227 Beach Avenue ELEVATION 03.10.2014 Teriii;z #14-- 032 q $ l3- 3548
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date: July 31, 2015
National Flood Insurance Program IMPORTANT: Follow the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name CORKIE T GOODEN TRUST Policy Number:
A2. Building tBet Address EACH (includingAVEAVApt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number:
227
City ATLANTIC BEACH State FL ZIP Code 32233
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2, BLOCK 27 ATLANTIC BEACH; PB 5, PG 69; RE#170189 0010
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 30° 19'39 7"N Long. 81°23'43.4"W Horizontal Datum:\:`:!••17'0 983
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): A9.For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 0 sq ft a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the crawlspace 0 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 0
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑Yes E1 No d) Engineered flood openings? ❑Yes 0 No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
CITY OF ATLANTIC BEACH 120075 DUVAL FL
B4. Map/Panel Number 85.Suffix , B6. FIRM Index Date B7. FIRM Panel Effective/ B8.Flood Zone(s) B9.Base Flood Elevation(s)(Zone
Revised Date A0,use base flood depth)
12031C0409 H 06/03/2013 06/03/2013 X&AO AO BFD 2'
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89:
❑FIS Profile ®FIRM ❑Community Determined ❑Other/Source:
811.Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 ®NAVD 1988 ❑Other/Source:
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? E Yes El No
Designation Date: / / - ❑CBRS ❑OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑Construction Drawings* C1 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/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: 18.66(COMMENT) Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. ❑NGVD 1929 ► 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) 19 . 5 ®feet ❑meters
b) Top of the next higher floor N/A i feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A IN feet ❑meters
d) Attached garage(top of slab) N/A . _!feet ❑meters
e) Lowest elevation of machinery or equipment servicing the building N/A . IN feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 16 . 3 e feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 17 , 5 ®feet ❑meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A • IN feet ❑meters
structural support
SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or atchitect 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.
❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
®Check here if attachments.. ' • - . •• • - ' ' licensed land surveyor? ❑Yes fZ No . •
Certifiers Name License Number, F L.,�
DONN W BO TWRIGHT1 \,' LS 3295 T::A,I4 ti
Title Company Name •
PRESI EN ` BOATWRIGHT LAND SURVEYORS, INC. t�1,J�
Address . .City' . .State: , Zle Code
1500 OBE T RIVE JAX BEACH FL 32250 i I
Signatur Date Telephone V
07/14/2014 (904)241-8550
FEMA Form 086-0-33(Revised 7/12) See reverse side for continuation. Replaces all previous editions.
4
ELEVATION CERTIFICATE, page 2
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 P0. Route and Box No. Policy Number:
227 BEACH AVE
City State ZIP Code Company NAIC Number:
ATLANTIC BEACH FL 32233
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
C IT rtRMATIO' OBTAINED FROM ITOUCH MAP.COM
C-BENCH Mf,R L'CATION: PKN IN EAST SIDE OF 10"PALM AT NORTH PROPERTY LINE
N P; 'NOT YET POURED.
C2 f . �J• : DES NOT FINISHED. PROVIDED FOR INFORMATION ONLY.
Signature Date 07/14/2014
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 2 . 0 M feet ❑meters IX above or ❑below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is 3 2 ®feet ❑meters )I 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 8-9 of Instructions),
the next higher floor(elevation C2.b in the diagrams)of the building is N/A ❑feet ❑meters ❑above or ❑below the HAG.
E3.Attached garage(top of slab)is N/A . ❑feet ❑meters ❑above or ❑below the HAG.
E4.Top of platform of machinery and/or equipment servicing the building is N/A ❑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 Ow - 's Authorized Representative's Name DONN W. BOATWRIGHT, PSM
Address 1500430B ' S DRIVE City JAX BEACH State FL ZIP Code 32250
Signature Date 07/14/2014 Telephone (904) 241-8550
Comments
❑Check here if attachments.
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.
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 A0.
G3. ❑ The following information(Items G4-G10)is provided for community floodplain management purposes.
G4. Permit UumberZ, `�_� y Q G5. Da> Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued
S 7 G� Pr
t U {I (a�-
G7. This permit has been issued for: .New Construction ❑Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: 9 . Meet 0 meters Datum N & 1P
G9. BFE or(i one AO epth of flooding at the building site: . C tel feet ❑meters Datum
G10.Community's design flood elevation: ❑feet ❑meters Datum
Local Official's Name Title
Dke4 kv.LsAGTo•k 3J«•V�.{Cr O c..iA�V_
Community Name Telephone
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Signature , a Date io c r 4-
Comments I !
L.•k E- c Ft0o40 V447- �v.>Mp v c F't R M — Z
❑Check here if attachments.
FEMA Form 086-0-33(Revised 7/12) 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 POO.Route and Box No. Policy Number:
227 BEACH AVE
City State ZIP Code Company NAIC Number:
ATLANTIC BEACH FL 32233
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FEMA Form 086-0-33(Revised 7/12) Replaces all previous editions.
' ELEVATION CERTIFICATE, page 4 BUILDING PHOTOGRAPHS
Continuation Page
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:
227 BEACH AVE
City State ZIP Code Company NAIC Number:
ATLANTIC BEACH FL 32233
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FEMA Form 086-0-33(Revised 7/12) Replaces all previous editions.
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n.3 I EFFECTIVE DATE
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BOULEVARD was extracted using F-MIT On-Line. This map does not reflect changes
or amendments which may have been made subsequent to the date on the
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a title block. For the latest product information about National Flood Insurance
Program flood maps check the FEMA Flood Map Store at www.msc.fema.gov