HomeMy WebLinkAbout401-405 SW 2 Ter &,.,
OMB No. 1660-0008
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE Expires February 08.2009
Federal Emergency Management Agency
Nat.nai.'lood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name ALL SOUTH FLORIDA CONSTRUCTION MANAGEMENT
Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number
401 4 S.W.2ND TERRACE 1 t
City DANIA BEACH State FL ZIP Code 33004 30q
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) } 0 2 �� 0 S O �oLl��(`��
LOTS 7-9,BLOCK 3,"VICTORY HEIGHTS"(P.B.21,PG 2, B.C.R.) I
es
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) COMMERCIAL Horizontal Datum: 0 NAD 1927 El NA] 1983
A5. Latitude/Longitude:Lat.26°02'52" Long.80°08'52"
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1provide A9. For a building with an attached garage,provide:
A8. For a building with a crawl space or or enclosure(s)
enclosure(s), N/A sqft a) Square footage of attached garage NSA 3q ft
a) Square footage of crawl space b) No.of permanent flood openings in the attached 3arap
b) No.of permanent flood openings in the crawl space or walls within 1.0 foot above adjacent grade N/A
enclosure(s)walls within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
yName B3.State
61. NFIP Community Name&Community Number B2.Count NameFL
CITY OF DANIA BEACH 120034
B7.FIRM Panel B8.Flood B9.Base Flood Eleva.ion(s)(Zone
B4.Map/Panel Number B5.Suffix B6. FIRM Index
Effective/Revised Date Zone(s) AO, use base flood depth)
12011C0309 F 10-02-97
08-18-92 X N/A
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile 0 FIRM 0 Community Determined ❑
Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 0 NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(❑C RS)area or Oth CBRS ❑eoPA Protected Area(OPA)? 0Yes ®No
Designation Date
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Buildin Under Construction* El Finished Construction
Cl. Building elevations are based on: ❑Construction Drawings* 0 9
*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-g
below according to the building diagram specified in Item A7.
Benchmark Utilized COUNTY Vertical Datum NGVD
Conversion/Comments Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 10.2 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor N/A._ 0 feet Cl meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A._ 0 feet 0 meters(Puerto Rico only)
d) Attached garage(top of slab) N/A._ 0 feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building N/A._ 0 feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments) 9 5 ®feet ❑meters(Puerto Rico only)
f) Lowest adjacent(finished)grade(LAG) 10.0 ►Z� feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) --
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. PLACE
SEAL
Certifier's Name STEPHEN H.GIBBS License Number 4054 E
RE
Title PRESIDENT Company Name GIBBS LAND SURVEYORS
Address 2131 HWD.BLVD.,STE.204 City HOLLYWOOD State FL ZIP Code 33020
Signature .. r Date 08-21-2007 Telephone 954-923-7666
Rpp rpvprce sirtp fnr rnntinuatinn
Rpnlanec all nrpviniIS pditinnc
IMPORTANT: In these spaces, copy t' •orresponding information from Section A.
Building Street Address(including Apt., Unit,Suite, and/or Bldg.No.)or P.O. Route and Box No. Po I Company Use.'
401-405 S.W.2ND TERRACE Poll icyy N Numbe umber
City DANIA BEACH State FL ZIP Code 33004
Company NAIL 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
Signature
Date
Check here if
SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE)ents
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,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,crawl space,or enclosure)is
b)Top of bottom floor(including basement,crawl space,or enclosure)is ❑feet ❑meters El above or El below the HAG.
❑feet
aove orthe LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(se❑e pager8 of❑I st uctions)❑,the I next higher floor
(elevation C2.b in the diagrams)of the building is
El feet ❑meters ❑above or 0 below the HAG.
E3. Attached garage(top of slab)is
❑feet ❑meters 0 above or ❑below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is
CI 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? ❑Yes 0 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's or Owner's Authorized Representative's Name
Address
City State ZIP Code
Signature
Date Telephone
Comments
SECTION G -COMMUNITY INFORMATION (OPTIONAL) ❑Check here if attachment;
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.and G9.
Gl. ❑ 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.-G9.)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:
G9. BFE or(in Zone AO)depth of flooding at the building site: El feet ❑meters(PR)Datum
CI feet ❑meters(PR)Datum
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
FEMA Form 81-31, February 2006 ❑Check here if attachment:
Replaces all previous edition;
Bu Photographs
Seeilding Instructions for Item A6. For
Policy InsuranceNumber Company Use:
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No.
401-405 S.W.2ND TERRACE
Company NAIL Number
City DANIA BEACH State FL ZIP Code 33004
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two
"buildinRearg photographsView ; and b,elowifrequired accorc, "ingiRight io
the instructions for Item A6. Identify all photographs with: date taken; "Front View and "
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
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Building Photographs
Continuation Page
For Insurance
Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No. Policy Number
Use:
401-405 S.W.2ND TERRACE
City DANIA BEACH State FL ZIP Code 33004
Company NAIL Number
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."
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