HomeMy WebLinkAboutSUBMITTED PAPERSf T -�.�
OFFICE USE ONLY: / 0 ft�,,
DATE FILED: , . ? / ��h
PLAN REVIEW FEE: RECEIPT NO.. �� � PERMIT 1 : V
CONCURRENCY FEE: RECEIPT NO.. CERT. CAP. N .:
1.
2.
3.
4.
5.
9.
10.
ALL INFO MUST BE COMPLETE & FILLED IN TO BE ACCEPTED
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING &,; CODE REGULATIONS DIVISION
2300 Virginia Avenue $C -
Ft. Pierce, FL 34982-5652 • B 86
772-462-1553*` `St 'LUC Colin
APPLICATION for BUILDING_ PERMIT
CERTIFICATE of CAPACITY/ZONING COMPLIANCE
PROJECT INFORMATION
LOCATION/SITE ADDRESS: /9D QekEXW �FS'VITC-5 -PAW -
PROJECT NAME:
SITE PLAN NAME:
PROPERTY TAX ID #: ��.3 — 6l06 — 002 % —0000
LEGAL DESCRIPTION (attach extra sheets if necessary):
PLAT BOOK 6. PAGE NO.
PARCEL SIZE (ACRESISQ FT.):
7. BLOCK NO. o
LOT DIMENSIONS:
8. LOT NO. ZI
COMPLETE DESCRIPTION OF CONSTRUCTION PROJECTOR WORK ACTIVITY:
11. SETBACKS (ACTUAL) FRONT: !l, sy BACK: , ®D RIGHT SIDE: „� �5 LEFT SIDE: ✓� , !�D
TYPE OF CONSTRUCTION (Check all appropriate boxes)
[ NEW CONSTRUCTION [ ] EXPANSION[ADDITION
[1G] RESIDENTIAL f ] COMMERCIAL
[ ] OTHER (SPECIFY)
[ ] INTERIOR RENOVATION
[ ] INDUSTRIAL
DESCRIPTION OF PROPOSED USE: .61,Af&1-E- 6G42L/LY .1205(00AJcJE
SQ. FT OF CONSTRUCTION:
VALUE OF CONSTRUCTION: $ L ,?, of 006
;15. ; SF. FT 1st FLOOR:
The value of construction is used to determine the amount of permit fees to be assessed. St Lucie County reserves the right to question and/or modify the indicated
value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction activities. If the value is $2500 or more, a
RECORDED Notice of Commencement must be submitted with this application.
SLCCDV Form No.: 001-02
UPDATED WSW
OWNER INFORMATION
NAME:
ADDRESS: ZIP: 4O4��
CITY: ST3 Y1-�O (Lrl� STATE: 1
PHONE (DAYTIlv1E): (� ���' 3 S S S —
Email: I Snb. net
IF THE FEE SIIdPLE TITLEHOLDER (PROPERTY OWNER) IS DIFFERENT FROM THE OWNER LISTED ABOVE, PLEASE
FILL IN NAME AND ADDRESS BELOW.
FEE SIMPLE TITLEHOLDER: -Sarvne a&e-
ADDRESS:
CITY:
PHONE (DAYTIME): (_)
STATE:
"�
CONTRACTOR INFORMATION
ST. of FL REG.CERT #: C GC /570 75-yY ST. LUCIE COUNTY CERT #: C2
BusmssNAME: SCoTT L�c�/5 Cvn/SrRve_rICA Z-�.
QUALIFIERS NAME: Ale -Co 1-6e15
�
ADDRESS: O r� C/. A//• _
CITY: / �Yy� �I/�l G��= STATE: /`'�& 426 ZIP: 3 3 l7 0
PHONE (DAYTIME): & 1 7 %j` g,6, - FAX N0. '251 - 333 -7fi?Z Email: S42 &AWI S e0j4VI
ARCH N/ENGINEER:
ADDRESS:
STATE: ZIP:
CITY:
PHONE (DAYTIlJE): (_)
BONDING COMPANY:
ADDRESS:,
CITY:
MORTGAGE LENDER:
STATE:
ZIP:
ADDRESS:
CITY:
°j _ STATE: ZIP:
IlVIPORTANT NOTICE: When a permit is issued and it is not picked up within 6060 days after notification
it will be voided and returned to you by mail.
CERTIFICATION:
This application is hereby made to obtain a permit to do the work and installations as indicated, and to obtain a certificate of capacity,
if applicable, for the permitted work. I certify that no work or installation has commenced prior to the issuance of a permit and that all
work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits
may be required for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS,
AND AIR CONDITIONERS, FENCES, ETC., not otherwise included with this building permit.application.
St. Lucie County makes no representation that its granting of a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Homeowner Association rules, bylaws or any covenants that may restrict or prohibit such
structure. Please consult with your Homeowner's Association and review your deed for any restrictions which may apply.
The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory
structures (all types), swimming pools, fences, walls, signs, screen rooms, utility substations & accessory uses to another non-
residential use.
NOTICE TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMN ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
NOTICE TO APPLICANT: IF IT IS NOT YOUR RIGHT, TITLE, AND INTEREST THAT IS SUBJECT TO
ATTACHMENT: AS A CONDITION OF ISSUANCE OF THIS PERMIT, YOU PROMISE IN
GOOD FAITH TO DELIVER A COPY OF THE CONSTRUCTION LIEN LAW NOTICE TO
THE PERSON WHOSE PROPERTY IS SUBJECT TO ATTACHMENT.
OWNER SIGNATURE
STATE OF Ftffitl'A Ke n+Ck-y !
COUNTY OF I_i h C. D I h
The foregoing instrument was acknowledged before
me this `'Bay of -/ 20 1 ,
byG�
who is personally known i/or has produced
as identification.
are`
Signature W Notary
Commission No.
NOTE: TWO (2) SIGNAT
THIS BUILDING
THIS APPLICAT]
OWNER BUILDE
For specific illstruc
CONTRACTOR SIGNATURE
STATE OF FL O A
COUNTY OF
The foregoing instrument was acknowledged before
me this la._day of 201
by ` 1nJ L� kJ (.Oi,�
who is personally known _
C�
Signature of Not
Commission No i
u071398-0153
or has produced
as
§DREY WJLLMOT
OM4§094: -3 D0973168
EXPIRES March 21, 2014
ATURE MUST BE NOTARIZED. IF APPLYING FOR
'HE OWNER MUST PERSONALLY APPEAR TO SIGN
FRONT OF THIS APPLICATION.
'OR ALL OWNER/BUILDER APPLICANTS.
6-hecklist.
OFFICE USE ONLY BP #:
SECTION
TOWNSHIP
RANGE
MAP NO.
ZONING
LAND USE
LOT CVG %
TAZ NO.
FLOOD ZONE
FIRM MAP #
1ST FLR ELV
MAX HGT
CONST TYPE
OCCUP TYPE
MAX OCCUP
# OF FLRS
WATER
SEWER
SPRINKLERS
STORMWATER
LOT OF REC
LOT OF REC
LOT SPLIT
LOT SPLIT
Before 1/1990
After 1/1990
REQUIRED
APPROVED .
REPORT
HABITABLE
RADON
PERMIT
CODE
AREA
FEE
FEE
(RADON)
LIBRARY
PUBLIC BID
PUBIC BLD
PARKS
IMPACT.
IMPACT FEE
IMPACT
IMPACT
FEE
CORRECTION
FEE
FEE
GENERAL
SCHOOL
-ROAD
CREDIT
Y
N
LAW ENF
IMPACT
IMPACT
IMPACT
FEE
FEE
FEE
,
FIRE/EMS
DRIVEWAY
Y
N
DRIVEWAY
ADMINISTRATIVE
IMPACT
REQUIRED
FEE
VARIANCE FEE
FEE
SPECIFY
MECHANIC ROOF
NON -CONFORMING
MISCELLANEOUS
SUBS ' ,
ELECTRIC GAS
LOT OF RECORD
FEES
REQUIRED'
PLUMBING'
FEES
DATE SENT TO ADDRESSING: 1 /
j D '
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW'
r. REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE;, ,
RECEIVED
DATE
COMPLETED
TwTiT
1
1.
Planning & Development Services
Building & Code Regulation Division
2300 Virginia Avenue
Fort Pierce, FL 34982
Phone: (772) 462-2172 Fax: (772) 462-6443
Inspections
Online address:
http://www.stlucieco.org/planning/permitting.htm
Quick Links
Permit Status Lookup
Online Building Inspection System
lob Address 150 OCEAN ESTATES DR
- ------ --------............. -... -----------------------------_.----...._.--
�pplication Type :Master Permit w/subs
Activity Type New
_ ...............—.._..__...__...._......_....._..—.... -..._......_...
lermit Type Bui..lding Residential (SFR)
--
Other
................
Stories 3 Inspection Area
NEW CONSTRUCTIONOF A 3 STORY SINGLE FAMILY RESIDENCE (6) BEDROOM (6 1/2) BATH
Property Owner
Contractor
!:ispection Notes
i
Name AVALON ON THE BEACH, LLC Phone (305) 668-4949
Business Name
2-03-2007 NO C/O'S UNTIL GAS PERMIT IS FINALED PERMIT 0712-0015- A
1UMPHREY
1.28.07 CHANGE OF CONTRACTOR FROM NISAIR AIR CONDITIONING TO
Date
Crharh dorl
Priority Status
Max Expiration Date 01/23/2009
Inspector (Code)
Inspector Date Inspected
i '..,.
153
Insulation Certification
7
153
Insulation Certification
7
161
Utilities
7
130
Flood Elev Final Const Certif
7
820
Driveway/Culvert
7
184
Final Survey
7
k
821
Solid Waste
8
261
30 Day Expired
8
700
Fire Department Final
8
804
Driveway Bldg
8
808
Landscaping/Trees
8
996
Final Termite Treatment
8
%.
999
Final Inspection
8
1,3 ,Ora Counsellor
04/25/2008
425
Sewer Connect
0
Approved
Ken Arnold
04/25/2008
LV,vib':
464
Gas Piping (Outside)
0
Not Required
Ken Arnold
04/24/2008
a*y Gerstemeier
08/13/2007
121
Termite Spray
1
Approved
Gary Gerstemeier
08/13/2007
-/R Access
09/04/2007
420
Plumbing Rough
1
Cancelled by Contractor/C
Greg Smyth
08/30/2007
i 1,,/R Access
09/05/2007
420
Plumbing Rough
1
Approved
Gary Gerstemeier
09/05/2007
Barbara Counsellor
08/13/2007
103
Eufer Ground
1
Approved
Gary Gerstemeier
08/13/2007
l:;grie Gerstemeier
08/09/2007
104
Compaction Test
1
Accepted As Noted
Lorie Gerstemeier
08/09/2007
[�;; �bara Counsellor
08/13/2007
110
Footer/Foundation
1
Approved
Gary Gerstemeier
08/13/2007
�A/R Access
08/20/2007
119
Stem wall
1
Approved
Gary Gerstemeier
08/20/2007
08/27/2007
105
Form Board Survey
1
Accepted As Noted
Lydia Galbraith
08/27/2007
F�
427
Temp.Toilet/Temp Culvert
1
Approved
Greg Smyth
08/29/2007
!1/R Access
08/29/2007
420
Plumbing Rough
1
Disapproved
Greg Smyth
08/29/2007
122
Flood Elev Cert Under Const
2
Accepted As Noted
Ed DeGenaro
08/28/2007
,(.37reg Smyth
09/10/2007
121
Termite Spray
2
Approved
Greg Smyth
09/10/2007
r!VR.Access
09/10/2007
115
Slab
2
Partial Approval
Greg Smyth
09/10/2007
'P'reg Smyth
09/10/2007
115
Slab
2
Approved
Greg Smyth
09/10/2007
Access
09/28/2007
118
Column
3
Approved
Gary Gerstemeier
09/28/2007
�I\/R
,,. '"Access .
x (' "Access
09/28/2007
125
Tie Beam
3
Approved
Gary Gerstemeier
09/28/2007
,-
900
Plan Revision
3
Accepted As Noted
Ed DeGenaro
11/13/2007
Barbara Counsellor
09/28/2007
169
Elevator Shaft Walls
3
Approved
Gary Gerstemeier
09/28/2007
g8arbara Counsellor
10/19/2007
169
Elevator Shaft Walls
3
Approved
Dave Johnson
10/19/2007
Counsellor
11/07/2007
169
Elevator Shaft Walls
3
Approved
Gary Gerstemeier
11/08/2007
}Dirbara
Comments
I
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a
PLANNING & DEVELOPMENT SERVICES DIVISION
BUILDING & CODE REGULATIONS DIVISION
2300 Virginia Ave
Fort Pierce, FL 34982
BUILDING PERMIT
SUB -CONTRACTOR SUMMARY
Se_oTT L,56d/5 coi '<I-RocTiDN. LLC will be using the following sub -contractors for the
(Company/Individual Name)
project located at /5-0 DCO4V L , S k!!%/�
- (Street address or Property Tax -ID)
It is understood that if.there is any change of status regarding the participation of any of the sub -contractors
listed,below, I will. immediately%advise the Building and Zoning Department of St. Lucie County.
'Tirade '
T Name of CompanylConfractor- - -� -
St. Lucie County/
-.�m-State of`Floxida
License Number
Electrical
Plumbing
cFca,z�53 5
HVAC/
Mechanical
�AO
Roofing
Gas
OEF)(CE'U"S,E':O1�TLY:
PERNIIT ISSUE DATE:
NUMBER:
M
•
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMPr
;... SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifappti-ble):
S A L *' E-=-eA ,,t:7 (AJ- have agreed to be the
(Company 14ameAndividual Name)
HUII c- sub -contractor for gg�p�LFwiS 4:Pmrr, «e-
(Type of Trade) (PriniarY Contractor)
for the project located at / `.J 0 A�EWAI j C-St?4iC5 P961,�
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGPIAL SIGNATURES ARE REQUIRED
gwes
rines
TURF PRINT NAMEDATE
s Name:
Address:
City/State/Zip:
Phone: email:
OFFICE USE ONLY:
PERMIT# ISSUE DATE
M
a
PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number: 1 M 2
State of Florida Certification Number gfapplicable): -J� C ®2-44:; a S
S OAJJOL&0k have agreed to be the
(Compang Name/Individual e)
EL. VM Li //ll G sub -contractor for gj�MLZwls 4.uSr. LLL
(Type of Trade) (Primary Contractor)
for the project located at 1 `J 6 Q!:�l r'5.174M5 f%R/dam
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDv
No. 004-00)
BUSINESS QUA +MER (Name of the Individual shown on the Contractor's License)
ORIGINAL SIGNATURES ARE REO UIRED
SIGNATURE PRINT NAME
Business Name:
Address:
City/State/Zip:
Phone:
(,o)2?/fl
DATE
`7Z 5tc5q 2Z16 �5- email: \�nQ
OFFICE USE ONLY:
PERMIT# ISSUE DATE
•
a
M- PLANNING & DEVELOPMENT SERVICES DEPARTMENT
BUILDING & CODE REGULATIONS DIVISION
BUILDING PERMIT
SUB -CONTRACTOR AGREEMENT
St. Lucie County Contractor Certification Number:
State of Florida Certification Number (Ifapplicabte): ' rC 00) 2 v L
4 r )'-?tri-"ro lac c x* c. have agreed to be the
(Company Namellndividual Name)
ELECT kiCAL sub -contractor for 4.ySr. LLG
(Type of Trade) (Primary Contractor).
for the project located at / r5 d QC,524AI PKAVI�
(Project Street Address or Property Tax ID #)
It is understood that, if there is any change of status regarding our participation with the
above mentioned project, I will immediately advise the Building and Zoning Department
of St. Lucie County by personally filing a Change of Contractor notice. (Form: SLCCDV
No. 004-00)
BUSINESS QUALIFIER (Name of the Individual shown on the Contractor's License)
ORIGh AL SIGNATURES ARE REQUIRED
&��- ' V+- i)/ ,4r-ya 6/ Lap
f 1
SIGNATURE PRINT NAME DATE
Business Name:
Address: P o Ady 1 e 2 LL�--
City/State/Zip: (%Q,✓O At'_M F"/ 6 /
Phone: t . _S q 7 -� a z email: X,0 E/e cy ' c czc . _,
OFFICE USE ONLY:
PERMIT# ISSUE DATE
ST. LUCIE COUNTY
BUILDING & ZONING
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
772-462-1553
FILLED LANDS AFFIDAVIT
I, the undersigned, am the owner of the following described property:
�� D CC-64AI E57,47g S Qfl r%
(Tax ID/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In accepting
this Final Development Permit, BP Number , I acknowledge that as owner of
the above described property, and in accordance with Section 7.04.01(D), St. Lucie County
Land Development Code, I shall be responsible for assuring adequate drainage so that the
immediate community WILL NOT be adversely affected. I further acknowledge that in
granting this permit for the development of this property, St. Lucie County is neither obliged
nor liable to provide for, or maintain in any form, adequate drainage off my property which
will not adversely affect the immediate community.
Ll*r& AvuArl d14 f LLC
T�DLl G(JarS v) rtTO
Property Owner Name Property Owner, Signature Date
K.e�'�ucluj
STATE OF IAA, COUNTY OF L 1 n LD I N
ACKNOWLEDGED BEFORE ME THIS �(� DAY OF 2Q1 � ,
0 -
BY �GD ' a�(�•J, WHO IS PERSONALLY KNOWN TO ME OR WHO HAS PRODUCED
AS IDENTIFICATION.
ry\,
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE �I 4� COMMISSION NUMBER
T4���
JOSEPH E. SMITH, CLERK O THE CIRCUIT COURT - SAINT LUCIE COUNTY
FILE # 3595830 OR B0or6 PAGE 2030, Recorded 05/26/20114W:50 AM
PERMIT NUMBER:
NOTICE OF COMMENCEMENT
The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida statutes the following information is provided in the Notice of commencement.
I. DESCRIPTION OF PROPERTY (Legal description and street address) TAX FOLIO NUMBER: 1903- S-GD-OVA7-0000
SUBDIVISIONAYfYDhrB tYBLOCK a TRACT LOT c-r BLDG UNTT
150 6C64N ESD9r-S 201)�E
2. GENERAL DESCRIPTION OF IMPROVEMENT: C.OI$ PLrZrZ MPcLiilQ 144(S 't DEC eh?7f/x= AlAf jjb25 RES1mveML.
3. OWNER INFORMATION: a. Name UTG AtMaen[,LLe-
b. Address 99 44146STice,_SANFORP, KV. yg2'1Gq c, interest in property
d. Name and address of fee simple titleholder (if other than
4. CONTRACTOR'S NAME, ADDRESS AND PHONE Nl
)AG,ia --r. al. LnY,4jJA7 A
5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT:
6. LENDER'S NAME, ADDRESS AND PHONE NUMBER:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1)(a) 7., Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER: SCOT%AIc-(�Jl�7 1�19NS1. ,�D. t?ox 235[6 Pi4L,s'1 eACII F[. 33y89
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section
713.13 (l)(b), Florida Statutes:
NAME, ADDRESS AND PHONE NUMBER: SCOT Lr WIS CO,-JSl. S/4/YlE AS deddE
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is
specified) , 20_
Signature of O ner or
Owner's Authorized Officer/Director/Partner/Manager
tbLcrw& -Dirro, Me,rnh-p .
Print Name and Provide Signatory's Title/Offrce
State of FlerMa L-en+U(1q
CountyofLrn 01h
The foregoing instrument was acknowledged before me this t day of Y lla.� 20 1
By �JQIIa�(r9� as 4
(Name of p son) /� /� (Type of authority... e.g. Owner, officer, trustee, attorn
For LA T& QLL&om, C VW
(Name of party on behalf of whom instrument was executed) Personally Known✓✓r produced the following
)A-i{7 R.G�IIiar� am
(Printed Name of Notary Public) (Signature 0 Notary Public)
Under penalties of perjury, I declare that I have read the foregoing and that the facts in it are we to the best of
belief (section 92.525, Florida Statutes).
Signature(s) of Owner(s) or Owner(s)' Authorized Officer/Director/Partner/Manager who signed above:
� �
By: 1 By
R., asnonom(R—din) ti
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THATTHIS IS A
TRl
QPI
By:
Dal
BOARD OF
COUNTY
COMMISSIONERS
PUBLIC WORKS
DEPARTMENT
Water Quality
Division
MEMO OF REVIEW FOR CORRECTNESS AND COMPLETION
In accordance with this community's participation in the National Flood Insurance Program's Community Rating System, all
FEMA Elevation Certificates must be correct and complete. The attached Certificate has some incorrect items which are noted
here.
SECTION A - PROPERTY INFORMATION I For Insurance Company, Use: I
Al. Building Owner's Name
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number.
150 Ocean Estates Drive
City Ft. Pierce State FL ZIP Code 34949
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
A5. Latitude/Longitude: Lat. Long. 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
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade
c) Total net area of flood openings, in A8.b sq in c) Total net area of flood openings in A9.b sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Date
Effective/Revised Date
Zone(s)
AO, use base flood depth)
June 30, 1999
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 (Describe)
B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ❑No
Designation Date X 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-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Vertical Datum
Conversion/Comments
COMMENTS:
BP 1107-0006
Date of Review: April 8, 2013 Community Official:
• All elevation certificates shall be maintained by the community and copies with the attached memo made available upon request.