1370 Camelia St elevation certificate I
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1650-OON
Federal Emergency Management Agency Expiration Data November30.2018
National Flood Insunince Program
ELEVATION CERTIFICATE
Important:Follow the instinictions ori pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agenthxxilpany.and(3)building ovner.
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Nam Policy Number
SOLAR HOME DEVELOPERS,U-C
A2. Building Steel Address(including Apt.,Unit Suite,andADr Bldg.No.)or P.O.Route and Company NAIC Number.
Box No.
1370 CAMELIA STREET
City ATLANTIC BEACH State FLORIDA ZIP Code 32223
A3. Properly Description P-at and Black Numbers,Tax Parcel Number,Lao Desoription.etc.)
LOT 3,BLOCK 224,ATLANTIC BEACH SECTION H
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Ancassory,etc.) RESIDENTIAL
A5- Latitude/Longilside Lat. 30-20-04N Long. 81-25-21W HadeantaiDalum: E]NAD1227 [?gNAD1983
A6. Attach at least 2 photographs of the building ff the Certificate is being used to obtain flood Insurance.
AT Building Diagram Number IA
A8. Far a building with a cravAspace or endusure(s):
a) Square footage of craWspace or enclosure(s) NIA sq it
b) Number of permanent flood openings in the cravalspace or enclosure(s)vAthin 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b NIA sq in
d) Engineered flood openings? [-]Yes [N No
Ag.For a buililing with an attached garage:
a) Square footage of attached garage 460 sq ft
b) Number of permanent flood openings in the attached garage�ilhin 1 M Fool above adjacent grade N/A
c) Total net area of flood openings in A9.b NIA sqin
it) Engineered flood openings? 11 Yes C)NO
SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bl.NFIP Community Name&Community Number B2.taxinly Nam B3. State
CITY OF ATLANTICH BEACH 12WTS DUVAL FLORIDA
84.=anel 11,15.Suft Be. FIRM Index B7.FIRM Panel I Be Flood Zww(s) B9.Base Rood Elevation(s)
P
, ar
)7b Data Effiectivef (Zone AD,use Base
8 H X Flood Depth)
)8 JUNE 3,2013 Revised Date
JUNE3.2013 9.7
B10. Indicate the souroa of the Base Road Elevation(BFE)data or base flood depth entered in Item B9:
0 FIS Profile E]FIRM []Oornmunity Determined [N Other/Soum: DRAINAGE PLAN.
at 1. indicate elevation datem used for SFE in Item 89: El NGVD 1929 [?q NAVID 1988 0 OdvadSou�:
B12� Is the building lo;ated in a Coastal Barner Resources System(CBRS)area or Otherwise Protected Area(OPA)? E]Yes [-jNo
Designation Date� El CBRS El OPA
FEMA Farm 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30.2018
IMPORTANT:In th�spaces,copy that corresponding Information firoon Sectien A. FOR INSURANCE COMPANY USE
Building Street Address findudkV Apt-Unit,Suits,andfor Bklg.No.)or P-0. Routs and Box No. Policy Number.
131`0 GAMELIA STREET
City State ZIP Code Company NAIC Number
ATLANTIC BEACH FLORIDA 32223 rIE E
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRIM)
CIL Budding elevations am based onr [-] Cor%*uc5onDmwings' []Building Under Construction' (NIFinishadConstruction
*A new,Elevation Certificate will be required when construction of the budding is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE�.AR,ARIA,ARIAE,AR/All-MO,ARIAH,ARIAO.
Complete Items C2.a-h below according to the building diagram specified in Rem AT In Puerto Rico only,enber meters.
Benchmark Utilized. SEE COMMENTSL_Verfical Datum; NAVE)1988
Indicate elevation dabim used for the elevations in items a)through h)below.
E]NOVO 1929 M NAVD 1988 11 Other/Source:
Datum used for budding elevations must be the same as that used for the BFE. Check the measurement used.
a) Top of bodom floor(including basement crawtspace,or enclosure floor) 9.75 E) feel 1-1 "'e"
b) Top of the next higher floor -- o feet c meters
c) Bottom of the lowest horizontal structural member(V Zones only) -- o feet Ei meters
d) Attached garage(top of slab) 9.20 feet meters
a) Lowest elevation of machinery or equipment servicing Line building 9-52 feet meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent(finished)grace rext to building(LAG) 8.7 feet L]meters
g) Highest adjacent(finished)grade next to building(HAG) 9.2 t,fed El matters
h) Lowest adjacent grade at lowest elevation of deck or stairs including -- 11 feet o meters
structural support
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and seaed by a land surveyor,engineer.or architect autlxxized by law to cerfify elevation information.
I codify that the information on this Cortlicater represents my best efforts to inmfpmt Me data avadablie I understand that any false
statement may be punishable by firre or impm;onmerrt under IS U S.Code,Section 1001�
Were latherle and longitude in Section A provided by a licensed land surveyor? [AYm E]No [3Chack hem if attachments.
Cerfifieft Name License Number
HARLD G.EVERETT.JR. LS3207
Thle
VICE-PRESIDENT
Company Name Place
ECK LAND SURVEYORS.INC. Seal
Here
Address
1660 EMERSON STREET
city state Zip code
JACKSONVILLE FLORIDA 322(Y7
Signature Date Telephone 9D4 396-6334
Copy all pages of this Ekwafion Cerfificale andIall attachments for(1)oamnaffifly aMciaL(2)mamin0a,ageotfcoloVanY.arid(3)building owner.
Cornme is Cincluding type of equipment and location.per C2(e).if applicable)
AIR CONDITIONING UNIT ON CONCRETE SLAB ON SOUTH SIDE OF GARAGE.
BENCH MARK IS A MAIL IN A WOOD POWER POLE AT THE SOUTHEAST CORNER OF THE SITE.ELEVATION IS 9.70 NAVD 1988.
FEMA Form 08&0-M(7/15) Replaces all previous editions. Form Page 2 of 6
OMB No.1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30.2018
IMPORTANT:In llth�spaces,copy the corresponch"Information fnwn Section A. FOR INSURANCE COMPANY USE
Building Streall Address(including Apt., Unit Sufte,andApr Bldg.Nm)or P.O.Route and Box No. Poricy Number.
1370 CAMELLA STREET
city st-ate ZIP Code Company NAIC Number
ATLANTIC BEACH FLORIDA 32223
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOrt REQUIRED)
FOR ZONE AO AND ZONE A WITHOUT BFE)
For Zones AD and A(without BFE),complete Items El-ES.If the Certificate is intended to support a LOMA or LOMR-F request,
complete Sections A,B,and C.For Items EI-E4,use natural grade,if available.Check the measurement used. In Puerto Rico only,
enter meters.
E 1 Provide elevation inicxrnatior,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 E]meters E]aboveor [-IbelotheHAG.
b) Top of bottom floor(including basement,
crawlspace,or enclosure)is [jfeet E]meters []aboveor E]bekywtheLAG.
F2. For Building Diagrams 6-9 with permanent flood openings provided in Se�cfion A Item 8 anWor 9(see pages 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the buiWing is Ljfeet L]rneters Ejaboeo, L]belotheHAG
E3. Attached garage(top of slab)is E]feet F]meters D show or E]belm the HAG�
E4. Top of platform of machinery andtor equipment
servicing the building is []feet L]metem Daboveor E]belowtheHAG.
E5. Zone AD 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? Ej Yes E]No El Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNERS REPRESENTATIVE)CERTIFICATION
The propewly,owner or owrw�s authonzed representative who completes Sections A,B.and E for Zone A(without a FEMArisued or
community-issued BFE)or Zone AD must sign have.The staternents in Sections&B.and E ate�correct to the beg of my knowledge.
Property O�or Ownees Auboriwd RepresentativWs Narne
HARLO G,EVERETT,JR-
Address city state ZIP coda
1660 EMERSON STREET JACKSONVILLE FLORIDA 322D7
Slgnatw� 1; Date Telaphocie
10119/16 904 396-6334
Comments
Check hem 9 attachments.
FEIVIA Form 086"(7/15) Repliaces all previous editions- Form Page 3 of 6
ELEVATION CERTIFICATE OMB No. 1660-0008
Expiration Date November 30,2018
IMPORTANT:In VIGGG,apsces,copy the�Pondinq information Fim Section& FOR INSURANCE COMPANY USE"
Budding Street Add,xiiis i[including Apt,UrA Suite.andior Bldg-No.)oi�P.O.Route and Box No. Policy Number.
1370 CAMELLA STREET
City state ZIP Code Company NAIC Number
ATLANTIC BEACH FLORIDA
SECTION 6-COMMUNITY INFORMATION(OPTIONAL)
The local offixial who is audwriowd 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 Kerrie)and sign below.Check the measurement
used in Itsmit;G8-GI 0.In Puerto Rim only,enter meters.
GI. R The information in Section C was taken from other documentation that has been signed and scaled by a licensed surveyor,
engineer,or architect who is authorized by I"to certify elevation information. (Indicate the source and date of the elevation
data in the Comments area belo,w)
G2. E] A community offical completed Section E for a building located in Zone A(without a FFMA-issued or orimmunity4ssued BFE)
or Zone AD-
G3. E] The following information(Item G4-G10)is provided for community floodpLain management purposes.
G4. Peemit Number it Issued G6. Date Certificate of
I Compliance/Ocuitpancy Issued
GT This peanit has been issued for E]Niew Construction Ej Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)
of the buildintl []feet El meters Datum
G9. BFE or(in Zone AD)depth of flooding at the building sRe._ feet E]—UnE Datum GIO. Community's
diesign flood elevation: El feet El metem Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(including type of equipment and location,per C2(e),if applicable)
Check hem if attachinents.
FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS OMB No.1660-0008
ELEVATION CERTIFICATE Sea Instructions for Item A6. E)qpmation Date:November 30,2018
MPORrANT:In them apa�copythe corresponding infonnation from Section A. FOR INSURANCE COMPANY USE
Building Sheet Address(InckAing Apt-,Link,Suits,anchor Bldg.No.)or P.O.Route and BM No. Policy Number
1370 CAMELIA STREET
CRY State ZIP Code Company NA ZC Numther
ATLANTIC BEACH FLORIDA 32223
If using the Ele�tion Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the
instmcbmns for Item All. Identify all photographs with date taken;'Front Vieve and"Rear Vow";and,9 required,"Right Side Vieve and
'Left Side View.* When applicable, photographs must show the foundation with representa0ve examples of the flood openings or
vents,as indicated in Section A8. If submitting mom photographs than will fit on this page.use the Continuation Page.
Photo One Caption F�RDKWT 1QM9M6
Photo Two Caphon REAR VIEW 10/19116
FEMA Fomn 086�-33(M 5) Replaces all Mewous 0111111008. Forn Page 5 of 6
BUILDING PHOTOGRAPHS OMB No.16WO008
ELEVATION CERTIFICATE Continuation Page Expiration Date.November 30,2018
MPORTAKr:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Steel Address lincluding Apt,Unit Suite.and/or Bldg.No.)or P.0-Roulka and But No. Policy Number.
1370 CAMELIA STREET
City stow ZIP code Company NAIC Number
ATLANTIC BEACH FLORIDA
If submitting more photographs than %will fit on the preceding page, affix the additional photographs belovi. Identify all photographs
with: date taken; 'Front View- and 'Rear VieW; and, if required, "Flight Side View- and "Left Side Vievw.' When applicable,
Photographs must show the foundabGn with representairve examples of the flood openings or vents,as indicated in Section A8.
PhotoOmCaphon LEFT SIDE MEW 10119116
Photo Two
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Photo Two Caption
FEMA I.ow"(7/15) Replaces all previous editions Fonn Page 6 of 6
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