HomeMy WebLinkAbout4526 E Aqua Bella Ln U.S. DEPARTMENT OF HOMELAND SECURITY OMB No:1660-008
Federal Emergency Management Agency Expiration Date: November 30,20]8
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 owr er.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name (Note:Not Valid to use for any other person or entity). Policy Number:
ROCKLYN HOMES INC
A2. Building Street Address(Including Apt.,Unit,Suite,and/or Bldg.No.or P.O.Route and Company NAIC Number:
Box No.
4526 E AQUA BELLA LANE
City State ZIP Code
DANIA BEACH i FL 33312
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 9-11-BLOCK 1"CANAL GROVES"(PB 22-PG.31)B.C.R.
A4. Building Use(e.g., Residential,Non-Resideri4ial,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.26"03'52.87" N L ng.80"11'05.18" W Horizontal Datum:❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the buildirg if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number:1B
A8. For a building with a crawlspace of enclosure(s):
a)Square footage of crawlspace or enclosure(s)N/A sq.ft.
b)Number of permanent flood openings in ttie crawlspace or enclosure(s)within 1.0 foot above adjacent grade
c)Total net area of flood openings in A8.b NIA sq.in.
d)Engineered flood openings? ❑ Yes ® ;No
A9. For a building with an attached garage:
a)Square footage of attached garage 332 sq.*.
b)Number of permanent flood openings in tlre attached garage within 1.0 foot above adjacent grade 0
c)Total net area of flood openings in A9.b 0 sq.in.
d)Engineered flood openings? ❑ Yes ® No
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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 FL
B4. Map/Panel B5. Suffix B6. Firm Index B7. FIRM Panel B8. Flood Zone(s) B9.Base Flood Elevation(s)
Number Date Effective/ (Zone AO,use Base
Revised Date Flood Depth)
12011C 0558 H 08/18/ 4 08/18/14 AH 4
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9:
❑ FIS Profile ® FIRM ❑ Communi l Determined ❑ Other/Source:
f
B11. Indicate Elevation Datum Used for BFE in IIt r B9:❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS a OPA
FEMA Form 086-0-33(7/15) j 1 Replaces all previous editions Page L of 6
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OMB No:1660-008
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:
4526 E AQUA BELLA LANE
City State Zip Code Company NAIC Number:
DANIA BEACH FL 33312
SECTION C—BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. 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.
C2. Elevations—Zones Al-A30,AE,AH,A(withi BFE),VE V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO.
Complete Items C2.a—h below according to):he building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized:COUNTY BENCHMARK SYSTEM Vertical Datum:NAVD OF 1988
Indicate elevation datum used for the elevations in Items a)through h)below.
❑ NGVD 1929 ® NAVD 1988 ❑ 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,crawispace,or enclosure floor) 5.69 ® feet ❑ meters
b) Top of Next Higher Floor 16.19 ® feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑ feet ❑ meters
d) Attached garage(top of slab) 5.00 ® feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and locatiqr!in Comments) 5.72 ® feet ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 4.80 ® feet ❑ meters
g) Highest adjacent(finished)grade next tq building(HAG) 5.31 ® feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including
structural support N/A. El feet ❑ meters
SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a�and 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 byline or imprisonment under 18 U.S.Code,Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑ Check here jf attachments.
Certifier's Name: License Number:
Ray Mielke,PSM LS.#6293 Pi-ace
Title:
Professional Surveyor&Mapper
Company Name:
Schwebke-Shiskin&Associates,Inc.
Address: ' I 1... 6 State ofkar T
06/07/18 si
3240 Corporate Way "Not Valid withoa$the.lignature.07,1
City: State: Zip Code: the original raised seal a. gTteiida
Miramar ; FL 33025 Licensed Surveyor•Be-R+lapper"
Signature: I Date: Telephone:
06/07/18 954-435-7010
Copy all Pages 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.
ORDER NO.208373 NGVD 1929-1.60'=NAVD 1988
BENCHMARK:BROWARD COUNTY BM NUMBER"1478"ELEV.=6.115'NGVD 1929 (4.515'NAVD 1988)
A5=COORDINATES OBTAINED USING SURVEY1GRADE GPS AUGMENTED WITH FDOT FPRN(FLORIDA PERMANENT REFERENCE
NETWORK)CORRECTIONS. I
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C2e=BOTTOM OF AIR CONDITIONING CONDr RISING UNIT
FEMA Form 086-0-33(7/15) I Replaces all previous editions Page 2 of 6
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OMB No:1660-008
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:
4526 E AQUA BELLA LANE
City State Zip Code Company NAIC Number:
DANIA BEACH FL 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 El-E5. If the Certificate is intended to support a LOMA and 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 follovyipg and check the appropriate boxes to show whether the elevation is above or below
the highest adjacent grade(HAG)and the Iofrest adjacent grade(LAG).
a)Top of bottom floor(including basement ❑ feet ❑ meters ❑ above or ❑ below the HAG
crawlspace,or enclosure)is
b)Top of bottom floor(including basemen; ❑ feet ❑ meters ❑ above or ❑ below the LAG
crawlspace,or enclosure)is
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 El below the HAG
E3. Attached Garage(top of slab) ❑ feet ❑ meters ❑ above or ❑ below the HAG
E4. Top of platform of machinery and/or equipitent
servicing the building is ; ❑ feet ❑ meters ❑ above or ❑ below the HAG
E5. Zone AO only:If no flood depth number is OlVailable,is the top of the floor elevated in accordance with the community's
floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Sectic n 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 or Owner's Authorized Represeitative's Name:
Address City State Zip Code
Signature Date Telephone
Comments
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FEMA Form 086-0-33(7/15) l'; Replaces all previous editions Page 3 of 6
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OMB No:1660-008
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:
4526 E AQUA BELLA LANE 'I
City I State Zip Code Company NAIC Number:
DANIA BEACH FL 33312
SECTION G—COMMUNITY INFORMATION(OPTIONAL) _
The local official who is authorized by law or ordnance to administer the community's floodplain management ordinance can comple:e
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.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surve','or,
engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevai ion
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—/10)is provided for community floodplain management purposes.
G4. Permit Number f G5. Date Permit Issued G6. Date Certificate of
Compliance/Occupancy Issued
G7. This Permit has been issued for: I❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest floor(including I*sement)
of the building: ❑ meters Datum feet ❑
G9. BFE or(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)
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❑ Check here if attachments
FEMA Form 086-0-33(7/15) I Replaces all previous editions Page 4 of 6
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BUILDING PHOTOGRAPHS OMB No:1660-008
ELEVATION CERTIFICATE See Instructions for Item A6 Expiration Date: November 30,20111
IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY US
Building Street Address(Including Apt.,Unit,Suite,and/or Bldg. No.or P.O.Route and Box No. Policy Number:
4526 E AQUA BELLA LANE
City State Zip Code Company NAIC Number:
DANIA BEACH FL 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 photograptis 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. If submitti ,_ more photographs than will fit on this p-_e,use the Continuation Page.
03/22/18` 03 /18
Photo One Caption:FRONT VIEW ". ' : SIDE) j Photo Three Caption:REAR VIEW(EASTSIDE)
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Photo Two Caption: Photo Four Caption:
FEMA Form 086-0-33(7/15) i ! Replaces all previous editions Page!i of 6
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