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HomeMy WebLinkAboutFlood Elevation U.S.'DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal 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: DUVILLA MYRTIL AND MARIE T. MYRTIL A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 2208 CORTEZ BLVD City State ZIP Code FORT PIERCE Florida 34982 A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) 2421-234-0005-000-3 A4. Building Use(e.g., Residential, Non-Residential,Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.27D25'07"N Long.80D20'50"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. A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑ Yes ❑X No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0 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 ST. LUCIE COUNTY 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12111CO186J J 02/16/2012 02/16/2012 AH 16.50 B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item BR. ❑ FIS Profile ❑X 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 0 No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 2208 CORTEZ BLVD 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 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 El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico 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, crawspace,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 El below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or E]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(7/15) Replaces all previous editions. Form Page 3 of 6 BUILDING PHOTOGRAPHS OPJB 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.. Unrt, Suite. and.or Bldg.No.)or P.O. Route and Box No. Policy Number: 2208 CORTEZ BOULEVARD 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 A6. Identify all photographs :ath date taken: "Front`.'iev"and"Rear Vie.v": and, if required. -Right Side View'and "Left Side Vie,%." When applicable, photographs must sho,.', the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than voll fit on this page, use the Continuation Page, DATE PHOTO TAKEN: APRIL 4TH, 2019 i Photo One RIGHT FRONT VIEW DATE PHOTO TAKEN: APRIL 4TH, 2019 Photo T.:o Caption LEFT FRONT VIEW FEMA Form 086-0-33 17115) Replaces all previous editions. For,Page 5 of 6 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 Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 2208 CORTEZ BOULEVARD City State ZIP Code Company NAIC Number FORT LAUDERDALE 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. DATE PHOTO TAKEN: APRIL 4TH, 2019 Photo One Photo One Caption LEFT REAR VIEW DATE PHOTO TAKEN: APRIL 4TH, 2019 Photo Two Photo Two Caption RIGHT REAR VIEW FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6