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HomeMy WebLinkAbout50 S Bryan Rd U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY mtionol Flood Insurance Program IMPORTANT:Follow the instructions on pages 1-9. expiration Date.July 31, 2015 SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name NV MARINA HOLDINGS LLC Policy Number: A2. Building S rBRYANssR(in1cll©ing Apt.,Unit,Suite,and/or Bldg.No.)or P0.Route and Box.No. Company NAIC Number: 50 S City DANIA BEACHC3 State FL ZIP Code 33004 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) PARCEL A"CLARK SUBDIVISION",P.B. 101,PG.32,B.C.R. A4. Building Use(e.g.,Residential,Non-Residential,Addition,:Accessory,etc.) NON-RESIDENTIAL A5. Latitude/Longitude:Lat. 96 ll51 R Long. -80.1557 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 1R A8. For a building with la crawlspace or enclosure(s): d A9.For a building with an attached garage: a) Square footage of crawispace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawlspace or 0 b) Number of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes N No d) Engineered flood openings? ❑Yes NNo SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B!. NAP Community Name&Community Number B2.County Name I BB3.State DANIA BEACH 120034 BROWARD 84. Map/Panel Number B5.Suffix 86.FiRM Index Date 87.FIRM Panel Effective/ 88. Flood Zone(s) 69.Base Flood Elevation(s)(Zone Revised Date AO,use base flood depth) 12011C 0308 F 10/02/1997 08/18/1992 AE 5.49 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑AS Profile EI FiRM ❑Community Determined ❑Other/Source: 811.Indicate elevation datum used for BFE in Item B9: ❑NGVD 1929 ®NAVD 1988 ❑Other/Source: 612.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes N No Designation Date: / / ❑CBRS ❑OPA • SECTION C-B iliti NG ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* 0 Building Under Construction* N 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: BCBM#1798 ELEV=11.36' Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 IR 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(including basement,crawlspace,or enclosure floor) 6 . 5 N feet 0 meters b) Top of the next higher floor 19 . 5 6N feet 0 meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A . N feet 0 meters d) Attached garage(top of slab) N/A . N feet 0 meters e) Lowest elevation of machinery or equipment servicing the building N/A . Z feet ❑meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 5 _ 9 N feet 0 meters g) Highest adjacent(finished)grade next to building(HAG) 6 . 0 XI feet El meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including 6 . 4 EI feet 0 meters 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.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. ❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a y' E Check here if attachments. licensed land surveyor? N Yes ❑No (/f_ Certifie's Name License Number l�3 RICHARD E COUSINS (4188 I ,M w( Title Company Name I ?�l' f . 4-1 I '(a LAND SURVEYOR&MAPPER I COUSINS SURVEYORS&ASSOCIATES,INC Address City State ZIP Code O` 3921 SW 47 T H AVENUE,SUITE 1011 I DAVIE I FLU 33314 4 SignatureVI, rs /7 w�J pate Telephone - 'L �-� 111/06/2013 I(954)689 7766 /// FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 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: 50 S BRYAN ROAD City State ZIP Code Company NAIC Number: DANIA BEACH FL 33004 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 BENCHMARK USED:BROWARD COUNTY BENCHMARK#1798. ELEV=11.36`(NAVD1988)-(12.87'NGVD29).LATITUDE AND LONGITUDE WAS OBTAINED BY OUR GPS STREET FINDER INSTALLED IN OUR TRUCKS AND VERIFIED BY THE GOOGLE;EARTH PROGRAM. FIELD SURVEY DATUM USED IS SAME AS DATUM USED FOR BFE IN ITEM B9,NO CONVERSION NEEDED. Signature94.4004.0., Date -....� _ 11106t2013 SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A(without BEE),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(including basement,crawispace,or enclosure)is 0 feet ❑meters Cl above or 0 below the HAG. b)Top of bottom floor(including basement,crawispace,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 8-9 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3.Attached garage(top of slab)is 0 feet 0 meters ❑above or 0 below the HAG. E4.Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 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 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 FEM4-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 myknbivledge. - Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments 0 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 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—G9)is provided for community floodplain management purposes. G4. Permit Number I G5.Date Permit Issued I G6.Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet 0 meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet ❑meters Datum G1O.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. (186-C-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs - See Instructions for Item AS. 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: 50 S BRYAN ROAD CITY State FL ZIP Code Company NAIC Number: DANIA BEACH FL 33004 4 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for {tam AS. 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. ;. i 1 i ti III 1 41,.\-;.\ - _ 'ice - - t k ' -4. • • ye i \ , \\Ii DATE TAKEN 11/06/13 i I ;{ I _ t ,. ;_ 3 .,- _ ., � DATE TAKEN 11/06/13 - FEMA Form 086-0-33(7/12) Replaces all previous editions.