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HomeMy WebLinkAbout2611 SW 54 St U.S.+-.PA9NEtTOFFHOMEi.MOSECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANA�r AGENCY OMB No. 1660-0008 ldrahonal Flood Insurance Program Impor11t: Read the instructions on pa i 1-9. Expiration Date: July"1, 2015 SECTION A—PROPERTY INFORMATION FOR INSURANCE COMF ANY;CBE Al. Building Owner's Name CHRISTIANE DESORMEAUXO Policy Number: F A2. Building Street Address(including Apt.,Unit,Suds,and/or Bldg.No.)or P.O.Route and Brno No, Company NAIL Number: 261 1 SW S4 STREET City DANIA BEACH State FL ZIP Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 9,BLOCK 30,2ND ADDN TO RAVENSWOOD EST&MARINA,PS 7214,PUBLIC RECORDS OF BROWARD CO.FL, A4. Building Use(e.g.,Residential,Non-Resideritial,Addition,Accessory,etc.)MOBILE HOME PARK A5. LatitudelLongitude:Lat.2 0 25* Long,WIQX Horizontal Datum: ❑ NAD 190 0 NAD 1983 A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. I AT Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): Ag. For a building with an attached garage: a) Square footage of crawlspace or enctosure(s) N/A sq tt a Square footage of attached garage NIA sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1,0 foot above adjacent grade j lyA within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings m A9.b N/A sq in d) Engineered flood openings? ❑ yes N No d) Engineered flood Openings? © Yes ® No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1,NFIP Community Name&Community Number B2.County Name B3,State UNINCORPORATED 125093 BRONARD FLORIDA ............. 84,Map/Panel Number as.Suffix 86.FIRM Index Date 87.FIRM Panel 86.Flood 89 Base Flood ElevaWn(s)(Zone 12011 C-0308 F 10-02-1997 Effective/Revised Date Zone(s) AO,use tease flood depth) 08 18-1992 "AE" 8 FT 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Otherlsource: 811, Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ❑ NAVD 1988 ❑ Otherlsource: 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes N) Designation Date: /A ❑ CBRS ❑ OPA SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl, Building elevations are based on. 53 Finished Construction � 9 ❑ Construction Drawings` ❑ Buffing under Constn�tion• 'A new Elevation Certificate will be required when construction of the bung is cornpdete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARIAS,AR/Al-A30,AR/AH,AR/AO.Complete Itenu C2.a•h below according to the building diagram specified in Rem A7.In Puerto Rico only,enter meters. Benchmark Utilized:BROW TBM MH EL 5 81' Vertical Datum., NGVD 1929 Indicate elevation datum used for the elevations in items a)throw h)below. ®NGVD 1929 11 NAVD I W8 ❑der/Source: Datum used for building elevations must to the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 2-29 ®feet ❑meters b)Top of the next higher floor WA._ ❑feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) &A, ❑fret ❑meters d)Attached garage(#op of slab) NA. ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building $-t. 11 ®feet ©meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to Iuiidng(LAG) 61 0 feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) $.2 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support §22 ®feet ❑metes SECTION D-SURVEYOR,ENGINEER„OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor,engineer,or architect authorized by law to certify elevation - - information.I certify that the Information on this Certificate represents my best efforts to inteMrat the data available, i understand that any false statement may be punishable by line or imprisonment radar 18 U.S Code,Section 1001, r� ,+ E� Check here if comments are provided on back of form, Were latitude and longitude in Section A provided by a ER Check here if attachments. licensed land surveyor? 0 yes ❑ No ��'t�x�%�`✓��r- rtifi Ceer';Name FILAR SOLER License Number 6310 � Title PSM Company Name Address 311 NW 136TH AVENUE City MIAMI State FL ZIP Code 33182-1952 Signature / ate o2-01-2014 Telephone 3t?S-97s-68 __ - 4Z4:2�4 FEMA Form 086-0-33(7I12) See reverse side for con#inuation. Replaces all previous editions. ELE',!ATION CERTIFICATE,page 2 IMPORTANT:In these spaces,copy the corresponding infortnaton from Secom A- FOR INSURANCE COMPAN f USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 2611 SW 54TH STREET City DANIA BEACH State FL Zip Code 33312 Company NAIC Number: SECTION D-SURVEYOR,ENGINEER OR ARCHITECT CERTIFICATION{CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenVoompany,and(3)building owner. Comments I,-THIS CERTIFICATE IS NOT VALID WITHOUT SIGNATURE AND ORIGINAL RAISED SEAL OF FLORIDA LICENSE OF PSM#6:110 2.-THIS CERTIFICATE DEPICTED HEREON IS NOT COVERED BY PROFESSIONAL LIABILITY. 3.-C2.e(LOWEST ELEVATION OF MACHINERY OR EQUIPMENT)AIR CONDITIONER CONCRETE SLAB ELEVATION 9.01' 4,-CROWN ELEVATION 6.07; 5,-BM USED:TBM A MANHOLE RIM ELEVATION 5.81' 6-LATITUDE AND LONGITUDE DETERMINED BY GPS;7,-PARALLEL SHEAR WALLS. Signature Date 02-01-2D14 SECTION E-BUILDINGtLEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items EI-ES.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sectiom,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 z djacent grade(HAG)and the lowest adjacent grade(LAG), a)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet []meters C]above or 0 below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is rl feet C)meters 0 above or 0 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 fl,)or (elevation C2,b in the diagrams)of the building is -,- []feet 0 meters 0 above or El below the HAG. E3. Attached garage(top of stab)is _._ 0 feet 0 meters 0 above or 0 below the HAG. E4, Top of platform of machinery and/or equipment servicing the building is -.- [I feet [I meters 0 above or 0 below the HAG. E5, Zone AOonly: It no flood depth number is available,is the top of the bottom floor elevated In accordance with the community's floodp4ain management ordinance? DYes 0 No f--] Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The prop"owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-Issued or community-ISt Med E F E) or Zone AO must sign here.The statements in Sections A,8,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 n Ctwk here if 4A4phmg"t SECTION G-COMMUNITY INFORMATION(OPTIONAL) ,he T local official who is authorized by law or ordinance to administer the commucommunity'sfoodplain 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 G6-G1 0.In Puerto Rico ority,enter ineters, G1, El 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, n A community official completed Section E for a building located in Zone A(without a FEMA-0-Aued or commurdy4ssued BFE)or Zone AO. G3. 171 The following information(items G4-G1 0)is provided for community floodplain management purposes r G4.Permit Number G5. Oate Permit issued G6. Date Cent't'icate Of CompkanceJOccuparcy issued GT This permit has been issued fan: 1771 New Construction 0 Substantial Improvement G8. Elevation of as-butt lowest floor(including basement)of the bdkkQ-. ©feet Cl meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site, ❑feet 0 meters Datum G10.Community's design flood elevation: 0 feet 0 meters Datum Local-Officals Name Title -Community Name Telephone Signature Date Comments 0 Check here iA#,Nhments, FEMA Form 086-0-33(7112) Replaces all previous editions