Loading...
HomeMy WebLinkAbout1201 Stirling Rd U.S. DEPARTMENT OF HOMELAND SECURITY li,�VATION CERTIFICATE OMB No. 1660-0�08 Federai Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name WEST CONSTRUCTION Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number 1201 STIRLING ROAD City DANIA BEACH State FL ZIP Code 33020 Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) 4-51-42 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat. N.26°02'53.95" Long.W.80*09'06.14" Horizontal Datum: ❑ NAD 1927 ® NAD 19$3 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage 15000 sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number IROWARD 2.County Name B3. State CITY OF DANIA BEACH 120034 _ FLORIDA B4. Map/Panel Number B5.Suffix B6. FIRM Index B7. FIRM Panel B8.Flood B9, Base Flood Elevation(s)(Zone 120034 0308 F Date Effective/Revised Date Zone(s) AO, use base flood depth) 10-02-97 08-18-92 AE 7 FEET 610. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile M FIRM ❑ Community Determined ❑ Other(Describe)_ B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. 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) Cl. 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,AR/A1-A30,AR/AH,AR/AO. Complete Items 2.a- below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized "SEE COMMENTS" Vertical Datum 6.36 NGVD 1929 Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)8.5 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor N/A. El feet El meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 8_5. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 8.4 ®feet ❑ meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.0 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 8.5 ®feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A. ❑feet ❑meters(Puerto Rico only) 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available.) �0`�! understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code. Section 1001.® `,aL aG A g� Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �� ��i•,.. . .•y +a r� O o licensed land surveyor? ® Yes ❑ No Q '•i2Z I lC 'A Certifier's Name ROBERT A. BUGGEE License Number 3302 T � V NO.i 102 \A` Title SURVEYOR/MAPPER Company Name BOB BUGGEE, INC. o � STATE OF i u"' Addre 233 GATEW LVD. City BOYNTON BEACH State FL ZIP Code 33435 �';•••.�ZORIOP;.�,*?� P Signatu Date 07-07-10 Telephone 561-732-7877 FEMA Form 81-31, Mar 09 See reverse side for continuation. Ranlacac all nn-xiin,< o++ IMPORTANT: In these spaces, c he corresponding information from Sectioi For Insurance Company Us>,: Building Street Address(including Apt.. Unit,Suite.. and/or Bldg. No.)or P.C. Route and Box No. 1201 STIRLING ROAD Policy Number City DANIA BEACH State FL ZIP Code 33020 —-- -- Company NAIC Number 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 MACHINERY-TOP OF AIR CONDITIONER PAD AND GENERATOR ELEVATION 8.4 FEET BENCHMARK-NORTHWEST PROPERTY CORNER CATCH BASIN ELEVATION 6.36 FEET NGVD 1929 LAT/LONG-HAND HELD GPS UNIT Signature ——------- f,y Date SECTION E BUILDING ELEVATION IN n El Check here if attachments TION (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(including basement,crawlspace,or enclosure)is b)Top of bottom floor(including basement,crawlspace,or enclosure)is El feet El meters El above or❑below the HAG. ❑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 E3. Attached garage(top of slab)is ❑above or ❑below the HAG. ❑feet ❑meters El above or El below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is El feet El meters El above or El 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 ElUnknown. 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. 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 ROBERT A. BUGGEE Address 233 E. GATEWAY BLVD. City BOYNTON BEACH State FL ZIP Code 33435 Signature Date 07-06-10 Telephone 561-732-7877 Comments -- - SECTION G -COMMUNITY INFORMATION (OPTIONAL) ❑Check here if attachments 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 and G9. 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. 64. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: El New Construction ❑Substantial Improvement G8. Elevation of as-built!wrest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet El meters(PR)Datum G10.Community's design flood elevation E]feet ❑meters(PR)Datum Local Official's Name Title Community Name Telephone Signature - Date Comments --—— -- -- — ❑Check here if attachments FEMA Form 81-31, Mar 09