1917 W SEVILLA ELEVATION CERT U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency I Expires March 31,2012
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION For Insurance Company Use
Al. Building Owner's Name JOSEPH BOYLE&BONITA BOYLE Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and io�x No. Company NAIC Number
1917 WEST SEVILLA BOULEVARD
City ATLANTIC BEACH State FL ZIP Code 32233
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
ID#169462 0155 (SEVILLA GARDENS Ul,8-2-29)
A4. Building Use(e.g-,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude:Lat.30*21'00.79" Long.81*24'25.51" Horizontal Datum: [I NAD 1927 G] NAD 1983
A6- Attach at least 2 photographs of the building it the Certificate is being used to obtain flood insurance.
A7� Building Diagram Number IB
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) NA sq It a) Square footage of attached garage 350 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 NA within 1.0 foot above adjacent grade NA
c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in
d) Engineered flood openings? E] Yes E] No d) Engineered flood openings? Yes 2 No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
unity Name&Community Number B2.County Name B3.State
I DUVAL FIL
B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 88.Flood B9.Base Flood Elevation(s)(Zone
0001 D Date Effective/Revised Date Zone(s) AO,use base flood depth)
04-17-89 A UNDETERMINED
1310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9
EI FIS Profile 0 FIRM El Community Determined Other(Describe)_
Bl 1. Indicate elevation datum used for BFE in Item B9� El NGVD 1929 NAVO 1988 [] Other(Describe)
812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Yes No
Designation Date El CBRS EI OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: E] Construction Drawings* El Building Under Construction' Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
CZ Elevations-Zones Al-A30,AE.AH,A(with BFE),VE,Vl-V30,V(with BFE),AR,ARIA,AR/AE,AR/Al-A30,AR/AH,ARIAO. Complete Items C2,a-h
below according to the building diagram specified in Item AT Use the same datum as the BFE.
Benchmark Utilized SEE COMMENTS—Vertical Datum NGVD 1929
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 9 30 0 feet 0 meters(Puerto Rico only)
b) Top of the next higher floor NA 0 feet meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) NA 23 feet meters(Puerto Rico only)
d) Attached garage(top of slab) 8 67 El feet El meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 8 55 feet El meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
Lowest adjacent(finished)grade next to building(LAG) 6 9 El feet E]meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 8 8 0 feet D meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including 8 22 G]feet E]meters(Puerto Rico only)
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. /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.El
4
'i[`iF;Cq`
Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? F1 Yes 0 No
CAirlifier's�Name RAYMOND THOMPSON License Number PSM 6146 t4o.6146
Title VICE-PRESIDENT Company Name RAY THOMPSON SURVEYING,INC. STATE OF
Address 4613 PHILIPS HIGHWAY,SUITEAX
FL
Signature OV -Date 12120/12 Telephone 904448-5125
FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions
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.)of P.O.Route and Box No. Policy Number
1917 WEST SEVILLA BOULEVARD
City ATLANTIC BEACH State FL ZIP Code 32233 Company NAIC Number
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
Comments C2; BENCHMARK UTILIZEDi GARAGE FFE @ 1913 SEVILLA BLVD W. ELEV: 8.62
e): AIR CONDITIONER
Signature Date 12/20/12
EJ Check here if attachments
SECITON E-BUCEI-ING ELEVATIOMINFORMATION(SURVEY NOT REQUIRED)FOR ZONE AD 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,
andC. 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 0.50 E feet n meters ED above or El below the HAG.
b)Top of bottom floor(including basement,crawlspace,or enclosure)is ?.40 E feet F1 meters 0 above or E] below the LAG.
EZ 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 _._ E]feet n meters 0 above or [__1 below the HAG
E1 Attached garage(top of slab)is 0.13 Nfeet nmeters Elaboveor G]belowtheHAG.
E4. Top of platform of machinery and/or equipment servicing the building is 0.25 Zfeet []meters 0 above or E]belowthe 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? El Yes 0 No El 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's or Owner's Authorized Representative's Name
Address city State ZIP Code
Signature Date Telephone
Comments
El 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 Gan 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 and G9.
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.
G1 El The following information(items G4-G9)is provided for community floodplain management purposes.
G4.Permit Number Date Certificate Of Compliance/Occupancy Issued
GT This permit has been issued for. E]New Construction El Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building: E]feet E]meters(PR)Datum
G9. BFE or(in Zone AO)depth of flooding at the building site: ED feet El meters(PR)Datum
G10.Community's design flood elevation [I feet El meters(PR)Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
El Check hereff.attachments
FEMA Form 81-31, Mar 09 Replaces all previous editions
Building Photographs
See Instructions for Item A6,
For Insurance Company Use,
Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number
1917 WEST SEVILLA BOULEVARD
City ATLANTIC BEACH State FL ZIP Code 32233 Company NNC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use ihe Continuation Page,
following.
ALL PICTURES TAKEN Decetnberl',, 2012:
FRONT
FRONTISIDE
Building Photographs
Continuation Page
For Insurance Compan
Building Street Address(including Apt,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number
1917 WEST SEVILLA BOULEVARD
----------
City ATLANTIC BEACH State FL ZIP Code 32233 Company NAIC Nurnber
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."
ALL PICTURES TAKEIV December 17, 2012:
41
REAR
REARUSIDE