51 Beach Avenue ELEVATION 07.26.2021 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:
ROBIN &TABITHA SORENSEN
A2. Building Street Address (including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
51 BEACH AVENUE-MAIN HOUSE
City State ZIP Code
ATLANTIC BEACH Florida 32233
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description,etc.)
LOT 4, BLOCK 33,ATLANTIC BEACH S/D A; PB 5, PG 69; RE# 170218-0000
A4. Building Use (e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 30° 19' 32.43"N Long. 81° 23' 43.39"W Horizontal Datum: ❑ NAD 1927x❑ 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 5
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
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 N/A sq in
d) Engineered flood openings? ❑Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
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 ❑ No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name &Community Number 82. County Name 83. State
CITY OF ATLANTIC BEACH 120075 DUVAL COUNTY Florida
B4. Map/Panel B5 Suffix 86. 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
12031C0409 J 11-02-2018 11-02-2018 X N/A
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 B9: D NGVD 1929 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 086-0-33(12/19) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE OMB No. 1680-0008
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:
51 BEACH AVENUE-MAIN HOUSE
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' ❑x Building Under Construction' ❑ 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,ARIAO,
Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: DNR A-21 11.27(COMMENT) 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,crawispace,or enclosure floor) ❑ feet ❑ meters
b) Top of the next higher floor ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) 15.4 x❑ feet ❑meters
d) Attached garage (top of slab) ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 0 Leet 0 meters
I) Lowest adjacent(finished)grade next to building (LAG) ❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building (HAG) ❑ 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. I understand that any false
statement may be punishable by fine or impnsonment 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.
Certifiers Name License Number
JASON D BOATWRIGHT PSM LS 7292 .,;� • ':Fitt,
Title '•• ds 4,11,s.`=•j,.r,Fy�4, Si
PRESIDENT ..�jlar
Company Name ,C '" 'fa *"' .
BOATWRIGHT LAND SURVEYORS INC :I 1, ; ed , j
•
Address '0t ••` ere •, -,'.'.
1500 ROBERTS DRIVE rJI C7�, a
C State ZIP Code r1ttlthr 1'i6:
JACKSONVILLE BEACH Florida 32250 t11111�t�t'�
Signature ,, Date Telephone Ext.
07-28-2021 (904)241-8550 244
Copy all pages of this Eleva ion ertificate 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)
CERTIFICATE FOR LOWEST HORTIZONTAL MEMBER ONLY.
A5-OBTAINED VIA LABINS.ORG
A7-DEEP PILE FOUNDATION
C-BENCHMARK: FROM MONUMENT DNR A-21 c 11.27 NAVD 1988 TO MN @ 18.22 IN WPP AT THE S P/L OF 51 BEACH AVE.
C2e-MACHINERY/EQUIPMENT NOT SET
C2f8,g-GRADES NOT FINISHED
FEMA Form 086-0-33(12/19) Replaces all previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE OMB No. 1660-0008
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:
51 BEACH AVENUE-MAIN HOUSE
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 E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A, Band C For Items E1—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,
crawispace,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 owners 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
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