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.
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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.
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FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6