Loading...
HomeMy WebLinkAbout2821 SW 23 Ter U.S.DEPARTMENT OF HOMELAND SECURITY ' EVATION CERTIFICATE OMB No. 1660-0008 Federal Emergency Management Agency Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. • SECTION A-PROPERTY INFORMATION For Insurance Company use: Al. Building Owner's Name 84 BUSINESS CENTER LLC Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and x COo. Company NAIC Number W 2821 SOUTHWEST 23RD TERRACE 0 "/SCl s City DANIA BEACH State FL ZIP Code NONE O a ap o"�J- ooVv/ o 094 , r i!D(� A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 1,AND THE ADJOINING 20 FEET WEST OF LOT 1,"GREEN OAKS,"PLAT BOOK 21,PAGE 42,BROWARD COUNTY PUBLIC RECORDS A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) WAREHOUSES A5. Latitude/Longitude:Lat.26°05 12.3" Long.80°10'22.7" Horizontal Datum: ❑ NAD 1927 ® 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 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3.State DANIA BEACH 120034 BROWARD FL B4. Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9 Base Flood Elevatio'(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood iepth: 12011C0306 F OCT.2, 1997 AUG. 18, 1992 AE 7 FEET B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ®FIRM ❑Community Determined ❑Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 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) C1. Building elevations are based on: 0 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,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-i1 below according to the building diagram specified in Item A7. Benchmark Utilized ELEVATION 9.505 FEET Vertical Datum NGVD 1929 Conversion/Comments BENCH MARK IS BROWARD COUNTY DISC IN CONCRETE MEDIAN,RAVENSWOOD ROAD JUST SOUTH OF STATE ROAD 84 SERVICE ROAD Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.1 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor NONE. ❑feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N/A._ 0 feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) NONE. ❑feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building NONE. ❑feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 6.1 ®feet 0 meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 8.1 ®feet ❑meters(Puerto Rico only) 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. I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. 0 Check here if comments are provided on back of form. Certifier's Name HARLEY GREENE License Number FLORIDA NO.3707 Title SURVEYOR AND MAPPER Company Name NONE Address 19208 NE 251""AAVE,N(UUE,#3'01 City AVENTURA State FL ZIP Code 33180-3217 Signature l�ytL1 `" Date DEC.4,2008 Telephone 954 522-0193 IMPORTANT: in these spaces,co( le corresponding information from Secti For insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 2821 SOUTHWEST 23RD TERRACE City DANIA BEACH State FL ZIP Code NONE Company NAIC Number I SECT!Owe rt-SURVEYOR,ENC2ANEER,OR ARCHITECT CERTIFICATION(CONTiN.UED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Signature Date DEC 4 2008 ❑ Check here if attachments SECTION E-B NG ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. lithe 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. C1 Drovid-elevation ir.f s.rr,etinn for the fnli..,.rin and.^here{.,the ate boxes to.shy. whether tFe eievatinn i above or bein,,the highest adjacent grade(HAG)and the lowest adjacent grade(LAG) y�M~^u ^y~ u v y y y 4,uV� a)Top of bottom floor(including hacement,crawl space,or enclosure)is 0 feet ❑meters 0 shove or❑below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet 0 meters ❑above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet Elmeters ®above or Elbelow the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters ❑above or 0 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? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION I ne property owner or owners autnonzea representative wno completes sections A,ti,ana t for cone A(witnout a i-i_!UW-issuea or community-issued List) 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 Aiithnri7ed Representative's Name Address City State ZIP Code t.gneture I,ate I e!epnone - Comments 0 Check here if attachments bti.;11UN ti-COMNIUNI 1 Y INI-UKNIA I ION (UP i IUNAL) 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. Cl ri The information in Section C was taken from other documentation that has been signori and sealari by a licensors el inreyor,engineer,nr architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A(without a FEi-MA-issued or community-issued BFE)or Zone AC. G3.❑ The following information(Items G4.-G9.)is provided for community floodplain management purposes. I G4.Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: 0 New Construction ❑Substantial improvement G8.Elevation of as-built lowest floor(including basement)of the building: -❑feet 0 meters(PR)Datum 69.BFE or(in Zone AO)morn or fiooding at the building site: 0 feet ❑meters(PR)Datum Lora,Omrlai`s Name tine Community Name Telephone Signature Date Comments Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address(including Apt, Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number 2821 SOUTHWEST 23RD TERRACE City DANIA BEACH State FL ZIP Code NONE Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two 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." If submitting more photographs than will fit on this page, use the Continuation 'age, following. NOVEMBER 22, 2008, FRONT VIEW i 1 It. A Ii •, •sP':,a, ♦ .,-:, ten. 1 Building Photographs Continuation Page For Insurance Company Use: ' Building Street Address(inducting Apt, Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. policy Number 2821 SOUTHWEST 23RD TERRACE City DANlABEACH State FL ZIP Code NONE CompanyMAC Number 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." NOVEMBER 22, 2008, REAR VIEW t ;,'� 4,4 fl .`.'xt lt+i�3 x. 41 �._ Y {..¢�;i 666 fix= .. .,:,.