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620 Begonia Street ELEVATION 11.02.2018 C, lam?cr')ici — UO��l9ND StiG�4 "9, FEMA NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS 2019 EDITION RECEIVE Nov 42020 BY: OMB No. 1660-0008 Expiration Date: November 30,2022 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C Street SW, Washington, DC 20742, Paperwork Reduction Project(1660-0008). NOTE: Do not send your completed form to this address. Privacy Act Statement Authority:Title 44 CFR§61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s):The information on this form may be disclosed as generally permitted under 5 U.S.C.§552a(b)of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA-003—National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747(December 19, 2008); DHS/ FEMA/NFIP/LOMA-1 —National Flood Insurance Program(NFIP)Letter of Map Amendment(LOMA)System of Records Notice 71 Fed. Reg. 7990(February 15, 2006); and upon written request,written consent, by agreement,or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Purpose of the Elevation Certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill(LOMR-F). The Elevation Certificate is required in order to properly rate Post-FIRM buildings,which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones A1—A30, AE, AH, A(with BFE), VE, V1—V30, V (with BFE),AR, AR/A, AR/AE,AR/A1—A30, AR/AH, and AR/AO. The Elevation Certificate is not required for Pre-FIRM buildings unless the building is being rated under the optional Post-FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community,the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information.The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency(FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT-EZ or MT-1 package,whichever is appropriate. This certificate is used only to certify building elevations.A separate certificate is required for floodproofing. Under the NFIP, non- residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE).A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at https://www.fema.gov/media-library/assets/documents/3539?id=1727. FEMA Form 086-0-33(12/19) Replaces all previous editions. F-053 . 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 Owner's Name Policy Number: HOLSTAR,LLC A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.) or P.O. Route and Company NAIC Number Box No. 620 BEGONIA STREET City State ZIP Code ATLANTIC BEACH Florida 32233 A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 4, BLOCK 138,ATLANTIC BEACH SEC"H"170921-0020 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.30 19 46 N Long.81 25 27.58 W Horizontal Datum: ❑ NAD 1927 0 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 1B 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 enclosure(s)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? 0 Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 400.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A9.b 510.00 sq in d) Engineered flood openings? ❑x Yes ❑ No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number 62. County Name B3. State CITY OF ATLANTIC BEACH& 120075 DUVAL Florida B4. Map/Panel 65. Suffix 66. FIRM Index 67. FIRM Panel B8. Flood 69. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12031C0408 J 11-02-2018 11-02-2018 AE 6.0 FT B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: ❑ FIS Profile 0 FIRM ❑ Community Determined 0 Other/Source: 611. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? 0 Yes 0 No Designation Date: ❑ CBRS 0 OPA FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6 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: 620 BEGONIA STREET City State ZIP Code Company NAIC Number ATLANTIC BEACH Florida 32233 SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* ❑x Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A1—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 A7. In Puerto Rico only, enter meters. Benchmark Utilized: FDOT CORS NETWORK Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 ❑x 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) 8.5 ❑x feet ❑ meters b) Top of the next higher floor N/A ❑ feet 0 meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet 0 meters d) Attached garage(top of slab) 6.5 ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 8.5 0 feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6.0 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 6.1 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ meters feet 6.3 ❑x 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. 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 or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? E Yes ❑No ❑x Check here if attachments. Certifiers Name License Number `,O•Ut�����'' DARYL S BANKS PSM 6063 !`�� L S e,q Title ? OPS ,Nse N .� 't -I PRESIDENT + vice �y Company Name • `� BANKS&BANKS CONSULTING, INC. • �i • Address ••o STATE OF Q� FLORIDA 83 W 9TH STREET State ZIP Code ,,,��j��a/co � City ATLANTIC BEACH Florida 32233 111%••••%%���� Signature ,mac 73a9t14, Date Telephone Ext. 10-12-2020 (904)685-2800 info@banks.land 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) 1. AC UNIT MODEL CARRIER/ AC MODEL CH14NB030-A LOCATED IN THE BACK-SOUTH END OF RESIDENCE 2. AC IS NOTED AS LOWEST EQUIPMENT ON SITE. 3. PHOTOS TAKEN 10/6/2020 4. FDOT COORS GPS/CHAMPION TKO GPS 5. ENGINEERED VENTS MODEL NUMBER(ESR 4332)/250 SF OF PROTECTION 6. ATTACHED FIRMETTE FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6 • 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. 620 BEGONIA STREET City 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 El—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. El. 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 Owner's Authorized Representative's 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 • 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. 620 BEGONIA STREET City State ZIP Code Company NAIC Number ATLANTIC BEACH Florida 32233 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. Gi. ❑ 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. 0 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) of the building: ❑ feet ❑ meters 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(12/19) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS• OMB No. 1660-0008 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: 620 BEGONIA STREET City State ZIP Code Company NAIC Number ATLANTIC BEACH Florida 32233 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. T� ',• 1 ' _ - I yam► O. r -is - '.✓ ,i~ e \, , ✓I '',Imo", ` , r ' t �"1 W t 1meati �v _ o -»..s,.,,, :ate k., Ali Photo One Photo One Caption FRONT OF HOUSE AND GARAGE Clear Photo One 1,. . , .4.4,1.1._twi. _________________.____ 9 P. = - • 1 'c e ,•r5- tet Photo Two Photo Two Caption SOUTH END OF HOUSE 10.6.2020 Clear Photo Two FEMA Form 086-0-33(12/19) 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: 620 BEGONIA STREET 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 A8. % -' :a *, ♦, Itt- �� � ., I v � Li- _ • _ l.0 j . i I i1LU Photo Three Photo Three Caption BACK OF HOUSE AND AC INSTALLED 10.6.20 AC MODEL CH14NB030-A CARRIER Clear Photo Three 4 T• , • . ipt 4 �,i t , !,;yl *y , -tip w . 7: .4f a .(4 *kit- _ _; . . Photo Four Photo Four Caption NORTH SIDE OF HOUSE Clear Photo Four FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 6 of 6 National Flood Hazard Layer FIRMette r. FEMA Legend - 81°25'46"W 30°20'2"N SEE RS REPORT FOR DETAILED LEGEND AND INDEX MAP FOR FIRM PANEL LAYOUT r - - - - - � ;; s" Without Base Flood Elevation(BFE) ' "_ Zone A V A9U OASTAL FLOODPLAIN • r ,,,,� With BFE or Depth Zone AE,AO.AR.VE,AR CrJASTAL FLOODP'�LAIN SPECIAL FLOOD I..:....AN. -,.../..,..,a* : �r ' „COASTAL FLOOD Pt_Alt HAZARD AREAS Regulatory Floodway Et 9 Feet)' /--'� Zone Aid I -----� . f (EL'r6'Feet) cs,--v----75 (EL 15 Fee , „ 0.2%Annual Chance Flood Hazard,Areas �' it 7; of 1%annual chance flood with average t depth less than one foot or with drainage 'OP A COASTAL FLOOPPENIN areas of less than one square mile -1 ` . 1 qb Future Conditions 1%Annual Zone AE l (EL•7�Feet) f�\ ` 'a"** " Chance Flood Hazard � Area with Reduced Flood Risk due to u• „ s Levee.See Notes. , OTHER AREAS OF COASTAL FLOODPLAIN z FLOOD HAZARD Area with Flood Risk due to Levee ZGf`?E"� t j ,, "" . NO SCREEN Area of Minimal Flood Hazard (ELL7 Feet) / r Effective LOMRs ( - OTHER AREAS Area of Undetermined Flood Hazard /`�, g 1 'aM _ ' GENERAL -—-- Channel,Culvert,or Storm Sewer d PJ l� Fy STRUCTURES 1 1 1 1 1 1 1 Levee,Dike,or Floodwall #. ,CITY OFiATL,�NTIe4BEAcH . 4 : ' 0 20'2 Cross Sections with 1%Annual Chance �� tilt/11G l: r � Water Surface Elevation ? T2S R29E S17 rd t. UVCs 1 ' ; Car Coastal Transect t �' srm, Base Flood Elevation Line(BFE) Limit of Study ,,. - Jurisdiction Boundary FLOODPLAIN '4001 ------ Coastal Transect Baseline v � OTHER - -- Profile Baseline T2S R29E SNP-L 0 0PLAIN ., ( ;, w et* 11 °` .� Hydrographic Feature FEATURES (cif n r.,..at C�ASTAL#FLOODPLAIN I _; Digital Data Available N CITY OF JACKSON�''1i.T F Zone AE `-� „* Di No Digital Data Available ,120077 (ELL7 Feet) + " t MAP PANELS12 Unmapped ,.. The pin displayed on the map is an approximate i ; point selected by the user and does not represent l an authoritative property location. f ;u This map complies with FEMA's standards for the use of digital flood maps if it is not void as described below. The basemap shown complies with FEMA's basemap >� accuracy standards ! The flood hazard information is derived directly from the ,..l,--_-11r ° authoritative NFHL web services provided by FEMA.This map f . . was exported on 20/2020 at 7:17 AM and does not CUA-v -,I Al I 1 OODPLAIP I . .� y,. •.' `-#,,. I reflect changes or amendments subsequent to this date and + - - time.The NFHL and effective Information may change or .', -IL ` become superseded by new data over time. - (EL/ Fee() F ' `y This map image is void if the one or more of the following map 'he National Map Orthoimagery Data refreshed October,2020.,E T' 5 R2 9E Sia elements do not appear:basemap Imagery,flood zone labels, i legend,scale bar,map creation date,community identifiers, 81°25'8"W 30°19'31"N FIRM panel number,and FIRM effective date.Map images for Feet 1:6,000 V 00o unmapped and unmodernized areas cannot be used for 0 250 500 1,000 1,500 2,000 regulatory purposes. ES ICC-ES Evaluation Report ESR-4332 Reissued March 2020 This report is subject to renewal March 2022. www.icc-es.orq I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS 3.2 Engineered Opening: Section: 08 95 43—Vents I Foundation Flood Vents The FV complies with the design principle noted in REPORT HOLDER: Section 2.7.2.2 and Section 2.7.3 of ASCE/ SEI 24-14 (2018 and 2015 IBC and IRC) [Section 2.6.2.2 of ASCE/ SMART PRODUCT INNOVATIONS, INC. SEI 24-05 (2012, 2009, 2006 IBC and IRC)] for a maximum rate of rise and fall of 5.0 feet per hour EVALUATION SUBJECT: (0.423 mm/s). In order to comply with the engineered opening requirement of ASCE/ SEI 24, Freedom Flood FREEDOM FLOOD VENTTM AUTOMATIC FOUNDATION Vent" FVs must be installed in accordance with Section FLOOD VENT: MODEL FFV-1608 4.0 below. See Table 1 for vent size and maximum allowable area coverage for a single vent. 1.0 EVALUATION SCOPE 4.0 DESIGN AND INSTALLATION Compliance with the following codes: The model FFV-1608 Freedom Flood Vent'' is designed to be installed into walls or overhead doors of existing or new • 2018, 2015, 2012, 2009 and 2006 International Building construction. Installation of the vent must be in accordance Code®(IBC) with the manufacturer's instructions, the applicable code, • 2018, 2015, 2012, 2009 and 2006 International and this report. In order to comply with the engineered Residential Code®(IRC) opening design principle noted in Sections 2.7.2.2 and 2.7.3 of ASCE/ SEI 24-14 (2018 and 2015 IBC and IRC) Properties evaluated: [Section 2.6.2.2 of ASCE/ SEI 24-05 (2012, 2009, 2006 IBC and IRC)], the Freedom Flood Vent" must be installed • Physical operation as follows: • Water flow • With a minimum of two openings on different sides of each enclosed area. • Weathering • With a minimum of one FV for every 250 square feet 2.0 USES (23.2 m2)of enclosed area. The model FFV-1608 Freedom Flood Vent" is used to • Below the base flood elevation. equalize hydrostatic pressure on walls of enclosures • With the bottom of the vent located a maximum of subject to rising or falling floodwaters. With the cover 12 inches (305.4 mm) above the higher of the final removed, the model FFV-1608 also provides natural air interior grade or floor and the finished exterior grade ventilation. immediately under each opening. 3.0 DESCRIPTION 5.0 CONDITIONS OF USE 3.1 General: The Freedom Flood Vent'" described in this report The model FFV-1608 Freedom Flood Vent" is an complies with, or is a suitable alternative to what is engineered mechanically operated in-wall flood vent (FV) specified in, those codes listed in Section 1.0 of this report, that automatically allows floodwater to enter an enclosed subject to the following conditions: area and exit. The FV is comprised of a polycarbonate 5.1 The model FFV-1608 Freedom Flood Vent' unit must frame with mounting flange and a polycarbonate be installed in accordance with this report, the horizontally pivoting door. When subjected to rising water, applicable code and the manufacturer's published the model FFV-1608 Freedom Flood Vent'" door is installation instructions. In the event of a conflict, the activated and pivots to allow water and debris to flow in instructions in this report shall govern. either direction to equalize hydrostatic pressure from one 5.2 The model FFV-1608 Freedom Flood Vent"" unit must side of the enclosure to the other. The FV features a not be used in place of"breakaway walls" in coastal removable polycarbonate cover. The FV door will activate high hazard areas, but are permitted for use in and pivot when subjected to rising water with or without the conjunction with breakaway walls in other areas. polycarbonate cover installed. KV-ES Evaluation Reports are not to he construed as representing aesthetics or any other aurihntes not specifically addressed,nor are they to he construed QNS� at an endorsement of the subject of the report or a recommendation for its use.There is no warranty by l('C Evaluation Service,1J.(',express or implied,as p` to any finding or other matter in!itis report,or at to any product covered by the report. coxar, Copyright©2020 ICC Evaluation Service,LLC. All rights reserved. Page 1 of 4 ESR-4332 I Most Widely Accepted and Trusted Page 2 of 4 5.3 Use of the Freedom Flood Vent as under-floor space 7.2 The report holder's contact information is the ventilation is outside the scope of this report. following: 6.0 EVIDENCE SUBMITTED SMART PRODUCT INNOVATIONS,INC. 430 ANDBRO DRIVE, UNIT 1 Data in accordance with the ICC-ES Acceptance Criteria PITMAN, NEW JERSEY 08071 for Mechanically Operated Flood Vents (AC364), dated (800)507-1527 August 2015(editorially revised October 2017). www.freedomfloodvent.com 7.0 IDENTIFICATION info a(�.freedomfloodvent.com 7.1 The Freedom Flood Vent'" model recognized in this report must be identified by a label bearing the manufacturer's name (Smart Product Innovations, Inc.)and the evaluation report number(ESR-4332.). TABLE 1—FREEDOM FLOOD VENTT" MODEL NAME MODEL NUMBER MODEL SIZE COVERAGE(sq.ft.) Freedom Flood VentTM FFV-1608 153/4"X 81/16" 250 For SI: 1 inch=25.4 mm 111111 FIGURE 1—MODEL FFV-1608 FREEDOM FLOOD VENTTM:SHOWN WITH COVER REMOVED FIGURE 2—MODEL FFV-1608 FREEDOM FLOOD VENTT":SHOWN WITH FLOOD DOOR PIVOTED OPEN ESL':..LUaIC-" �GR'i•':;E ICC-ES Evaluation Report ESR-4332 CBC and CRC Supplement Reissued March 2020 This report is subject to renewal March 2022. www.icc-es.orq I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents I Foundation Flood Vents REPORT HOLDER: SMART PRODUCT INNOVATIONS, INC. EVALUATION SUBJECT: FREEDOM FLOOD VENTTM AUTOMATIC FOUNDATION FLOOD VENT: MODEL FFV-1608 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that the Freedom Flood Vent- Automatic Foundation Flood Vent: Model FFV-1608, recognized in ICC-ES master evaluation report ESR-4332, has also been evaluated for compliance with codes noted below. Applicable code edition(s): • 2016 California Building Code(CBC) • 2016 California Residential Code(CRC) 2.0 CONCLUSIONS 2.1 CBC: The Freedom Flood Vent- Automatic Foundation Flood Vent: Model FFV-1608, described in Sections 2.0 through 7.0 of the master evaluation report ESR-4332, complies with CBC Chapters 12, 16 and 16A, provided the design and installation are in accordance with the 2015 International Building Code® (2015 IBC) provisions noted in the master report and the additional requirements of 12, 16, and 16A, as applicable. The product recognized in this supplement has not been evaluated under CBC Chapter 7A for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Interface Fire Area. 2.2 CRC: The Freedom Flood Vent'" Automatic Foundation Flood Vent: Model FFV-1608, described in Sections 2.0 through 7.0 of the master evaluation report ESR-4332, complies with the 2016 CRC, provided the design and installation are in accordance with the 2015 International Residential Code®(2015 IRC)provisions noted in the master report. The product recognized in this supplement has not been evaluated under 2016 CRC Chapter R337, for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Interface Fire Area. The product recognized in this supplement has not been evaluated for compliance with the International Wildland-Urban Interface Code®. This supplement expires concurrently with the evaluation report, reissued March 2020. ICC-ES Evaluation Reports are not to he construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed ANSI as an endorsement of the subject of the report or a recommendation for its ase.There is no warranty by ICC Evaluation Service,LLC,express or implied,as W to BIM atrvfinding or otter matter in this report,or as to ant,product covered by the report. Copyright©2020 ICC Evaluation Service,LLC. All rights reserved. Page 3 of 4 ESe,=LuATiorr, sER'r_E ICC-ES Evaluation Report ESR-4332 FBC Supplement Reissued March 2020 This report is subject to renewal March 2022. www.icc-es.org I (800)423-6587 I (562) 699-0543 A Subsidiary of the International Code Council® DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMART PRODUCT INNOVATIONS, INC. EVALUATION SUBJECT: FREEDOM FLOOD VENTTM AUTOMATIC FOUNDATION FLOOD VENT: MODEL FFV-1608 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Freedom Flood Vent'"Automatic Foundation Flood Vent: Model FFV-1608, recognized in ICC-ES master evaluation report ESR-4332, has also been evaluated for compliance with the codes noted below. Applicable code editions: • 2017 Florida Building Code—Building • 2017 Florida Building Code—Residential 2.0 CONCLUSIONS The Freedom Flood VentTM Automatic Foundation Flood Vent: Model FFV-1608, described in Sections 2.0 through 7.0 of the master evaluation report ESR-4332, complies with the Florida Building Code—Building and the Florida Building Code— Residential, provided the design and installation are in accordance with the International Building Code® (IBC) provisions noted in the master report. Use of the Freedom Flood Vent'" Automatic Foundation Flood Vent: Model FFV-1608 has also been found to be in compliance with the High-Velocity Hurricane Zone provisions of the Florida Building Code—Building and the Florida Building Code—Residential. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official, when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the evaluation report, reissued March 2020. ICC-ES Evaluation Reports are not to he construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construedQNS� as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,1.1.C,express or implied,as i i to any finding or other matter in this report,or at to any product covered by the report. 07= .,.- Copyright©2020 ICC Evaluation Service,LLC. All rights reserved. Page 4 of 4 • r.) S' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD .) ' -X ATLANTIC BEACH, FL 32233 (904) 247-5800 Memo of EC Review for Correctness and Completion The attached FEMA Elevation Certificate for the following address has been reviewed by this office. 620 Begonia Street (RES19-0276) The items noted below are incorrect on the attached form and should read as entered on this page. SECTION A-PROPERTY INFORMATION For Insurance Company Use. Al.Building Owner's Name Policy Number A2.Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number City State ZIP Code 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. A7.Building Diagram Number: 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) n/a sq ft a) Square footage of attached garage sq ft b) No. of permanent flood openings in the crawlspace or b)No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade n/a within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b n/a sq in c)Total net area of flood openings in A9.b sq in d) Engineered flood openings? Yes No X 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 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) 7 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. FIS FIRM Community Determined Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: 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 CBRS OPA Local Official's Name: Dan Arlington,CBO Title: Building Official Community Name: City of Atlantic Beach Telephone: (904)247-5813 Signature skt -r &TV, Date:4/19/2021 Comments: A8 d): No crawlspace or enclosure and no engineered tlood openings. CRS 310 FEMA EC Correction Memo