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Home My WebLink About5141 SW 30 Way DEPARTMENT OF HOMELAND SECURITY RECEIVED Federal Emergency Management Agency MAR 2 2 2016 ELEVATION CERTIFICATE IMPORTANT:FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number 1660/20118 Expiration:11/30n018 Copy all pages of this Elevation Certificate and all attachments for(1)commonly official,(2)Insurance agent/company,and(3)building owner. SECTION A-PROPERTY INFORMATION FORM INSURANCE COMPANY USE Al. Building Owner's Name Barfield Enterprises Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number: 5141 SW 30th Way City Dania Beach State FL Zip Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel ID:504232342540 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude.Lat 26.0568°N Long.80.1840°W Horizontal Datum r 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 5 A8. For a building with a crawlspace or endosure(s): A9. For a building with an attached garage: a)Square footage of crawlspace or enclosure(s) 0 sq ft a)Square footage of attached garage 0 sq ft b)Number of permanent flood openings in the b)Number of permanent flood openings crawlspace or enclosure(s)within 1.0 foot in the attached garage within 1.0 foot above adjacent grade g above adjacent grade 0 c)Total net area of flood openings in A8.b 0 sq in c)Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? C Yes (•'No d) Engineered flood openings? r Yes r No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bl. NFIP Community Name&Community Number 82.County Name 83.State crry OF DANIA BEACH : 120034 BROWARD COUNTY FL 84. Map/Panel Number 85. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9.Base Flood Elevation(s) Revised Date (Zone AO,use base flood depth 12011C:0566 H 08/18/2014 08/18/2014 X N/A B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: r FIS Profile r FIRM r Community Determined r Other/Source: B11.Indicate elevation datum used for BFE in Item B9: r NGVD 1929 r NAVD 1988 r Other/Source: 812.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? r Yes r No Designation Date:N/A r CBRS r OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl.Building elevations are based on: r Construction Drawings' r Building Under Constriction' r Finished Construction C2.Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-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. 'A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized: BCBM:MANHOLE RIM 3032 SW 52 ST;Elev:4.71' Vertical Datum:NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. r NGVD 1929 r NAVD 1988 r 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 - 5 r feet r meters b)Top of the next higher floor 8 - 1 r feet r meters c)Bottom of the lowest horizontal structural member(V Zones only) - N/A r feet r meters d)Attached garage(top of slab) - NIA r feet r meters e)Lowest elevation of madrinery or equipment servicing the building 10 - 4 r feet r meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 9 - 9 r feet r meters g)Highest adjacent(finished)grade next to building(HAG) 10 - 3 r feet r meters h)Lowest adjacent grade at lowest elevation of deck or stairs,including N/A r feet r meters structural support FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE OMB Control Number 1660-0008 Expiration:11/30/2018 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 may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. Digitally signed Were latitude and longitude in Section A by Andrew Snyder ❑Check here if attachments. provided by a licensed land surveyor? r Yes F No _off' DN:cn=Andrew Certifiers Name License Number YI' Snyder, Andrew Snyder,P.S.M. LS5639 o=Landtec Title Company Name .un« Surveying,Inc., Surveyor&Mapper Landtec Surveying,Inc. ou, s � email=asnyder@la Address City State Zip Code / ndtecsurvey.com, 600 Fairway Drive#101 Deerfield Beach FL 33441 c=US Signature // Date Telephone Date:2016.03.16 03/14/2016 561-367.3587 15:10:22-04'00' Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable)" Section C2 E-A/C unit Latitude and Longitude derived from Google Earth. Signature Date 03/14/2016 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 or LOMR-F request,complete Sections A,Band C,For Items El-E4,use natural grade,it 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, _ r feet r meters ❑above or ❑below the HAG. or enclosure)is b)Top of bottom floor(including basement,crawlspace, r feet r meters ❑above or ❑below the LAG. or enclosure)is E2.For Building Diagrams 8-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor(elevation C2.b in the diagrams)of the building is - r feet r meters ❑above or E]below the HAG. E3.Attached garage(top of slab)is -_ C feet ('meters ❑above or ❑below the HAG. Ed.Top of platform of machinery and/or equipment servicing the building is -_ r feet r 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? C Yes r No r 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 Owners Authorized Representative's Name: Address City State ZIP Code Signature Date Telephone Comments ❑Check hem if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 4 of 15 OMB Control Number:1660-0008 Euiration:11/30/2018 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. El 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 ElA 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.C New Construction C Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building. " r feet rmeters Datum G9.BFE or(in Zone AO)depth of flooding at the building site: - rfeet r meters Datum G 10.Community's design flood elevation: " r feet C meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments • ❑Check here if attachments. FEMA Form 088-0-33(7/15) Replaces all previous editions. Page 5 of 15 RECEIV BUILDING PHOTOGRAPHS MAR 111016 See instructions for Item A6 OMB Control Number:1660.00 Egtxason:11l30I2018 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 5141 SW 30th Way City Dania Beach State FL Zip Code 33312 Company NAIC Number. If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions for Item A6. Identity 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. Front View • j • I ; I 11 Rear View • kr' i i {$ i t FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 6 of 15 BUILDING PHOTOGRAPHS OMB Control Number:1660-0008 Continuation Page emiration:11r30n016 IMPORTANT: In these spaces,copy the corresponding information from Section A. FORM INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 5141 SW 30th Way I State Zip Code Company NAIC Number: City 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. Right Side View Left Side View FEMA Form 066-0.33(7115) Replaces all previous editions. Page 7 of 15