HomeMy WebLinkAbout200 NE 2 Ave DANIA BEACH SEA IT.LIVE IT.LOVE IT. Wir to of'Review for Accuracy and Gompleuoiit Thie.aftached"FEM 4..Elewat on pert fieate has ee�ire,1e -dby this office. Thc.46m Hated below =iaot oorrect on the iftthed form and should read as entered on otitis Page, -SE.CT16 N A--;,.PRQPERTY INFORMAfiION Al. Building Owner's Name. fit.y is s [ a .:,_ ..c,.r. .e. A2. Build44-Street Add ess(including Apt.,Unit,Suite,and/or Bldg.No,j or P.O.Route and Box No. Z00 I 2 Avenue 7Eitp_ State ZIP Code A3: Praperty Description(Lot and f3lopktdumbers,Tax_Parcel Numbe Legal Description,etc.) Buuilding Use(e g.,Residential,Non-Residential;Add(tion„Accessory,eto.) -- A5. Latitu'd[e/Longitude:Lat. Long. Honzontai Datum: ❑NAD 1927 ❑NAg'1988 A6 Attach at ieast.2 photographs.'of floe building if`the Certificate Is'being uaed to obtain flood insurance.. AT Butfd;eg diagram Number A8. For a.bui)d61 with a crawlspace or enc(osure(s): A9.For a building with an attached garage: a) square fooiage,of crawispace or enclosures) sq ft a),.Square footage,df attached garage sq ft b) No._of perrrianent.tlood openings in:the crawlspace or b) Number of permanent flood openiTT$a:Inthe attached garage enc ospre(s)within-l.0 foot above adjacent-grade within 1:0 footabove adjacent grade c) Iat l net area of flood openings In A$:b sq in .ay. T041 net area offlgAd openings in;/t9.b sq in d): d) Engmeefedlodd operrings"t 0 Ilea ❑No SECTION B.-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B:1.NOP Commurity Name•&"Community Number B2.County.Name, B3 State 64. Map/Panel Number B5:S"affix, B6..FIRM Index Date B7. FIRM Panel Effective/ B$.Flood Zones) B9,.Base Flood Elevations)(Zone Revised Date Ao.use base flood depth) 08-18-92 f310:lndite the source of the Base Flood Elevation'(BFE")data or base fiodd depth entered In Item 99: ❑FIS=Profile ❑l7RIu1 ❑.Community Determined ❑other/Sources Bd .Indicate elevation datum used for BFE in Item f39 ❑CVCxVD 1929. ]NAVD 1988 ❑Other/Source: . 81'2 Is the.:building located in a Poastal Bardei Resources 5ystem.(CB10S)area or.Otherwise Protected Area(OPA)? El Y.er, []No Designation Dater /_ / ❑`CBRS ❑OPA SECTION C-6.0ILDING EuNATI'ok INFORMATION (SURVV REQUIRED) G . Budding elevations are based on: ❑Construction Drawings* Q Builiding Under Construction- ❑Finished Construction *A new Elevation Certificate will.be required when construction of the building is complete Loval of`hciais ivame Eleanor Morena ------ Titte:Communit---T3ev-eto mend e—r tio�-NTan� er--- Y P 9 Community Name City of Dania Beach relephare (954) 924-6805 x3645 Signature; Date p I O l a Comments 1 O Correction to B7 i U.S.DEPARTMENT OF HOMELAND SECURITY tLtVA I IVN UtK 1 WIL.A I It p�{g No. 1660-0008 FEPERA,EMERGENCY MANAGEMENT AGENCY Expiration Date: July 31, 2�15 :aL: ,;F,00a:nst�.anceProoran important: Read the instructions on pages 1-9. r SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: 52. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIL Number. 200 NE 2"o AVENUE City DANIA BEACH State FL ZIP Code 33004 A3, Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description..etc.) '— LOT 13, BLOCK 1,FLORIDA VILLAGE HEIGHTS,P.B.89, PG.22, B C R. A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory, etc.)RESIDENTIAL A5 Latitude/longitude:Lat. 26^03"21"W Long.80^08"29' Horizontal Datum: ❑ NAD 1927 0 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 A9. For a building with an attached garage: A8 For a building with a crawispace or enclosure(s): g a) Square footage of attached garage 528 sq ft a) Square footage of crawlspace or enclosure(s) NA sq ft b) wumtrer of permanent flood openings in the attached garage b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? El Yes ® No d) Engineered flood openings? El Yes ® No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1 NFIP Community Name&Community Number B2.County Name 1 B3. State DANIA BEACH 120034 BROWARD ! FLORIDA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel 88. Flood B9 Base Flood Elevation(s)(Zone 12011 C 0309 F 8/18/92 f Effective/Revised Date Zane(s) AO,use base flood depth) 10/02/97 A 7' 810 Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile ® FiRM ❑ Community Determined ❑ Other/Source: 811 indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: 312 Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1 Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® 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,V1—V30,V(with BFE),AR,AR/A,AR/AE,ARIAI—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: Indicate elevation datum used for the elevations in items a)through h)below. ® NGVD 1929 0 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) 8.45 ®feet ❑meters b) Top of the next higher floor NA. ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) NA. ❑feet ❑meters d) Attached garage(top of slab) 7.45 ®feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 7.75 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 7.3 ®feet meters g) Highest adjacent(finished)grade next to building(HAG) 7,75 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support ❑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 r----+� information.i certify that the information on this Certificate represents my best efforts to interpret the data available. understand that any raise statement may be punishable by fate or imprisonment under 18 U.S. Code, Section 1001 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided tr.a .� ❑ Check here if attachments. licensed land surveyor? Yes ❑ Na d{. (" rw,. -- Certifier`s Name ERNEST W.DUNCAN License Number 5182 Title LAND SURVEYOR Company Name ERNEST DUNCAN,P S.M.5182 Address 521 SE 5T"COURT City POMPANO BEACH State FL ZIP Code 33060 Signature Date 31&14 Telephone 754 264 2166 Li ~! IMPOPTANT: in these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE dui*ng Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P O.Route and Box No. Policy Number: ^,0 NE 2'AVENIJE City DANIA BEACH State FL ZIP Code 33004 Company NAIC Number: SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2) insurance agenticompany, and(3)building owner. Comments A5)GOOGLE EARTH C2e)AIR CONDITIONER BENCHMARK-RIM OF MANHOLE AT INTERSECTION OF NE 2N0 AVE& NE 2"0 PLACE Signature Date 3i6;14 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,B. and C For Items E1—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,crawlspace,or enclosure)is _._ ❑feet ❑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 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3 Attached garage(top 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 communty-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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑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—G10)is provided for community floodplain management purposes. 1 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: ❑feet ❑meters Datum G10. Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Commerits ❑Check here if attachments.