HomeMy WebLinkAbout1416 Argonaut Isle i ICI.&DEP0,T tTOFHOMELMDSE Y ELEVATION CERTIFICATE F c.EMERGENCY MANAGBfENT AGENCY C)MB No. �660-0008 A"atr�xl Flood lnv4 ar ee Program Important: Read the instructions on pages 1-9. Exptration Date_July 31, 2�1, SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPAN7SE I At, Building Owner's Name Policy Numbret A2, Building Street Address(including Apt.,Unit,Suite,and/or Bldg,No.)or P.G.Route and Box No. Company NAIC Number 1416 ARGONAUT ISLE City DANIA BEACH State FL ZIP Code 33004 A3. 0ropeny 0escriptton(Lot and Block Numbers,Tax Parcei Number,Legal Description. -) LOT 23.BLOCK,FLORIAN ISLES 3eo SECTION,P.S.59,PG,37,8.C,R A4_ Building Use(e.g.„Residential,Tan-Residential,Addition,Access",etc.)RE51 ENTIAL AS, Latitude/Longitude:Lat,26*tD3'"2l Wa Long.80A08'29"' Horizontal Datum: ❑ NA 1927 ® NAD 19&: A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.. AT Building Diagram Number 'I-B AB. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of craw*me or endOsure(s) NAN sq It a) Square footage of attached garage o sq ft b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage or eincIosure(s)within 1,0 foot above adjacent grade NA within 1.0 foot above adjacent grade Q c) Total net area of flood openings in AB.b &A sq in c) Total net area of flood openings In A9-b 0 c q in d) Engineered flood openings? ❑ Yes 0 No d) Engineered flood openings? 0 'des E, No SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name 8 Community Number 82-County Name B3.State DANIA BEACH 120034 BRO ARD FLORIDA 84,Map/Panel Number B5, Suffix B6.FIRM Index Hate B7.FIRM Panel 818. Flood 89 Base Flood Elevatio0s)(Zone 12011 C 0308 F 811"2 EffeadiveiRevised Date Zane(s) Aft,use base flood depth) 10102,197 A E 7' 840 Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered In Item 89. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ CltherlSource 811 Indicate elevation datum used for BFE In Item : 0 NGVD 1929 ❑ NAVD 1988 ❑ OtheriSource. . ._. _ B11 is the building located in a Coastal Barrier Resources System(CSRS)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! ❑ Constriction 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,,obi,A(with BFE),VE,VI-V30,V(with BFE),AR,ARJA,ARIAS,AR/Al-A ,AR,AH,ARIAO-Complete items C2.a--h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters. Benchmark utilized:SEE COMMENTS Vertical Datum: Indicate elevation datum used for the elevations in item a)through h)below, ®N VD 1929 0 NAVD 1988 ❑Other_iSour : Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of boom floor(including basement,crawispace,or enclosure floor) Ho ®'feet ❑meters b)Top of the next higher floor la,QQ ®feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) NA ❑feet ❑meters d)Attached garage(top of slab) §.5 0 feet ❑ureters e) Lowest elevation of machinery or equipment servicing the building 0_10 ®feet ❑meters (Describe type of equipment and location in Comments) f) Lowest ac#ac (finished)grade next to building(LAG) 5-65 feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) Q.00 feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support ❑feet E3 meter SURVEYOR,ENGINEER OR ARCHITECT CERTIFICATION r SECTION 0-SI.3R This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized oy taw to certify elevation information.I certify that the information an this Certificate represents my best efforts to interpret the oats available, I understand that any false statement may be punishable by Fine orirmprisonmenf under 18 U+S.Code.Section 10 1, l �, Check here if comments are provided on back of form Were latitude and longitude in Section A provided lay a ❑ Check here If attachments. licensed land surveyor? Yes ❑ No Certiffer's Name ERNESTW,DUNCAN License Number 5182 Title LAND SURVEYOR Company Name ER EST Du14CAN,f$.S.M 5182 Address S21 SE 5"CCIURT City PCfMRAaNO BEACH State FL ZIP Code 33060 Signature t Crate 811814 --- Telephone 754 264 2166 _ ELEVATION CERTIFICATE, page 2 AM . TANT:In these spaces,copy the corresponding inforrr►ation frorn Section A. FOR INSURANCE COMPANY USE 8ciikling Street Address(including Apt.,Unit,Suite„and/or Bldg. Nis.)or P.Ci Rorke and Box No. Policy Number, 1416 ARGONAUT ISLE City DANIA BEACH State FL ZIP Cade 33DO4 Company NAIL Number, SECTION CD--SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenttc y,and(3)building owner. Comments AS)GOOGLE EARTH C20 AIR CONDITIONER BENCHMARK-BROWARD COUNTY BENCHMARK#1474 £LEV=5.666' Signature Rate 8i'1 14 SECTION E BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRE FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete item EI--E5.If the Certificate is intended to support a LOMA or LOM4R-F request„complete Sections A,B, and C.For Reins E1-E4,use natural grade,It available.Check the measurement used.In Puerto Rico only,enter meters_ E l. 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)Toga of bottom ffo or(including basement,craw ispace,or enclosure)is 0 feet 0 meters 0 above or Q below the HAG. b Top of bottom Door jincluding basement,crawlspace,or enclosure)is � � 0 feet 0 meters 0 above or 0 below the LAG. E2, For Building Diagrams 6-9 wAft permanent flood openings provided in Section A fterns 6 an&or 9(sae pages"of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is feet 0 meters 0 above or 0 below the NAG E3. Attached garage(top of slab)is —_ 0 feet 0 meters 0 above or 0 below the HAG. EA_ Trip of platform of machinery and/or equipment servicing the building is _,_,_,_ 0 feet 171 meters 0 above or 0 below the HAG. E5, Zone AO only_ If no flood depth number is available„is the top of the bottom fluor elevated in accordance with the community's floodplain rnanacement ordinance's CI Yes 0 No 0 Unknown,The local offciat must certify this Wormation in Section G. SECTION F-PROPERTY OWNER(OR DINNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative when completes Section A,8,and E for Zone A(without a FEMA-issued or community-issued 8FE) or Zone AD must sign here.This statements in Sections A, B,and E are correct to the best of my knowledge, Property Owner's or Owner's Authorized Representative's Naive _ Address City State ZIP Code Signature Date Telephone Comments €�Check her ag'f attachrnentfl,, SECTION G--COMMUNITY INFORMATION JO TI The Hai official who is authorized by lava or ordinance to administer the community's floodplain management ordinance can complete Sections A.8,C(or E).and G of this Elevation Certificate.Complete the applicable dem(s)and sign below.Check the measurement used in Mean Gfl.- 10,In Puerto Rico only,enter meters, G1.0 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 taw to certify eleven information, -(Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A(without a FEtsMA-is ured or community-issued SFE)or?one A.O. G3_C] The folloovAng information(Items G# 10)is provided for community floodpain management purposes. t . .Permit Number G5, Date Permit issued G6, Date Certificate Of CornpliancelOccupancy Issued G7 This permit has been issued for: Q New Construction [I Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building F1 feet 0 meters Datum _ -- G9. 8FE or(in Zone AO)depth of flooding at the building site 0 feet 0 meters Datum G10.Community's design flood elevation; 0 feet 0 meters Datum Local Official's Name _ _. Tide — Commnity Name Telephone Signature Date - Comments [ Cheek here if attachments. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces,copy the corresponding infoffnation from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No,)or P.0 Route and Box No Policy Number 1416 ARGONAUT ISLE City ity DANIA BEACH State FL ZIP Code 33004 Company NAIL Number: 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 View; and, if required, "Right Side Vieve 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. "Aw ati FRONT\AEW 8118/14 EAR VIEW 8/18,14 4 Building Photographs EMATION CERWICATE,Page Continuation Page n from Section A. FOR iNSURANCE COMPANY L IMPORTANT:In these spaces,cOPY the o0rresPoAd'"g'nforTat'o Poijcy Number, W(ding Street Address(including Apt,unit,Suite,andior Bidg, No.)or P,O,Route and Boy,No, 1416 ARGONAUT ISLE State FL ZIP Code �3004 Company NAIC Number City OANIA BEACH ffix the additional photographs Identify ali photographs If subm Ing more photographs than will it on the preceding page, 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, b -EFT SIDE VIEW 8118114 iz a� z", `V, N WE'll "M IGHT SIDE VIEW 8118114 ,3