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Home My WebLink About555 E. Dania Beach Blvd. U.S. DEPARTMENT OF HOMELAND SECURITY OMB No.1660-0008 Federal Emergency Management Agency Expiration Date:November 30,201 B National 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 USI= Al. Building Owner's Name Policy Number: Scaltec _ A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Company NAIC Number: Box No. 555 E. Dania Beach Blvd. City State ZIP Code Dania Beach Fla. � 33004 A3- Rmpedy Deskx"on(Lot and Block Numbers,Tax Panel Number,Legal DesaiQbom ems) Parcel "A" DANIA PLACE PB 175 PGS. 174-175 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) residental A5. Latitude/Longitude: Lat. N26°03'11 .55" Long.W80°08'00.90" 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 1B _ 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 0 c) Total net area of flood openings in A8.b 0 sq in d) Engineered flood openings? ❑Yes W 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 —0 c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? ❑Yes [4 No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 81.NFIP Community Name.&Community Number B2.County Name B3. State Dania Beach 120034 Broward Fla. ['' 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 Revised Date Flood Depth) 12011 CO567 H 8-18-2014 8-18-2014 AE 6' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑FIS Profile N FIRM n Community Determined ❑OtherlSouroe: B11. Indicate elevation datum used for BEE in Item 139: ❑ NGVD 1929 N NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes [R 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 30, 2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number: Al.J—B ah .R -rA- _ - — city Dania Beach State Fla. ZIP Code33004 Company NAIC Number 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 Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,ARIAO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters. Benchmark Utilized- _BCBM# 1279 Vertical Datum: NVD G192 Indicate elevation datum used for the elevations in items a)through h)below- [] NGVD 1929 M 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-U ® feet ❑ meters b) Top of the next higher floor 18.07 [] 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.aQ ® feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 4. ® feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 4.7. ® feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 6.2 ❑X 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. /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? ERYes ❑No ❑Check here if attachments. Certifier's Name License Number Joseph L. Martin PLS # 4368 Title ----------- -._-- President ompany ame 'lace County-Wide Land Surveyors, Inc. ! Seal ress �15358 S .W. 140 St. Here -- - --- -_ State ZIP Coe 3-28-V17 Lignature i Fla. 33196 --- a e elephone 3-28-2017 (305) 772-0766 paqm (2 icserax� ,arnd(3� owner_ Comments(including type of equipment and location,per e,if applicable) (Elevator equipment on bottom floor. C2e) Latitude & longitude obtained with Garmin GPS. This building was apprared,per mitt edand b e gan const r u ct ion in 2006 under the old FEMA f lood maps,the permit was is s u e d with th e prcpsed design flood ele vat ion(DFE) at 1 ' abare the base f lood e 1 e vat ion(BFE), app rov e d plans and under Cons truction elevation certificate verified. Due tothe data conversion with the newlyadopted FEMA flood maps on 8/18/2014 the buildings constructed DFE shows only 6"abare the BFEof the new FEMAmaps. FEMA Form 086-0-33(7/15) Replaces all previous editions. orm 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: 555 E. Dania Beach Blvd. City State ZIP Cod Company NAIC Number Dania Beach Fla. El 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,B,and C.For Items El—E4,use natural grade,if available.Check the measurement used.In Puerto Rico only, enter meters. E1. 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(ncluding 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 ❑feet ❑meters ❑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? ❑ Yes ❑ 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 or Owner's Authorized Representative's Name Address City State ZIP Code .I Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration Date:November b"U,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: 555 E. Dania Beach Blvd. - City Dania State Fla. ❑ ZIP Code 33004 Company NAIC Number 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 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: ❑ 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. =A A A r_--.....non n nn /�14 CX n__.i_...... ...0..._........... ...aa:...... 1:-,..13--,A -f 2 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIMATE 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: 555 E. Dania Beach Blvd. - -- State ZIP Code 3004 Company NAIC Number City Dania Beach Fla ®I 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. -- t i'. Photo One -- Photo One Caption Front View 12-21-2016 i IF f r t Photo Two Caption Rear View 12-21-2016 Fnrm Pane 5 of 9 MWING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,201b 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: City State ZIP Code Company NAIC Number ®I 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. Photo One Photo One Caption P :0 Two- Photo Two Photo Two Caption FG11AA P-nua-n_zq i7i1 r,% Ronlaroc all nrovinnc orlifinnc Fnrm Pana F;of 6