HAG. E4. Top of platform of machinery and lot equipment servicing the building is ('ifeet Gmeters above or ❑ below the HAG. ES. Zane AO ony: If no good depth number is available. is the cap of the bottom floor elevated in accordance with the community's fioodplain 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 owneror owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA4ssued 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. Replaces all previous editions. Page 4 of 15 BUILDING PHOTOGRAPHS OMB ELEVATION CERTIFICATControlNumber166e000a E, page 4 See instructions for Item A F�PdGOIx 1113f12at8 UUading StmetAdenss (mduding Apt. UnR, Suite. and/or Bldg. No.) or P_O. Route and Box M. 6667 S Ocean Drive Policy Number. CRY Company NAIL Lm Jensen Beach F31491 Ntunber. if using the Elevation Cedltxate to obtain NFIP Rood insurance. at& at 1ewt2 building pholographs below aanncti Item A6. Identify as PhologmPhs With date takM •Fmnti ienr and Rear view; and, ifregnmed.'R"gM Shle X ieve and"Left Side Kiev.' gyhen apPtaal fe, phatogephs most show the foundation with represenfativa mmuot les of the Rood openings orvents. az imli ated in Section A" if submitting mot Pholugraphs thanwill fit on this Page. use the Continuation Page. West Front 6/9/16 East Rear 6/9/16 North Front 6/9/16 south Rear 6/9/16 FEW Form oae-fl3a (THS) Replaces all pevious eeNans. Page 6 of 15 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE, page 5 Continuation Page 01a8 C"Jml Number 166MOOS Emuation! 11rdaeola Building SbeetAddrem (uldudog Apt. Un�So'te, andfo�Bkkftp . No.) or P.ORoute and Box No, 6667 S ocean Drive Policy Number. City � Lp COho Compacry.NA1G Jensen Beach- FL 34957 Number If subiN ling more photographs thanw8l fd on Bre pmmcUng Papa. affvc the adNtional phologrePhs below_ Idenh7y a8 pholographawNc date tab='Front Vmr and'Rear Vaw-and. if required. -Right Side View and Leff Side View.' When appocabm. photographs must show the foundationwith rePtesentaEve elmcWas of the flood openings or vents, as iodinated in Section AS. NE side (left) 6/9/16 SW side (right) 6/9/16 FEMA Form 088-e33 (/115) Replaces a8 previous eeMM Page 7 of 15 U.S DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE OMB Control Number. 1660-000e IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Expiration: 2f/3o20fa Copyallpaganvfthis ElevalfanCertificatezndallattachmenGs forH) cummunlN o�ficial.(2)lnsuanee avenucamnarw. and latb itdinu owner_ SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE At Building Qwnees Name J Power o y Number. A2. Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P:O. Route and Box No. Company NAIC 6667 S Ocean Di=ive Number City Jensen Beach istale Fl Zipcoda 34957 A3- Property Description(Lotand Block Numbers, Tax Parcel Number. Legal,Descripdon, etc) Parcel ID # 8508-111-002-000-3, A4. Building Use (e.g.. Residential, Non -Residential Addition, Accessary, etc) 37°Q� 3fo.`I(O$" �$b914x5$. 34�ar¢ontal Oalum: AS. Latitutle/Long�ifiide: at Long. C-NAD 1927 HAD'1983 All.:Alte0h at least 2 Photographs of Die balding if the Cerfipcate is being used to obtain good insurance- A7. Building Diagram Number IA. A8. For a budding with a crawlspace or endocure(s):. A9. Fora -budding with an attached garage: a) Square, footage of irawtspace or endosuie(s) sq ft a) Square footage of attached garage sit ft b) Number of permanent flood apenfng. in the b) Number of permanent flood openings crawlspace or enclosures) withini.e foot in the attached garage within 1.0 foot above. adjacentgraoe above adjacent grade c) Total net area of flood openfngs in AB.b sq in c) Totatnetarea of flood openings in A9.b sq in d) Engineered flood openings? (-.Yes CXNo N Engineered flood openings? ('Yes 3rSNo` SECTION S-FLODO INSURANCERATE MAP (F)RM) INFORMATION 51. NFIP Community Name 8 Community Number - 82 County Name St Lucie 120287 St Lucie FL B4. Map/Panel Number B5. Suffek BB. FIRM Index Date 87 FIRM.Panel EffoUfvel B8. Flood2one(s) B9,Base Flood.Elevatfon(s) Rev¢ad Date (Zone AD' use base flood 0284 J 02/16/2012 02/16/2012 AE depth 7 810. Indicate the source of the Base Flood Elevation(BFE) data or base fiaod depth entered in Item 89: C Fit; Profile A FIRM C Community Determined C7-01hed5ource: B11- Indicate elevation datum used for BFEin Item 89 (-NGVD i929 .fr-NAVD'19B8 ('OlherlSourrz B12 Is the bufldmgloated in a Coastal flamer Resources System(CBRS). afeabr-Othenvise.Protected Area(OPA)?-(-Yos 4%6No- Designation Date: CCBRS (,OPA ,SECTION G- BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevation are based on: (` Conshuction Drawings' C Budding Under Construction' QFinished Construction A now, Bevatfon Certificate will be required when construction of the building Cs complete. ; 02. Elevations: Zones AI-A30, AE, AH, A (,,nth 8FE). VE; VI -V30" V (with BFE). AR, AR/A, ARIAE; AR/Al-A30, AR/AH, ARIAO. Complete I terra C2m-h below according to the buddng diagram specified in Item A7anPoona Rico only, enter meters. Benchmark Utilized:. Y-307 Vertical Datum: NAVD- 88. Indicate elevation datum used for the elevations in items a)'through b).below. C.NGVD1929 (RNAVD198a - . C OthedSourse: Datum used for budding elevations must he the same as that Mad for the BFE., Check the measurement used.. a) Top of bottom floor (including basement crawlspece„or enclosure floor) .21 _ 52 iu' foal (:meters b) Top ofthe .next higher poor - ('feet ammeters c] Bottom o[ihe lowest horizontal structural member 'Zones only) - (.feet (' meters d) Attached garage (top of slab) C feet .(',meters e) Lowest elevation of machinery of equipment servicing the building 21 52 ¢¢ (Describe type of equfpmant and location in Comments) . P• feet (;'-meters f) Lowest adjacent (fmished) grade next to building (LAG) 17 -83. IC feet (7�meters g) Highest adjacent (finished) grade next Is building (HAG) 20 .12 .(Rfeel ('•meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including .structural support Cfeet Cmeters m U86,o-33(7115) Replaces all previous editions., Page 3 of 15 ELEVATION CERTIFICATE, page.2 OMB Cornet Number: 166"Mil Expimlion: I W02918 IMPORTANT: In these spaces, COPY the corresponding information from Section A. FOR INSURANCE COMPANY USE Bulling Street Address (including Apt, Unit -Suite, andtor Bldg. No.) or P.D. Route and Box No. 6667 S. Ocean Drive PoGry Number. City Jensen Beach_ FL 319 Company NAIC _ Number, --SECTION D--SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a landsurveyor, engineer. or amhilect auttionzed by law to certify elevation information: I certify that the infiemaVOR on this Certificate represents my best effects to rntetpret the data availabie. I understand that any falsestatement may he punishable by fine Ofimposonment under ln.U.S.. Code,. Section 1001.. Were latitude and longitude in Section A '`_ EXCheck here: it attachments. provided by a licensed land surveyor? -••- - - �~ - - DarbfiaYs Name _ License Number Elizabeth A. Lindsay 4724T.O. Company Name President etsy Lindsay, Inc.-. Hc'?g %. •" _° - Address city 'State Zip Code 7997SSW Jack James D Stuart FL 34991 Signa .. Date - Telephone 6/10/16 286-5753 Co all pages ofthis Elevation Certificale for(1)community oFhdal, (2) insurance agentreempany,'and (3) building owner. Comments (mcluding typo of equipment and location, per C2(e), if applicable) Section C C2-e) Concrete air Conditioning pad Signature . 4 Date/ SECTIOXI EkBUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AD AND ZONE A(WITHOUT BFE) For Zones AO and.A (without BFE), compkfe, Items E1-E5. if me CeN(itate is intended to support a LOMA or LOM R-F request, complete Sections. A. B, and C. For Items.Et-E4, use natural grade, It available., Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for the following and check me appropriate bones 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 (mcluding'basement, cmwlspace, :feet (-meters above or below the'. HAG. ('❑ ❑ or enclosure) Is b) Top of bottom floor (including basement,.emwtspace, - or an is _ - (; feet (^•meters ❑. above or I] below. the LAG. E2. For Building Diagrams 6-9 with perm@nent Mod openings provided in Section A Items 8 and)or 9 (see page a of in the ne higher floor (elevation C2.b in the .diagram0 ofthe building is _ _ _ (fleet C metem above or 0 below the HAG. E3. ABached garage (top of slab) is C feet C meters El above or I] below the HAG. E4. Top: of platform ofinechinery and lob equipment servicing the building is _,_ l;fteet ('•melees 0 above or below the HAG. E5. Zone AO only: If ho food depthnumber is available, is the hop of the bottom goor elevated in accordance with the communiVi floodplain management ordinance? ('Yes 'CNo C'UNmown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property Mearor owner's oumorizeo representative who completes Sections A, B, and E for Zone A.(without a FEMA-issued or community -issued BFE) or Zone AD must sign here. The statements in Sections A. ll .and E are correct to the best of my knowledge. Property Owner or OvucePS Authorized Representative's Name Address City State ZIP.Cotla _ Signature - Date Telephone Comments O Check here if attachments. vuu vnsou-ss pnol Replaces all previous editions. Page 4 of 15 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE, Page 4 See instructions for Item AR. O&M C-yd Number.166o-0ooe '- EV!mrmn: itfd6r(818 IMPORTANh In these Spaces, copy the corresponding iannmedon from SeBion A. .FOR INSURANCE COMPANY USE Budding SueetAddress (lnduding ApL, UnB. Suite, and,, Rldg. tJm) or P.O. Route and B= No. - 6667 S Ocean Drive Poficy Number. FL East Rear- 6/9/16 Page 6 ELEVATION CERTIFICATE, a es BUILDING PHOTOGRAPHS P H Continuation Page OMB Oonbat umb.,: im"cos E,V.U.n' 111do2ote 6667 S Ocean - Jensen Beach 7 No. uamrmng mon:.Photograph. thanwill fit on"me p—eding page, affm the addiffonW phomgraphs below. identify all h en; TrOnt Vi�y and•ftemY rWA tfnWi,d,'Right5ide~ and'Leh Side View' When P afograpuswiUt;'.da ndadon withtepresentag-MM tesbftheiloodo applicable. pfiotogmphs'mstshowtF P Pentp9s of vents, as indrcated in Section A8. NE side (ieft) 6/9/16 SW side (right) 6/9/16 edbi'ont P2ige7of15 e74000mE 80015,00° - - use. '�y11 MAP SCALE 1" = 500'' y�, ��°'"+�j .3S•4�V�s R :, 0 260 600 760 PANEL 0284J FIRM FLOOD 1NSURANCE,RATE MAP ST. LUCIE COUNTY, FLORIDA AIYDINCORPORATEDAREAS - PANEL 284'OF 420 -(SEE .MAP INDEX FOR FIRM PANEL LAYOUT) £MAWS :MMMuxnr KWUR @NIL SWM WIEraTLYC;;=oF Er.=a:cct R@@ W01 J fgrL h16 61gP INCLWEB p1Yp)MIEB CV'TX6 COASi°L aMflIEN aEEWflCEB DI@EY FB1M.91EDUNDEN THE ' r/JPBiK.6AflNIFA EC6aLteE0.n7 CI ro@M'eRIR dV B9E0 UFM FN•14 WU LF6v W lul K° 1°N.0 Yp NLmGv Yam bLYYbM bwN v°m W YRAV oNYe ¢° Commw1y NumpY Yam Yas Ylptlb NN 'N b°W gp'°LIP° lu DY Wftp mimniry._ ot^ MAPNUMBER g+�$ 12111CO28U E, FEBRUARY 6, 092' xo ss° Federal Emergency Management Agency qr'/G Coe— wei.7.3 r U.S. DEPARTMENT OF HOMELAND SECURITY', _ FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE OMB (.Onhel Number. 1860/2008 IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Expiration: t lA0/2018 Copy all pages of Nis Elevation Certificate and all attachments for (1) community official, (2) Insurance agendcompany, and (3) building owner. SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name - Policy Number. Florida Power Company NAIC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Number. 6667 S Ocean Drive city Jensen Beach Slate F1 Zip Code 34957 A3- Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Parcel ID # 3508-111-002-000-3. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc dl�Av'3(p.`{(p�r• a)ytrq-3Honzontal Oalum: A5. Latitude/Longitude: Let Long. (' WAD 1927 WAD 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 A All. Fora building with a crawlspace or endosure(s): A9. For a bulding with an attached garage: a) Square footage of ciawlspace or enclosure(s) sq It a) Square footage of attached garage sq It b) Number of permanent flood openings in the b) Number of permanent flood openings crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade above adjacent grade c) Total net area of flood openings in ALL, sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? (-'.Yes CXNo d) Engineered flood openings? !'Yes K.•ND SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION BI. NFIP Community Name & Community Number Bra County Name 83. State Un-Incorporated St Lucie12028 St Lucie I FL B4. Map/Panel Numbl B5. Suffix B6. FIRM Index Date B7- FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevabon(s) Revised Date (Zone AO, use base flootl 0284 J 02/16/2012 02/16/2012 AE depth 7 B10. Indicate the source of the Base flootl Elevation (BFE) data or base flood depth entered in Item B9: (- FIS Profile Rr FIRM (-Community Determined (. Other/Source: 1311- Indicate elevation datum used for BFE in Item B9: ( NGVD 1929 f-NAVD 1988 (' Olher/Source: B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Olhemrise Protected Area (OPA)? .(-Yes No Designation Date: (CBRS (-'OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: C Construction Drawings' (XBuilding Under Construction' C. 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, Vl-V30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, ARIAO. Complete Items CZa-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Y-307 Vertical Datum NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. C. NGVD 1929 (XNAVD 1988 (- OthedSource: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Tap of bottom floor Qncluding basement, crawlspace, or enclosure floor) 21 52 S! feet ('. meters b) Top of the next higher floor feet meters c) Bottom of the lowest horizontal structural member (V Zones only) C feet C meters d) Attached garage (top of slab) C feet ('-meters a) Lowest elevation of machinery or equipment servicing the building au� 21 :Z .52 .feet meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 17 .83 r feet ('•meters g) Highest adjacent (finished) grade next to building (HAG) 20 -1 2 j('. feet (- meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including . structural support (- feet (-. meters FEMA Form 086-0J3 (7115) Reolaces all orevious editions. Pnne 3 of 15 ELEVATION CERTIFICATE, page 2 OMB Control Number. 1660-0008 Expiration: 11 /30/2018 IMPORTANT: In these spaces, copy [he 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. 6667 S. Ocean Drive Policy Number. Cr State Zi Code ensen Beach FL 31957 Company NA IC Number. 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. 1 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. Were latitude and longitude in Section A ' [$Check here if attachments_ provided by a licensed land surveyor? X(Yes C No t — Certifier's Name License Number Elizabeth A. Lindsay 4724 - SEAL' , Title Company Name President Betsy Lindsay, Inc. HERE , Address City State Zip Ca 7997-SW Jack James Dr Stuart FL 34997 , Signatu Date Telephone 10/6/2015 286-5753 Co 11 p ges of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Section C C2-e) Concrete air conditioning pad (.Q) r Signa r--Date SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONEA (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 Et-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 grace (HAG) and the lowest adjacent grace (LAG). a) Top of bottom floor (including basement, crawlspace, ('feet Cmeters E] above or E] below the HAG. or enclosure) is b) Top of bottom floor (ncluding basement, crawispace, (' feet ('meters E] above or E] below the LAG. or enclosure) is E2. For Building Diagrams 6-9 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 C meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is t.:,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 Floodpiain management ordinance? C 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 ownefs authorized representative who completes Sections A. B, and E for Zone A (without a FEMA-issued or community4ssued 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 Owners Authorized Representative's Name Address City State ZIP Code Signature - Date Telephone Comments ❑ Check here if attachments. !- M 1-orm 086-0-33 (7/15) Replaces all previous editions. Page 4 of 15 ELEVATION CERTIFICATE, page 3 OMB Control Number. 1660-0008 Expiration: 11/302018 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: City State Zip Code Company NAIC Number. 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 G3-G10. In Puerto Rico only, enter meters - GI_ n 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 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 134-310) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for. (- New Construction C Substantial Improvement 38. Elevation of as -built lowest floor (including basement) of the building: .. ifeet (7meters Datum G9. BFE or(in Zone AO) depth of flooding at the building site: C-feet ('.meters Datum GI0. Community's design flood elevation: (`feet C meters Datum Local Official's Name Title Community Name Telephone Signature pate Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 088-0-33 (7/15) Replaces all previous editions. Page 5 of 15 j574000mE 8015,001, F 27°20'37.5" A3 + MAP SCALE 1" = 500' rt-g(, S i Y A .$ U h `t 4 •,^aJ �, ^,�{+ •Y .iy x �", �4n., 0 250 600 760 1,000 I FEET �tx 1x� ( � atY Sx i'p`'i >"n fi ,a, v v+,�5".h 'esy M�«t (� N • w � ._+"��+'�E"e4''h:��yd�n m'F: gb }N t "fr •� f w(4 y`yw°Wa�"'"" .S.r+:, w 'kr"'�i.: ,I,« q,p~'.t, g "a ••*Yi.ry y.� � h: + �''�"�? v,2tr wo i� � �� N °"�i.n. "�� ''�`� « {3 pry , +'n••g zSy,' {{� `�,�t,`,✓/ ,� +A,Mx� §i � v, � �` w .rt, �r s J�' y. �4 w4 n'v,¢"y�•.q`4�Y�i N S vT'f +DT %"'1'"K,Y,'^a ; '`erx''b��'n%x '�a;J,; ""b'i�. "`r,'✓ -Gb, ,a.. �, tr `'d3„ t R^"r+'d` c� "'i n y r,EI?, F�"-„.y4c",�`&*.s, ;�'s�S"J '�'¢,�. .{,�`� �$�, ., �� EE 6R 6END �,vrJ�g}��('^y�._.��•, a+w.ya 'W�n3'z"Yi,,.+"a p°"'y."� ";mgtr*`£r'6: '. i`'t..x�^aF„�;pyp f(,.h°�r• szy�t �t ;:Y *.tea• .` s�' "�;I,-�'k,�`» �+�. * a i'! s'k Jtin� Y *� *a^i `4 c ,kf' « wa 4'Shc 3 #'sir r�'m*firFA erh� a{•a, `"+•'k `bta �` $� *+r''� e -,+t Fe s �,. +„ r t4 ^rda4'i` +.+ti;ITC !" Thia la en oficial copy ar a portion of the abrne referenced REd map. It was eztrdcted using F-MIT On-Une. This map does not reaect chanpea N a a . & s �'•E`Y n'" ' "`+�° w`y r5�,( v+F or amendments which may haw been made Subsequent to Ills date on the title dxk. For the latest product Information about National Flootl Insurance Program tlootl mope ohaek the FEMA Flood Map store at vw.v.mao.femagov � ® PANEL 0284J FIRM m � FLOOD INSURANCE RATE MAP ®I�I ST. LUCIE COUNTY, FLORIDA m � i AND INCORPORATED AREAS PANEL 284 OF 420 (SEE MAP INDEX FOR FIRM PANEL LAYOUT) Cps m I COMMUNITY NUMBER y�r 6 4 1 jPoRi 9T. LUCIE, CIIYOG Ra1BT Otel J I I II I sr wclE courm lzaxfis ufia J ® I Ii ®j MOTE TMB MM INCLUDES BONNPgIES OF THE COASTAL 843gIEq RESOURCES SYSTEM E6L1BL164E0 UNDER THE COI9iµ BARRIER RESOURCES ACT OF 1893 MID.OR I ®f WB6EODEM ENP&INOLEGISIgTICN. Ij j rvalw lR u.er me Mev, rvumee awm, foam. Sows a w.e vfien yadry map oNen lM1e Communlry NumMraM1am eMe tp j .nwtl b. wee on Mwwrce appkalom me aubytl mmnsrM Y�R,M MAP NUMBER � "; 12111CO284J I ' ®' I f�� MAP REVISED I AND 64 FEBRUARY 16, 2012 I �iI Federal Emergency Management Agency t U.S. DEPARTMENT OF HOMELAND SECURITY 02 ysr i FEDERAL EMERGENCY MANAGEMENT AGENC' National Flood Insurance Program RECEIVED SUN 24 2016 ELEVATION CERTIFICATE OMB Control Number. 1660-0008 IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 5-15 Expiration' 11/30201B Cnov all nanes of this Elevation Certificate and all attachments font) communlN official. 121 insurance aaent/cemnanv_ and 131 huildino owner. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. F ,Power-LiUbt Company A2. Building Street Address (including ApL, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC 6667 S Ocean Drive Number. City Jensen Beach State Fl Zip Code 34937 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Parcel ID # 3508-111-002-000-3. A4. Building Use (e.g.. Residential, Non -Residential, Addition. Accessory. etc.) 3(p.4(ag~ y r SD' 34 �odzontal Datum: A5. Latitude/Long-iiude:L Long. (-NAD 1927 t�^r NAD 1983 A6. Attach at least 2 photographs of the building ff the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 A A8. For a building with a crawlspace or enclosure(s): AS. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq it a) Square footage of attached garage sq it b) Number of permanent flood openings in the b) Number of permanent good openings oawlspace or enclosum(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent gmde 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 d) Engineered flood openings? ('.Yes (XNo d) Engineered flood openings? (7 Yes )r No SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 62. County Name B3. State St Lucie 120287 St Lucie FL B4. Map/Panel Number B5. Suffix 86. FIRM Index Date I B7. FIRM Panel Effective/ BB. Flood Zone(s) B9. Base Flood Elevation(s) Revised Date (Zone AO, use base flood 0284 J 02/16/2012 02/16/2012 AE depth 7 BID. Indicate the source of the Base Flood Elevation (BFE) data or base good depth entered in Item B9: (- FIS Profile CX FIRM C Community Determined ("'Other/Source: B11. Indicate elevation datum used for BFE in Item B9: C NGVD 1929 f NAVD 1988 (' Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? .(-Yes No Designation Date: (' CBRS (- OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations am based on: (- Construction Drawings C Building Under Construction' Q[Rnished Construction A new Elevation Certificate will be required when construction of the building is complete - CZ Elevations: Zones Al-A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, ARIA, AR/AE, ARIA1-A30, ARIAH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Y-307 Vertical Datum NAVE, 88 Indicate elevation datum used for the elevations in items a) through h) below. (-. NGVD 1929 (XNAVD 1988 (' Other/Source: Datum used farbuilding elevations must be the same as that used far the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 21 52 'iE feet (-. meters b) Top of the next higher floor , (: feet (7 meters c) Bottom of the lowest horizontal structural member (V Zones only) C feet C meters d) Attached garage (top of slab) (' feet (. meters e) Lowest elevation of machinery or equipment servicing the building 21 52 (Describe type of equipment and lacafion in Comments) feet (?meters t) Lowest adjacent (finished) grade next to building (LAG) 17 .83 IC feet (, meters g) Highest adjacent (finished) grade next to building (HAG) 20 .12 (Meet ('meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including . structural support ('feet ('meters FEMA Form 086-0-33 (7115) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE, page 2 OMB Control Number. 1660-0008 Expiration: 11/30/2018 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. 6667 S. Ocean Drive Policy Number. Cifv State Zi Code Jensen Beach FL 3M7 Company NAIC Number. 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 ceriffy that the information on this Certlicate represents my best efforts to interpret the data available. I understand that any fake statement may be punishable by fine or imprisonment under 16 U.S. Code, Section 1001. Were latitude and longitude in Section A Check here if attachments, provided by a licensed land surveyor? ' {}[yes (' No `l ' Certifier's Name License Number Elizabeth A. Lindsay 4724 PLACE ' SEAL ' Title Company Name President Betsy Lindsay, Inc. HEPE Address City State I Zip Code 7997SSW Jack James Dr Stuart FL 34997 Signat Date Telephone 6/10/16 286-5753 _ Cap all pages of this Elevation Certificate for (1) community official, (2) insurance agent/mmpany, and (3) building owner. Comments including type of equipment and location, per C2(e), if applicable) Section C C2-e) Concrete air conditioning pad Signature Data � O SECTION -B DING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE (WITHOUT BF Far Zones AO and A (without BFE), complete Items EI-E5. If the Cenihcate is intended to supporta 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 Rim 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 Qncluding basement, mwlspace, (':feet ('meters E] above or ❑below the HAG. or enclosure) is b) Top of bottom floor (including basement, crawlspace, C` feet Cmeters ❑above or ❑below the LAG. or enclosure) is E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.1b in the diagrams) of the building is (' feet (' meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is C feel C meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and lot equipment servicing the building is (;Meet ( .meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the hop of the bottom floor elevated in accordance with the community's floodplain management ordinance? C yes (' No C. 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 ZIPCode Signature Date Telephone Comments ❑ Check here if attachments. t rcrm 086-0-33 (7115) Replaces all previous editions. Page 4 of 15 BUILDING PHOTOGRAPHS Number. 7660-0BOB ml Numb ELEVATION CERTIFICATE, page See instructions for ItemA6. OMB Con olNumbExpiratioe:itldn2oi8 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt, Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. 6667 S Ocean Drive Policy Number. City State 2i an Jensen Beach FL 3 Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item Ae. Identify all photographs with date taken;'Front view" and Rear viemr: and, if required, "Right Side Veve and "Left Side tAew:' When appricable, photographs must show the foundation vrith representative examples of the flood openings or vents, as inducted in Section A8. If submitting more photographs than will Ill on this page, use the Continuation Page. 7 } �. West Front 6/9/16 North Front 6/9/16 t 1 South Rear 6/9/16 East Rear 6/9/16 1 FEMA Form 0864O-33 V115) Replaces a8 previous editions. Page 6 of 15 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE, page 5 Continuation Page OMB Control Number. 166"o0a Ex iration: 11130201a IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (ndudmg Apt, UnitSuite, and/or Bldg. No.) or P.O.Route and Box No. 6667 S Ocean Drive Policy Number. CRY State Zip Code Company NAIC Jensen Beach FL 34957 Pumber If submitting more photographs than will fit on the preceding page, aRnr the additional photographs below. Identify all photographs with: date taken; *Front Mew' 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 vends, as indicated in Section AB. - NE side tieft) 6/9/16 SW side (right) 6/9/16 —rurru voo-uaa tnial Replaces all previous edNons. Page 7 of 15 Q MAP SCALE 1"= 500' 0 250 S00 7S0 m PANEL 0284J j FIRM 0 FLOOD INSURANCE RATE MAP GD ST. LUCIE COUNTY, ° FLORIDA II AND INCORPORATED AREAS i PANEL 284 OF 420 I (SEE MAP INDEX FOR FIRM PANEL LAYOUT) 19 COMAINS ° COMMUNITY NUMBER MNEL SUFFIX. PoRTK i.CIE.CnVOF =87 M J I I 6T WCIECOuu, 120185 @61 i ® NOTE- TMs YAP IWWMS BOUNOMIES OF ME COASTN. MRIm REGOMCEG 6YSTEN E6'W0 IE0 UINER TXE COASTAL WnIER RECOURCES ACT OF IM MOOR i® ajsMo EMnAAEUNGLEGISIATICN. NdIMbYM�TA. MN Numtrt YoTM Wow Nwtl teal ',. Wen getlry m9 obeis; Ox CcmmWryNumM vlmm vbn YMM b uW m Neueerce eWkAoee fv Ns nIDIaG �.n�mtty A„w MAP NUMBER 12111CO284J ® ;t MAP REVISED No6 FEBRUARY 16, 2012 j I Federal Emergency Management Agency extracted using F-MIT On-line. This map does not reflect changes nendments which may hate been made subsequent to the date on the dock. For the latest product Information about Nations! Flood Insurance tmm flood maps check the FEMA Flood Map Store at w msc.fema.gov T U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENC) R E C E I `.• . D JUN Z 4 2916 National Flood Insurance Program ELEVATION CERTIFICATE OMB Control Number. 16601208 IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Erpimlion- 11/30/20/8 Copy all pages of this Elevation certificate and all attachments for (1) community official, (2) msumnce agent/company, and (3) building owner, SECTION A -PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Polity Number. Floridapower A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC 6667 S Ocean DYive Number. city Jensen Beach State Fl Zip Code 34957 A3, Pmperty Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Parcel ID # 3508-111-002-000-3. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, eta11 d.1�3()',c0•`i(0�" 'jld°1y1s8 Horizontal A5. Latilutle/LongiNde: Lat. Long. ('NAD 1927 WAD 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 A All- For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: aj Square footage of crawlspace or enclosure(s) all it a) Square footage of attached garage sq it b) Number of permanent flood openings in the b) Number of permanent flood openings crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade above adjacent grade c) Total net area of flood openings in Ae.b sq in c) Total net area of flood openings in A9.b sqin d) Engineered flootl openings? (.'.Yes (No d) Engineered flood openings? ('Yes r•No SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name & Community Number B2 County Name B3- State St Lucie 120287 St Lucie FL B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ 68- Flood Zone(s) B9, Base Flood Elevation(s) Revised Date (Zone AO, use base flood 0284 J 02/16/2012 02/16/2012 AE depth 7 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: C FIS Profile Rr FIRM C Community Determined ( Other/Source: B71. Indicate elevation datum used for BFE in Item 89: C NGVD 1929 f NAVD 198E (' Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? .('Yes No - Designation Date: ( CBRS C OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: C Construction Drawings' (}(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, Vl430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C?.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: Y-307 Vertical Datum NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. (-. NGVD 1929 (NAVD 1988 (- Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used, a) Top of bottom floor (ncluding basement crawlspace, or enclosure floor) 21 52 feel C. meters b) Top of the next higher floor (' feet ( meters c) Bottom of the lowest horizontal structural member (V Zones only) ( feel ( meters d) Attached garage (top of slab) C feet ( meters e) Lowest elevation of machinery or equipment servicing the building 21 5 2 (Describe type of equipment and location in Comments) feet ( meters B Lowest adjacent (finisher!) grade next to building (LAG) 17 .83 1'C'feet (',meters g) Highest adjacent (finished) grade next to building (HAG) 20 .12 )(". feet l-metere h) Lowest adjacent grade at lowest elevation of deck or stairs, including .structural support _ ( feel C meters FEMA Form 086-0-33 (7115) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE, page 2 OMB Control Number. 1660-0008 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including ApL, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 6667 S. Ocean Drive Policy Number. Cary State Zi Code Jensen Beach FL 31957 Company NAIC Number. SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A - ER Check here if attachments. provided by a licensed land surveyor? v XXYes (7. No , , _ CeAifiefs Name License Number Elizabeth A. Lindsay 4724 , - PUCE '— SEAL Title Company Name President Betsy Lindsay, Inc. HERE - - Address City State Zip Code 7997SSW Jack James Dr Stuart FL 34997 Signature Date Telephone 10/6/201 286-5753 Copy arpagelt of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (ncluding type of equipment and bcafioq per C2(e), iF applicable) Section C C2-e) Concrete air conditioning pad Signature Date SECTION E -,41.111-PlIgIrELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONEA (WITHOUT BFE) For Zones AO and A (without BFE), complete Items EI-ES. 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, (' feet (� meters E] above or ❑ below the HAG. or enclosure) is b) Top of bottom floor (including basement, crawlspace, (;-feet r-meters ❑ above or ❑ below the LAG. or enclosure) is E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see page B 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 C meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and for equipment servicing the building is (;feet C meters ❑ above of El 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 (7 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. Properly Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. EMA Form ubti-U-33 (1,115) Replaces all previous editions. Page 4 of 1S ELEVATION CERTIFICATE, page 3 OMB Control Number. 1660-0008 Expimtiom 11/302018 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. City State Zip Code Company NAIC Number. SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by lawororrimance 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 items) and sign below. Check the measurement used in Items GB-G10. In Puerto Rico only, enter meters. Gt. n 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.) GZ ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community -issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Pennit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: (,- New Construction (' Substantial Improvement Ga. Elevation of as -built lowest floor (including basement) (' feet (' meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the (-feel (-meters Datum building site: 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. Page 5 of 15 e74000mE 8015,001, 27°20'37.5" b e JJ* 3tia �+. \c a "` A e. i • i 's x r a. i +. -4 r MAP SCALE 1" = 500' 'tt4 �'Vr r a. l;� Svy't S • Ewer `t'S a�4 J "' t. "kyvr'afXa: .F - �a; ''xary ?s >:-y • ✓�.""n ��'* s 5rxv� 0 250 500 750 7,000 'A Z1QN ''1E4 %(1' +. �r€: FEET i ' y* i rrk: Fc ,�,kmy aX§ iin;Y. 5� x% �'ti �'Y � y k "i. �. Ka �•, Y'�,.y �, 'iCEi-i3 ,�.5`k- 1 v �,�4at `te. "u" 'S°. a�S F t "� ♦ :rn- 18 �. tt'�"' �,e".;+��'"N,.�,�'�� s '�'�ea �.� 'xd. �'aa, �% "...€+ �'Tq r• x �^x.,�i',N.�-. °XM ® PANEL 029" . 44"''8,�� ` � I iic��.hi�ry x�}`�' �'.� � Y h�1 ,f, �}��'ar •••• h "_ j f � I FIRM k ,� ;�'� t� �r ,e,,,�t "�,��,�`�, "�.,.�•'�a�,'•. i �� FLOOD INSURANCE RATE MAP ST.LUCIECOUNTY, FLORIDA AND INCORPORATED AREAS PANEL 284 OF 420 t'cm,. �a� °^y 4i`+r` �iwk, �.y .y, 4(r �7 � 'qx:�'a" � x�°�.'y"}, t�' xvi (SEE MAP INDEX FOR FIRM PANEL LAYOUT) E�1'EINS: l � F' 3"bC. '° '°r k k � � '"lc - aF ,'ri i 'aH• y �i CONNuam NUMBER PANEL SUFF15 i� mks 'rx�h k.' 'A ' CBRS AR l_•k `?. TM a i`e ! Mar ST coOr i tzmas nxa (SEE BRSME ERIP ND)'*.'°r"�-�fl"`"s�'c'' it 1.5 t 4 ''v bF'r x ` fF 'N ttt "i • � NpiE MM INCWDES E Ee .iNE COKiK WRIER ^y fi 'TC>�tl,,.Y -"ui +�. f <2y 'Is ".,n,t T,y#• hry Jy + *4".-�r .^�. �'i h+} as w^ ..I� cQMi4 MYSFEM R" RE OIACE6a•V<TIOFF ISM N:GOR x,a y. u.yi L +�. 4vt`3*�� +{�� '; : 45,E �}fisq�;�� Fa 1M1.C`}h e"(G"s_ � �li su86E0eEMaa.ValaOlEplsUfloN , '•�, ry'' gti `� 4k �� '�h�'$'+5 � k �E,+`Yi = a.7 �.ix e-r "+n -� �' r + $ L' -A}, ° I I noes ro ueR me l +, f'"ta'^ rs 4' `�¢. '" '3iyx_ y"`, ry ,arc h++. `7 c&1 ,b <y is II vwen pemeuwabem me ex"ommun xv'•meeeer x'mame'eR.1 '7y",{4te `7w2y 1Y4 `+ �^b, '�'$� nhr. ";9,-•" "k� '.�" 5!i, 9,.W ai, ,�"%x ic" F d mom ee m m W.W. rar me webs MAP NUMBER f , 12111CO264J MAP REVISED FE13RUARY16,2012 R Federal Emergency Management Agency ^x` `•'rk'sw �", 5` • - F S;. This ie en oficiel copy of a portion Of the above referenced flood map. it +.,,a -r»t + ,y" sy-,y v r # y ' was extracted using IT On -Una On -Una This map does not reflect changes w .gyp a ,,. n 4.3. »�- 4 rr or amentlmanis which may haw been made subsequent to the date on the letaet product inlormaaon about National Flood Insurance check the FEMA Flood Map Store at .mswfemegov