320 10th Street ELEVATION 05.31.2019 U.S. DEPARTMENT OF HOMELAND SECURITY
OMB No. 1660-0008
Federal Emergency Management Agency OM tio
National Flood Insurance Program [ExpBiration'ID')ate: November 30,2018
ELEVATION CERTIFICATE
Important:Follow the Instructions on pages i-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
HERITAGE HOME OF JACKSONVILLE
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box
No. Company NAIC Number
320 1 OTH STREET
city State Zip
ATLANTIC BEACH FLORIDA 32233
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
WEST 20'OF LOT 7&ALL OF LOT 9; BLOCK 12;ATLANTIC BEACH; PB 5; PG 69; RE# 170032-0000
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 30020'05,36" Long,gif.2T 57.08" Horizontal Datum: 0 NAD 1927 IDNAD 1983
A6.Attach at least 2 photographs of the building it the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1 B
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 toot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in.
d) Engineered flood openings? 0 Yes 0 No
A9. For a building with an attachedgarage:
a) Square footage of attached garage 662 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? C Yes 2 No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bl.NFIP Community Name&Community Number B2. County Name 83. Stale
CITY OF ATLANTIC BEACH 120075 1 DUVAL FLORIDA
B4. Mapipanel 85. Suffix B6. 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
12031CO409 1 11/2/2018 11/2/201 B X N./A
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
0 FIS Profile 9 FIRM 0 Community Determined 13 Other/Source:
Bi 1. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise ProtectedArea(OPA)? 0 Yes Z No
Designation Date: 0 CEIRS 0 OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date:November 30,2018
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:
320 10TH STREET
city State ZIP Code Company NAIC Number
ATLANTIC BEACH FLORIDA 32233 1
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REOUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* 0 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.Vl—V30, V(with BFE),AR,AR/A,AR/AE,AR/Al—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: SEE COMMENTS Vertical Datum: NAVQ 1988
Indicate elevation datum used for the elevations in items a)through h)below.
M, NGVD 1929 9 NAVD1988 0 OtherlSource:
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) 12.57 0 feet 0 meters
b)Top of the next higher floor N/A 0 feet 0 meters
c)Bottom of the lowest horizontal structural member(V Zones only) WA 1 0 feet 0 meters
d)Attached garage(top of slab) N[A 0 feet 17 meters
e)Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location on Comments) N/A 0 feet 0 meters
1)Lowest adjacent(finished grade next to building(LAG) ' 8.6 0 feet 0 meters'
g)Highest adjacent(finished)grade next to building(HAG) 9.6 0 feet 0 meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support N/A 0 feet 0 meters
SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,en,,'rr,or architect authorized by law to certify elevation information. I
rts
certify that the information on this Certificate represents my best e s to interpret the data available. I understand that any false
statementmay bepunishable by fine orimphsonment under 18 U.S, Code,Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? Z Yes 0 No 0 Check here if attachments.
Cartifier's Name License Number
JAMES D. HARRISON,JR. 2647
Title
REGISTERED LAND SURVEYOR
Company Name Pla
ALL AMERICAN SURVEYORS OF FLORIDA, INC.
Address
3751 SAN JOSE PLACE,SUITE 15 H e
City State ZIP Code
JACKSONVILLE FLORIDA 32257 1
Signature Date Telephone Ext.
904-279-0088
Copyallpapes
_ pfibis7EIevation C44i�f�ate ao"ll 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)
BENCHMARK:GPS OBSERVED FOR 300 EPOCH; SITE BENCHMARK: NAIL&DISK IN FRONT ON LOT; ELEVATION(9.05')NAVD
88.
ITEM A&LAT AND LONG DEPICTED FROM GOOGLE EARTH.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 2 of 6
ELEVATION CERTIFICATE OMB No. 1660-0008
Expiration Date-, November 30,2018
IMPORTANT:In these spaces,copy the correspgndinginformation 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:
320 10TH STREET
city State ZIP Code Company NAIC Number
ATLANTIC BEACH FLORIDA 32233 1
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(inclucling basement,
crawlspace,or enclosure)is N/A 0 feet 0 meters 0 above or 1:1 below the HAG.
b) Top of bottom floor(inclucling basement,
crawlspace,or enclosure)is NIA 0 feet M meters M above or 'I 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 or Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is N/A C3 feet 0 meters 0 above or 0 below the HAG.
E3.Attached garage(top of slab)is NIA 0 feet 0 meters 0 above or 0 below the HAG.
E4.Top of platform of machinery and/or equipment
servicing the building is N/A—0 feet C3 meters r7l above or 0 below the HAG.
ES.Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's
flGodplain management ordinance? 0 Yes 0 No 0 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
Coments
0 Check here it attachments.
FEMA Form OB&O-33(7/15) Replaces all previous editions. Page 3 of 6
ELEVATION CERTIFICATE OMB No. 1660-0008
Expiration Date: November 30,2018
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:
320 10TH 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.
G1. 0 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. 0 A community official completed Section E for a building located in Zone A(without a FEMA-issued orcommunity-issued
BFE)or Zone AO.
G3. [I Thefollowing information(items G4-G10) isprovided 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 0 Substantial Improvement
G8. Elevation of as-built lowest floor(including basement) 0. feet El meters Datum
of the building:
G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet ED meters Datum
G 10. Community's design flood elevation: 0 feet El meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments(including type of equipment and location, per C2(e), it applicable)
0 Check here if attach
FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 4 of 6
ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008
See Instructions for Item A6. Expiration Date:November 30,2018
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
320 10TH STREET
city State ZIP Code Company NAiG 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, R required, "Right Side View" and"Left Side
View.m 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.
7.M
:zv
Photo One Caption FRONT VIEW 5-16-2019
X9
InQ
.. ... .....
Photo Two Caption LEFT-SIDE VIEW 5-19-2019
FEMA Form 086-0-33(7/15) Replaces all previous editions, Page 5 of 6
ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS OMB No. 1660-0008
See Instrucfions for Item A6. Expiralion Date: November 30,2018
IMPORTANT: In these spaces,copy the carresEonding 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:
320 10TH STREET
City State ZIP Code Company NAIC Number
ATLANTIC BEACH FLORIDA 32233 1
If submitting more photographs than will fit on the preceding page,affix the additional photographs below. Identify all photographs with:
date taken;"Front V!eW'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.
............
Photo Three Caption RIGHT-SIDE VIEW 5-19-2019
"QA" ,
411
oto our Caption REAR VIEW (FROM LEFT) 5-19-2019
FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 6 of 6
7o 01;7NTIVR,
r)R
IONAL FLOOD INSURANCE PROGRAM
5 -W
0
4f
RVA
MARINA G z
-2
Alt
I 2T I i �,f
0
T FS
(V
A
74
Citv of Athifilic Beac
�Qs,pf4 'Y' Ti
A
r
7j 5 raw
K 1-Ye
t
t;
Q,R
16.4 n1w1v*W�11 Wx'".
'0
Im
1-71
4, Ile!
n
17003�,
i zONE 3QO w4K s+reef
AE
44V
f!tws:—tsan officla cow ofa portion ofthe abow te%vencedlood map, ft
al
F-MITOn-Una. This Map Ol not reflect changes
VMS extracted ulft
o or
rn�
r amendments Yftch may hwe been made subsequent to the date an the
title block. For the latest product information about National Road Insurance
5T il� it.
Program lood main check the FEFAA Flood Map Store at www.m*c Wins,