HomeMy WebLinkAbout1750 Stirling Rd U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
Federal Emergency Management Agency I Expiration Date: Novembe-30, 2018
National Flood Insurance Program —
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 oNner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
Dania Live 1748 LLC
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No. 7
1760 South Bearing Street
City 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 03 06.13 Long. -80 09 33.98 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.
AT Building Diagram Number 1A
A8. For a building with a crawlspace or enclolsure(s):
a) Square footage of crawlspace or encl�sure(s) N/A sq ft
b) Number of permanent flood openings jn the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8�b N/A sq in
d) Engineered flood openings? ❑ Yes X❑ 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. N/A sq in
d) Engineered flood openings? ❑Ye xx No
SECTION B— LOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community N mber B2. County Name B3. State
City of Dania Beach 120034 Broward Florida
B4. Map/Panel B5. Suffix B6. FIRM Ir dex B7. FIRM Panel B8.Flood B9. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
12011CO566H H 08-18-20141 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 B9:
❑ FIS Profile x❑ FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Ye,,, x0 No
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 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 JSE
Building Street Address(including Apt., Unit, ite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number.
1760 South Bearing Street
City State ZIP Code Company NAIC Number
Dania Beach Florida 33004
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
i
C1. Building elevations are based on: ❑!Construction Drawings* ❑ Building Under Construction* x❑ 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,AFUAO.
Complete Items C2.a—h below according to the building diagram specked in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized: Broward County BM 1798 Vertical Datum: 11.27
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 mustjbe the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor(including basem0nt,crawlspace,or enclosure floor) 6.58 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) i N/A ❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 6.62 x❑ feet ❑ meters
f) Lowest adjacent(finished)grade next to building (LAG) 5.88 x❑ feet ❑ meters
g) Highest adjacent(finished)grade net to building(HAG) 6.54 x❑ feet ❑ meters
h) Lowest adjacent grade at lowest elevj tion of deck or stairs,including
structural support j N/A ❑ 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 information.
1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any fa fse
statement may be punishable by fine or impn'sonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑No ❑Check here if attachments.
Certifier's Name License Number -
James W. Quartel LS 6032 -
Title
Senior Project Surveyor
Company Name -
Carnahan, Proctor&Cross, Inc. (CPC)
Address i -
` = -
814 S. Military Highway i
City State ZIP Code
Deerfield Be h Florida 33442
Signature•` Date Telephone Ext.
(321)279-0124
Copy I Wg4s f t s tion C. 'icate and all attachments for )community official, (2)insurance agent/company,and(3)building owner.
ments(inclu g type of equipment and location, per C2(e), if applicable)
E)Air conditioning units on roof
Outside Electric Panel Pad Elev. 6.62
LAT and LONG determined from GPS observations at building site. State Plane coordinates were converted to Lat and Long using
CORPSCON conversion program.
Broward County Benchmark#1798 is based on North American Vertical Datum(NAVD) 1988
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 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:
1760 South Bearing Street
City State ZIP Code Company NAIC Number
Dania Beach Florida 33004
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 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 ❑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 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is ❑feet ❑meters ❑above or ❑below tl-e HAG.
E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG.
E4. Top of platform of machinery and/or equiprprient
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-issuec 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 or Owner's Authorized Representative's Name
Address City State ZIP Code:
Signature Date Telephone
Comments
i
❑Check here if attachments.
FEMA Form 086-0-33 (7/16) Replaces all previous editions. Form Page 3 :)f 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:
1760 South Bearing Street
Cif' ff State ZIP Code --
Dania Beach E Company NAIC Number
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 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.
G4. Permit Number FNew
Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This permit has been issued for: 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
Comments(including type of equipment and location, per C2(e), if applicable)
❑ Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Palle 4 of 6
BUILDING PHOTOGRAPHS
ELEVATION CERTIFICATE See Instructions for Item A6. OMB No. 16
Expiration Date:te: Nob
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:
1760 South Bearing Street
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 View"; and, if required, "Right Side View"and
"Left Side View." When applicable, photographs must show the foundation with representative examples of the flood open'ngs or
vents,as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
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t
x4+w.
Photo One
Photo One Caption SOUTH FRONT (6-13-18) w°°
Photo Two
Photo Two Caption WEST SIDE (6-13-18) .E ,
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November c,0, 2C 18
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:
1760 South Bearing Street
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 appl cable,
photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8.
s�
Photo Throe
Photo Three Caption NORTH REAR(6-13-18)'
Photo Four
Photo Four Caption EAST SIDE (6-12-18)
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6