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HomeMy WebLinkAbout8501 Solstice LpU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660 -0008 Notional FIcod Insurance Program important: Read the instructions on pages 1 -9. Expiration Date: July 31, 2015 SECTION A - PROPERTY INFORMATION FOR'INSURANCE COMPAN. USE Al. Building Owner's Name GS /AE Southgate LLC Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 8501 Solstice Loop City Sanford State FL ZIP Code 32771 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Garage 2 at Parcel 9, Southgate Property PB 77, PGS 8 -10 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5_ Latitude /Longitude: Lat. 28 48 16.51 Long. -8120 03.18 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 1 B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace 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 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No 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 City of Sanford & 120294 Seminole FL B4. Map /Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 0065 F Sept. 28, 2007 Effective /Revised Date Zone(s) AO, use base flood depth) Sept. 28, 2007 X Unshaded 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: B11. 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: ❑ 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/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: GPS0296 Vertical Datum: NGVD 29 Indicate elevation datum used for the elevations in items a) through h) below. ® NGVD 1929 11 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) 38.00 ® feet ❑ meters b) Top of the next higher floor ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters d) Attached garage (top of slab) ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building _ _ ® feet ❑ meters (Describe type of equipment and location in Comments) D Lowest adjacent (finished) grade next to building (LAG) 36.9 ® feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 37.2 ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support ❑ 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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Yt�} ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �ti7 X Check here if attachments. licensed land surveyor? ® Yes El No El Certifier's Name David A. White License Number LS 4044 Title President Company Name PEC - Surveying & Mapping, LLC Address 2100 Alafaya Trail City Oviedo State FL ZIP Code 32765 Signature Date 06 -02 -14 Telephone 407 -542 4967)r?r``'``a FEMA Form 086 -0 -33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. 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. - PolicMumber: -`. City State ZIP Code Company NAIL Number 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. FEMA Form 086 -0 -33 (7/12) Replaces all previous editions.