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HomeMy WebLinkAboutFlood ElevationU.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 PI deral Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program 'ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: GARY & DORIS HOMAN A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 2035 NETTLES BLVD. City State ZIP Cade JENSEN BEACH FLORIDA 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 35 NETTLES ISLAND PROJECT SECTION 1 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Let 27°17'10.38"N Long. 80°12'49.36"W Horizontal Datum: ❑ 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 B A8. For a building with a crawlspace or encosure(s): a) Square footage of crawlspace or enclosure(s) 00 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 00 c) Total net area of flood openings in A8.b 00 sq in d) Engineered flood openings? ❑ Yes ® No A9. For a building with an attached garage: a) Square footage of attached garage 236 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade .2 c) Total net area of flood openings in A9.b 400 sq in d) Engineered flood openings? ® Yes ❑ No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel B5. Suffix 86. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) Number Z (\ (G Date Effective/ Revised Date Zone(s) (Zone AO, use Base Flood Depth) �3)Z J bzlz o-7 I A �0_0 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/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® 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: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 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: 2035 NETTLES BLVD. City State ZIP Code Company NAIC Number JENSEN BEACH FLORIDA 34957 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 Al—A30, AE, AH, A (with BFE), VE, VI—V30, V (with BFE), AR, ARIA, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A04 FLDT Vertical Datum: NAVD 1988 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 (including basement, crawlspace, or enclosure floor) 7.0 ® feet ❑ meters b) Top of the next higher floor 16.4 ® feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A ❑ feet ❑ meters d) Attached garage (top of slab) 5.0 ® feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 8.8 ® feet ❑ meters (Describe type of equipment and location in Comments) 4.5 f) Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.6 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.5 ZI feet ❑ meters structural support 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 provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number 656-203-01-17INAL EARLE R. STARKEY 004459 Title PROFESSIONAL LAND SURVEYOR - Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 .; City State ZIP Code 0�0412019..,,; STUART FLORIDA 34994 " PLS�#4459- Si Date Telephone. Ext. 04/04/2019 772-286-7694 Copy all pages of thi n C or (1) community official, (2) insurance agent(company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) A9-D SMART VENT MODEL #1540-520 C2-E BOTTOM OF ELECTRICAL PANEL: FEMA Form 086-0-33 (7/15) Replaces all previous editions. 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 INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, andfor Bldg. No.) or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIC Number 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. Ell. 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 (ncluding 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 E] 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 (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: 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 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 following information (Items G4—G10) 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 ❑ 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 (7/15) Replaces all previous editions. Form Page 4 of 6 a BUILDING PHOTOGRAPHS OMB 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: 2035 NETTLES BLVD, city JENSEN BEACH State FLORIDA ZIPC 34957 Company NAlC Number If using the Elevation Certificate to obtain NFIP food 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 thew", 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 AS. If submitting more photographs than will fit on this page, use the Continuation Page. .., IL Photo One Caption FRONT 04/04/2019 I I .,f Photo Two Caption REAR 04/04/2019 FEMA Form 086-0-33 (7/15) Replaces al previous editions. Form Page 5 of 8 BUILDING PHOTOGRAPHS OMB 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 Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Polity Number 2035 NETTLES BLVD. Cary JENSEN BEACH State FL�RIDAZIP Code 34957 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify ail photographs wift date taken; "Front View' and 'Rear View` and, t 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. 1 0 Photo Three Caption RTUHT SHE 04/04/2019 1 4t. ne.ne ra. Photo Four CaptionLEFT SIDE 04/04/ 01 FEMA Form 086-033 (7/15) Replaces at previous editions. Form Page 6 of 6 DIVISION: 08 00 00-OPENINGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS REPORT HOLDER: . SMARTVENT PRODUCTS, INC. 430 ANDBRO DRI VE, UNIT 1.: PITMAN, NEW JERSEY 08071 _ . EVALUATION SUBJECT: SMART VENT® AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540- 510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC ICC ICC �� �- C���r Look for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPC) Award in Excellence" A Subsidiaryof ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as \ k to anyfinding or other matter in this report, or as to anyproduct covered by the report. Copyright © 2016 ICC Evaluation Service, LLC. All rights reserved. MODELNAME rmoavk;N I— Overhead Door Sm EN (®Overhead Door '— Wood Wall FloodVEN Wood Well FloodVEN Overhead Door SmartVENI- Stacker FlaodVent Slacker For SI: 1 Inch = 25.4 mm; 1 square foot= m� m TABLE 1—MODEL SIZES MODELR MODEL SIZE 1540-520 15 /4" X L 1540-510 153/4" X 73/ 1540.524 �5 /41% — 1540-514 ' 7"/ 1640.570 14" X 84 1640-574 X g 1540-511 16" X 16" 1540.521 16" X 16" COVERAGE (sq. ft.) 200 200 200 200 200 200 400 400