HomeMy WebLinkAbout37 SW 8 Ave (2) U.S.,DEPARTMENT OF HOMELAN[CURITY OMB Na 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)bulking owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number. WRIGHT A2. Building Street Address(induding Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 37 SW 8TH AVENUE City State ZIP Code DANIA BEACH Florida 33304 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 9 BLOCK 1 HENRY PARK A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENCE A5. Latitude/Longitude: Lat 26.1213 Long.-80.1516 Horizontal Datum: ❑NAD 1927 Ei NAD 1988 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 endosure(s): a) Square footage of crawlspace or endosure(s) N/A sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/3A c) Total net area of flood openings in A8.b N/A sq in d) Engineered flood openings? 0 Yes Z No A9.For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? 0 Yes ® No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61.NFIP Community Name&Community Number B2.County Name B3. State 120034 DANIA BEACH BROWARD Florida B4.Map/Panel B5.Suffix 86. FIRM Index B7.FIRM Panel B8.Flood Zone(s) B9.Base Flood Elevation(g) Number Date Effective/ (?Zone AO,use Base Revised Date Flood DePth) 12011C0567 H 08/18/2014 08/18/2014 X&AH 0.2 PCT&6 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89: 0 FIS Profile ® FIRM ❑Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: 1312. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 . 1 ` , ' ELEVATION CERTIFICATE OMB No. Da e:November Expiration Date:November 30,2018 IMPORTANT:In these spaces,copy the uoiresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(induding Apt,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 37 SW 8TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33304 i SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ®Finished Consthrctidn *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,Aift/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized: FORT LAUDERDALE BENCH Vertical Datum:1988 Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 ® NAVD 1988 0 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(induding basement crawispace,or enclosure floor) 7.2 121 feet ❑ meters b) Top of the next higher floor N/A. E❑ feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. 0 feet 0 meters d) Attached garage(top of slab) N/A. ❑E feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 7. 2 X❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6. 5 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 6.6 0 feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,induding 6.8 0 feet ❑ meters structural support SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION I 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 maybe 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? ®Yes 0 No 0 Ch a if attachment's. 12....„-- Certifiers Name License Number HARRY A BURGESS 5089 Title LAND SURVEYOR Company Name ace RENNER BURGESS 1N Seal Here Address 801 SE 6TH AVE SUITE 101 City State ZIP Code /3E B HFlorida33483L��DateTelephone C� Q5/31/2017 (561)243-4624 all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. ments(including type of equipment and location,per C2(e),if applicable) GPS RECIEVER BENCH=FORT LAUDERDALE BM No 179 ELEV 6.02 NAVD FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. Date:Nob Expiration Date:November 30,2018 IMPORTANT:in these spaces,copy the Ong 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. 37 SW 8TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33304 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(induding basement, crawlspace,or endosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or endosure)is 0 feet ❑meters ❑above or 0 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 ❑meters ❑above or 0 below the HAG. E3. Attached gage(top of slab)is ❑feet 0 meters ❑above or 0 below tore HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet 0 meters 0 above or 0 below tee 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 ❑ No ❑ Unknown. The local official must certify this information in Sction 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-issuedor community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowldge. Property Owner or Owner's Authorized Representative's Name 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 • 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. 37 SW 8TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33304 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 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-built lowest floor(including basement) of the building: • ❑feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: Elfeet ❑ meters Datum G10. Community's design flood elevation: ❑feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date 1 t Comments(including type of equipment and location,per C2(e),if applicable) I � ❑ 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 pate:November 30,2018 IMPORTANT:in these the con espondlng on lion 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. 37 SW 8TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33304 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according b the instructions for Item A6.Identify ap p otographs with date taken;"Front View"and"Rear VAN;and,if required,"Rift Side Mein"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. S v.4 S 4 Photo One Photo One Caption RIGHT view 5-30-2017 Photo Two Photo Two Caption FRONT view 5-30-2017 FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 `-� BUILDING PHOTOGRAPHS `"d OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date:November 30,2018 IMPORTANT:In these spaces,copy the corresponding htfonnalion from Section A. FOR INSURANCE COMPANY USE Building Street Address(induding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 37 SW 8TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33304 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front Yew" 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. • a r Photo One Photo One Caption REAR view 5-30-2017 -f • .ate Yam„ J W. Photo Two Photo Two Caption LEFT view 5-30-2017 FEMA Form 086-0-33(7/15) Replaces all previous editions. 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