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HomeMy WebLinkAbout4455 SW 26 Ave U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Nano--1Flroa';nsuruaceProgram Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name MGA GROUP LLC Policy Number: A2, Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number: 4455 SW 26T"AVE City DANIA BEACH State FL ZIP Code 33312 {� A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) "' E 1 V E TAX PARCEL NUMBER 5042 29 02 0134 r FEB 1 8 2016 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.26°03'59.7" Long.80°10'33.1"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. BY: 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 enciosure(s) NA sq ft a) Square footage of attached garage NA 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 E 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 FLORIDA B4.Map/Panel Number B5.Suffix B6. FIRM Index Date B7.FIRM Panel B8.Flood B9. Base Flood Elevation(s)(Zone 12011C 0558 H 08-18-14 Effective/Revised Date Zone(s) AO,use base flood depth) 08-18-14 AE/AH 5 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: NA ❑ 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:NA Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 El 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) 6.01 ®feet ❑meters b)Top of the next higher floor NA. ❑feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) NA. ❑feet ❑meters d)Attached garage(top of slab) NA. ❑feet ❑meters e) Lowest elevation of machinery or equipment servicing the building NA. ❑feet ❑meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) NA. ❑feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) NA. ❑feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support NA. ❑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 , ❑ Check here if attachments. licensed land surveyor? El Yes [] No ' I ' C /•r Certifier's Name PAUL J.STOWELL License Number 5241 V Title PROFESSIONAL SURVEYOR Company Name ATLANTIC COAST SURVEYING INC i 11/10/15 i Address 6129 STIRLING ROAD SUITE-ITy 2 City DAVIE State FL ZIP Code 33614 'J} Signatur j{{}� �-fi ,+ Date 11/10/15 Telephone 954-587-2100 V 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. FOR INSURANCE COMPAN r U6E Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 4455 SW.26TH AVE City DANIA BEACH State FL ZIP Code 33312 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 JOB#37888 HIGHEST CROWN OF ROAD=4.51'(NAVD 1988)Machinery is A/C in section C2E. Flood determination is based soley on F.I.R.M.provided by F.E.M.A. No research was done in regards to L.O.M.R./L.O.M.A documents. We do not accept responsibility for insurance premiums based on Elevation Certificates.A5 Obtained by hand held gps unit. Signature Date 11/10/15 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—ES.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C.For Items E1—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,cra; space,or enclosure)is ❑feet ❑meters ❑above or below the HAG. b)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet ❑meters El 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 8-9 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'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. ❑ 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: El 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: El feet El meters Datum Local Official's Name Title Community Name Telephone Signature 'I Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/12) 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: 4455 SW 26TH AVE 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. N_.89°49'10"E. 140.00' . I fN. ff �� : Ilk l 0 1 w if I IF. \§` { %., >. reMii it1 if si Lu _ 1 il,..; L L.Ny,T:4-,i - ly xx • urn- N :li1 ?B 0l g1,... , z, • .... Itf y 1 SJ t�i ■M w I s _t L I • L U__ �i h. 1 el) _ _ __i___ —" '— 5.89°49'101V. 140.00'—————— :I TE L k r' -; LE 7 R a —,,... SITE NIQTES: LOWEST SLAB AT U'4'JG AREA.TO BE A VIIAIAU61 1&" ABOVE CROWN OF ROAD. (RAW FLOW ELEV. — +6.Op NCV13 19Po) 2 LOT DRAINAGE AND GRADING TO SLOPE AWAY FAUD 1LlLOI.G IN EACH DIRECTION IN .ACCORDANCE WITH ALL LOCAL CODES ORDINANCES HAVING JURISDICTION DRAINAGE RE1_i L=TIONS AND GOOD ENGINEERING PRACTICE SPECIAL ATTENTION TAKEN.FOR SLOPES AROUND SAWN' C,POLL DEC]t. DRI.£ WAY TO GARDENS. 3. LANDSCAPING,IRRA.GATIO•N, 13ER+ING,ETC TO NE IN ACCORDANCE PATH ALL LOCAL CODES.REGULATIONS.AND REST-ACTIONS HAVING JURISDICTIONS. (NOT PART Of ARCHITECT'S CONTRACT DOCUMENTS) A. BRICK PAVED WALKAAYS, DRIVE. DEC1 S, PORCHES AND PA11i) PATTERN & COLOR TO BE SELECTED AND COORDINATED WITH OWNER/ARCHITECT 51,'B1.tIT SAMPLES FOS APPROVAL. 5 ANY PROPOSES `0Am3,ING PCC4.S, DECK, SPA, GASEBO, ETC (Dermted "BY OTHERS") SHALL BE PERMMITTEO SEPARATELY AND COORDINATED WITH THE OWNER.: (NOT A PART CF THIS ARCHITECTS CONTRACT DCcuNENTS)I i I 1 FEMA Form 086-0-33(7/12) • Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs . Continuation Page 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: 4455 SW 26T"AVE City DANIA BEACH State FL ZIP Code 33312 Company NAIC 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. THEN. 100' OFrHES. 213'OFTHEW. CLEAN OW' I 140' OF7HEE. 495'LESS THE S.. 70' I 1 OF LOT 10, BLOCK 4, SECT7OiY 29 TOWNSHIP 50 SOLlih; RANGE 42 FAST I. I N ',I i' 1. .PIPS/B�.NO IP. E?.f TE I 4. . .iZ 6. FNdcD,OEM 9 pis �yf f/�1fr y n�yr 0.3'N,27,9'E A� N.,R77.4.7 t 0 C. 1 4I!0V I F/C,0.7'N,27.6V 'S 25.0' 4k�. 'NA JI11 U.. .,. WET F"ACE28.2'EJJ�I 0 e o W 1 m O 0 Iw @ 1, - d'41 O 'II i= O� U C3 9 VACANT L4N0 Ci , t I W I.y.41 i i , 3 o 3 $ 41,14(06 Q 'z5 O 1,.. 3 ' �39 �� W wf l • ©% w N �m M 1,� N , N x3 Wh o N NE S 70'Of Te'N. ,00'Or 7TtE 4 d N a t-.4 h 0 1#. I £ 213'Gig TTIE W.. 140'OF THEE 495' 0N�' q4. AF LOT 10, BLOCK 4 SECTKW 29p1 7721 5'N7P 50 SC'AVV RANGE 42 EAST O44 ui Q it _ 140.0C' — 3 5. ' NrS W T-FACE 26.9•£ C t / ti SEA.tiA 25.2*E n fr'£r 2F 2'E � " -y.�,0.i'S i 52, f �', it f 'f_._..rr--rl—,rr�/ ' I—i ^"E 25�0'�- 'FIP-1/Y,NO IO� S.$9�49 70 W. 140.00 -E—'"F1Ri/z•.NOw EP ie•E�l V' I IN CONCRETE J' in F/C,1,i'5,26.JW D.2'.385'E F/C.0.3'S e9. it i 11='I¢ 1 9 N' qv CL N OUT IN 100 Q G IN•- THE S. 213'OFTHEW 140'OFTHEE. 495' • LESS THE IL 100'OF LOT 10, BLOCK 4, SECTION 29 I a I TOWNSHIP 50 SOUTH, RANEE 42 EAST KETCH. THE S.L°N£OF LOT 1G,T BLOCK �-4 _Li T , �' ABSTRACTED BY THE OFFICE S.W. 45TH S REE =N RIP OR OTHER INSTRUMENTS RIGHT-OF-WAY(WIDTH VARIES) I , FEMA Form 086-0-33(7/12) Replaces all previous editions.