HomeMy WebLinkAboutelevation cert- final.pdfU.S. DEPARTMENT OF HOMELAND S,. JRITY 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 agenticompany, and (3) building owner.
SECTION A — PROPERTY INFORMATION
FOR INSURANCE COMPANY USE
Al. Building Owners Name
Policy Number:
Sankara Rao & Rama Kothakota
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and
Company NAIC Number:
Box No.
5116 Water Song Way
City State ZIP Code
Fort Pierce Florida 34949
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Watersong South P.U.D. Plat No. One, Lot 5
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat.27.2311 Long.-80.1529 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 1 B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) 0.00 sq ft
b) Number of permanent flood openings in the crawlspace or enclosures) within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0.00 sq in
d) Engineered flood openings? ❑ Yes ❑x No
A9. For a building with an attached garage:
a) Square footage of attached garage 537.00 sq It
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 10
c) Total net area of flood openings in A9.b 110.28 sq in
d) Engineered flood openings? ❑x Yes ❑ No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
Fort Pierce 120286
St. Lucie County
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)
Revised Date
12111CO194
J
02-16-2012
02-16-2012
AE
(EL7)
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)? ❑x Yes ❑ No
Designation Date: 10-01-1983 x❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7115) Replaces all previous editions. Form Pagel of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A.
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Policy Number:
5116 Water Song Way
City State ZIP Code
Company NAIC Number
Fort Pierce Florida 34949
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction` ❑x Finished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations — Zones Ai—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, 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: B308 Vertical Datum: NAVD88
Indicate elevation datum used for the elevatons in items a) through h) below.
❑ NGVD 1929 0 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) 7.79 0 feet ❑ meters
b) Top of the next higher floor 19A2 0 feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) N/A 0 feet ❑ meters
d) Attached garage (top of slab) 6A1 0 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 5.79 ❑x feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 6.00 ❑x feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support 6.13 ❑x 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. I understand that any false
statement may be punishable by fine orimprisonment 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
Christian Fenex 5102
`
Title
Surveyor
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Company Name
Christian Fenex and Associates
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Address
PO Box2533
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City State ZIP Code
Palm City Florida 34991
Signature Date Telephone Ext.
Christian Fenex °"a'"'°""'� '13 3Q18 (772) 283-2977
iamnmx:num
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)
B9) Residence falls into flood zone AE (6) 8: (7). Building offical requires only the highest BFE (7), to be shown on certificate.The
residential structure is not in the "V' hazard zone.
C2e) Service equipment is on the fourth story landing.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Forth 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.
5116 Water Song Way
City State ZIP Code
Company NAIC Number
Fort Pierce Florida 34949
SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, B,and C. For Items El—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only,
enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade (HAG) and the lowest adjacent grade (LAG).
a) Top of bottom floor (including basement,
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 Owners 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.
5116 Water Song Way
City State ZIP Code
Company NAIC Number
Fort Pierce Florida 34949
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
of the building: 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. Forth 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:
5116 Water Song Way
City State ZIP Code
Company NAIC Number
Fort Pierce Florida 34949
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.
a'
f
PhoW�
Photo One Caption Front View Clear Photo One
Photo Two
Photo Two Caption Rear View Clear Photo Two
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 o` 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:
5116 Water Song Way
City State ZIP Code
Company NAIC Number
Fort Pierce Florida 34949
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.
1
i
Pnwo r�
Photo Three Caption Left Side View Clear Photo Three
._- c "
pp•
AdfY .'AAA!
01
Photofwr
Photo Four Caption Right Side View Clear Photo Four
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 6 of 6
42:
CM; ELEVATION CERTIFICAI I
FLOMA DEPARTMENT OF ENVIRONMENTAL PROMAY U 3 2018
This certificate is required by section 3109 of the Florida Building Code for habitable stru ' ST. Lucie County, Permittinc
construction control litre to ensure the lowest horizontal structural member of such stnx
one -hundred -year storm elevation as published in the Florida Department of Environmental rrotection s document titled,
"One -Hundred -Year Storm Elevation Requirements for Habitable Structures Located Seaward of a Coastal Construction
Control Line". The elevation of the lowest horizontal structural member is to be shown in relation to National Geodetic
Vertical Datum (N.G.V.D., 1929).
NOTICE: This certificate shall be completed as part of the permitting process and submitted to the building official who
will note any deficiencies and notify the permit holder of any actions necessary to bring the stmct re into compliance
with the elevation requirement. Any deficiencies found by the building official shall be corrected by the permit holder
immediately and prior to proceeding with work. Any work undertaken prior to submission of this certification shall be
at the property owner's risk.
SECTION A WopeAy Information
PROPER]Y OWNERS NAME
Sankara Rao & Rama Kothakota
s7REETAUDRM(1 WA gApt.,Unit,�ffi WA*NmbOORP.O. aOXNUMIM
5116 Watersong Way
OTHMDESCBIPrON( andatrtN.bMan)
Lot 5 Watersong South PUD Plat No. One, Plat book 53, Page 1
My UATU ZB CODE
Ocean Drive - St. Lucie County PID#2532-803-00124)00-2
SECTION B
1. Pursuant to the above document, the bottom of the lowest horizontal structural member must be located at or above
17.0 feet N.G.V.D.
2. The bottom of the lowest horizontal structural member of a building is tas feet N.G.V D.
3. Control elevation reference mark used: Benchmark ID a 3oe BM elev ' n: 161 feet N.D.V.D.
Please refer to the diagrams on page 2 of this document for informatro of the bottom of the lowest
horizontal structural member.
SECTION C Certification
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information and be submitted to and approved by the building official prior to commencing any additional work
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
CER'm is NAbG nCEM NUMBER:
Christian Fenex PSM 5102
tIIIE: COMPANY NAME:
President Christian Fenex And Associates, LLC
ADDRESS: CITY: SCALE: ZB CODE'.
PO Box 2533 Palm City Florida 34991
S1G?4A1t%E DAME: TE117;ON&
Christian Fenex ,g,°�",:m,", w°m,�" ;,;, I W312017 T72-283-29T7
coMsa+ms: Affix Seal:
DEP Fo 73-501
�v3 -GD6
RECENED
MAY 31 2018
V ZONE DESIGN CERTIFICATE Permtting
St`. Lucie Countyent
Name _ �APA KAJA RAO 4 RAW uA—WPolicy Number (Insurance Co. use)
Building Address or Other Description SI l (o K)Aieza., 5w1G htA`f
Permit No. City _T �41*9, r= State —fT, Zip Code 349
SECTION I: Flood Insurance Rate Map (FIRM) Information
Commun' Nod 2a2S5 ( {
dY �?anel No. ��Suffix� FIRM Date '1 l6 20tZFIRM Zone(s) /1'E
SECTION II: Elevation Information Used for Design
[NOTE: This section documents elevations used in the design — it does not substitute for an Elevation Certificate.]
1. Elevation of the Bottom of Lowest Horizontal Structural Member................................101 feet (NAVD88)
2. Base Flood Elevation(BFE).............................................................................. 1--feet (NAVD88)
3. Elevation of Lowest Adjacent Grade .................................... s•sfeet (NAVD88)
...............................
4. Approximate Depth of Anticipated Scour/Erosion used for Foundation Design..............._feat (NAVD88)
5. Embedment Depth of Pilings or Foundation Below Lowest Adjacent Grade .................. feet (NAVD88)
SECTION 111: V Zone Design Certification Statement
[NOTE. This section must be certified by a registered engineer or architect.]
I certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction and (2) that the
design and methods of construction to be used are in accordance with accepted standards of practice for meeting the
following provisions:
• The bottom of the lowest horizontal structural member of the lowest floor (excluding piles and columns) is elevated
to or above the BFE; and
• The pile and column foundation and structure attached thereto is anchored to resist flotation, collapse, and lateral
movement due to the effects of the wind and water loads acting simultaneously on all building components. Water
loading values used are those associated with the base flood. Wind loading values used are those required by the
applicable State or local building code. The potential for scour and erosion at the foundation has been anticipated for
conditions associated with the base flood, including wave action.
SECTION IV: Breakaway Wall Design Certification Statement
[NOTE. This section must also be certified by a registered engineer or architect
when breakaway walls exceed a design safe loading resistance of 20 pounds per square foot.]
I certify that (1) 1 have developed or reviewed the structural design, plans, and specifications for construction and (2) that the
design and methods of construction to be used for the breakaway walls are in accordance with accepted standards of
practice for meeting the following provisions:
• Breakaway wall collapse shall result from a water load less than that which would occur during the base flood; and
• The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement,
or other structural damage due to the effects of wind and water loads acting simultaneously on all building
components (wind and water loading values to be used are defined in Section III).
SECTION V: Certification and Seal
This certification is to be signed and sealed by a registered professional engineer or architect authorized bylaw to certify
structural designs. 1 certify the V Zone Design Certification Statement in Section 111 and the Breakaway Wall Design
Certification Statement in Section lV (if applicable).
Certifier's Name License Number
nae Company Name
Address City
State ZIP
Signature Date
Telephone
FILE
COPY
Place Seal
Here