HomeMy WebLinkAboutSUBMITTED PHOTOSBuilding Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
10177 & 10179 S. OCEAN DRIVE (BUILDING F)
City JENSEN BEACH State FL ZIP Code 34957 CompanyNAlCNumber
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 on the
reverse.
FRONT VIEW
1/17/13
REAR VIEW
1/17/13
Building Photographs
Continuation Page
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
10177 & 10179 S. OCEAN DRIVE (BUILDING F)
City JENSEN BEACH State FL ZIP Code 34957 Company NAIC Number
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."
LEFT VIEW 1/17/13
RIGHT VIEW 1/17/13
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
10177 & 10179 SOUTH OCEAN DRIVE
City JENSEN BEACH State FI ZIP Code 34957 I Company NAIC Number
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 on the
reverse.
Front View
Rear View
Building Photograpl
Continuation Page
For Insurance
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
10177 & 10179 SOUTH OCEAN DRIVE
City JENSEN BEACH State FL ZIP Code 34957
Company NAIC Number
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."
Left View
Right View
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Boring Location Plan
10177 and 10179 King Neptune Lane
South Hutchinson Island
St. Lucie County, Florida