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HomeMy WebLinkAboutPROJECT INFORMATIONI - . 1% fieul Imo Saustrdflon 19; Dept 0 hvgh� saffielye.d IfivIeWhIces, MAI WAR.. Buhdbn,lretoheou,1132�3011 T# 1031292745 B# 1501258 IdentresoonNurnesur Year - MuIu, Bory vrr�-aHp Vaerd ReW. No - Res 1112ACOUSC250165A 2012 CHET HE 40' 1313 7=254 11INW-1951 -- -- - III Reostewd Oemer: Dua� of Isexua 06/12/2018 the Re. STEEL BEC(MIERY SOLWIMS �C 2221 FLORA AVE FORT � , li'L 33907-4224 Mail TO. STEEL PEC(WERX SOLWJ�S 2221 i=� Aw FORT bffERS, � 33907-4224 SCANNED BY St. Lucie County 0 �RTANT �Txw 1. Men mumuship 0 the rabide deserted hemin is transferred, Is sder MUST oemplete In full Me Thansher d TWe by Seffer seems al Me bestorn 0 the continues & Us Z UWn sals of this vehicle. Me seller must complete Me notive of see on Me te�erss side & this form. 3. Reen. You, bromse Plans hore the 4. See Me mb address home for mars, mimmuffion and Me appropriate fismus; requinsel her the punsimener to [me amc! M,W., Me �, rnooda home ., vesae: v z FRIVATZ, 1 Z , 1. �, I i � -4 1, %! Registered O.er STxiL ExhicbVisai sm=aus LLc: MRM,�. FM 33907-4224 I st Lienfi6ldor' WSIONOFMWORISTSEWCES W�EE OSIRWPu6T O� 141G.V�Vo`W�MD MWOR �ICLM �Temr L Rhooss 2 9 4,� uneore Corona] Nmu '13409' IS ./2.1 134092594 TRAnSFER U� BYSEUER (Me solon rnuolbuaoir*t.�e thetmci orsae) Ilimserdiim� euo,.�.". "I I % S4k,mouluoo�Doiio4i 9 IV, Ej 6--ER�94S OFPM 06SEUERM�� sun,11—, si" ere T.;I 12 4 SIR pibiWht �Iiit M MWI UBn luCH.buton tO: Dept "1112hrvelfSeftlyarld NotorWhIeft, Nall Mrimm BuIlding.T.11shoss", 1�3=susao T# 1036526634 B# 1510315 IdentricartonNumber - - --7 Yew -M,l 110dy I VVT-L.BHP -- VesSdRegrs.No. Elehlumblrr 112ACOHSC250165A 2012 CH14T HE 40, 131327254 91 Registered Ovrncln. Date of Issue 07/13/2018 U.n Release GEMIROLE DFhT R, LLC Interest in the described vehice is hereby released BY. 3318 ORANGE AvE True FORT PIERCE, FL 34947-3522 D.i. IMPORTANT INFOR1I%TIOX 1. When ownership of the vehide described herein Is transferred. the seller MUST compete In full the Tmsfer of Tille by Seller section at the bottom of Mail To: the certificate of WE. SHMINGLE DEALER, LLC 2. Upon sale of this vehicle, the sailer must complete the notice of sale an the reverse side of this form, 33113 ORANGE AvE 3� Remove your license plate from the vehide. FORT PIERCE, FL 34947-3522 4. Bee the web address below for mom informajoilt and the appmimale forms required for the purchaser to tile and register the vehicle. mobie home or veszek: hflplA�.hsmv�l.a.H.urdhtmMInt.htmI Flop Dula offs5y. 0Xq RE M 14OLF DFA'L'E'R'*'LLC 3a16'0R4k0i,AVt' RxElkm�' rL 34947-3522. ist Limffiwaef� NOW 7 'DE�*.MEfqT(5FIiiGhwArgAFEiYA�ioqoTofivEHtcLF�s Roberkit TuTy Dif'oh", Cimtrof Number El—m orado� 13409300511, -/2 13409300&' TRANSFEROFTrrLE EYSELLER pleterl6ithatimeardele) A& CITIAILMIMAGE. n Z IN EXCESS 0F1TSMM1AbhCA4fAIftS. �[]LbNqtTnEACTUALALEKEE. WE TRAY HAVE REIU) THE r6REGOIN6 DOCUHliw mm THAT THE FACI-S SMITTI) IN nf� TRUE SELLERNI.t SirdAef'-- CC-�EUUAM� t Sip "a-' pfiak� 2 iuv' Liarn,N.&r.- Ali -N� ...... ft-A .3 2900 Apalach, Section 319.22(2), Florida Stanites, requires that the s mobile home. Filing this form removes my civil liabil keep a copy of you bill of We (we suggest it be notad: below, tear the top portion of this document at the I have this — day of Name: Purchaser(s) First UNDER PENALTIES OF PERJURY, I DECLAREI Seller's Signature i 45, %91 STATE OF FLORIDA I'MENT OF HIGHWAY SAFETY AND MOTOR VEI - -S DIVISION OF MOTOR VEHICLES Parkway - Neil Kirkman Building - Tallahassee, Fl. 32399-0620 On of Sale of Motor Vehicle, Mobile Home or Vessel r file a Notice of Sale with the department within 30 days after the sale or ftansfer of the motor vehicic� vessel or for the operation of the sold motor vehicle� vessel or mobile home. In addition to filing this furrit, we suggest yen , certificate of title or other type of transaction document showing the vehicle was sold. -Complete the information foration and mail to the add� 2bove or submit toyour local tax collmtor's office or license plate agency. nsferred by assignment of and delivered Florida Cerfificate of Title to: Purchaser's DLAO MI Last Selling Price $ ,T I HAVE READ THE FOREGOING DOCUMENTAND THATTHE FACTS STATED IN ITARE TRUE. . Co -Sellers Signatur 1ATELY COMPLETED, TO A TAX COLLECTOR'S OFFICE, LICENSE PLATE AGENCY OR TO THE IKTjD.UPDATE­THF E)MV.DATABASF-To REf:LEGT-THE-TITLE-RECORDASI'SOLD". HOWEVER, JNTIL THE PURCHASER APPLIES FOR AND IS ISSUED A CERTIFICATE OF TITLE. RE N "Q� YOR 1twr �Autlom "'y CHECK An Pc�d� M., sjpnv� prifttu.:', sip 'g, pe.t Him F A..i. U� N.b�. RHIPg D�Qq's Satin, uAke. T. U. NO, Witt; IMIre. Add.: f" --7 6 11WE F1 5�ORI--].Ol)l(;FrODOMEFM)gQWRfiAD$ =t�TU 8� (N1TEMS))kfl1M,DATEREAD 6TTOT11131385T, M JEr-TR ��OF — , ­ —" I I , I Is EXCEsS W L min� L] N BEFORE VOU _j Z OF FIS Mecllm� MM Ga: 1BXMS OF ITS N16CRAMCAL LRATTS WA DeStREPANCN' CHECK A BOX M.a SiPH= Z bfi,t x4A. (wh. APP�1*- 'T' saiv To. N.0 a % g Sd1W91)w1.'1Ada.' Add.:_ 7 50P. 61uQtroDbMMR�ibw�Ps HERa �CAIMON: BEAD CARERaXY 1, RFk1WFS ACI`U� IqMPAOff El-21 is IN Excus OF Its NwenXICCAL Lzm 3� UN0T,TH5AL7UATNffiEAGa. PEFORENOU TXCES9QFF1S.V'—E0LVTVALMmFs11 ' -, . I- IWARMING "�w vttF, I , I , - o1scTremcy" 2 cuEck A Box 'AFeLms -to 5 inarr oDetownies) is, I", -t vs jIt" g k U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program I 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 agent1company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE �1. Building Owners Name Policy Number: ENE ESTRADA A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number., Box No. 3318 ORANGE AVENUE (LOT 38) city State ZIP Code FORTPIERCE Florida 34947 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SEMINOLO MOBIL PARK, PARCEL ID: 2408-243-0003-000-6 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) MANUFACTURED HOME )(A5. Latitude/Longitude: Lat. 27*26'53.4" N Long.,80*2 14.3 2" Horizontal Datum: E] NAD 1927 N NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. it AT Building Diagram Number 5 SCANNED A8. For a building with a crawlspace or enclosure(s): BY a) Square footage of crawlspace or enclosure(s) NIA sq ft St. Lude County b) Number of permanent flood openings in the crawls7ace or 'enclosure(s) within 1.0 foot above adjacent grade..WLJL, c) Total net area of flood openings in A8.b 0.� N/A sq in d) Engineered flood openings? El Yes 0.5LN& A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft go' b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A bo' c) Total net area of flood openings in A9.b N/A sq in OP d) Engineered flood openings? E] Yes Z Noe SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State UNINCORPORATED 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AD, use Base Flood Depth) Revised Date 12111C-0178 J 02-16-2012 02-16-2012 A NIA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: [—] AS Profile [] FIRM D Community Determined Fj Other/Source: B1 1. Indicate elevation datum used for BFE in Item B9: E] NGVD 1929 El NAVD 1988 E] Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes F� No Designation Date: E] CBRS F1 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: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) elevations are based on: E] 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, V1-V30, V (with BFE), AR, ARlA, ARIAE, AR/Al-A30, ARIAH, ARIAO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: Vertical Datum: Indicate elevation datum used for the elevations in items a) through h) below. [-] NGVD 1929 r-1 NAVD 1988 F� 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) feet E] meters b) Top of the next higher floor feet E] meters c) Bottom of the lowest horizontal structural member (V Zones only) E] feet E] meters d) Attached garage (top of slab) E] feet meters e) Lowest elevation of machinery or equipment servicing the building E] feet meters (Describe type of equipment and location in Comments) 9 Lowest adjacent (finished) grade next to building (�AG) E] feet E] meters g) Highest adjacent (finished) grade next to building (HAG) E] feet. [-] meters h) Lowest 2djacent gi�qde at lowest elevation 9f deck or stairs, including E] feet E] 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. / 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? ElYes ONo E] Check here if attachments. Certifier's Name License Number CRAIG D. WATSON 5647 Title PRESIDENT Place Seal Company Name SURVEYING AND MAPPING, INC. WATSON KILLANE Here Address 2240 NE DIXIE HIGHWAY city State ZIP Code JENSEN BEACH Florida 34957 Signature Date Telephone Ext. 08-06-2019 (772) 334-0868 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/comparry, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) 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, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) k FOR ZONE AO AND ZONE A (WITHOUT l3FE) 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 EI-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, or enclosure) is 5.7 [E feet E] meters 2] above or E] below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 5.2 [E feet E] meters N above or [-] below the LAG. IE2. 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 E] feet E] meters E] above or E] below the HAG. E3. Attached garage (top of slab) is E] feet E] meters [-] above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is E] feet E] meters E] above or D below the HAG. E5. Zone AD 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? D Yes E] No F� Unknown. The local official must certify this information in Section G. SECYON F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or c er's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or ` 0 community-i �F/orZone AD must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner o ners Authoriz:��tative's Name CRAIG D. WA N Address city State ZIP Code 2240 NE //HIGHWAY JENSEN BEACH Florida 34957 ,Z Signatu Date Telephone 08-06-2019 (772) 334-0868 Cc ants Al 0 IGHT SIDE OF BUILDING ATTACHED, AND IS 8.0 FEET ABOVE LAG (SEE SHEET 6 - TOP) F Check here if attachments. FEMA Form 086-0-33 (7/15) 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: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance ran 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-G1 0. 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. F] The following information (items G4-G1 0) 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 E] Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: [-] feet E] meters Datum G9. BFE or (in Zone AO) depth of flooding at the bui!ding site: E] feet E] 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 locabon, per C2(e), if applicable) Check here if attachments. FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OM13 No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item AS. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding Information from Section A. Buildirig-Striet Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 1 , 61-willi-ININ-1, N .1 011011,110g, ..' IN OWN A 51. AIR 1. .1 w 141 ow-mlow my wily. -1-H N -a -1 Mt jr 6e PhotoOneCapfion FRONT VIEW 08-06-2019 Clear Photo One wz ROW w—, N, A PhotoTwoCaption REAR VIEW (08-06-2019) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 A M15511090w, Poll 11, �Wllj Policy Number: tpo]Zgml§Loi Company NAIC Number 21-101-I&I-IMI W-11I 0 --1, 4 L---V 1% FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 A X U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program I 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., RENE ESTRADA A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 3318 ORANGE AVENUE i2L3.8 J_ city State ZIP Code FORT PIERCE Florida 34947 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) SEMINOLO MOBIL PARK, PARCEL ID: 2408-243-0003-000-6 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) MANUFACTURED HOME )k5. Latitude/Longitude: Lat, 27*26'53.4" N Long. 80*21'43.2" Horizontal Datum: E] NAD 1927 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being usedlo obtain flood insurance. XT Building Diagram Number 5 For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq It b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b NIA sq in d) Engineered flood openings? E]Yes E9 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 N/A c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? E] Yes [xJ No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP Community Name & Community Number B2. County Name B3. State UNINCORPORATED 120285 ST. LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AD, use Base Flood Depth) Revised Date 12111C-0178 J 02-16-2012 02-16-2012 A N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: [] FIS Profile [—] FIRM 0 Community Determined 7 Other/Source: Bl 1. 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)? El Yes El No Designation Date: I—] CBRS F� OPA FEMA Form 086-0-33 (7/16) Replaces all previous editions. Form Page I 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: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: E] Construction Drawings* E] Building Under Construction* E] 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, AR/A, AR/AE, AR/Al—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: Vertical Datum: Indicate elevation datum used for the elevations in items a) through h) below. E] NGVD 1929 [] NAVD 1988 F1 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, crawlspare, or enclosure floor) E] feet E] meters b) Top of the next higher floor E] feet meters c) Bottom of the lowest horizontal structural member (V Zones only) feet meters d) Attached garage (top of slab) feet meters a) Lowest elevation of machinery or equipment servicing the building feet meters (Describe type of equipment and location in Comments) 0 Lowest adjacent (finished) grade next to building (LAG) feet meters g) Highest adjacent (finished) grade next to building (HAG) feet meters h) Lowest adjacent grade at lowest elevation nf cleck or stairs, including structural support 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. / 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 bya licensed land surveyor? E]Yes ONo E] Check here if attachments. Certifier's Name License Number CRAIG D,WATSON 5647 Title PRESIDENT Place Company Name WATSON KILLANE SURVEYING AND MAPPING, INC. Sea[ Here Address 2240 NE DIXIE HIGHWAY city State ZIP Code JENSEN BEACH Florida 34957 Signature Date Telephone Ext. 08-06-2019 (772) 334-0868 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenticompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) 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, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 SECTION E — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT IBFE) For Zones AD 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 EI—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, or enclosure) is 5-7 Z feet E] meters 0 above or [] below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is 5-2 2] feet [1] meters Z above or E] 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 F] feet E] meters 0 above or [] below the HAG. E3. Attached garage (top of slab) is feet E] meters E] above or E] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is E]feet Dmeters 0 above or 0 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 floociplain management ordinance? E] Yes E] No F� Unknown. The local official must certify this information in Section G. SECTIONY — PROPERTY OWNER (OR OW��REPRESENTATIVE) CERTIFICATION The property owner or owner uthorized representative VJw-15,5mpletes Sections A, B, and E for Zone A (without a FEMA-issued or community -is .;?ne AO must sign he�tatements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Own s Authorized Repr ritative's Name CRAIG D. WATSON Address city State ZIP Code 2240 NE DIXIE HWAY JENSEN BEACH Florida 34957 Signature Date Telephone 08-06-2019 (772) 334-0868 Comments A/C ON RIGHT SIDE OF BUILDING ATTACHED, AND IS 8.0 FEET ABOVE LAG (SEE SHEET 6 - TOP) 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: 3318 ORANGE AVENUE (LOT 38) city State ZIP Code Company NAIC Number FORT PIERCE Florida 34947 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-G1 0. In Puerto Rico only, enter meters. G1. F 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. F] 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. F-1 The following information (items G4-G10) is provided for community floodplain management purposes. G4. Permit Number rmit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: E] New Construction E] Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: [-] feet E] meters Datum Gg. BFE or (in Zone AO) depth of flooding at the building sitc: E] feet [-] meters Datum G10. Community's design flood elevation: 0 feet E] 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 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 MMIT7 Mmsym wy 11 11111 1111!lyll 1111 11 11 11 Policy Number: Company NAIC Number MET","I all. Z-A AZ4 PhotoTwoCaption REAR VIEW (08-06-2019) FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 WOROMMIFTME: MM Policy Number: W1611 1,261 U-1 0 MWAIIA Egli, i MMM� Company NAIC Number ".Y"L I. -I . ip A ir 4� . . . . . . . . . . . . -4.,w �41 Photo Four Caption LEFT SIDE VIEW (08-06-2019) clear Photo Four FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6