HomeMy WebLinkAbout4537 SW 29 Ter U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
F1`3ra1 Emergency Management Agency Expiration Date: November 30, 2018
Naixmal 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:
HOLDING, CHARLES S & PATRICIA V1777
A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number:
Box No.
4537 SW 29 TERRACE
City State ZIP Code
DANIA BEACH FL 33312
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 14 W1A N 1 AC LESS N 14' FOR RD & LESS S 80' BLK 3 MARSHALLS EVERGLADE SUB (2/32)
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 26°03'56.3"N Long.80°10'52.6"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 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 ® No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes ® No
SECTION B—FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
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
12011C0558 08/18/2014 Revised Date Flood Depth)
H 08/18/2014 "AH" 5'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B
❑ 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: N/A ❑ CBRS ❑ OPA
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 3(), 2048
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USA
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
4537 SW 29 TERRACE
City State ZIP Code Company NAIL Number
DANIA BEACH FL 33312
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 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 A1—A30,AE,AH,A(with 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 the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: SEE COMMENTS Vertical Datum: NAVD88
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) 4.58 ®feet ❑ meters
b) Top of the next higher floor N.A feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑feet ❑ meters
d) Attached garage(top of slab) N.A ❑feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 6.57 ®feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 3.21 ®feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 3.81 ®feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck orstairs,including N.A ❑feet ❑ meters
structural support
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.
/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
SCOTT A. McLAUGHLIN 5842
Title
VICE PRESIDENT
Company Name Place
McLAUGHLIN ENGINEERING COMPANY Seal
Address Here
1700 NW 64 STREET, SUITE 400 ietrrY_y
City State ZIP Code
FORT LAUDERDALE FL 33309 %'1`
Signature --� Date Telephone
/� 12/23/2016 954-763-7611
opy all ges ofthis 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)
Al. OWNERS NAME PER THE BCPA.NET WEBSITE. A5. GOOGLE EARTH
C2. REFERENCE BENCHMARK—N RIM OF GATE VALVE, SW 45 ST&SW 29 TERR, ELEVATION=
4.63(NGVD29), CONVERSION [MINUS 1.59] = 3.04(NAVD88)
C2. e)A/C ON RACK ELEVATION
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 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:
4537 SW 29 TERRACE
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 BEE),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 E1—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 Nfeet ❑meters El 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? N Yes ® No N Unknown. The local official must certify this information in Section 3.
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. Form Page 3 of 6
ELEVATION CERTIFICATE OMB No. 1660
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:
4537 SW 29 TERRACE
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 orcommunity-issued BFE)
or Zone AO.
G3. ❑ The following information(Items G4—G10)is provided for community floodplain managementpurposes.
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 COMPANY USE
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number:
4537 SW 29 TERRACE
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 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. 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 33, 701.8_
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:
4537 SW 29 TERRACE
City State ZIP Code Company NAIC Number
DANIA BEACH FL 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