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Home My WebLink About317 NE 3 Ave U.S.DEPARTTENTOF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY Na7ional Flood Insurance Frogman Important: No. 1660-0008 Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015 SECTION A-PROPERTY INFORMATION FOR iNSURANCEdOl*IPFNY USE Al. Building, Owner's THERINE BOUTIN -® Policy Number: A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. 317 N.E. 3 AVENUE Company NAIL Number: City DANIA BEACH State ZIP Code ®'' FLORIDA 33004 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Folio#: N/A A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude:Let. N26° Long.W80'08'393" 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 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage 200 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings or enclosure(s)within 1.0 foot above adjacent grade N/A s in the attached gara ge within 1.0 foot above adjacent grad e 0 c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 0 s in d) Engineered flood openings? 0 Yes ® No q d) Engineered flood openings? ❑ Yes ® N,) SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3.State 120034 BROWARD COUNTY FLORIDA _ I B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel B8.Flood B9.Base Flood Elevations)(Zone 12011C0309 F Effective/Revised Date Zone(s) AO,use base flood depth) 8/18/1995 8/18/1995 AE 7.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item 89: kn NGVD 1929 El NAVD 1988 El Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes Designation Date: N/A 0 CBRS El OPA ® No SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) ----' Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" *A new Elevation Certificate will be required when construction of the building is complete. �] Finished Construction 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 C''2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized: Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. ZI 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) 6.57 ®feet b) Top of the next higher floor ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) -'.tLA__' ®feet ❑meters N/A ®feet ❑meters d)Attached garage(top of slab) 6:45 IN feet ❑meters e) Lowest elevation of machinery or equipment servicing the building N/A ®feet(Describe type of equipment and location in Comments) ❑meters f) Lowest adjacent(finished)grade next to building(LAG) 5.59 IN feet g) Highest adjacent(finished)grade next to building(HAG) CI meters ®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.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. ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a J , Espy Check here if attachments. licensed land surveyor? I J Yes ❑ No .� GT "� ' ET : o Certifier's Name MIGUEL ESPINOSA License Number z 5101 �� . _ TitOFESSIONAL SURVEYOR&MAPPERCompany Name Espinosa bs o, C _ p 4 'STATE'Pc . City r,�,m . -'Ad SW 190 ST E UI E 3110 MIAMI Stple ZIP Cods ' ' , cR} Signature :s3157 S�� Date 1/8/2014 Telephone (305)740-3319 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces,copy the corresponding information from Section A.Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. OR INSURANCE COMPAN"'USE P 317 N.E.3 AVENUE Policy Number: City DANIA BEACH P Code plate ZI004 Company NAIC Number: SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments LATITUDE LONGTITUDE PER GOOGLE,ATTACHMENTS=BUILDING PICTURES --- 1/8/2014 Signature Date SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without 8F complete _ and C. For Items El—E4,use natural grade,if Itemsvailable Check the measurement E5.If the Certificate is tused. Inended oPuerto Rico o support a nly,enter meters.A or LOMR-F equest,complete Sections A, B, 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 b)Top of bottom floor(including basement,crawlspace,or enclosure)is ®feet ❑meters ❑above or 0 below the HAG. E2. For Building Diagrams 6-9 with permanent floodopeningsp � ®feet ❑meters ❑above or❑ below the LAG. C2. in the diagrams)of the building is provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor E3. (elevationlevaed garage(top diof gram) s Ei feet ❑meters D above or 0 below the HAG. feet 0 meters 0 above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is et above or he HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance wi meters th the community'sfloodplaint management ordinance? 0 Yes ❑ No RI 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's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone — Comments ❑Check here if attachments_ 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 G1.0 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. I G4.Permit Number I 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: G9. BFE or(in Zone AO)depth of flooding at the building site: ®feet ❑meters Datum G10.Community's design flood elevation: EN feet ❑meters Datum • ®feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments. FEMA Form 086-0-33(7/12) Replaces all previous edit ons. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY U3E Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 317 N.E.3 AVENUE -344i, City State ZIP Code Company NAIC Number: DANIA BEACH FL 33004 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the inst-ucticns 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. ' • `, �� .{i..-i '7 r " Pt 1 GS • W 4a !d - ao • 0 L t tf Q L \ '� r+„ i� t K ` � Iti 5 W i L '/fir/ FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IM"ORTANT: 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: 317 N.E.3 AVENUE City State ZIP Code Company NAIC Number: DANIA BEACH FL 33004 If submitting more photographs than will fit on the preceding page, affix the additional photographs below.Identify all photographs with: date taken; "Front Vie ' and "Rear Viev/'; 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. x . tk C f. g,4 �' � 1S" A#,,, ' Ys a R, t '-. .$ sz `* '' �Y` a r . , t,� { N fit` v yr r v 94 f, Zz Fs yP e7 `J/ L'a . a 3 j x'Sxr'1 ,a Ab' Y ': FEMA Form 086-0-33(7/12) Replaces all previous editions.