1763 Park Terrace E Elevation Cert a U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency Expiration Date:November 30,2022
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 agent/company,and(3)building owner.
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owners Name Policy Number:
WILLIAMS DANIEL
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Company NAIL Number.
Bax No.
1763 E PARK TER E
City State ZIP Code
ATLANTIC BEACH Florida 32233
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
PB 34 PAGE 85 SELVA MARINA UNIT 8 LOT 8 BLK 14 RE#172020-0412
A4. Building Use(e.g., Residential, Nan-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 30'20'44.3981"N Long. 81'24'03.6865"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983
A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1B
A8. For a building with a crawispace or enclosure(s):
a) Square footage of arawlspace or enclosure(s) N/A sq It
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b WA sq in
d) Engineered flood openings? ❑Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage 0.00 sq It
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d):Engineered flood openings? ❑Yes 0 No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name 8 Community Number B2.County Name B3. State
CITY OF ATLANTIC BEACH 120075 DUVAL COUNTY Florida
84.Map/Panel B5 Suffix 86. FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevallon(s)
Number 's Date Effective/ Zones) (Zone AO, use Sale Flood Depth)
Revised Date
1203100407 J 11-02-2018 11-02-2018 X
1310. 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 0 NAVD 1988 ❑ Other/Source:
812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes 0 No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 088-0-33(12119) Replaces all previous editions. Forth Page 1 of 6
1 OMB No,1660-0008
ELEVATION CERTIFICATE Explration Date:November 30,2022
IMPORTANT: In these spaces,copy the corresponding information frau 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:
1763 E PARK TER E
City State ZIP Code Company NAIC Number
ATLANTIC BEACH Florida 32233
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Ci. Building elevations are based on: ❑ Construction Drawings' N 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,V7-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: (COMMENT)GPS RTK Vertical Datum:NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below.
❑ NGVD 1929 ❑x NAVD 1888 ❑Other/$Ourna:
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,crawispace,or enclosure floor) !1A ❑K feel ❑ meters
b) Top of the next higher floor WA ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) WA ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building WA ❑ feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 103 ❑X feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) i i.l Q feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A E] feet E] meters
structural support
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 16 U.S. Code,Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? Yes ❑No ❑Check here if attachments.
Certifiers Name License Number
JEREMY HEWITT PSM LS 7413
Title �EMY HE
VICE PRESIDENT
Company Name �+
BOATWRIGHT LAND SURVEYORS INC ', yyy Seal _
Addresses01
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1500 ROBERTS DRIVE h
city state ZIP Code yfh�SunaCA
JACKSONVILLE BEACH Florida 32250 �ts\NN����"
Signatu Date Telephone Ext.
10-132022 (904)241-8550 244
Copy all ties 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)
STRUCTURE BUILT IN (UNDER CONSTRUCTION)
AS-OBTAINED VIA LABINS.ORG
C-BENCHMARK: FMND(LB 3672),IN THE WEST EDGE OF PAVEMENT IN FRONT OF RESIDENCE No. 1753 PARK TERRACE E
ESTABLISHED BY GPS OBSERVATION USING SPECTRA PRECISION SP80 11/12 EQUIPMENT AND TRIMBLE EL=8.01 NAVD 88
C2a-AVERGAE TOP OF CONCRETE BLOCK ELEVATION
C2f&g-ELEVATION PER FIELD OBSERVATIONS
Celth- NO EQUIPMENT INSTALLED, UNDER CONSTRUCTION
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6
t OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30,2022
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.
1763 E PARK TER E
CRY State ZIP Code Company NAIC Number
'ATLANTIC BEACH Florida 32233
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 Et-E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A,Band C.For Items E7-E4,use natural grade,if available.Check the measurement used. in Puerto Rico only,
enter meters.
Et. 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,
crawispace,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 food 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 Owner's Authorized Representatives Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑Check here if attachments.
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 3 of 6
t OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date November 30,2022
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:
1763 E PARK TER E
City State ZIP Code Company NAIC Number
ATLANTIC BEACH Florida $2233
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,8,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below.Check the measurement
used in Items G8G10. 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 G4-310) 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
Ge. Elevation of as-built lowest floor(including basement) E]feet E] meters Datum
of the building:
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑ meters Datum
G10. Communitys design flood elevation: ❑feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(ncluding type of equipment and location,per C2(e),if applicable)
❑ Check here if attachments.
FEMA Form 086433(12/19) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS OMS No. 1660-0006
ELEVATION CERTIFICATE 'See Instructions for Item A6. Expiration Date: November 30,2022
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:
1763 E PARK TER E
City State ZIP Code Company NAIC Number
ATLANTIC BEACH Florida 92233
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.
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Photo One Caption FRONTVIEW Clear Photo One
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Photo Two Caption REARVIEW Cleer Phob Two
FEMA Form 086-0-33(12119) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date:November 30,2022
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:
1763 E PARK TER E
City State ZIP Code Company NAIC Number
ATLANTIC BEACH Florida 32233
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 AS.
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Photo Three Caption RIGHT SIDE VIEW Clear Phcto n:ree
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Photo Four Caption LEFT SIDE VIEW ClearPhoto Four
FEMA Form 086-0-33(12/19) Replaces all previous editors, Form Page 6 of 6