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HomeMy WebLinkAbout3051 W Marina Dr j,S,EEPA TPA_NT OF HOMELAND SECURITY ELEVATION CERTIFICATE I OMB No. 1660 0008 I FtDERAL ER1ERGENCY MANAGEMENT AGENCY h'ritio ic:Flood I is.oanceProgrrtn: Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION 4oR INStI 1+10EE( �r1?ANY i SE `'`r Al. Building Owner's Name CAMPEAU (ORDER#19456) '• : ,u r ,.= A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No, ii0t -s: " R ./: 3051 WEST MARINA DRIVE � � City DANIA BEACH State FL ZIP Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOT 41,BLOCK 23 OF"SECOND ADDITION TO RAVENSWOOD ESTATES AND MARINAS"PB 72 PG 14 BCR A4, Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL , AS. Latitude/Longitude:Lat.26°03.07.80"N Long, 80°10'5,8.36"W 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 5 AS. 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) 1145 sq ft a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A i 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 i d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes A No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name ( B3. State DANIA BEACH 120034 BROWARD FL 84, Map/Panel Number ; B5.Suffix I( B6. FIRM Index Date 87 FIRM Panel 88. Flood I B9.Base Flood Elevation(s) (Zone 12011C 0308 I F • 10-02-97 Effective/Revised Date 1 Zone(s) I AO,use base flood depth) I I 08-18-92 AE 8 FEET J 310. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile Z FIRM ❑ Community Determined ❑ Other/Source' ill, Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: 312, Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date: N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) - ;1. 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. ;2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BEE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.s-h below according to the building diagram specified in Item A7, In Puerto Rico only,enter meters. Benchmark Utilized:BCBM#2686,ELEV=13,98' Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. NGVD 1929 0 NAVD 1988 0 Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used, a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 9.4 ®feet ❑meters b) Top of the next higher floor N/A. Z feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ®feet ❑meters d)Attached garage(top of slab) N/A. ®feet 0 meters e) Lowest elevation of machinery or equipment servicing the building 9.5 E feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6,1 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) H_5 ►. feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 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 eievation information.t certify that the information on this Certificate represents my best efforts to interpret the data available. Jay Ken t understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1007. Professiooal Surveyor& ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Mapper#5721 State of Florida Z Check here if attachments, licensed land surveyor? Z Yes ❑ No I— to o,o 1 a Certifier's Name JAY KERI License Number 5721 G i_t;".2 Title LAND SURVEYOR Company Name KERI LAND SURVEYING, INC. - "" , Address 1840 NORTH PINE ISLAND RD City PLANTATION State FL ZIP Code 33322 - Signature C Date 01-22-14 Telephone 954-473-8010 =NIA Fnrm n' r7/1 9\ - Caa ravarca cider,fnr nnntinuatinn Ranlarac all nra,in,lc arliiinnc dT'URTANT: In these spaces,copy the corresponding information from Section A. FAR INSURANCE COMPANY USE•^ I 3uilding Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. 'Policy Number: 3051 WEST MARINA DRIVE E3ity DANIA BEACH State FL ZIP Code 33312 Company NAIC'Number: SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) _ :opy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. Cmments LATITUDE I LONGITUDE DISPLAYED ON A5 OBTAINED WITH GARMIN GPS 76 UNIT. ELEVATION OF 9.5 FEET STATED ON C2e OBTAINED ON BOTTOM OF RAISED ABC UNIT ON EAST SIDE OF RESIDENCE. 3ROWN OF ROAD ELEVATION= 6.28 FEET. .ure Date 01-22-14 `SE -T E-BUILD G ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) -or Zones AO and A(without BEE),complete Items El-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, Ind C.For stems E1-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. :1. 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. :2. 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 floc r (elevation C2.b in the diagrams)of the building is '❑feet ❑meters ❑above or ❑below the HAG. 3. Attached garage (top of slab)is . ❑feet 0 meters ❑above or ❑below the HAG. A. Top of platform of machinery and/or equipment servicing the building is 0 feet ❑meters ❑above or❑below the HAG. 5. 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 1e property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BEE) Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. -operty Owner's or Owner's Authorized Representative's Name /dress City State ZIP Code gnature Date Telephone Dmments ❑Check here if attachments. SECTION G-COMMUNITY INFORMATION (OPTIONAL) 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 1is Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10. In Puerto Rico only,enter meters. ❑ 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.) ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. ❑ The following information (Items G4-G10)is provided for community floodplain management purposes. 4. Permit Number G5. Date Permit Issued 1 G6, Date Certificate Of Compliance/Occupancy Issued This permit has been issued for: ❑New Construction ❑Substantial Improvement Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum BFE or(in Zone AD)depth of flooding at the building site. 0 feet ©meters Datum I, Community's design flood elevation: o feet ❑meters Datum ical Official's Name Title —i )mmunity Name Telephone gnature Date lmments ❑Check here if attachments. ,t. Pnrm r1RF-r1.3Z (7/1 91 Rnnlarac all nro,:in'is orlit nnc