HomeMy WebLinkAbout4532 S Aqua Bella Lane Community Development Department
Floodplain Management
DANIA BEACH
SEA IT.LIVE IT.LOVE IT.
Elevation Certificate Tracking
Permit Number
I-1 - 53 Address l ISZ S �i
Reviewed
Finished Construction
Located in SFHA at Apply Date L
1992 Flood Zone (NGVD)
L�
2014 Flood Zone (NAVD) f1 LI
New Construction
Improvement (Not SI) ❑ Improvement (SI)
Attachments
Engineered Openings Certificate ❑ Floodproofing Certificate / Plan ❑
V-Zone Design Certificate ❑ LOMR ❑
FM.ECT1 .1
7/9/18
"Broward's First City"
100 West Dania Beach Boulevard,Dania Beach,Florida 33004 ` Phone:954-92,1-6800 * www.daniabcachll.gov
U.S. DEPARTMENT OF HOMELAND SECURITY OMB No:1660-008
Federal Emergency Management Agency Expiration Date: November 30,20 L8
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 (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.
4532 S AQUA BELLA LANE
City State ZIP Code
DANIA BEACH FL 33312
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 11-BLOCK 1"CANAL GROVES"(PB 22-PG.31) B.C.R.
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.26°03'53.0" N Long.80°11'06.3" 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: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 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 ® No
A9. For a building with an attached garage:
a)Square footage of attached garage 332 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 sq.in.
d)Engineered flood openings? ❑ Yes ® No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
Bl. 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 08/18/14 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 ❑ Community Determined ❑ Other/Source:
B11. Indicate Elevation Datum Used for BFE in Item 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 ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions Page 1 of 6
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:
4532 S 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(with BFE),VE V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/A0.
Complete Items C2.a—h below according to the 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,crawlspace,or enclosure floor) 5.68 ® feet ❑ meters
b) Top of Next Higher Floor 16.18 ® feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑ feet ❑ meters
d) Attached garage(top of slab) 5.03 ® feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) 5.75 ® feet ❑ meters
f) Lowest adjacent(finished)grade next to building(LAG) 4.93 ® feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 5.38 ® 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 elevation information.
1 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 by fine 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 if attachments.
Certifier's Name: License Number:
Ray Mielke,PSM L.S.#6293 Place
Title: Seal
Professional Surveyor&Mapper Here
Company Name:
Schwebke-Shiskin&Associates,Inc. Ray Mielke,PSM
Address: L.5.#6293,State of Florida
3240 Corporate Way 03/22/18
"Not Valid without the signature and
City: State: Zip Code: the original raised seal of a Florida
Miramar FL 33025 Licensed Surveyor&Mapper"
Signature: Date: Telephone:
03/22/18 954-435-7010
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 STATE OF FLORIDA ORTHO-RECTI Fl ED AERIAL IMAGERY AND CONVERTED USING CORPSCON
SOFTWARE.
C2e=BOTTOM OF AIR CONDITIONING CONDENSING UNIT
BOTTOM OF WATER HEATER=5.22'
FEMA Form 086-0-33(7/15) Replaces all previous editions Page 2 of 6
OMB No: 1660-008
ELEVATION CERTIFICATE Expiration Date: November 30,2010
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:
4532 S 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 E1-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 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, ❑ feet ❑ meters ❑ above or ❑ below the HAC
crawlspace,or enclosure) is
b)Top of bottom floor(including basement, ❑ 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 ❑ feet ❑ meters ❑ above or ❑ below the HAG
the diagrams)of the building is
E3. Attached Garage(top of slab) ❑ feet ❑ meters ❑ above or ❑ below the HAG
E4. Top of platform of machinery and/or equipment ❑ feet ❑ meters ❑ above or ❑ below the HAG
servicing the building is
E5. Zone AO only: If no flood depth number is available,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 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 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 Page 3 of 6
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:
4532 S AQUA BELLA LANE
City State Zip Code Company NAIC Number:
DANIA BEACH FL 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.
G1. ❑ 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—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(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 Page 4 of 6
BUILDING PHOTOGRAPHS OMB No:1660-008
ELEVATION CERTIFICATE See Instructions for Item A6 Ex.iration 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:
4532 S AQUA BELLA LANE
City State Zip Code Company NAIC Number:
DANIA BEACH FL 333:2
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 openings
nr vont., a-.'ndiratnd in Section A8. If submittin: more .hoto•ra•hs than will fit on this •a:e, use the Continuation Pa:e.
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03/22/18 03/22/18
i',tnrx,i:rc f:ap,: nri: FRONT VIEW(NORTH SIDE) Photo Three Caption: REAR VIEW (SOUTH SIDE)
Photo Two Caption: Photo Four Caption:
FEMA Form 086-0-33 (7/15) Replaces all previous editions Page 5 of 6