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620 Begonia Street ELEVATION 01.31.2020 Lor 1-7 62c NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE AND INSTRUCTIONS 2015 EDITION R F C ,P D JAN 31 2020 Building Department City of Atlantic 'oa�h, FL OMB No. 1660-0008 Expiration Date: November 30, 2018 U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and submitting this form. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA 20598-3005, Paperwork Reduction Project (1660-0008). NOTE: Do not send your completed form to this address. Privacy Act Statement Authority:Title 44 CFR§61.7 and 61.8. Principal Purpose(s): This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s):The information on this form may be disclosed as generally permitted under 5 U.S.C. §552a(b)of the Privacy Act of 1974, as amended. This includes using this information as necessary and authorized by the routine uses published in DHS/ FEMA-003— National Flood Insurance Program Files System or Records Notice 73 Fed. Reg. 77747 (December 19, 2008); DHS/ FEMA/NFIP/LOMA-1 —National Flood Insurance Program(NFIP) Letter of Map Amendment(LOMA) System of Records Notice 71 Fed. Reg. 7990(February 15, 2006); and upon written request,written consent, by agreement, or as required by law. Disclosure: The disclosure of information on this form is voluntary; however, failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance. Information will only be released as permitted by law. Purpose of the Elevation Certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances, to determine the proper insurance premium rate, and to support a request for a Letter of Map Amendment (LOMA) or Letter of Map Revision based on fill(LOMR-F). The Elevation Certificate is required in order to properly rate Post-FIRM buildings,which are buildings constructed after publication of the Flood Insurance Rate Map (FIRM), located in flood insurance Zones A1—A30, AE, AH, A(with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, and AR/AO. The Elevation Certificate is not required for Pre-FIRM buildings unless the building is being rated under the optional Post-FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information. The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However, the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request. A LOMA or LOMR-F request must be submitted with either a completed FEMA MT-EZ or MT-1 package, whichever is appropriate. This certificate is used only to certify building elevations. A separate certificate is required for floodproofing. Under the NFIP, non- residential buildings can be floodproofed up to or above the Base Flood Elevation (BFE).A floodproofed building is a building that has been designed and constructed to be watertight (substantially impermeable to floodwaters) below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements. The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non-residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at https://www.fema.gov/media-library/assets/documents/3539?id=1727. FEMA Form 086-0-33(Revised 7/15) Replaces all previous editions. F-053 . U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 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 Owners Name Policy Number: JOE HOLTON AND OLP HOMES A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 620 BEGONIA STREET City State ZIP Code ATLANTIC BEACH Florida 32233 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 4, BLOCK 138 ATLANTIC BEACH SEC"H" 170921-0000 A4. Building Use(e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 30 19 46 N Long. 81 25 27.58 W Horizontal Datum: ❑ NAD 1927 x❑ 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 1B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 0 sq ft b) Number of pe-manent 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? ❑x Yes ❑ No A9. For a building witi an attached garage a) Square footage of attached garage N/A sq ft b) Number of pe-manent 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? ❑X Yes ❑ No SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name& Community Number B2. County Name B3. State ATLANTIC BEACH & 120075 ATLANTIC BEACH Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood 89. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12031C0408 J 6.3.2013 11.2.2018 "AE" 6.0 FT B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9: ❑ FIS Profile j FIRM ❑Community Determined ❑ Other/Source: 811. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form F'age 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, ar.d/or Bldg. No.)or P.O. Route end Box No. Policy Number: 620 BEGONIA STREET 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 Elevatior 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, 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: FDOT CORS NETWORK 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, crawlspace, or enclosure floor) 8.55 ❑x feet ❑ meters b) Top of the next higher floor N/A ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑X feet ❑ meters d) Attached garage(top of slab) N/A ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building N/A feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6.0 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 6.1 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation o'deck or stairs, including structural support 5.0 ❑x 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 imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor'? 0 Yes ❑No ❑x Check here if attachments Certifier's Name License Number DARYL BANKS PSM 6063 Title 4� PcdL.S. Bq4 41, PRESIDENT r`Q Geese Nu�'6 S '4 Company Name f J 6063 ° y BANKS& BANKS CONSULTING •• i Address �� O STATEF g`; 0 FLORIDA Q.: 83 W 9TH STREET I�ss, 41; CityState BEACH Florida a 32233 Code ,'I Z%••``� ATLANTIC � Signature Date Telephone Ext. DARYL BANKS '1 ' ?C-Ni 1.31.2020 9046852800 Comments(including type of equipment and location, per C2(e), if applicable) CONTACT EMAIL= INFO@BANKS.LAND ATTACHED FIRMETTE----CURRENT CONDITIONS FOOTERS(EL-5.0 FT)NOT POURED AND FORMS(8.55 FT) GPS UNIT CHAMPION TKO PHOTOS TAKEN 1-31-2020 FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 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 Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 620 BEGONIA STREET 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 El—E4, use natural grade, if available Check the measurement used. In Puerto Rico only. enter meters. El. Provide elevation nformation for the following and check the appropriate boxes:o 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 El meters ❑ above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace, 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 ❑ ❑above or ❑below the HAG. E3. Attached garage(:op 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 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. —he statements in Sections A, B, and E are correct to the best of my knowledge. Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1 Expiration Date:ate: 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: 620 BEGONIA 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. Gi. ❑ 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 informat on. (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. G3. ❑ The following information(Items G4—G10)is provided 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 ❑ Substantial Improvement G8. Elevation of as-bailt lowest floor(including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet [] meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No 1660-0008 ELEVATION CERTIFICATE 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, ard/or Bldg. No.)or P.O Route and Box No. Policy Number: 620 BEGONIA STREET City State ZIP Code Company NAIC 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, 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, If submitting more photographs than will fit on this page, use the Continuation Page. N. Av. r ` 1"1184‘'*gwpwmoirqopahViNWVIIKNOP 4111411401.00000.'" � k.. * t %M r!i•. • • Photo One Caption FRONT OF FORMS AND FOOTER 1/31/2020 a / • • • Photo Two Photo Two Caption 5UU 1 N SIDE UF- 1-01{M 1/S1I1U2U FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 . BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page 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: 620 BEGONIA STREET City State ZIP Code Company NAIC Number ATLANTIC BEACH Florida 32233 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. Y : I / 1 i . �. J 1 '. S ,' 7 1 til . ' +, N. • 14Pill ' j014144, ''''- it. sem .- '. s ' 1/40 • Photo Three Caption BACK OF FORMS AND FOOTERS FROM WEST SIDE 1/31/2020 iR.:-!ler `i • . , .0,,,, f ." I I .,ice ALR ler`!-C 'z, t ' "N'`• q Ili -,Alk,- ,' to r ',, �-- es ,_ - i . ....„- . _ „..e..-.„,;.. - , Photo Four Caption BACK OF FORMS FACING EAST 1/31/2020 FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6 National Flood Hazard Layer FIRMette ; -I. ,, a, Legend 30'201.01N SEE FIS REPORT FDR DETAILED LEGEND ANO INDEX MAP FOR FIRM PANEL LAYOUT w 1 Without Base Flood Elevation(BFE) OAS�;TAL FLOODPLAIN ' �, InoeA.V.A99 � � ,....^•"-'--- COASTAL F LOOD PLAIN 2: T .L >C'F L -.if d SPECIAL FLOOD' With BFE or Depth zone AF,A°.AN VF AR E LT5 F <t r =— if-5774.E `---- �"".. 4 — HAZARD AREAS Regulatory Floodway (ELr6�F}eet) ,� ` '--'' ' F L . f , , , • { CO�ASTAL�FLOODPLAIN ` " 8 0.2%Annual Chance Flood Hazard.Areas 1 w~,.� � } y #- of 1%annual chance flood with average \A Z[:it depth p h less than one foot cr with drainage ,, (EL 7 Feet)f__- `-� (�/ areas of less than one square mile • - ` ( s - Future Conditions 1%Annual - ':.• ... .,.., r_ - •) )) Jir n _ Chance Flood Hazard Area with Reduced Flood Risk due to _ ' OTHER AREAS OF Levee.See Notes.'tie ra COASTAL`'FLOODPLAIN - Zi"..,;;,' �` ` N ^. I . FLOOD HAZARD Area with Flood Risk due:o Levee . ,..IEL 7FAetl �I I r 11 '1414 4' / !Wt } • lr " I:O SCREEN Area of Minimal Flood Hazard , " • § IM Effective LOMRs Al y T .*" '4 OTHER AREAS Area of Undetermined Flood Hazard I yam" GENERAL Channel,Culvert.or Storm Sewer "' $ - a r , �F STRUCTURES 1 1 1 1 1 1 1 Levee,Dike.or Floodwall • N �7 r 1 1 r (L OF ATL.NN rI(a 4BF.A�e'I ,4 1, ,.x . 20'2 Cross Sections with 1%Annual Chance '1 I - tl, l 1`1 t t` L7 L: I yl; ��["���!!! 17-5 Water Surface Elevation 1200-'5 7 i �.r Coastal Transect _... .„ __ Base Flood ElevationFE Line(BFE) .... Limit of Study '�'---•-. i:,OASIT'L FLOODPLTA IN . - 'xi Jurisdiction Boundary ., ZO ne AE '9 � t 3k ------ Coastal Transect Baseline (Eb°u 'r ar, OTHER - COASTAL FLOF.'C PLAIN0 l l "` FEATURES — Baseline T2S R2`IE SNF' , C * , Hydrographic Feature z`:'`'L '` t�R tt COA' ' LAIN _..) ,.: i t GEMJ.1( E�St-)IV�"fL�['I' 'E •`• I c-: ,..41-- , Digital Data Available .CL -FaPt) j °' ', z{ JJNo Digital Data Available 4- ma . .., MAP PANELS Un peed J w► IThe pin displayed on the map is an approximate , .,, ..:. At__ i - I' point selected by the user and does not represent ( 4,ot: ,l ("- , {F *it , f an authoritative property location. This map com FEMA's standars for the e ((— f r+.,, digital flocd mapssif it with is not void as described below. of � " Yr '..;y i -r ., 4"Al, I ,. ,w,: The basemap shown complies with FEMA's basemap �' tj} E y ` accuracy standards +a, f The flood hazard information is derived directly from the . ok map .., . ..,, ,:.....,F._. _ „,_ 0...::. :. COASTAL FLOODPLAIN '` ''''.' - ( I was expor[_edonH1'31b20 services Myanddceslno ^•+ ' '� '� .�. - y, „ reflect changes or amendments subsequent to this date and ,: � - .., .. � � time.The NFHL and effective information may change or (EL 7 Feet) n N superseded by new data over time. .' - ,.,T2r R2C -- ,y, , 1 Icy _o This map image is void if the one or more ofthe following map _ a .4.4.- t y O1 elements do not appear:basemap imagery,flood zone labels, .1 .•er Data refreshe.i [��GS.li'1- .'I� •• •f •i )+ _0,2019 � legend,scale bar,map creation date,community identifiers. 1 FIRM panel number,and FIRM effective date.Map images for Feet 1:6 000 31.'19'29.96"N unmapped and unmodernized areas cannot be used for 0 250 500 1,000 1,500 2,000 regulatory purposes.