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Home My WebLink About4781 SW 39 Ave (2) U.S.DEPARTMENT OF HOMELAND S—JURITY OMB No.1660-0008 Federal Emergency Management Agency Expiration Date:November 30,201 j Nafiormat Flood Insrranoe Program ELEVATION CERTIFICATE baportant Flow the instructions on pages 1-9. Copy al pages of this Bevafm Certificate and all alladmneala for(1)community official,(2)insurance agent/company,and(3)Ong oweec SECTION A—PROPERTY FORMATION FOR INSURANCE COMPANY t1BE Al. Baiting Owner's Name Policy Number: AQUA ISLES A2. Building Street Address(including Apt,Uri,Stele,and/or Bldg.No.)or P.O_Route and Company NAIC Number: Box No. 4781 SW 39TH AVENUE City State ZIP Code DANIA BEACH Florida 33312 A3. Property Deacon(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) FITNESS CENTER IN PARCEL A a Portion of Aqua Isles Plat-Broward County,OUR JOB#:16-02-033 A4. Bulking Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) NON-RESIDENTIAL AS. 1 ude&on ude: Lac 26°03'48.74'N Long.80°11'5567"W Horizontal Datum: NAD 1927 jx WAD 1983 A6. Attach at least 2 photographs of the budding if the Certificate is being used to obtain flood insurance. Al. Budding Diagram Number 1 B A6. For a building with a aawispace or andosure(s) i a) Square footage at cxawAapeca or andosure(s) n/a sq f b) Number Of permanent flood openings in the rrawNpare or a donsa(s)wean 1.0 foot above efiece f grade 0 c) Total net area of flood openings in Ai-b 0 sq in d) Engineered flood openings? ❑Yes El No A9.For a building with an at edmed wage: a) Square footage of abad*d wags n/a sq f1 b) Number of permanent flood openings in the attached garage within 1.0 foot above ad)acent grade 0 c) Total net area of flood openings in A9.b 0 sq n d) Engineered flood openings? D Yes Qx No SECTION I—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name&Community Number 82.County Name B3. State CITY OF HOLLYWOOD,125113 84.Maps anei B5.Suffix 88. FIRM Index 87.FIRM Panel B8.Flood Zone(s) 89.Base Flood Elevation(s� Number DDale Effedivel Zone AO,use Base Revised Date Fed ) 12011C0554 H 08/18/2014 08/14/2014 X N/A 810. Indicate the source of the Base Flood Elevation(BFE)data or base food depth entered in Item B9: RS Profile ❑x FIRM 0 Community Determined []Other/Source: B11. indicate elevation datum used for BFE in Item B9: NGVD 1929 [J NAVD 1988 11 Other/Source: 812. 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. Form Page 1 of B f ' ELEVATION CERTIFICATE 1 No.• ale:N 8 Eapiaeon Dale:November 30,zote IMPORTANT:In these spaces,copy the corresponding tribunate('from Section A. FOR INSURANCE COMPANY a ARC Budding Strad Arfdess(inducing Apt.,Unit,Suns,andfor Bldg.No.)or P.O.Route and Box No. Pricy Number. 4781 SW 39TH AVENUE City Stele ZIP Code Company NAIC Number DANIA BEACH Florida 33312 SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQINRED) C1. Buiidrg elevations are based on: (]Construction Drawings' ❑Building Under Construction' Q Finished Consnx6on `A new Eienabon 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-A313,AR/AN,ARfAO. Complete!terns C2.a-h below according b the hulling diagram specified in Item Al.In Puerto Rico only,ewer metiers. Sendvnertc Mired: SEE COMMENTS Verb al Datum:NAVD 1988 Indicate elevation dat,n used for the elevations in ferns a)trough h)below. NGVD 1929 D NAVD 1988 ❑Other/Source: Datum used by buidig elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bo0om fear(including basement,crarwapace,or enclosure!low) 7 0 feet ❑meters b) Top of the next higher poor N/A. M fed melees c) Bottom of the lowest horizontal strutkaal member(V Zones only) N/A feet ❑meters I d) Attached swage(lop d ) N/A fed Q meters i a) Lowest elevation of machinery or equipoise(servicing the building 6 66 feel CI meters (Oeeolbe type of eg 1pnrntt and location n Comments) f) Lowest adjacent(inithsd)trade next to building(AG) 6,20 Qx feel meters g) Highest ediecenl(bled)trade nen b building(HAG) 6.82 Qx fad ❑meters h) Lowest ad)acat grade al lowest elevation of deck or seers,including N/A, nx tent {]meters Nnactit.support SECTION 0-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certNu:Mbn s to be signed end sealed by a Ind surveys,engineer,or architect authorized by law to codify elevation information. certify Gel the irlbmtabon on this Certificate rsprrsrlt:my bast*Sorb to nferpnW the deb avatebie.f understand that any lithe statement may be pknxahable by fine or intpriaorrns&under 18 U.S.Code,Section 1001. Were latitude and longitude in Section A provided by a licensed tend surveyor? ❑Yes ❑No 0 Check here if attachments. Cedllter's Name License Number _ vvhh+fur,,, LUIS J.ORTIZ 7006 �`\5 J. OT�v� Title � /r PSM ;4Q "tJ componyNone i No.Tit w a BASELINE ENGINEERING&LAND SURVEYING ' Address f110RE 1400 NW 1ST COURT SWOOP.. City State ZIP Code ', W .` BOCA RATON Florida 33432 � Signature Data Telephone LUIS J ORTIZ LS 70 'Ta+•==- - --- 12/06/2016 (561)417-0700 Copy all pages of this Elevation end al attachments for(1)community official,(2)insurance agent/company,and(3)builcng owner. Comments(including type of equipment and location,per C2(e),if applicable) A 5)GOOGLE EARTH C2(E)NC PAD(located at NE corner of bldg.) BENCHMARK REFERENCE:BROWARD COUNTY BENCHMARK#1479, ELEVATION =6.961'NGVD 1929(5.363'NAVD 1988, converted using Vertcon Software-cony factor 1.598') FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No.1660-0008 Expiration Dale:November 30,2018 IMPORTANT:In thheee spaces,copy the cwraapending Nation from Section A. FOR INSURANCE COMPANY UlpE Building Street Address(including Apt,Unit Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 4781 SW 39TH AVENUE CitY State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 • SECTION E-BULIMIC;ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BEE),complete Items El-ES.If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A,Barb C.For Items ET-E4.use natural wade,if available.Check the measurement used.In Puerto Rico only, ester meters_ • El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest a4 wade(HAG)and the Lowest adjacent wade(LAG). a) Top af bottom floor(naming basemen, cra dapece.or enclosure)is N/A ❑feet ❑meters ❑above or ❑below the HAG. ! b) Tap of bottom hoar(enduring basement, aamdspaoe,or enclosure)is N/A ❑feel ❑meters ❑above or Q below the LAG. E2. Far Binding Diagrams 6-9 with permanent Rood ope vnga provided in Section A hone 8 and/or 9(see pages 1-2 of Instructions),next higher floor(elevaim C2b n ) the the dogrems)of the burg is N/A ❑feet ❑meters ❑above or ❑below the HAG. E3 Attached garage(top of slab)is N/A ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of piaHonn at machinery and/or equipment servicing the building is NiA ❑feet ❑metes ❑above or ❑boiow the HAG. ES.Zan AO only:If no flood depth number is available,is Ma lop of the bottom Roar elevated in somrdente wRh the community's murnin/s I loodarin atenegsment ordnance? []Yes ❑No ❑x Unknown. The loaf afRdul must curtly this irMhxmeion In Section Gt. SECTION F-PROPERTY OWNER(OR OWNERS 11E1lESENTATTVE)CIRTWFICATION The owner or owner's authorized representative who completes Sa7iom A.S,and E for Zone A(without a FEMA-Issued or oomnar+iy irked BEE)or Zone AO must sign has.The statements in Sodding A t3,and E are correct to the best at my knowledge. Property Owner or Ovinerhs Authaizsd Reprasenlaive's Nome Address City Stele ZIP Code • Signature re Dab Telephone Comments I � ❑Check here if attachments, FEMA Form 096-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 • ELEVATION CERTIFICATE OMB No.1660 0006 Expiration Date:November 30,2018 rPORTANT:In these spares,copy the cixreepending Information from Section A. FOR INSURANCE COMPANY U1E Building Street Address(includingApt,fir.Soils andlor Bldg.No.)or P.O.Route and Bmr No. "Policy Number: 4781 SW 39TH AVENUE -City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 SECTION 0—COSIMM N(TY INFORMATION(OPTIONAL) The local official who is autlrorized by Is.or ondssanor to adimister the oonnssrtys flood lain management ordinance can complete Sections A.B,C(or E),and Got this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measuement used in Items G8-G10.In Puerto Rico only,enter meters. G1. Q The nfonnalon in Section C was taken from other documentation that has been signed and sealed by a licensed suveyor., engineer,or sc hived who to authorized by Is.to certify elevation information.(Indicate the source and date of the elevation data in the Comments area bellow.) G2. [] Ar community official completed Section E fora buadag located in Zone A(without a FEMA-issued or community-issued BFE) G3. ❑ The following information(Items GI-G10)is provided for community floodptain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Issued G7. This panel has been issued for New Construction❑Substantial Improvement G8. Elevation of stool!lowest floor(including basement) • of the building: ❑teat ❑meters Dash G9. BFE or(n Zone AO)depth of flooding at the bu!dig sir: ❑feet ❑asters Datum G 10.Commnit es design blood elevation: ❑feet ❑meters Dom, Local Olfioei's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e),if applicable) ❑ Check here if aitachmentt. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for Item A6 0►IB No.1660-0oo6 YPORiAtdT:to these Expiration°�:�"'�30,zoy8 spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY(OF Buidag Street Address(inducing Apt..Um.StAe,and/or Bldg.No.)or P.O.Route and Box No. Poicy Muster 4781 SW 39TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 It using the Elevation Ce riecale to obtain NAP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6.identify a1 photographs with date taken;"Front View'and'Rear Viers;and,6 required,'Right Side View'anti 'Left Side VOW."When applicable,photographs must show the foundation with representative examples of the flood openings orl vents,as incited in Section AB.If sclinvitiug sae photographs than will fit on ttis page,use the Continuation Page. 1 1 Pleb Ono Photo One Caption FRONT VIEW 12/06/2016 • 4714 • 1 i d► Prot Tro Photo Two Caption REAR VIEW 12/06/2016 — FEMA Form 086-0-33(7/15) Replaces at previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS t_No,1860-0008 ELEVATION CERTIFICATE Cornbrx,alion Page Expiation Date:November 30,201$ NFORTAWT:In These spaces,copy the corresponding hmforwmslfon from faction A. FOR INSURANCE COMPANY U Buking meet Address(including Apt.,Unit,Suite„end/or Bldg.No)or P.O.Rate and Bost No. Policy Number: 4781 SW 39TH AVENUE City State ZIP Code Company NAIC Number DANIA BEACH Florida 33312 If submitting more photographs tan oil it on the preceding page.affix the addibomai photographs below.Idenbly all photographs wah: date taken; 'From Vie" and 'Blear View; and. If required, 'Right Side View' and "Lee Side View' When applicable, photographs must show the foundation with representative examples of the good openings or vents,as indicated in Section AS. 44//fatik Aral • • umber Photo One Caption SIDE VIEW 12/06/2016 • • • Phalo Two Photo Two Caption SIDE VIEW 12/06/2016 FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6