Loading...
HomeMy WebLinkAbout4485 SW 25 Ter U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 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 owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: DANIA HOMES LLC A2. Budding Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number: Box No. 4485 SW 25TH TERRACE City State ZIP Code DANIA BEACH Florida 33312 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) MARSHALLS EVERGLADE SUB 2-32 D 29-50-42 S 250' OF E 165' OF LOT 10 BLK 4(FOLIO: 504229020010) A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.26.06673°N Long.80.17486°W Horizontal Datum: ❑ NAD 1927 0 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 B A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sq ft b) Number of permanent flood openings in 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 0 No A9. For a building with an attached garage: a) Square footage of attached garage 453.00 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b 0.00 sq in d) Engineered flood openings? ❑Yes 0 No SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3. State CITY OF DANIA BEACH 120034 BROWARD COUNTY Florida B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth) Revised Date 12011C0558 H 08-18-2014 08-18-2014 AE&AH 5' B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9: ❑ FIS Profile Lxi FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate.elevveti m used for BFE in Item B9: ❑ NGVD 1929 0 NAVD 1988 ❑ Other/Source: B12. I e building I ..ated in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes [] No Designatio a ❑ CBRS ❑ OPA FEMA 086-0- (7/15) Replaces all previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPAN" USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 4485 SW 25TH TERRACE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 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 A1—A30, AE, AH, A(with BFE), VE, V1—V30, V(with BFE),AR, AR/A,AR/AE, AR/A1—A30, AR/AH, AR/AD, Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: BCBM: 3784 Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h) below. ❑ NGVD 1929 C NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement u:5ed. a) Top of bottom floor(including basement, crawlspace, or enclosure floor) 6.15 ❑x feet ❑ meters b) Top of the next higher floor 18.09 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑ meters d) Attached garage(top of slab) 5.50 ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building 5.93 feet meters❑ (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building (LAG) 5.65 ❑x feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 5.90 ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑ feet ❑ meters structural support N/A 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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑No ❑Check here if attachme its. Certifier's Name License Number JOHN PULICE LS 2691 Title PROFESSIONAL LAND SURVEYOR � P Ce Company Name PULICE LAND SURVEYORS, INC. '2631 _ __ Address "�� 5381 NOB HILL ROAD ' City State ZIP Code SUNRISE Florida 33351 Signature 2 Date Telephone Ext. 05-31-2017 (954)572-1777 63237 Copy all pag of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner. Comments(including type of equipment and location, per C2(e), if applicable) PROPERTY BOUNDARY AND BUILDING LIES IN TWO FLOOD ZONES-AE 5' &AH 5' SURVEYORS SIGNATURE&RAISED SEAL APPEARS ON FIRST PAGE(AKA PG 1 OF 6)TO CONFIRM PAGE AUTHENTICITY. A5. LATITUDE AND LONGITUDE ARE BASED OFF GOOGLE EARTH. C2.e) MACHINERY-AC UNIT AT BACK LEFT SIDE OF BUILDING. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Pace 2 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE 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: 4485 SW 25TH TERRACE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 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 E1—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 the HAG E3. Attached garage(top of slab) is ❑feet ❑meters ❑above or ❑below the HAG E4. Top of platform of machinery and/or equipment 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-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 knowledce. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date: November 30, 201E, 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: 4485 SW 25TH TERRACE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 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. Gi. ❑ 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 elevati Dn 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 EFE) or Zone AO. G3. ❑ The following information(Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New 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 Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPAN" USE:_ Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 4485 SW 25TH TERRACE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 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 openincs or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. _______________ 5r --- Li II' ' ' . _____-----7<'44. ..,. ___,$! ki z vT —Ip... 7-A011- - dr. 05/31/2017 10:30:23 -_. Photo One Photo One Caption FRONT VIEW(05/31/2017) Clear Photo One Ir . 'emu , , Oa Photo Two Photo Two Caption BACK VIEW(05/31/2017) Clear Photo Two 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 30. 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPAN"USE Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 4485 SW 25TH TERRACE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 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 applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in. Section A8. 1, ( ', )t Mr I i 1111*.':%-eAllill • - NM Pr AIM. >, Ili 111111111 nal!' ,,,,...--..I: -- P Photo Three Photo Three Caption RIGHT SIDE VIEW FROM FRONT(05/31/2017) Clear Photo Three I. a ... f r ..4 P y K f v , y a ,4 Y-1 4 � k 05/31/2017 10:24.2n .. :' ., "'' , k _ ; s: , a ►- 4 ��- Photo Four Photo Four Caption LEFT SIDE VIEW FROM BACK TO FRONT(05/31/2017) Clear Photo Four FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6