HomeMy WebLinkAboutERROR 2980 SW 23 Ter (105) U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
Nationa.'Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY U,SE
Al. Building Owner's Name GREEN OAK LLC V0041 R Policy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number: 'I
2980 SW 23 TERRACE UNIT 105
City DANIA BEACH State FL ZIP Code 33312
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
PORTION OF LOTS 8&9,GREEN OAKS(21/42)AND PORTION OF TRACT 16,SEABOARD FARMS(18/22)
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL
A5. Latitude/Longitude: Lat.26°05'06.0"N Long.80°10'19.2"W 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 N/A sq ft
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot 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? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
DANIA BEACH 120034 BROWARD FL
B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone
12011 C 0558 H 8/18/14 Effective/Revised Date Zone(s) AO,use base flood depth)
8/18/14 ** "AH" ** 6'
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No
Designation Date: N/A ❑ CBRS ❑ OPA
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,AR/AO.Complete Items C2.a-h
below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters.
Benchmark Utilized:SEE COMMENTS Vertical Datum: NAVD1988
Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 ® NAVD 1988 0 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) 6.42 ®feet ❑meters
b)Top of the next higher floor N.A ❑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 N.A ❑feet ❑meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 3.92 ®feet ❑meters
g) Highest adjacent(finished)grade next to building(HAG) 6.42 ®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./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 '
I'
w;
It.-�..
® Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifiers Name JERALD A.McLAUGHLIN License Number 5269I
Title PRESID Company Name McLAUGHLIN ENGINEERING COMPANY
Add 400 3RD AVE E City FORT LAUDERDALE State FL ZIP Code 33301
Signatur Date 2/12/15 Telephone 954.763.7611
FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions.
•
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 USE
Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number:
2980 SW 23 TERRACE UNIT 105
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. 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.
PICTURES TAKEN 2/12/15
FRONT VIEW REAR VIEW
+,: rye
{..'. • :`.iii
);,--„A,,. 41.
h ` I
(g a t L b° i ^� � ,
*!. SUITE 10 1, .•,
i' 1 -1 . a
a
,
�.- : t;a `":%:1. ..,'a' x 4,,, , ""(; ,.,,as
RIGHT SIDE VIEW(OVERALL BUILDING) LEFT SIDE VIEW OVERALL BUILDING
F
nn
t +
,
, g,{
U
A I. , , 1,3l 3'.
& perI.
11/
.. r ,`�' `�r�. 1/4' -tea " , . .. .,
FEMA Form 086-0-33(7/12) Replaces all previous editions.