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HomeMy WebLinkAboutELEVATION CERTIFICATEU.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. MARCELLENO A2. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 8015 PLANTATION LAKES DRIVE City State ZIP Code PORT ST LUCIE Florida 34986 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 48 PLANTATION RESERVE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, eta) RESIDENCE A5. Lafitude/Longitude: Lat.27.31825 Long.-80.43598 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 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 AB.b 0 sq In d) Engineered flood openings? El Yes Z No SCANNtL BY AS. For a building with an attached garage: St. Lucie Coi:nry a) Square footage of attached garage 500 sq It 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 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 120285 ST LUCIE COUNTY ST LUCIE Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevations) Number Date Effectivel one AO, use Base I Revised Date Flood Depth) 12111CO260 J 02/16/2012 02/16/2012 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ 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 © No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Forth Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-MB 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. 1 Policy Number. 8016 PLANTATION LAKES DRIVE City State ZIP Cade Company NAIC Number PORT ST LUCIE Florida 34986 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 Ai-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 C2a-h below acconfing to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized ST LUCIE COUNTY BM Vertical Datum:1929 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) 15. 28 ©feet ❑meters b) Top of the next higher floor N/A 21 feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet ❑ meters d) Attached garage (top of slab) 14. 88 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 15, 28 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 14.6 x❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 14.7 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA. ❑x 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 Cerificate represents my best efforts to interpret the data available. I understand that any false statement maybe 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 ❑ C if a ments. Certifier's Name License Number HARRY A BURGESS 5089 Title LAND SURVEYOR Place Company Name RENNER BURGESS IN Seal Here Address 801 SE 6TH AVE SUITE 101 City State ZIP Code DEL BEAC Florida 33483 Si na re Date Telephone 05/28/2019 (561) 243-4624 p of is Elevation Certificate and all attachments for (1) community official, (2) insurance agerdlcompany, and (3) building owner. meats (inclu ing type of equipment and location, per C2(e), if applicable) F e=A/C PAD FEMA Form 086-0-33 (7/16) Replaces all previous editions. norm rage z or o ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Data. 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. 8015 PLANTATION LAKES DRIVE City State ZIP Code `;Company NAIC Number PORT ST LUCIE Florida 34986 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 Ei—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items E1-134, 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 (induding basement, krawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (induding basement, crawispace, or enclosure) Is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2 For Building Diagrams 62 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 ❑ below the HAG. E4. Top of pk tform 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 owners authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or commundy-issued BFE) or Zone AO must sign here. The statements in Sections A, S, and E are coniect 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. FEMA Form 0864133 (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. 8015 PLANTATION LAKES DRIVE City State ZIP Code Company NAIC Number PORTSTLUCIE Florida 34986 SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by taw or ordinance to administerthe communitys floodplam management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable dem(s) and sign below. Check the measurement used in Items GB-1310. In Puerto Rico only, ender 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 FEMA4ssued or commrmity4ssued BFE) or Zone AO. G3. ❑ The following information (items G4-G10) is provided for community floodpWn 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 GB. 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 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. 8015 PLANTATION LAKES DRIVE City State ZIP Code Company NAIC Number PORT ST LUCIE Florida 34986 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 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 AB. If submitting more photographs than will fit on this page, use the Continuation Page. _ i _ r !4^ •�+ l Nr� M J �1 � ate' ^s S . .-. •• ,. Photo One Photo One Caption LEFT view 06-05-2019 �N 9 l � O PWW Two Photo Two Caption REAR view 06-05-2019 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 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. 8015 PLANTATION LAKES DRIVE City State ZIP Code Company NAIC Number PORT ST LUCIE Florida 34986 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 AS. f. ryry. I ■1 F IL Ivlm —��— P�ili6 C r TLi ���'w F w �iyy��ky( �4• iTR 1-"( Photo One Photo One Caption RIGHT view 6-05-2019 - 1 I Photo TM Photo Two Caption FRONT view 06-05-2019 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6 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: PREVITE A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number. Box No. 10701 SOUTH OCEAN DRIVE #824 City State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 824, VENTURE OUT AT INDIAN RIVER, INC. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL _ A5. Latitude/Longitude: Lat. 27"16'16" Long. 80°12'26" 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 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 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 ® No SCANNED A9. For a building with an attached garage: St. LUC @ CDUfII y a) Square footage of attached garage 0 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 UNINCORP 120285 ST. LUCIE FLORIDA B4. Map/Panel B5. Suffix B6. FIRM Index 87. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AD, use Base Flood Depth) J �z�! 17- /o Revised Date ozIlip 11z A —7, c> c731t-1 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item 139: ❑ 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 r^ C 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: 10701 SOURH OCEAN DRIVE #824 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 A02 RM2 FDOT 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) 8.65 ® feet ❑ meters b) Top of the next higher floor N/A ❑ 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 g.1 ®feet meters (Describe type of equipment and location in Comments) 4.0 0 Lowest adjacent (finished) grade next to building (LAG) ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 4.4 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 4.4 feet ® f❑ 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. 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 provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number 1320-88-01 EARLE R.STARKEY 4459 Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 01/28/2018 City State ZIP Code STUART FLORIDA 34994 PLS#4459 Si nature Date Telephone Ext. 01/28/2019 772-286-7694 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) C2-E A/C PLATFORM 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:. 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 El—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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawispace, 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 ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is El 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 (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: . 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 G8-1310. 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. 33. ❑ 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 U.S. DEPARTMENT OF HOMELAND SECURITY OMR No, 1660.0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 m National Flood Insurance Prograq g q ON CERTIFICATE ---------------'— Important: F0110w the instructions on pages'1-9. Copy all pages of this Elevation Certificate and all attachments for (1) :zrmmunity official, (2) insurance agent/company, and (3) building owner. ---------- SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE DIANE COSTANZO 72. Building Street Address (including Apt., Unit, Suite, andi0r Bldg. PJO.) dr P.O. Route and i�mnpany AJAIC !Dumber: Box No. 26 AQUA RA DRIVE GILy State- ZIP Code JENSEN BEACH Florida 34957 A3. Properly Drscription (Lot —and BIOck N.nnhars, Tax Faros; NumUsr, Legal Description. atc.l EAST 1/2 OF LOT 2, 6vINDMILL'ViLLAGE UNIT 2, PB 16, PG 31, PARCEL ID!) 4511-611-0003-000-2 A4. Building Use (erg., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Laitude!Longitude: Lat. 27'.15'55.83" N_-- Long.080'12'14.18" W Horizontal Datum: [Y] NAD 1927 [z] NAD 1983 A6. Attach at least 2 photographs of 'Pie building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number — -;A— A8. For a building with a crawlspace o!enclosure(s): a) Square footage of crawlspace or anclosure(s) sq If b) Number of permanent flood openings in the crawl paea or enclosurr:(s) within 1.0 foot above adjacent grade —_ c) Total net area of Flood openings in AB.b sq in d) Engineered flood openings? Ej Yes ❑ No� SCANNED Asa. For a building with an attached garage: BY St. Lucie County a) Square footage of attached garage -- sq ft b) Number of permanent flood openings in the attached garage within 1.0 fool above adjacent grade c) Total net area of flood openings in A9.b xq in d) Engineered flood openings? D Yes ❑ No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP Community Name 3 Communiky !Number B2. County Mama B3. State UNINCORPORATED 120285 ST, LUCIE Florida B4. Map/Panel B5. Suffix B6, FIRM Index K. FIRM Panel — FHF[oodZone(s) B9. Ease Flood E(evation(s) Numbe; Date rrfective/ (Zone AO, use Base Revised Date Flood Depth) 12111C-0314 J 02i16i2012 02116/2012. 6.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base Flood depth entered in Item B9: ❑ F'IS Profile �] FIRM ❑ Community Determined D Othe.r/Soureri: 811. Indicate elevation dartum used for BFE in Item B9: ❑ NGVD 1929 L] NAND 1986 ❑ Other(Source: 812. Is the building located in a Coastal Barrier Resources System (CBRB) area or Otherwise Protected Area (OP,R)? rJ Yes Q No Designation Date: [] CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces 41 previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660.0008 Expiration Date: November 30, 2018 PMPOR'fANT: lit those spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building SheetAddiess (including Apt., Unit, Suite; and/or Bldg. No.) or P.O. Roule and 13ax No. Peiiry Number: 26 AQUA RA t7RIVE ------- — —..._.—_._----------- _........................ P Code- City State ZIP Cede ---------- Company NAIC Nunnber JENSEN BEACH Florida 34957 SECTION C -, BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) _...__...__..... --- _.__._._--._._.__._._ C1. Building elevations are based on: i =]' Construction Drsv ings' Chi Building Urder Construction, [.-] Finished Construction "A. new Elevation Certificate will be required when construction of the building is complete. CZ Elevations - Zones A I-A30, AE, AH, A. (with BFE), VE, VI-430. V (will) BFE), AR, ARIA, ARMS, ARiA1-A30, ARtAH,ARIAO. Complete Iterns C2.a--b below according to the building diagram specified in item AT In Puerto Rico only, enter meters. Benchmark Utilized: FOOT 9�-07-(3-0'1 _ _____ Vertical Datum: _NA__V_D 88 _ Indicate elevation datum used for the elevations In Items a) through n) below. NGVD 1929 Fi] NAVD 1988 [] OtheNSource: _ Datum used for building elevations must be the same as that used for the BEE. G'rack the measurement used. a) Top of bottom floor (inck:ding basement, crawispace, or enclosure floor) .---------- f: -- n feet C] meters b) Top of file nexthigher floor Z feet L! meters c) Bottom of tfts fewest hot zcnta! structural member (V zones on!j-'1 --___ -'-{.----- [) feet El meters d) Attached garage (top of slab) [xJ feet C] meters e) Lowest elevation of machinery or equipment servicing the building _.__. S. 67 U feet ❑ meters (Describe type of equipment and locationin Comments) f) Lowest adjacent (finished) grade next to building! (LAG) .____---_5. 6__—_ __ [x] feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) ------ [] feet ❑ meters h) Lowast adjacent grade at lowest elevation of der•.k or stairs, including _-------- 1� . [. 1 feet ❑ meter structural support SECTION D-- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION -------------------- This certification is to be signed and sealedby a land surveyor, engineer, or architect authorized by law to certify, elevation information. 1 cattily that the information on this Ceitificsta represents my best alforts to interpret the data available. 1 understand that any false statement may be punishable by Tina or Imprisonment under 18 U. S. Cede, Section 1001. Were PaWwde and longitude in Section A provided by a licensed land surveyor? Ck' Yes ❑ No ❑Chuck Isere if attacnmants. Certihei's PJanne i_icense Nw:nler +• CRAIG D. WATSON 564/ Tidca , } PRESIDENT/OIVNER dcrnPanyName - ---- --- WATSON KlLLANE SIJR ' YING AND MAPPING d y_ 2240 NE DIKIE fft/V j __ _ _---------- -- State Z6P CUde City fl (rI '^ca .IM4"." fir"r ay f b a'^PMj' r�¢ "9J JEPJ5EN BEAT Florida 34957 PCfitiYx ,._._._.__._.__......._........_. - -'--' --- ------`---------------------- _.------ Signature -,,^/' - Dater Telephone ..._..__..__. A'---'--,,�-` 0212612019 (772) 334-0,868 Copy all kagw6this Elevation Ceiiificate and all attarhments for (1) commur'i y official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equ!pment and Location, per C'.(e), fF appllcab EXISTING A;C OIJ RIGHT SIDE OF HOUSE FEMA Form 086-0-33 (711:5) Replaces all previous editions. Form Page 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: Novermber30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE _._._.___.__...._._._........._..._—_.___.._.__...._..........._.:......._.___.._._........... _._..._.._......_. ....... Building S',h3elAddress (including Apt.. Unit, Suite, and/or Bldg. No.) orP.O. Route and Box No. Policy Number: 26 AQUA RA DRIVE ---------....__.------------------------------ ----- City ..tata i:€P Codes � Company NAIL Number JENSEN BEACH Florida 34957 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) ._......_._........_._.._.__._._. f___.,_ F s For Zones AO a nd A (avithout BFE), complete Items Ell- E5. I. the Gertl,iCate L: intended to support a LOMA or LOMR-F :aquest, complete Sections A, Band C. For Items E'1-E4, use natural grade, if available. Check the urea surernsnt used. In Puerto Rico only, enter meters. E1. Provide elevation information for the follovi inq and check the appropriate boxes to snow whether the elevation is above or belnw the highest ad acent grade QiAG) and the. lowest adjarent grade (LAG). a) Top of bottom floor (including basement, crawispace, or enclosure) is - _— ❑ feet [I meters F' above or [] below the HAG. b) Top of bottom floor (including basement, crawispace, or enclosure.) is .-___.__-._ [.1 feet [' meters [] above or ❑ below the LAG, E2. For Building Diagrams 6,9 with permanent flood openings provided in Section A Hems 8 and/or g (see pages 1-2 of Instructions), the next nigher floor (elevation. 6.2.1a in the diagrarns) of the building is __-___-..-....—.—_._ [j feet [' meters [above or [] below the I IAG. E3. Attached garage (tap of slab) is --'---- - ------------- [ ; feet ❑ meters [.j above or [ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is __ . _____ [:' feet ❑meters Lj above or [] 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 flondplain management ordinance? [] Yes ❑ No ❑ Unkrosvn. The local official must certi y this formation in Section G. _._._..._._.......... SECTION F -• PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION ._............_.__.. ................ ...._._._..._--______._._......-- -----___........_._....... The property owner cr owner's authorized representative who complaies Sections A, B, and F.. for. Zone A (without a FEMA•issuad 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 Nane -- --'--- '-----------r—'-------------"- ------'----'--'--'-- Addres;; ..�fy State ZIP Crde: -----------------------'---------_------- -------------'-'--------' -----------------------' Signature Date Telephone ------------------------—---------- - - ------------------ --- - -- - - Cormments Check here if attachments. ._._._....__ ..... _.............. __..._._......... _.___—._a.... _.__._._.____._._._._- FEMA Form 086.0.33 (7116) Replaces all previous editions.. Form Page 3 of 6 4* ONIB No. 1060-0003 ELEVATION CERTIFICATE Expiration Date: November 30, 20'I8 _...._._._...._.._. ____...__._._._._....___.--_--- 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 3Jo. Paiicy PJumt?ar. 26 AQUA RA DRIVE City------------------.—�— State -- — ZIP Code- - - --- --- Canpany Nr'1lC Number Number JENSEN BEACH Florida 34957 SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local offi:;ial 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. Compete the applicable item(s) and sign below. Check the measurement used in Items G6-G10. In Puerto Rico only, enter meters. Gt. F] The information in Section C was taken from other documentation that ties 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 curnrriunity offcial completed Sartiorr E for a building located it Zone ,4 (without a FEMA-issued or community -issued BFE) or Zone A.O. C3, [) The following Information (items G4-G10) is provideo for community floodplain management purposes. G4. Permit Number G5. Date f'armt --- Issued ia6. Dais Certificate of - ----------------- -- Compliance!Gccupancy Issued --'------------------------------'-------- - - G7. This permit has beer, issued for: I] New Construction [] Substantial Improvement G1. Elevation of as -built lowest floor (including basernent) of the building; !x! feet [meters Datum r'9. BFE or (in Lone AO) depth of flooding at the building si:e:--._...------- L:J fret ❑ meters Daturn --- ------------ GIG. Community s design flood elevation: ,_-_------• lx7 feet ❑ meters D.aturr, --- _--.------- -------------------------- I-.ocai Officials flame Title CommmTrjity Namr;--'---�.___-------__.__-- 'Telephone -------'----"------------- - ------- --'-----'-------- -----'-------------------- Signature Date ------'--—'-'-'—'-'------------------------'-'------'-'-----"--- -------------- Comments (Including type of equipment and location, per C2(e), if applicable) Check here if attachments. --_---------- .._.__- -___._.__._.__......_......._.........._.._..._._._._._ FEMA Farm 086-0-33 (7115) Replaces all previous editions. Form Page 4 of 6 i BUILDING PHOTOGRAPHS OMB No. 1650-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In those spaces, copy the Buiidh i Street Address (including Apt., Ui 26 AQUA RA DRIVE JENSEN BEACH information from Seetion A. or P.O. Route and [lox No. Florida 34957 COMPANY USE. Company NA€r; Number If using the Elevation Certificate to obtain NFIP flood 'msurancs, affix at least 2 building photographs below according to the instructions for Itern A6. Identify all photographs with data taken; "Front View" and' Rear Vie•.v"; and; if required, "Right Side View" and "Left Side Mew." tNhan applicable, photographs must show the foundation with representative examples of -,he flood openings or vents, as indicated in Section A8. If s:;brnitting r@ore photographs than will fit on this page, use the Continuation Page. Photo One Caption FRONT VIEW 2-26.19 SIDEVIEW2-26-19 FEMA Form 086-0 33 (7/15) Replaces all previous: editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE continuation Page Orr3 No. 1660-000e Expiration Gate: November 30. 2018 1IMP_6RTANT In these spaces copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Hudding Street Address (Including Apt., Unit, Suite, andfor Bldg, No.) or P.Q. Route and [lox Nr. Policy Number: 26 AOUA RA DRIVE City State ZIP Code Company N.F.IC Number JENSEN BEACH Florida 34957 If submitting more photographs than will fit on the pioceding page, affix the additional photographs below, ldentlfy all photographs with: date taken; "Front View" and "Rear View"; arid, if required, "Right. Side View" end ':.eft Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Photo One Caption REAR VIEW 2-26-19 Caption FEMA Form 086-0-33 (7/15) Repla;:es all previous editions. IL53 �a312 U:S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ----- EL EVATION 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 .__..__.___....._._._.__...._._._....-_.._...__.__ —. A1. Building Owner's Name -----..-�.—._..__....... Policy Number: DIANE COSfANZO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg No.) or P.O. Route and Company NAIC Number: Box No. 26 .AQUA RA DRIVE City State ZIP Cede JENSEN BEACH Florida 34957 A3, Propery Oascription (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) EAST 112 OF LOT 2, VVINDMILL. VILLAGE UNIT 2, PB 16, PG 31. PARCEL ID# 4511-811-0003-000-2 A4, Building Use (e.g., Residential, Nun -Residential, Addition, Accessory, etc.) RESIDENTIAL — A5. LatitudeiLongitude: Lat.27°10''11_N---- Long.080°21'01" W Hor:zontai Datum: ❑ NAD 1927 Ej 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 buildirg with a cra,vispace or enclosure(s): a) Square footage of crawispace or enclosure(s) sq it b) Number of permanent flood openings in the craw4space or enclosure(s) within '1.0 foot above adjacent grade c) Total net area of flood openings in A8..b sq In d) Engineered flood openings? ❑ Yes ❑ No AS. For a building wilth an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total netarea of Flood openings in A9.b sq in d) Englneered flood openings? ❑ Yes ❑ No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name 3 Community Number B2. County Name B3. State UNINCORPORATED 120285 ST. LUCIE 2.1onda i B4. MapiPanel 85. Suffix B6, FIRM Index ST FIRM Paris] 188. Flood Zone(s) B9. Base Flood Elevation(s) Number i Date Effectivel (Zone. AO, use Base Revised Date ; Flood Depth) 1211 iC-0314 J i 0211612012 0211612012 ' AE 6.01 l — -----'---------_ _.-- ----.�__----- -- ------- 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 139: ❑ FIS Profile ❑r, FIRIA ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 �x] 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 FEMA Form 086-0.33 (7/151 Replaces all previous editions.. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0006 , Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR 4INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 26 AQUA RA DRIVE ----- --------------------- 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° [x Building Under Construction!' ] Finished Construction 'A crew Elevatior. 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, ARIA, ARf.4E, AR1.A1-A30, ARtAH,.AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rice only, enter meters. Benchmark Utilized: TURTLE-9 _ _ Vertical Datum: NAVD _ Indicate elevation datum used for the elevations in items a) through h) below. (; NGVD 1929 [] NAVO 3:'s66 [,� Olha!*;Source: Datum used for building elevations must be the Sarre as that used for the BFE. Check the measurement used, a) Top of bottom floor (including basement, crawispace, or enclOsure floor) -------- 4.%Z feet ❑ meters b) Top of the next higher floor _ NfA. O feet El meters c) Bottom of the lowest horizontal structural member (V Zones only) __- N/A. --- Z feet E] meters d) Attached garage (top of slab) _ NfA. oxx feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.67 [] feet ❑ meters (Describe type of equipment and location in Comments) f) Loar.•est adjacent (finished) grade next to building (LAG) 5. 6 — (]x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.3 U fast ❑ waters h) Lowest adjacent grade at lowest elevation of deck or stairs, including - ....... N/A. [x] teet '-E] meters structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ~- This certification is to be signed and sealed by a !arid surveyor, engineer, or architect authorized by law to certi6/ elevation information. l certfly that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine orimprisonmert under 18 J.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor^ [xYes ❑ No Check here if attachments, Certif!er's Name License Number CRAIG D.WATSOPf 5647 ;Craig D. — —--------------- - -— - - - - -- -- Title Watson PRESIDENVOWNER.------_-� -_ _=�Fe?'•°•W��o': 2019.02. Co company Mama 4fJ.ATSON KILLANE SURVF ING AND fdAPPING �% +' a..re� i -' ..` �''•.,�is��yo~�ceks<' ry_�:�:,.y Address j'� 2240NEDIXIEHiVY �.-o'' �•"•t• 08'13'02: +' .� ° -0510Or City ,.�' State ZIP Code JENSENBEA' ''`f Florida 34957 __ ry _ Signature ./" Date Telephone �'—��,,,.✓ 0212112019 (772) 334-0868 -. Copy 1f ;,ages-0 this Elevatior. Certificate and all attachments for (1) community official, (2) insurance agenUcompany, sad (3) building owner. Comments (including type of equipment and location, per C2(9), if applicable) A/C ON RIGHT SIDE OF HOUSE FEMA Form 066-0-33 (7t15) Replaces ail precious edilions. 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, andlor Bldg. No.) of P.O, flouts and Box No.. Policy Number: 26 FlOUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) F'orZones AC and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOM.A or LOMR-F request, complete Sections A, B,and C. For Items E-I--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 file h:ghasl adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of tso@om floor (including basement, crawlspage, or enclosure) is — ------- -._ - ----- i] feet ❑ meters C.] above o:F] below the HAG. b) Top of bottom floor (including basement, ` I crawlcpace, or enclosure) is _-__-_-_ , _— ❑ u feet meters F] above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andlor 9 (see pages 1-2 of Instl'uctlons), the next higher floor ;elevation C2.b in ' the diagrams) of the buildingis __ . [] feet []rneters F] move or [] below the HAG.. 9 E3. ,Attached garage (top of slab is F, ] L ( p ) �L feet _ 1 rnraars [ above or -I below the HAG. E4. Top of platform, of machinery and/or equipment servicing the building is - ❑ feet ❑ raters ❑ 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 floodplaio mana,C,,ement 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 whe completes Sections A, B, and E far Zone A (without a FEMA-issued or community -issued BFE) or Zcne 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 Fltldress Cit State "LIP Code ------------------------------------ a ----------------- Telephone --- -Da„hrnene ------ --------'--------- Comments l 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, andlor Bldg. No,) or P.O. Route and Box No, Policy !dumber: 26 AQUA RA DRIVE -----"--------------------------------.... City State ZIP Code —"-'-------------- Company NAIC Number JENSEN BEACH Florida 34957 SECTION G -• COMMUNITY INFORMATION (OPTIONAL.) The local official who is authorized by law or ordinance to administer the community's flordplain 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. G-I. ❑ 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 (wi?hout a FEMA-issued or community -issued BFE) or Zone AU. , G3. [j The follov ing information (Items G4-010) is provided for community floodplain management purposes. G4. Permit.Pdumber G5. Date Pern;t Issued G6. Date Certificate of Compliance/Occupancy Issued -- G7. This permit has beer; issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest Poor (including baserrent) feet ❑meters Datum — --_ FA the building: G9. BFF or (in Zone AO) depth of flooding ct the building site: , tKj fear ❑ meters Oatum G10. Community's design, flood elevation: - ----- — []feet []meters Datum -co-cal ---.,..------- ------ — -- — ----- -- -- .... ----- '— ----- Ufficiel's flame 'Title -----------'.. .-----'----'-—----'--' ---------- Community Name Telephone Signature Date Comment".— (—r.cl-u...ding-- type -of —ayu—ipme—n"t'------ -'-' -----'---------'-'------'--- and location, 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 OMT No. 1660-0008 ELEVATION CERTIFICATE See instructions for Item A6. Expiration Date: November30. 2015 FEMA Form 066-0-33 ('7/15) Replaces all: previous editinna. Form page 5 of 6 k BUILDING PHOTOGRAPHS GMB No. 1660-0006 ELEVATION CERTIFICATE Continuation Rage Expiration Dater November30, 201E IMPORTANT Irr these spaces, copy_ thecorresponding from Section A. _ FOR IN_S_URANCE COMPANY USE_ Building Street Address (including Apt., _informat€on Unit, Suite, and/or Bldg. No.) or P.G. Route and Box No. Policy Number: 26 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 3E957 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 Vieww"; and, it required, 'Right. Side ViewW' end "!_eft Side \/few." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section AS. Paolo One Caption REAR FEMA Form 086-0-33{7115) 9 ROW Two Replaces all previous editions. I Form Page 6 of 6 f 0 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: DIANE COSTANZO A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 26 AQUA RA DRIVE City State ZIP Code JENSEN BEACH Florida 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) EAST 1/2 OF LOT 2, WINDMILL VILLAGE UNIT 2, PB 16, PG 31, PARCEL ID# 4511-811-0003-000-2 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: LaL 27°15'55.83" N Long.080012'14.18" W Horizontal Datum: ❑ NAD 1927 ❑x 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 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) sq it b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? ❑ Yes ❑ No SCANNED BY A9. For a building with an attached garage: St. Luce County a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b 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 UNINCORPORATED 120285 T. LUCIE Florida . B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel 138. Flood Zones) 89. Base Flood Elevation(s) Number Date Effective/ (Zane AO, use Base Revised Date Flood Depth) 12111C-0314 J 02/16/2012 - 02/16/2012 AE 6.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ 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: 26 AQUA RA DRIVE 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* ❑x 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, 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: FDOT 94-07-C-01 Vertical Datum: NAVD 88 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used forthe BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 6 0 feet ❑ meters b) Top of the next higher floor N/A. (] 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. ❑X feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5. 67 ❑x feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5 6 x❑ feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5. 3 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. ❑x 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? ❑X Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number „ 'li: . `pr� CRAIG D. WATSON 5647 , 1�r7j�' i `° to r5� Q4'Id fro; :�Cl�� ��r',+�✓k��., 1 Title PRESIDENT/ OWNER Company Name WATSON KILLAN_E SUR YING AND MAPPING Address 2240 NE DIXIE H °aanm�„� City State ZIP Code JENSEN BEA Florida 34957 ,4krt Signature Date Telephone 02/26/2019 (772)334-0868 Copy all ktSi this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) EXISTING A/C ON RIGHT SIDE OF HOUSE 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: 26 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH- Florida 34957 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 El-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. 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, 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 ❑ 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 (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: 26 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 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) ❑x feet ❑meters Datum of the building: G9. BFE or (in Zone AO) depth of flooding at the bulding site: X❑ feet ❑ meters Datum G10. Community's design flood elevation: x❑ 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. Form Page 4 of 6 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: 26 AQUA RA DRIVE City State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 - - 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 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. If submitting more photographs than will fit on this page, use the Continuation Page. r — - eN Photo One Photo One Caption FRONT VIEW 2-26-19 1 t rv-.1 gw 6 K s• tt p�"'• s r� Photo Two Photo Two Caption SIDE VIEW 2-26-19 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 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: 26 AQUA RA DRIVE city State ZIP Code Company NAIC Number JENSEN BEACH Florida 34957 - — 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. l f ��• r a < A X - Photo One Photo One Caption REAR VIEW 2-26-19 Photo Two Caption FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Page 6 of 6 Igo _0151 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No: 1650-GOS 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 SECTIONA—PROPERTY INFORMATION FOR INSURANCE COMPANY _USE _ Al. Building Owner's Name (rooter Not Valid to usefor any ctherperson or entity). Policy Number: HOUDAYOUTATST.LUCIE ff4581-02 SHED A2. Building Street Address (Including Apt., Unit, Suite. and/or Bldg. No. or P.O. Route and Company NAIC Number: Box No. 10820 S OCEAN DRIVE _._._._.__._.__._..._.................... ............. _�..o.........d—..._.�.r City State ZIP Code JENSEN BEACH-. FL 34957 A3. Pra,)erty Desr-ription (Lot and Block Numbers, Tax Parcel Number; Legal Description, etc) HOLIDAY OUT AT ST. LUCIE _ RECREATION AREA, SECTION 11, TOWNSHIP 375, RANGE 47.E (#4511-501-000T-D00.6) A4. Building tJie. (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY A5. Latitude/Longitude: Lat. 27°lf?21174"N Long.-80`12'9.7884"W Horizontal Datum: ❑ NAD 1927'q NAD 1983 A6. Attach at tea st 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram NUmber:5 AS. For a building with a crawlspace of enclosure(s): a) Square footage of ❑ awlspace or enclosures) 140 sq. ft. i b) Number of permanent flood openings in the craw(space or enclosure(s) within 1.0 foot above adjacent grade 2 j c) Total net area of flood openings in AB.b 224. q. in. SCANNED E d) Engineered flood openings? L9 Yes ❑ No BY AS. For a building with an attached garage: St. Lucie County a) Square footage of attached garage N A sq. R. b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade /A c) -total net area of flood openings in A9.1a N,(F;sq. in. d) Engineered flood openings? ❑ Yes ❑ No i ( SECTION 0 — FLOOD INSURANCE RAPE MAP (FIRM) INFORMATION Rl. NFEP Community Name &Community Number 82. County Name B3. State ST. LUCIE COUNTY 120285 ST. LUCIE FL 94. Map/Panel B5. Suffix 86. Firm Index _ II ST FIRM Panel B8. Flood Zones) B9. Base Flood Elevation(s) Number Date 1Effective/ (Zone AC, use Base Revised Dale Flood Depth) 1211.1f,•D314 02/16/12. i 02/16/12 AE 9.0 _._._._.............. ....... _ — — --' --- '- — ---- ---- — _ ��_ 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 89: [] FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: _ 811. Indicate Elevation Datum Used for BFE in Item B9: ❑ NGVD 1929 R NAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes 1z No Designation Date: ❑ CBRS ❑ OPA FEPAA. Form 086-0-33 (7/15, Replaces all previous editions Page 1 of 6 tzio- oe�y P, ELEVA710N CERTIFICATE CAMB No: 1660-008 Upnauaii udce: Nuvetnoer 3a, Zulu 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: _ 1082.0 S OCEAN DRIVE City --------- - State Zip Code CompanyNAICNumber: JENSEN BEACH Ft. 34957 SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED} C1. Building Elevations are Based cim ❑ Construction Drawings" [] Building Under Construction* Finished Construction "A nevi 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, ARi-AE, AR/Al -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 _AO2 ELFV 4_35' Vertical Datum:NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 El NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the RFE. Check the measurement used. a) Top of Bottom Floor(including basement, crawlspace, or enclosure floor) 5•85 feet ❑ meters b) Top of Next higher Floor PE/A.. ___- ❑ feet IL meters e) Bottom of the lowest horizontal structural member (V Zones only! ;11R,._ ❑ feet D metals d) Attached garage (top of slab) N;_ ❑ feet ❑ meters el Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) NLA.__ ❑ feet ❑ meters f) Lowest adjacent (finished) grade next to building (IAG) 5.05 feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 5.05 ❑X feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N�A.� ❑ feet [] meters SECTION D ,-SURVEYOR. ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, cr architect authorized by law to certify elevation Information. f certify that the information on this Certificate represents my best efforts to interpret the dots 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 [arid surveyor? Yes ElNo Check hel'e. if attachments. Certifiei's Name: License Number: Then J. flrowrr, PSM L.S. 4049 rl;; �., Professional Surveyor and Mapper Company Name: --_...._._---_-------._ Stephen 1. Brown, Inc. ._.__.-.-.-. en 1. rovvn, PSM L.5. 4049, S to of Florida ... _................. ......... r.—. _ Address: G19 EAST Sth STREEI' _ -root Valid wahout the signature oral ----- City: State: Zip Cade: STUART _._.__.__ - FL �49�4 the ariginal raised seol of a Florida Liceased5umejorE rdapper' Sigr+ Date: Telephone: -- _ S ph, PSM _ _ 04/2211.g "all opyis Elevation Certificate and for (1) community offida1, (2) I_nsura_nce__agent/company, and (3l buflc il%owner. ABUI anng type of equipment and location, per C2(e), if applicable. ' ----- A4. NGISASHED rtrrlA Corm uat,-u-331 i/151 Replaces all previous editions Page 2 OF ELEVATION CERTIFICATE OMB No: 1660-008 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: 1092.0 S OCEAN DRIVE City State 7.ip Codp Comrparty NAIC Number: JENSEN BEACH FL 34957 SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AD AND ZONE A (WIT]HOUT BFE) Far Zones AO and A (Without BFF), complete Items El -ES. If the Certificate: is intended to support a LOMA and or LOMR-F request, complete Sections:.: 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, feat ❑ meter!; above or D ' ` ❑ ❑ below the HAG crawlspare, or enclosure) is --•-.----------. b) Top of bottom floor ;including basement, feet meters above ar ❑ ❑ ❑ ❑ below the LAG craw'srace, QP efBCiaSUI'e) i5 "-'--- E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 andlor 9 (see pages 1-2 of instructions), the next higher Floor (elevation C2.b in ❑ feet ❑ meters ❑ above or ❑ below the HAG the diagrams) of the building is _-- E3. Attached Garage ;top of slab) ❑ feet ❑ meters ❑ above or ❑ below the HAG -- F4. Top of platform of machinery and/or equipment ❑ feet ❑ meters ❑ above or ❑ below the HAG servicing the building is -- ES. 'Lone AO only: If no Rood depth number is available, is the top of the floor elevated in accordance with the community's ffoodplain managrment an:finance? ❑ 1'es ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S RFPRESENTA'PIVE) 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 '-_M,_e ----- ------------------------_—_— GSmments _ ._..._._Check here if attachments Fo ELEVATION CERTIFICATE on % N;_., G_ oDB IMPORTANT: In these spaces, copy the corresponding information from Section A. 4 FOR vINSURAPJCEuCOfvIPANYUSE I Building Street Address (including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Box No. Policy Number: 10820 S OCEAN DRIVE -----.....__._._._._'_._._.__'_'___._.—_ i Cloy State Zip Cede Company NAIL Nutmf;er: JENSEN BEACH FL 34957 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. Cornpletethe applicable itern(s) and sign below. Check the measurement used in Items G8 -- GJ.0. In Puerto Rico only, enter inters. G3. ❑ 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 authorizer. by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below). 432. ❑ A community official completes! Section E for a building located in Zone A (without a FEN1A-issued or commurslty issued BFE) or zone AO. G3. ❑ Thefollawinginformation(items 54.-G10)ispmvidedfor community floodplainmanagementpurposes. Gk. Permit Number GS. 0ate Permit Issued GG. Date Certificate of Compliance/Occupancy Issued _ G7. This Permit has been issued For: [] New Construction _C] Substantial Improvement-- G8. Elevation of as -built lowest floor (including basement) of the building: _--_ L feet 0 meters Datum.______ 39. BFE or (Zone AO) death of flooding at the building site: [ feet ❑ meter; Datum G10. Community's design flood elevation: ---.---_ F-] fee:l [] meters Datum..._._..,, The property owner or owner's authorized representative who completes Sections A, B, and ["or Zone A (without a FEIVIA-issued or community -issued BFE) or Lone AO must sign here. The statements in Sections A, B, an_d_F. are correct to the best of my knowledge. Local Official's Name Title — — '-----�� ------ --------------------- (:omrnunity Name Telephone '-----'-- '--'—'------------------'—'---- -------"-'------- Signature Date Comments Check here if attachments CI41Il Form 086-0-35 I//15J Replaces all previous editions Page 4 of 6 cacaeAvonmts^ccsVs rflrwvr DM No:1660-008 •. BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See lnstrucgons for Item A6 O ; T.— 660-IX18 IMPORTANT: In these spaces, copy the corresponding information from Section A. rnNaUU:: .entc. :a ryC11:Uf:1 a:,r CV14 FOR INSURANCE c771PANy USE Building Street Address (Including Apt, unit, Suite, and/or Bldg. No. or P.O. Route and Box No. 10320 S OCEAN DRIVE Policy Number: City State Zip Code JENSEN BEACH FL 34957 Company NAIL Number: If Submitting more photographs that will fit on the preceding page, with: date taken; "Front view' and "Rear view"; and, if required, "Right must show the foundation with representative examples of the flood — affix the additional photographs below. Identify all photographs Side View" and "Left Side View." When applicable, photographs openings or vents, as indicated in Section Ag. Photo One Caption: __—�-- Photo Three Caption: A Photo Two Caption: _._..I Photo Four Caption: _�.--------- --- --- FEMA Form 086-0-3. (7A5) Replaces all previous editions Page 6 of 6 PROPERTY DESCRIPTION ATTACHMENT (Optional— Use WS page only if the property description is too lengthy.) f�lYt�Ii�ii� I - 9 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No:1660-008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on Pages 1-9 Coov 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 (Note: Not Volidto usefor ony other person or entity). Policy Number: HOLIDAYOUTATST. LUCIE #4581-02 SHED A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No. or P.O. Route and Company NAIC Number: Box No. 10820 S OCEAN DRIVE City State ZIP Code JENSEN BEACH FL 349S7 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) HOLIDAY OUTATST. LUCIE RECREATION AREA, SECTION 11, TOWNSHIP 37S, RANGE 41E (#4511-501-0001-000-6) A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ACCESSORY A5. Latitude/Longitude: Lat. 27°16'2.1174"N Long.-80"12'9.7884"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:5 SCANNED A8. For a building with a crawlspace of enclosure(s): BY a) Square footage of crawlspace or enclosures) 140 sq. ft. St. Lucie County b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in A8.6 224 sq. in. d) Engineered flood openings? ® Yes ❑ 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. r, d)Epgineered flood openings? ❑Yes ®No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bl. NFIP,CbmMunity Name & Community Number B2. County Name B3. State ST. LUCIE COUNTY 120285 ST. LUCIE FL B4. Map/Panel B5. Suffix B6. Firm Index 87. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number - Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12111CO314 J 02/16/12 02/16/12 AE 9.0 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: Bll. 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: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 1 of 6 ELEVATION CERTIFICATE OMB No: 1660-008 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: 10820 S OCEAN DRIVE City -,,. State Zip Code Company NAIC Number: , ' JENSEN BEACH FL 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 Vl —V30, V (with BFE), AR, AR/A, AR/AE, AR/Al —A30, AR/AH, 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: 94-77-A02 ELEV 4.35' 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) 5.85 ® feet ❑ meters b) Top of Next Higher Floor N/A._ ❑ 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 N/A. ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 5.05 ® feet ❑ meters g) Highest adjacent'(finished) grade next to building (HAG) 5.05 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck o� stairs, including . structural support NIA.— ❑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. 1 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 attach nts. Certifier's Name: License Number: Stephen J. Brown, PSM L.S. 4049 'Pla S Title: Professional Surveyor and Mapper ~ Company Name: -step n J.'B wn, PS(A a49, Sta, -of Florida Stephen J. Brown, Inc. Address: 619 EAST 5`^ STREET Valid wit thesigdature and the origina!rois seal of a Florida City: State: Zip Code: STUART FL 34994 Lkensed5urv, yor& Mapper" Signature: Date: Telephone: Stephen J. Brown, PSM 04/22/19 (772) 288-7176 Copy all Pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable. A4. THE BUILDING ISASHED FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 2 of 6 ELEVATION CERTIFICATE OMB No: 1660-008 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: 10820 S OCEAN DRIVE City .., r• , . , ,; • .' . State Zip Code Company NAIL Number: JENSEN BEACH 7 '_ FL 34957 ' ' •• ;I SECTION E-- BUILDING ELEVATION INFORMATION (SURVEY NOT. REQUIRED) FOR ZONE AD AND ZONE A (WITHOUT BFE) ,For Zones AO and A (Without BFE), complete Items El-E5. If the Certificate is intended to support a LOMA and 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. 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, ❑ feet ❑ meters ❑ above or ❑ below the HAG crawlspace, or enclosure) is -- b) Top of bottom floor (including basement, ❑ feet ❑ meters ❑ above or ❑ below the LAG crawlspace, or enclosure) is -- 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 ❑ feet ❑meters E] above or ❑below the HAG the diagrams) of the building is E3. Attached Garage (top of slab) ❑ feet ❑ meters ❑ above or ❑ below the HAG E4. Top of platform of machinery and/or equipment ❑ feet ❑ meters ❑ above or ❑ below the HAG servicing the building is — E5. Zone AO only: If no flood depth number is available, is the top of the 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 Page 3 of 6 ELEVATION CERTIFICATE OMB No: 1660-008 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: 10820 S OCEAN DRIVE City State Zip Code Company NAIC Number: JENSEN BEACH '" FL 34957 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) ❑ feet ❑ meters Datum of the building: -- G9. BFE or (Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum 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. Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 4 of 6 BUILDING PHOTOGRAPHS OMB No: 1660-008 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: 10820 S OCEAN DRIVE City State Zip Cade Company NAIC Number:. _ JENSEN BEACH. FL 34957 - 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 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. If submitting more photographs than will fit on this page, use the Continuation Page. _ � 4 4 I a i W 04117119 04117119 Photo One Caption: FRONT/SIDE VIEW Photo Three Caption: SIDE VIEW f i ,. ^v � 1 04117119 04117119 Photo Two Caption: REAR VIEW Photo Four Caption: FRONT VIEW FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 5 of 6 F U.S`DE`PARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency OMB No. Date: Nov 9 07' 9 %i9 Y 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 agenUoompany, and (3) building owner. SECTION A- PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. DENNISON A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 10725 SOUTH OCEAN DRIVE #36 City State ZIP Code JENSEN BEACH FLORIDA 34957 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 36, BLOCK "A", HOLIDAY OUT IN AMERICA AT ST. LUCIE A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) ADDITION A5. Latitude/Longitude: Lat. 27°16'06" Long. 80°12'15" 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 8 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 83.7 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade 2 c) Total net area of flood openings in AB.b 400 sq in d) Engineered flood openings? ®Yes ❑ No SCANNED A9. For a building with an attached garage: St. Lucie B County 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? ❑ 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 B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Z\\ t G O J 1 dz { \�Ilz Revised Date oz (tto I Iz ��- S• 3\4 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: 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 p ' 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, andlor Bldg. No.) or P.O. Route and Box No. Policy Number. 10725 SOUTH OCEAN DRIVE #36 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, V1-1/30, V (with BFE), AR, ARIA, ARIAE, AR/A1A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specked in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: 94 77 A02 RM2 FDOT Vertical Datum: NAVD 1988 Indicate elevation datum usgd 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) 3.87 ® feet ❑ meters b) Top of the next higher floor 8.45 ® 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 N/A ❑feet ❑meters (Describe type of equipment and location in Comments) 0Lowest adjacent (finished) grade next to building (LAG) 3.8 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 3.85 ❑ feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including NIA ® 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. 1 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 2834-01-01 EARLE R.STARKEY 4459 Title PROFESSIONAL LAND SURVEYOR Company Name ACCURIGHT LAND SURVEYING INC. Address 1501 DECKER AVENUE #419 11/29/2018 City State ZIP Code STUART FLORIDA 34994 PLS #4459 Signature Date Telephone. Ext. 11/29/2018 772-286-7694 Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) A8-D ENGINEERED SMART VENT MODEL #1540-520, 200 SQ. IN. EACH FEMA Form 086-033 (7/15) Replaces all previous editions. Form Page 2 of 6 Building Photographs See Instructions for Item A6. For Irisuranoe Company Use: wilding Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Posey Number 10725 SOUTH OCEAN DRIVE #36 City State ZIP Code CarnperyNAICNm1mr JENSEN BEACH FLORIDA 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 Viewn and 'Rear View"; and, if required, 'Right Side View and •Loft Side Mew." If submitting more photographs than will fit on this page, use the Continuation Page, following. FRONT 11/29/`2018 SIDE 11/29/2018 n-. ` `� .I/II►�� 1 i y v a ( f �C ✓� t C 1. 1 r e I i Fr✓ ' t fF' 1 1 r r J Ai 1 1. 4r ! y^ , 1 A y 3�g SIDE 11/29/2018