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�J.3:DEPARTMENT OF HOMELAND SECURITY ELEVATION ION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
Notional F'/ood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31, 2015
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SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name FINDON&MOLEN Policy Number:
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number:
10701 SOUTH OCEAN DRIVE#738
City JENSEN BEACH State FL ZIP Code 34957
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 139 VENTURE OUT SECTION C
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude:Lat.27°16'04.6"N Long.80°12'30.5"W Horizontal Datum: ❑ NAD 1927 N 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 8
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 565 sq it a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 4 within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b 630 sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? ❑ Yes X❑ No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
UNINCORP 120285 ST.LUCIE FL
B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone
12111 C 0314 J 02/16/2012 Effective/Revised Date Zone(s) AO, use base flood depth)
02/16/2012 AE 7.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source:
1311. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source:_
B12. Is the building located in a Coastal Barrier Resources System nBRS)area or Otherwise Protected Area(OPA)? ❑ Yes 0 No
Designation Date:_ CBRS ❑ OPA
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-A30,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-h
below according to the building diagram specified in Item AT In Puerto Rico only,enter meters.
Benchmark Utilized:94 77 A02 RM1 FLDT Vertical Datum: NAVD 88
Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 0 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) 4.3 0 feet ❑meters
b)Top of the next higher floor 7.6 0 feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A., ❑feet ❑meters
d)Attached garage(top of slab) N/A., ❑feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building 7.1 0 feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.2 0 feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 4.6 N feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support IN/A. ❑feet ❑meters
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION _
This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation
information.I certify that the information on this Certificate represents my best efforts to interpret the data available. F JOB#2397-01-01
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. FINAL
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
N Check here if attachments. licensed land surveyor? N Yes ❑ No
Certifier's Name EARLE R.STARKEY License Number 004459
Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC.
Addre 1 DECKER AVEN C UART State FL ZIP Code 34994 02/22/2016
PLS#4459
S fl16• Telephone 772-286-7694
FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions.
Building Photographs
See Instructions for Item A6.
For Insurance Company use.
Building Street Address(Including Apt., Unit, Suite,arid/or Bldg.No.)or P.O. Route and Box No. Policy Number
10701 SOUTH OCEAN DRIVE #738
city JENSEN BEACH state FLORIDA ZIP Code MMAJC
Wrkff
34957
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear Yew"; and, if required, "Right
Side View" and "Lett Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following. FRONT 02/22/2016 SIDE 02/22/2016
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