HomeMy WebLinkAbout161-131 S. Compass Way U.S.'DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency OMB No. 1660-0008
National Flood Insurance Program Expiration Date:November 30,2018
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—PttOPERTY INFORMATION F
Al. Building Owner's Name OR INSURANCE COMPANY USE
Dania Live 1748 LLC Policy Number:
A2. Building Street Address(including Apt;Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No Company NAIC Number.
161-131 South Compass Way
Cdy State ZIP Code
Dania Beach Florida
33004
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
Tax Parcel#5042-33-59-0060
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) Commercial
A5. Latitude/Longitude: Lat. 26 02 58.21 Long. -80 09 31.37 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 1 B
A8. For a building with a crawlspace or enoosure(s):
a) Square footage of crawlspace or enelosure(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/A
c) Total net area of flood openings in Aj3.b WA sq in
d) Engineered flood openings? ❑*s AI 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 N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑Yes ❑x No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Dumber4B7. FIRM
County Name B3. State
City of Dania Beach 120034 ward Florida
B4.Map/Panel B5.Suffix B6. FIRM Indexanel B8.Flood 69.Base Flood Elevation s)
Number Date / Zones) (Zone AO,use Base Flood Depth)
Revised Date
12011CO566H H 08-18 2014 08-18-2014 X,AE 4'(88)
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69:
❑ FIS Profile ❑x FIRM ❑Community Determined ❑Other/Source:
B11. Indicate elevation datum used for BFE�n Item 139: ❑ NGVD 1929 Z 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
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FEMA Form 086-0-33(7/15) Replaces all previous editions.
Form Page 1 of 6
ELEVATION CERTIFICATE OMB No.1660-0008
Expiration Date:Novembor 30,2018
IMPORTANT:,In these spaces,copy the c pondin9 information from Section A.
FOR INSURANCE COM ANY USE Building Street Address(including Apt.,UnitISuite,and/or Bldg.No.)or P.O.Route and Box No. Policy Humber.
161-131 South Compass Way
City State ZIP Code Company NAIC Number
Dania Beach Florida 33004
SECTION C-1311ILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: Construction Drawings* ❑Building Under Construction
*A new Elevation Certificate will be required when construction of the building is complete. Finished Conatnict�n
C2. Elevations-Zones Al A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,ARIA,AR/AE,AR/A1 A30,AR/AH,
A�2/AC�
Complete Items C2:a-h below according to the building diagram specified in Item ATIn Puerto Rico only,enter meters.
Benchmark Utilized: Broward County BM 1798 Vertical Datum: 11.27 NAVD
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,crawispace,or enclosure floor) 5.97 ❑x feet ❑ meters
b) Top of the next higher floor N/A ❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters
d) Attached garage(top of slab) NIA ❑ fee# ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 6.A7 x❑ feet ❑ meters
f) Lowest adjacent(finished)grade net t to building(LAG) 5.18 x❑ feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 6.52 x❑ feet ❑ metiers
h) Lowest adjacent grade at lowest eloation of deck or stairs,including
structural support N/A ❑ feet ❑ metes
SECTION D RVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed y a land surveyor,engineer,or architect authorized by law to certify elevation inf. limn.
I cedffy that the information on this Certificailo represents my best efforts to interpret the data available.I understand lust any f lse
statement may be punishable by fine or im sonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section Prolnded by licensed land surveyor? X Yes ❑No ❑Check here if attachynent#.
Certifler's Name License Number
James W.Quartet LS 6032
Title
Senior Project Surveyor
Company Name Y
Carnahan, Proctor&Cross, Inca(CPC) e
Address
814 S.Military Highway
City.
State ZIP Code
Deerfield Beach Florida 33442I I Here.
Signature Date Telephone Ext.
-J
(321)279-0124
ai oA�if th C cate an�at[a is for(1 community official,(2)insurance agent/company,and(3)build owner.
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isCOW (Including-WPe of equipment and iocation,per C2(e},if app6caExe)
E)Air conditioning units on roof
Outside Electric Panel Pad Elev.6.47
LAT and LONG determined from GPS observations at building site.State Plane coordinates were converted to Let and Longi using
CORPSCON conversion.program. I
Broward County Benchmark#1798 is based on North American Vertical Datum(NAVD)198$
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FEMA Form 086-0-33(7/15) Replaces all previous editions. Form e 2 of 6
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ELEVATION CERTIFICATE OMB No. 1660-0008
Expiration Date:Novembr r 30,2018
IMPORTANT:In these spaces,copy the ccrresponding information from Section A.
FOR Building Street Address(including Apt.,Unit,�Suite,and/> r Bldg.No.)or P.O. Route and Box'No•
161-131 South Compass Way Policy NumbeNCE COM ANY USE
City State ZIP Code
Dania Beach Company NAIC Number
Florida 33004
SECTION E—BUI DING ELEVATION INFORMATION(SURVEY NOT REQUIRED)
MR 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 E1-;&,use natural grade,if available.Check the measurement used. In Puerto Rico 40nly,
enter meters.
E1. Provide.elevation information for the following and check the appropriate ro rate 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
b) Top of bottom floor(including basement, feet El meters above or ❑belowhe HAG.
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 I nstrudtions),
the next higher floor(elevation C2.b in
the diagrams)of the building is ❑feet
❑meters ❑above or D below the H�G.
E3. Attached garage(top of slab)is ❑feet
❑meters ❑above or below the H�G.
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 i available,is the top of the bottom floor elevated in accordance with the communi 's
floodplain management ordinance? . �,Yes ❑'No ❑ Unknown. The local official must certify this information in Setion G.
SECTION F PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized re esentative who completes Sections A,B,and E for Zone A(without a FEMA-Issue or
community-issued BFE)or Zone AO must sig�here.The statements in Sections A,B,and E are correct to the best of my knowl ge.
Property Owner orOwnees Authorized Repreeentative's Name
i
Address City State ZIP C
Signature Date Telephone
Comments
Check here if attachinent .
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Pge 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:
161-131 South Compass Way
City State ZIP Code Company NAIC Number
Dania Beach Florida 33004
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 elel atiorl 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-issu BF�)
or Zone AO.
G3. ❑ The following information(Items G¢-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(includi ing 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 iDate
i
Comments(including type of equipment and location,per C2(e),if applicable)
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❑ Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions.
Form Page 4 of 6
BUILDING PHOTOGRAPHS
ELEVATION CERTIFICATE See instructions for Item A6. OMB No.1660-0008
Expiration Date:November 30,2018
IMPORTANT:in these spaces,copy the ponding Inforrnatlon from Section A. FOR INSURANCE COMPANY USE
Building Street Address(liduding Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number:
161-131 South Compass Way
city State ZIP Code Company NAIC Number
Dania Beach Florida 33004
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 Vew-;and,if required,-tight Side Vj�w"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood opeiings or
vents,as indicated in Section A8.If submi##o more photographs than will fit on this page;use the Continuation Page.
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Photo One Caption FRONT SOUTH SIDE 6-12-18)
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Photo Two Caption REAR WEST SIDE(6-1 -18)
FEMA Form 086-0-33(7/15) Re
places all previous editions. Form P e 5 of 6
BUILDING PHOTOGRAPHS
OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date:November' 2018
IMPORTANT:in these spaces."copy the co 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:
161-131 South Compass Way
City State ZIP Code Company NAIC Number
Dania Beach Florida 33004
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'Fepresentative examples of the flood openings or vents,as indicated in Section A8.
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"PIIObThflf
Photo Three Caption SOUTH SIDE(6-12-18
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NR
Photo Four
Photo Four Caption NORTH SIDE(6-12-18)
FEMA form 086-0-33(7/15) Replaces all previous editions. form Oage 15 of 6