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Home My WebLink About3533 Forest View Cir EPARTMENT OF HOMELAND SECURITY E =NATION CERTIFICATE Expires February 28. 2009 :ral Emergency Management Agency 'onal — Flood Insurance Program Important: Read the instructions on pages 1-� ,;� For Insurance Company Used_ SECTION A-PROPERTY INFORMATIO U3693 N � Policy Number J OMB No. 1660-0008 Al. Building Owner's Name 11) A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number 3533 FOREST VIEW CIRCLE I� City DANIA BEACH State FL ZIP Code 33021 �o�^ (i1 L 3 (2' `t 0231- 21-aoro A3. roperty Desciption Lot and Bock Numbers,PORTION OF PARrCEL 2(FORESTIVIEW ESTATES(1x75/82&183)A.K.A.LOT 1arcel Number, Legal 71ption,etc.) _ A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A5. Latitude/Longitude: Lat.26°02'54"N Long.80°11'38'W A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1 provide A9. For a building with an attached garage, provide: aA8. For) a building o footage a of crawl space or or enclosure(s) nclenclo sure(ure(s),p N/A sq ft a) Square footage of attached garage 392 sq ft b) Squareo.of amtfloodo openingsnenhe crawl b) No. of permanent flood openings in the attached garage b) No. permanent in the crawl space or walls within 1.0 foot above adjacent grade N/A enclosure(s)otal net rwallsfflood within openings1.0 foot above adjacent grade N/A sq in c) Total net area of flood openings in A9.b N/A sq in c) Total net area of in A8.b SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B2.Count Name B3.State B1. NFIP Community Name&Community Number BROWARD FL UNINCORPORATED AREA 125093 67,FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone B4. Map/Panel Number B5.Suffix B6.FIRM Index Effective/Revised Date Zone(s) AO, use base flood depth) 8/18/92 "X" N/A 12011C 0308 F 10/2/97 -- 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 ❑ NAVD 1988 0 Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS) area or Oth❑eoPA Protected Area(OPA)? DYes No Designation Date SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Buildin Under Construction* ® Finished Construction Cl. Building elevations are based on: ❑Construction Drawings* ❑ 9 *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones A30,building AE, AH,A(with ith B E),VE, - 30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according o the Benchmark Utilized Vertical Datum Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 9.8 $3 E feet 0 meters(Puerto Rico only) ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor feet meters Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) 86 Z feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) . e) Lowest elevation of machinery or equipment servicing the building *8.6 ®feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) 8.3 ®feet ❑meters(Puerto Rico only) f) Lowest adjacent(finished)grade(LAG) $$ ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) —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 is e esents my best efforts information.uerstand that anythat falsehe statement'on on maybepunishable tby fine or imprisonment under interpret the data 1818 U.S. Code, Sectionlable. 1001. lu _ 1 '' Arc ® Check here if comments are provided on back of form. ,M Certifiers Name CARL E.ALBREKTSEN License Number 4185 " EF,I _ --2 Title VICE PRESIDENT Company Name McLAUGHLIN ENGINEERING COMPANY r. Address 400 NE 3Hu AVENUE City FORT LAUDERDALE State FL ZIP Code 33301 Signature n jy/f Date 9/19/08 Telephone 954.763.7611 /�! ✓ /ifs/ ,,.,. .,,.,., .. it-lp for continuation. Replaces all previous edition: IMPORTANT: In these spaces, ipy the corresponding information from Set_ ,n A. Building Street Address(including Apt., Unit,Suite, and/or Bldg.No.)or P.O. Route and Box No. Poe Company Use: 3533 FOREST VIEW CIRCLE Policy Number —` City DANIA BEACH State FL ZIP Code 33021 Company NAIC Number SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company,and(3)building owner. Comments *C2.e)FP&L TRANSFORMER Signature . am/ Date 9/19/08 Check here if SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)ents 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,crawl space, or enclosure)is b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 an❑d/orr 9t(se❑e page 8 of Instructions),the next 0 meters above or 0 below the LAG. (elevation C2.b in the diagrams)of the building ishigher floor E3. Attached garage(top of slab)is0feet ❑meters ❑above or ❑below the HAG. 0 feet ❑meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is meters the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in ac feet cordance with the commu above or❑nty'sow floodplain management ordinance? 0 Yes ❑ No 0 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-issued 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments SECTION G -COMMUNITY INFORMATION(OPTIONAL) ❑Check here if attachments 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. Gl. 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 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-G9.)is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued 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: G9 BFE or(in Zone AO)depth of flooding at the building site: ❑feet 0 meters(PR)Datum 0 feet 0 meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments FEMA Form 81-31, February 2006 0Check here if attachments 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 3533 FOREST VIEW CIRCLE Company NAIL Number City DANIA BEACH State FL ZIP Code 33021 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below accorc ing 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 Page, following. FRONT VIEW ,^v • p- z 4Ya 4ry P-4tft y y\ REAR VIEW .011 d. f irtE: Nib w -^.. ='' n. 4. _ f ) '� ; fie, k 'w 4: $cp .c "< fix: : ems x : ; x r ,ter.€ -, _ Y _ z ?,te at ''-±' .: i .�..:# n � — 9??. k — '_ x ` ..,1,;'*: .'six - ff I i 1 1