HomeMy WebLinkAbout4680 SW 35 Ave UG, DEPARTMENT OF HOMELAND SECURITY OMB No. 188OOUO8
Federal Ernergency N1anogmmnntAoenoy Expiration Date: November 3O. 2O18j
National Flood |nau,oncoPmgnam -- --- -- - �
ELEVATION CERTIFICATE
Important: Follow the instructions mn pages 1-8.
Copy all paces of this Elevation Certificate and all attachments for(1)community official, (2)insurance agenticompany, and(3)buildilg owner.
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
_
Al. 8�|ding Owner's Name Policy Number:
MARCOS& MBJA
A2 gG�re��Ad �� Unit, Suite, No.) --- ond -- ---- -------- �
� ~—~''' ~'~~~"''~'~~^'u^ �' ' ~'~' ~ � � � '``~~ CompanyNA!CNumbec
Box No.
�
� 4G8O8VV35AVENUE
City State ZIP Code
� DAN|ABEACH Florida 33312 �
--P D i- Block b* N -----' ----
A3� Property enmi[�on(Lotund |oo Numbers, umbur. Loga|Deoohpdon. etc) �
� LOT 10. BLOCK 20F"DAVIS|8LE!8''. PB� 29. P8. 19. 8C.R,
A4. Building Use(e.g.. Residential, Non-Residentia|.Addition, Accessory, etc,) ReuidenU�|
A5. Latitude/Longitude: Ls\28°03'5O�53N Long 80p11'3234'VV Horizontal [� N�D1O27 f� NAD 1983
-_ -_ --
� A8. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 113
A8, For m building with ooraw|apaceo,anc|ouune(o):
o) Square footage oforaw�a�m��mm�� mq�' - Y�A____-
� U) Number ofpermanent flood openings in the c/aw|upaceorendoouro(a)within 1 O foot above adjacent grade N/A
� Total net area of flood openings inA8.b N4\ eqin
d) Engineered flood openings? 0 yoe 0 No
AS. Fora building with an attached gomge�
a) Square footage cf attached garage __ 380 sqft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0
_
o) Total net area of flood openings inAg.b O vqin
---------
� d) Engineered flood openings? F� Yes Fx� No
SECTION B-FLOOD INSURANCE RATE MAP(F|RM) INFORMATION
81. NF|P Community Name&Community Number B2. County Name 83. State
City cfDANA\BEACH 120034 Broward Florida
B4. KAap/Pmnel 85. Suffix B& FIRM Index BT FIRM Panel B8. Flood Znne(o) B9 Base Flood Be*aiion(m)
Number DmVa Effective/ (Zone AO, use Base
Revised Dote Flood Depth)
12011C0554 H 08/1EV2014 08/18/2014 X N/A
� B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9-,
FlF�SPro8|e �� FIRM �� CommunityDe�o/minod �l Other/Source:
_- ���� --___
811 Indicate elevation datum used for 8FEin Item 8B� 0 NGVD1S29 Z NAVD1888 0 Other/Source: �
--
� 812, io the building located ino Coastal Barrier Resources System(CBR area mOtherwise Protected Area(OPA)? El Yes 21 No
Designation Date: N/A [] CBRS [I 0PA
�
FEMA Form 00O-0'33(7/15) Replaces all previous editions. Form Page 1ofO
ELEVATION CERTIFICATE OMB No. 1
Expiration Date'ate. Nov 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:
4680 SW 35 AVENUE
State ZIP Code Company NAIC Number
DANIA BEACH Florida 33312
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* X 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: COUNTY BM-1479 Elev=5.45' Vertical Datum: NAVD88
Indicate elevation datum used for the elevations in items a)through h)below. y�
❑ NGVD 1929 [j 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) _.. 4 5 _ ❑x feet ❑ meters
b) Top of the next higher floor _ NSA, U feet ❑ meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. g feet ❑ meters
d) Attached garage (top of slab) 3 2 feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building _ 4. 00 feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building (LAG) 3 1 X feet ❑ meters
g) Highest adjacent (finished)grade next to building(HAG) 3 5 X feet El meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including N/A, 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.
I certify that the information on this Certificate represents my best efforts to interpret the data available. t 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? [1 Yes ❑No ❑Check;Here if attachments.
Certifiers Name License Number
RICHARD E. COUSINS 41(38
Title E�'"j""�'•-
LAND SURVEYOR&MAPPER (.�+
Company Name place
COUSINS SURVEYORS&ASSOCIATES, INC. + I S
Address `— - Here
3921 SW 47TH AVENUE, SUITE 1011 le>yV$
City State ZIP Code
DAVIE Florida 33314
Signature,. ++ �,.� Date Telephone
2
, 07/09/2018 (954)(389-7766
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company, and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable)
Latitude and Longitude was obtained by the GPS Street Finder installed in our trucks and verified by the Google Earth program.
Field survey datum is same as datum used for BFE in item B9. No conversion needed.
C2e-A/C (NORTH FACE OF BUILDING)3.98'
FEMA Form 086-0-33(7/15) Replaces all previous editions Form Page 2 of 6
OMB No 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 30, 2018
IMPORTANT: m these spaces,copy the corresponding information from Section a FOR INSURANCE COMPANY USE
ou/mm8 Street Address(including Apt., v/v`` Sv/n,, and/or Bldg. mv./or r O Route and Box No. r
488OGVV35AVENUE
City --- State---- ZIP Code Company K7ACNumber
--------
DAN|ABEACH Florida 33312
SECTION E-BU|LO|NG ELEVATION INFORMATION (SURVEY NOT REQUIRED)
FOR ZONE AOA14D ZONE A �W|TH��UTBFE)
For ZonmuAO and A(without 8FE), c*mplete Items EI-E5. If the Certificate is intended to support a LOMA or LOIVIR-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 checkthee mphateboxmohomhowwhedhevthoelevnUon�oaboveorbe|nw
the highest adjacent grade(HAS)and the lowest adjacent grade(LAQ).
a) Top of bottom floor(including basement,
maw|opana.or enclosure)io EJhael: f-lmetn/a above or below the HAG.
b) Top of bottom floor(including basement,
oaw\opaoe. or enclosure) ia �]h»al- []mo<em above or Flbelow 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 Instructons),
the next higher floor(elevation C2bin
the diagrams)of the building ie -___ �� _- F�fnai [-I meters P above or []below the HAG.
E3, Attached garage(top of slab)io F]hoot El meters [�]above or El below the HAG.
E4. Top of platform of machinery and/or equipment
servicing the building im _ __. 0hoet El meters Fl 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
Doodp|ain management ordinance? 0 Yen [:] No El Unknown. The local official must certify this information inSnoionG.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner o/owner's authorized representative whocompletes Bec*ionsA, B. andEforZoneA(wi<houtaFEKAA,inouador
community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best ofmyknowledge.
--' Authorized b Name
- —
Property Owner or Owner's�u��onze Representative's
�_ddmmo city
�� - State ZIP Code
-§iQna\ure - -- -- Date Telephone ----
'--- ------ ----- ---------- --Comments
THIS TH|8PAGE LEFT INTENTIONALLY BLANK
FlCheck here ifattachments.
FEMAForm08O-O'33(7/15) Replaces all previous mdihonm Form Page 8ofO
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:
4680 SW 35 AVENUE
City State ZIP Code Company NAIC Number
DANIA BEACH Florida 33312
SECTION C—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 w _ 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) ❑ feet Cj meters Datum
of the building:
G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet Cj meters Datum
G10. Community's design flood elevation: ❑ feet Cj meters Datum
Local Official's Name Title
----
Community Name Telephone
Signature Date
Comments—(including type of equipment and location, per C2(e), if applicable)
THIS PAGE LEFT INTENTIONALLY BLANK
❑ Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE 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:
4680 SW 35 AVENUE
City State ZIP Code Company NAIC Number
DANIA BEACH Florida 33312
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according :o 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.
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Photo One
Photo One Caption Pic Taken: 06/29/2018-Front View
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Photo Two
Photo Two Caption Pic Taken: 06/29/2018-Rear View
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6
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BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page 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:
4680 SW 35 AVENUE
City State ZIP Code Company NAIC Number
DANIA BEACH Florida 33312
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photocraphs
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.
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Photo One
Photo One Caption Pic Taken: 06/29/18-Side/Equipment View
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Photo Two
Photo Two Caption Pic Taken: 06/29/18-Side View
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 6 of 6
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[4-) Community Development Department
Floodplain Management
DANIA BEACH
SEA IT.LIVE IT.LOVE IT.
Elevation Certificate Tracking
Permit Number r�I6- 155- Address 440 S►j3 35 Auk.
Reviewed
Received for Filing
Scanned and Archived Filed in Binder 0
Finished Construction J
Located in SFHA at Apply Date ❑
1992 Flood Zone (NGVD)
2014 Flood Zone (NAVD) k -�
New Construction ❑
Improvement (Not SI) ❑ Improvement (SI) ❑
Attachments
Engineered Openings Certificate ❑ Floodproofing Certificate / Plan ❑
V-Zone Design Certificate ❑ LOMR ❑
FM.ECT1 .1
4/20/18
"Broward's First City"
100 West Dania Beach Boulevard,Dania Beach,Florida 33004 * Phone:954-924-6800 * www.daniabeachfl.gov
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