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HomeMy WebLinkAboutCERTIFICATESPlanning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, FL 34982 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: OaSct JOB ADDRESS BUILDER/CONTRACTOR: PEST CONTROL CONTRACTOR: C-Vic--h - F PEST CONTROL LICENSE #: -a% I-, t�'7" SCANNED BY St. Lucie County `9316 S. E z r` Or vt 3mti ti 3q%5 7 We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: o0 Yljr 0 Percentage of solution: Date of Treatment: a-)Q-14 _Footing I" Treatment Re -Treat _Driveway In Treatment _Re -Treat _Other _15` Treatment —Re-Treat Chemicals used: I,Cfi' i n P Total gallons used: Time of Treatment: LI; 3 6 _Slab _ _h` Treatment Re -Treat _Pools in Treatment _Re -Treat Perimeter foorQe� r Final Inspection erminator Note: There must be a completed form for each required treatment or re -treatment and this form must be on the job site to be picked up by the Inspector at time of each inspection or the scheduled inspection will fail and a -re-inspection fee charged. FBC104.2.6 Certificate of Protective Treatment forprevention of termites. Aweatherresistantjobsitepostingboard shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another ropy for the building permit files. The Treatment Certificate shall provide the product used, identity of the applicator time and date of the treatment, site location, area treated, chemical used, percent concentration and number ofgallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. Planning & Development Services Building & Code Regulation Division 2300 Virginia Ave Fort Pierce, Fl. 34962 772-462-2172 Fax 772-462-6443 CERTIFICATE OF TERMITE TREATMENT CONSTRUCTION SOIL TREATMENT PERMIT #: ' 02 5- JOB ADDRESS: BUILDER/CONTRACTOR: I- FT_ "C�'�� PEST CONTROL CONTRACTOR: A_Ac� — d PEST CONTROL LICENSE We, the undersigned, hereby certify that we have pretreated the above described construction for subterranean termites in accordance with the standards of the National Pest Control Association. Square feet if area treated: 31 _6 - Percentage of solution: d Date of Treatment: /()- ?'( Footing Treatment Re -Treat _Driveway 1" Treatment Re -Treat _Other 1" Treatment Re -Treat Chemicals used: Total gallons used: 391,� Time ofU �/Treatment: U Slab 1" Treatment Re -Treat " Treatment e-Treat r for F nal 1� Note: There must be a completed form for each required treat#pnt or re -treatment and this form must be on the job site to be picked up by the inspector at time of each inspection r the scheduled inspection will fail and a re -inspection fee charged. FBC104.2.6 Certificate of Protective Treatment forprevention of termites. A weather resistantjobsite posting board shall be provided to receive duplicate Treatment Certificates as each required protective treatment is completed, providing a ropy for the person the permit is issued to and another copy for the building permit files The Treatment Certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, percent concentration and number of gallons used, to establish a verifiable record of protective treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. St Lucie County requires for the final inspection for CO, a Permanent Sticker to be placed on the electrical panel box cover, listing all the treatments and dates of applications. . 03/13/2014 09:06 56165911970 DISALVO FINANCIAL PAGE 01/01 o► '— SCANNED BY. Qa1e ift -U1 #on ' St. Lucie County BDZLDINU mac' SDBDNISCODi: I MY. PBItM1T# . LormoCK 7heUnde43ipd Noe1h&es11111tila6ee1IA8Sboenlnstallod,athe4lb0VedGaalbedpmpatyadSOiIOWC 1Bxtgrtort',B$ Ilshatbeen I asm-R"=v_.k.;;cf h>snlatod'nvftma)ht Vo3t to »lttexAw1ne halbemiasttlatlxlWlth^ ____�_M' mai>�ekaessOf_ inches vP oLa000adiag to�,�,„(,��a��r,�n�oF , • . zceiltngs(tlat).>.�Sbaelliasu}ated malhido�sof�incll�s„ Whic1►aocosdiagb. an�t�;ela ^Valilaof • Celt p (VAn1t ) hat been 'th m a t�idmeys of�_inrlfe% Wmeh aot aft to Wiltyiebl . "'R vahuof— • 3. ,lawarimee has bceo With m th(c1roe.•s 3 of w*tt,'wwch aoroldiag to Wilt' ' an *-vahleoi d. Catr.ge parts n ►falls axijacent tQ eo boned li R=1attd Widk a.fibeW batt to a ' aoobrdiag tq Will �Idd an "tE^'vslaa of� j YAW t7optaac4o .W� I I d0.t:optha�sSip,�a�te I ; rl_vYL /�/�/� Fyn. v/ i. Liceaoatt COC1,5121/9 this�y of 1YIkNOWN 1O1bAs „„, iK1. MEIISSA S. SAPP Natary Pubao • Stale e1 Florida . Notary Aabliq OfYiloeida ,p My'Somm.4KPIre/Ae01. 201T,. Gommlaelon # FF 41864 5601 PA"AY•FTPI IT Tsa Fr. PIE (7M 46531a1 • EACH,(rM SM-1614 • STUAFCC. MS-1a33151 -PAX tM eas-O6a , I ' RECEIVED MAR 1'3 2014 U.S. DE'ARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERA EMERGENCY MANAGEMENT AGENCY ,Explratl0n Date: July 31, 2015 National Flood lnwmna Program IMPORTANT: Follow the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE' A1. Building Owner's Name (SAM AND KAREN STEGER Policy Number: A2. Buildin StrSOUTH lud n A t Unit' Suite, and/or Bldg. No.) or PO. Route and Box No. Company NAIC Number: City JENSEN BEACH State FL ZIP Code 34957 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27 18 41 q M , Long. RO 13 22.6 W Horizontal Datum: ❑ NAD 1927 ❑• NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate Is being used to obtain flood Insurance. A7. Building Diagram Number 1A , A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 0 sq ft a) Square footage of attached garage '2200 sq It b) Number of permanent flood openings in the crawlspace 0 b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade en c) Total net area of flood openings In A8.1b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑ Yes N No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFlP Community Name & Community Number B2. County Name B3. State UNINCORPORATED 120286 SAINT LUCIE FLORIDA B4. Map/Panel Number 85. Suffix B6. FIRM Index Date B7, FIRM Panel Effective/ BE. Flood Zone(s) B9. Base Flood Elevation(s) (Zone Revised Date AD, use base flood depth) 12000 C 0303 J 02/16/2012 02/16/2014 AE & VE 7,11 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other/Source:' 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: 812.Is the building located In a Coastal Barden Resources System (CBRS) area or Otherwise Protected Area, (OPA)? N Yes , [I No Designation Date: 10 / 1 / 1983 ® CBRS ❑ OPA SECTION C - BUILDING ELEVATION.INFORMATION (SURVEY REQUIRED) CS. 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, 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 A7. In Puerto Rico only, enter meters. Benchmark Utilized: LOCAL (INSIDE DIAMOND SANDS S/D) Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations In Items a) through h) below. ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Ch k th d a) Top of bottom floor (Including basement, crawlspace, or enclosure floor) b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe Type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ec a measurement use . 7 72 ®feet ❑meters co 17 06 ® feet ❑ meters 15 , 56 ®feet El meters r— 7 59 Nfeet ❑meters 0 ci 0 y 7 . 46 ® feet ❑ meters (D Z C-) Z 5 , 5 ®.feet �❑ ❑ meters O Fil v 7 . 6 N feet meters 7.5 ®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. 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. ❑x Check here if comments are provided on back of form. © Check here if attachments. CHARLES ARNOLD. PSM Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No 03/11/2014 1(772)460-8211 FEMA Form 086-0-33 (Revised 7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding Information from Section A. 1 FOR INSURANCE COMPANY USE Building Street Address (Including Ant., Unit, Suite, and/or Bldg..No.)or P.O. Route and Box No. Policy Number: State SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION.(CONTINUED) ' Copy both sides of this Elevation Certificate Tor (1) community official, (2) insurance!agent/company, and (3) bulding owner. Comments ELEVATION OF THE A/C PAD WAS USED FOR THE LOWEST ELEVATION OF MACHINERY LATITUDE / LONGITUDE WAS OBTAINED USING A HANDHELD GPS UNIT 03/11/2014 SECTIONE — BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1-E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. 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 8-9 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 FEMMssued or communit)Hssued 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. 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 GS-G10. In Puerto Rico only, enter meters. G1. E] 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 GR. Elevation of as -built lowest floor (including basement) of the building: `i . . _ ❑ 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: El feet C] meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments []Check here if attachments. FEMA Form OBE033 (Revised 7/12) Replaces all previous editions. ELEVAXION CERTIFICATE, page 3 BUILDING PHOTOGRAPHS ` See Instructions for Item AS. IMPORTANT: In these spaces, copy the corresponding Irdormatlon from Sectlon A.. FOR INSURANCE COMPANY USE Buliding Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 8316 SOUTH OCEAN DRIVE CIry State ZIP Code Company NAIC Number: JENSEN BEACH FL 34957 If using the Elevation Certificate to obtain NFlP 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 AS. If submitting more photographs than will fit on this page, use the Continuation Page. FRONT -VIEW - PHOTO TAKEN MARCH 10, 2014 yr - I_ A o REAR VIEW - PHOTO TAKEN MARCH 10, 2014 FEMA Form 086-0-33 (Revised 7/12) Replaces all previous editions. 13..E- U.S.DEPAItTMER-NOEHOMELANDSECUF ELEVATIOWCERTIFIGA OMB, .No.,1660-0008 Federal Emergency Management Agency - - 1" - Expires March, 31,.2 )12 _National Flood insurance Program Important: Read the instructions on pages 1-9. SECTION A - PROPERTY INFORMATION Fbr lna(jrance CompanUse Al. Building Owner's Name STEGER Pokey Number • _ - - - • M1a r P�m.,�+,*d, a.� s.fd. '.:4 {��iST'�f' `3{ A2. Building Street Address (including Apt.; Unit: Suite, and/orBldg: No.) or P.O. Route and Box' No. rCompany NAIC Number . : 8316 SOUTH OCEAN DRIVE - - • - y 4+ City ST. LUCIE COUNTY State FL ZIP Code 34957 "" - •' -- +'°r' • <a ',n ._ - LOT42, DIAMOND SANDS - e A4. Building Use (e.g., Residential, Non -Residential, Addition, -Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27 1843.9 N :.Long. 80-13 22 6 W1. Horizontal Datum ❑ NAD 1927 ® NAD'198 , A6.'Attach at least photographs of_the 'building itthe Certificate is bemg.used to obtain flood insurence:� 'v ; _ • . _ . A7. Building Diagram Number 1A - A8._ For a building with crawlspace or enclosure(s): ;: A9: For a building with err attached garage, a) Square footage of crawlspace onenclosure(sp" 0' • dq ft a) ' Square footage of attached garage' 2200 ' I sq ft" b) ,Np..of permanent flood openings in the crawispace.or - , _ _ b) No.�of•permanerit flood openings in the attached'gaiage' enclosure(s) withiri 1.0 foot above adjacent grade 0 within,1.0 footabove adjacentgrade •' 0' ' c) ,Total net area of flood openings in A8.b 0 sg in 1 c) Totalmet area of flood:aperiings InA9.b , Q sq in d) .Engineered flood openings? [],.Yes - ®,No , id) Engineered flood openings?,''- '"❑ Yes ' ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP Community Name & Community. Number - B2. County Name. - ,. _B3._ State, - UNINCORPORATED 120285 �' `" SAINT LUCIE' �" "' '' ,FLORIDA B4: Map/Panel Number B5. Suffix .B6. FIRM, Index ` -, B7. FIRM Panel Be. Flood ', 89: Base Flood Elevation(s) (Zone .,. 12111/0303 J. _ _...... ., Data.. Effective/Revised Date; ..02/16/2012y:.. -Zone(s) .AO, use base flood depth) ' ,- : _ -' ,` „AE""VE" _. ,. '' '.: 7',11' Div. muwwue,wc bvulw,vf me case [loop Elevation (BFE) data or base v000 depth entered in Item B9.' ❑ FIS Profile ® FIRM ❑ Cominunitybetermined' ❑`'Ottier.(de,saribe)_ - r,"- - 811. Indicate elevation datum used forBFE in Item B9: ® NGVD 1929 ❑ NAVD 1968 ' []'Other (Describe) __612. Is the.buildinglocated Ina Coastal Barrier Resources System -(CBRS).area or Otherwise Protected Area (OPA)? - - - ®-Yes ❑ No - Designation Date ..10/0111983 ® CBRS' ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY. REQUIRED) .. Cl. 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-V30, V (with BFE), AR,.AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h - ., below acoording:tothe ..building.diagramspedfied,in°,Item AZ Use:the' samedatum'astheBFE.1. Benchmark UtilizedLOCALVertical Datum /NGVD 1929.; - I.L. r It, „� • , ' `^ Conversion/Comments'-1.47 TO NAVD'OF 1988 • , L• r... 9 r.�,• Check the measurement.used. a) Top of bottom floor (iricludirigbasemerit, crawlspace, or•enclosure floor)9. ®feet ❑;meters (Puerto Rico only) " b) Top of the next higher floor '• N.e ❑ feet , ❑ meters (Puerto. Rico only) , c) Bottom of the lowest horizontal structural member (V Zones only) 17.01 ❑feet ❑meters (Puerto, Rico only) i� d) Attached garage (top of slab) " " 2.04 ,feet ❑ _meters (Puerto Rico only). _ - e) Lowest, elevation of machinery;orequipmentseMcing the building N.9 :®,-feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) _ _ _ f) Lowest adjacent (finished) grade next to building (LAG) ® feet ❑meters (Puerto Rico only) . . g) Highest adjacent (finished) grade next to building (HAG) 6.0 ®feet. ❑ meters (Puerto Rico only), h) Lowest adjacent grade at lowest elevation of deck`or stairs, including NA � 0 feet ❑'meters (Puerto -Rico only) , structural support ! +. , ' SFCTIoN n. StIRVFVr1R FIJra NFFR nO ARPYITFPT PCOTIFIP ATrf11,1 -_ ` r ms cemncarwn is to oe signs ano sealea by a Tana surveyor, engineer,or architect authorized by law to certify elevation - Information. / certify that the information on this Certificate represents my best eBorts to interpret the data availabled understand that any false statement may be punishable by fine .or imprisonment under 18 U.S. Code, Section 1001.M - Check here if comments are provided on back of forth. '% , Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes - ❑ No '- Certifrer's Name CHARLES ARNOLD _ License Number PSM 4971 FL Title PROF SURVEYOR & MAPPER Company Name ARNOLD SURVEYING, INC. Address 4888 N KINGS H16HWAY#425 City FORT PIERCE State FL ZIP Code 34951 ±L . GjJ; l ' FEMA Form 81-31, Mar O9' See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the c, —" ,Bponding_Infgrmatipn from Sectlon A 831BuI16 SOUTH dInOCdEAN D(RIVEding Apt.; Unit,SU tE�- For BldgrNo:) or P.O: ROuteland Box NO City SM LUCIE CO State - FL ZIP Code 34957 aWN �NU,t egg 11�uyn�'�i. SECTION.D w;SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)'" p y _ Copy both sides of this Elevation CerfH(cate for (1) communhyofflclal, (2) insurance agenticom an ,and (3) tiuilding owner Comments LATTITUDE / LONGITUDE WAS OBTAINED USING A HAND HELD GPS UNIT � r n; a • I - -� 9<, Si nature. Date _ , %�Z ® Check here if attachments SECTION E = BUILDING ELEVATION INFORMATION (SURVEY,NOT REQUI • ED) FOR ZONE AO.AND'-ZONE A (WITHOUT BFE) • For Zones AO and A. (without BFE), complete Items El -ES. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A, B, and C. For Items El-E4, use,naturai grade If Oilsble. Check the measurement used. In Puerto Rico only enter meters, r h, E1. Provide,elevation Information for,the following.and check the appropriate boxes to show whether the elevation Is;above'or below the highast{adjacent grade (HAG) and the;lowosL'adjacent grade (LAG) ' ° "' `'• a) Top of bottom floor (including basement, crawispace„or enclosure) is —_ ❑fast ❑metere p'above orQ'tialowttie HAG b) Top of 6ottor�joor (Including basement, crawlspace or enclosure) Is _ 13 feat 0;meters ❑above or ❑'-below the LAG.'' E2., For Building Diagrams 8 9 with. permanent flood. openings provided in Section A Items fl and/or 9 (seepages 8-9 of Instructions), the next higher floor (elevation C2.b In the'diagrams) of the building9s' :: { ❑ feet"� meters ;� above or ❑ below the HAG. " E3. Attached garage (top of slab Is """"' ' "' - - - _ ^, ❑ feeL"; ❑meters ,❑above .1 r ❑:below the HAG E4. Top of platform of machinery and/or equipment servicing the tiuilding le'-__`r ❑ feet ,❑ meters ❑ above or ❑ below the HAG. • .._,p °,I , E5. Zone AO. only If no fi" ood depth number is available, Is the top of the bottom floor elevated in accordance witIf the communky'a flocdplaln: management 1. ordinance? ❑Yes ❑ No' ❑°Unknown:'The'local official ritost certlfy this information in Sectlon G. SECTION,F - PROPERTY OWNER (OR,OWNER'S.REPRESENTATIVE) CERTiFICATION .., The -property owner or owner's authorized representative who completes,Sections A„B, and EMA far A.(without a FE-issuedrygrcommunity-Issued,BFE)..� or Zdne AO must sign here. The sifefemenfs In 3ecffcnfi A, B; an{! E are, oorract fo fhe bast oi._my)mowledge,n of ..I = Property Owner's or Owner's Authorized Representative's Name ty Address CI- " State - ZIP Code, ' •Signature -. - -Dater. ...... Telephone'... `. • ._ .. Comments , .. ❑ Check here jf attecf rments •SECTION G'<COMMUNITY' INFORMATION:(OPTIONAL) The local official who is authorized bylaw or ordinance to administer the community's floodpiainmanagement ordlnance;can complete Sections A; B, C,(or E), and G of this Elevation Certificate Complete the appiicoble items) and sign below..., Check the measurement used In. Items G8'and,Gg.:. G1. ❑ The information In Sectlon'C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architectwho is authorized by low to certify elevation Infor'malion. (Indicate the sotiioe`and date, of the elevedoo hate in the Comments ores below.) G2. ❑ A community official' completed Section E for'a building located In Zone A (without a -BFE) n V..'.- S r i, .. G3. ❑ The following Information (ItemsO41.-G9) is provided for community floodplain management purposes G4. Permit Number 95. ,Date Permit Issued G8. !Date Certificate Of Compliance/Occupancy Issued ' r... - G7. This permit has been Issued for El New Construction [ISI. I I Substantial Improvement - G8. Elevation of as -built lower)! floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum SFr G9. BFE or (in Zone AO) depth of dooding at the building sde _ _ ❑feat ❑ meters (PR) Datum n,.-. G10. CommunlVe design flood elevation , • ❑ feet ❑ meters'(PR) Datum _ a Local Official's Name 7,- , i ,Trtie a •,q Community Name - - ,Telephone , ,, - „ _ r Signature '" '-' '" 'Date -Comments -- • _ ❑ Check here If o"a ents FEMA Form 81-31, Mar 09. , � Replaces all previous, editions ' , 1 Building Photographs See Instructions for Item A6. 1611 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. r� U.R,� DEPARTMENT OF HOMELAND SECUR, Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICA-1 } Important: Read the instructions on pages 1-9. OMB No. 1660-0008 Expires March 31, 2012 SECTION A - PROPERTY INFORMATION Por,Insurence CompanyUse Al... Building Owner's Name STEGER - i'Palicy Number �'`r, A2. Building Street Address (including Apt., Unit, Suite, end/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number r 8316 SOUTH OCEAN DRIVE - ,'a. .. _ ST. LUCIE COUNTY 34957 LOT 42, DIAMOND SANDS m gj .'f' a d �f 20 A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 2718 43.9 N Long, 8013 22.6 W Horizontal Datum: ❑ NAD 1927'E NAD 1983 As. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number to - - A8. For a building with a crawlspace or enclosure(s): As. For a building with an attached garage: a) Square footage of crawlspace or enclosures) 0 sq It a) Square footage of attached garage 2200 sq ft b) No. of permanent flood openings in the crawlspace or b) No. of permanent flood openings In the attached garage enclosure(s) within, 1.0 foot above adjacent grade • 4 withl64.0 foot above adjacent grade 0 c) Total net area of flood openings In A8.b 0 sq in c) Total not area of flood openings in A9.b 0, sq in d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? '❑ Yes E No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Communityber Ni B2. County Name B3. State UNINCORPORATED 120286 SAINT LUCIE FLORIDA B4. Map/Panel Number 85. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12111/0303 J J Date Effective/Revised Date Zone(s) AO, use base flood depth) 02/16/2012 02/16/2012 , "AE" "VE" 7', 11' of u. nmrcate me source or me ease moon r.levation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe) B11. Indicate elevation datum used for BFE in Item B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? E Yes ❑ No Designation Date 10/01/1983- E CBRS ❑-OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* E 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, VI430, 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 A7. Use the same datum as the BFE. Benchmark Utilized LOCALVertica( Datum NGVD 1929 ` Conversion/Comments -1.47 TO NAVD OF.1988 a) • Top of bottom floor (including, basement, crawlspace, or enclosure floor) 2.17 Check the measurement used. �+ t� ®� 10 feet ❑ meters (Puerto Rico of EC E IV � 0 b) Top of the next higher floor N.A ❑ feet ❑ meters (Puerto Rico only) c) Bottom of the lowest horizontal structural member (V Zones only) N.A El feet pp 9 El meters (Puerto Rico only) NOV O N 20 2 d) Attached garage (top of slab) 2.04 E feet ❑ meters (Puerto Rico'only) e) Lowest elevation of machinery or equipment servicing the building N.A ❑ feet ❑ meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) 7.9 E feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 8.7 E feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N.A - El feet ❑meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION , ms r lui auun is m oe signea and seaiea Dy a land surveyor, engineer, or architect authorized bylaw 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 1s U.S. Code, Section 1001.0 Check here if comments are provided on back of form. Were latitude and longitude in Section Aprovided by a • licensed land surveyor? E Yes ❑ No Certifiers Name CHARLES ARNOLD License Number PSM 4971 FL Title PROF SURVEYOR & MAPPER Company Name ARNOLD SURVEYING, INC. Address 4888 N KINGS HIGHWAY #425 City FORT PIERCE State FL ZIP Code 34951 /, FEMA Form 81-31, Mar reverse side for continuation. Replaces all previous editions ram_ i IMPORTANT: In these spaces, copy the t ',sponding information from Section A. For insurenc$ Company;Use tea`. ;° Building Street Address (including Apt., Unit, Suit€, ari.;for Bldg. No.) or P.O. Route and Box No. Pohcy,Number , tux ' j 83160SOUTH OCEAN DRIVE z City ST. LUCIE CO.State FL ZIP Code 34957 - *;Compary,NA1C Numt#er' SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides,of this Elevation Certificate for (1) communitypificial; (2) Insurance agenticompany; and (3) building owner. Comments n, lATTITUDE f LONGITUDE WAS OBTAINED USING A HAND HELD GPS UNIT ' Signature Date ®"'Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY -'NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFEI For Zones AO and A (without SFE),•complete Items E1-E5. If the Certificate is Intended to support a LOMA or LOMR-F request, complete Sections A; B, and C._ For Items El-E4, use natural grade, if available. Check the measurement used. In Puerto Rico`only, enter meters. u„ El. Provide' elevation Information for the following and check the appropriate boxes to show whether the elevation. isabove or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).' a) Top of bottom floor (including basement, crawispaoe, or enclosure) is ! ._ ❑ feet ❑ meters ❑ above or-E] below the HAG. b) Top of bottom floor(including•basernent,crawlspace, or enclosure) is __ �❑ feet ❑ meters. ❑ above or -El. below the LAG. E2. - For Building Diagrams 6-9 with permanent flood openings provided in Section A Items;8 andlor,9,(see pages;8-9,of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is ' El (elevation ❑meters '❑ above or ❑'below the HAG. E3.' Attached garage (top of slab). is _ _ ❑ feet ❑ meters 43 above:or -❑ below the HAG. - E4. Top of platform of machinery andlor 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 floodplairrmanagement 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-)ssued 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's or Owner's Authorized. Representative's Name a. I1 1 1 1 - City State oignatura ,: ., Dates'„•' Telephone Comments .l .. SECTION G -COMMUNITY INFORMATION (OPTIONALI ' - ' -• ' and G of this Elevation Certificate. Complete.the applicable Items) and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information In Section C was taken from other documentation that has been signed and sealed by a licensedsurveyor, 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 betow.j G2. ❑ A. community official completed Section E for a building located in Zone A (without a FEMA-issued orcommunity-issued BFE) or Zone AO. G3. ❑ The following information (Items:G4-G9)is provided for community floodplain management purposes. G4. Permit Number G5.' Date Permit issued G6. -Date Certificate.Of ComoliancerOk nand ls<i4ad G7. This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement i0'`i�=''• G8. Elevation of as -built lowest floor (including basement) of the building: _ _`- ❑ feet ❑ meters (PR) Datum - G9. BFE or (in Zone, AO) depth of flooding at the building site: .e. _ _i -- ❑ feet ; ❑ meters (PR)'Datum - -' G10. Community's design flood elevation I i.Ej feet ❑ meters (PR) Datum Local Officials Name ,Title •e Signature Date Comments ; • , r-y �,� - ❑ Check tiers if attachments_ FEMA Form 81-31, Mar 09 Replaces 611 previous editions Building Photographs See Instructions for Item A6. Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. NauoY numoer S31G 5ouT14 6CErAN DRIVE If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and 'Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. NOV 0 a 2012