2012100260-Survey (2)U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
• National Flood Insurance Program
ELEVATION CERTIFICATE
IMPORTANT: Follow the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name RORY, KATHIE & JEREMY O'DWYER
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or PO. Route and Box No.
619 NW 69 WAY
City PARKLAND
State FL
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
4841 02 00 0087
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 9R RRAQ Long. 80 7195
OMB No. 1660-0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number:
Company NAIC Number:
ZIP Code' 33067
Horizontal Datum: 0 NAD 1927 ❑x 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 1 R
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s)
b) Number of permanent flood openings in the crawlspace
or enclosure(s) within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b
d) Engineered flood openings? ❑ Yes ® No
0
0
0
sq ft
sq in
A9. For a building with an attached garage:
a) Square footage of attached garage
0
sq ft
b) Number of permanent flood openings in the attached garage
within 1.0 foot above adjacent grade _)
c) Total net area of flood openings in A9.b
d) Engineered flood openings? 0 Yes
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
CITY OF PARKLAND 120051
B4. Map/Panel Number
12011C0165
B5. Suffix
H
66. FIRM Index Date
08/18/2014
B2. County Name
BROWARD
B7. FIRM Panel Effective/
Revised Date
08/18/2014
68. Flood Zone(s)
AH
sq in
No
B3. State
FL
B9. Base Flood Elevation(s) (Zone
A0, use base flood depth)
15
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ FIS Profile ® FIRM 0 Community Determined ❑ Other/Source.
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 0 Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ® No
Designation Date: / / ❑ CBRS 0 OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* ® Finished Construction
*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/A0. Complete Items
C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: BCBM ELEV = 115.92 Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 ® NAVD 1988 ❑ Other/Source:
Datum used for building elevations must be the same as that used for the BFE.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support
18 04
28 04
N A
N A
17 53
16 4
17 0
N A
Check the measurement used.
IN feet ❑ meters
feet 0 meters
® feet ❑ meters
® feet ❑ meters
® feet ❑ meters
feet
® feet
INfeet
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.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
0 Check here if comments are provided on back of form.
0 Check here if attachments.
Certifier's Name
DENNIS J. GABRIELE
Title
PROFESSIONAL SURVEYOR & MAPPER
Address
5400 S U ITY DRIVE #2
Signature •
FEMA Form 086-0-33 (Revised 7/12)
Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes 0 No
License Number
LS5709
Company Name
ALL COUNTY SURVEYORS
City State
DAVIE FL
Date
09/15/2014
Telephone
(954) 777-4747
ZIP Code
33328
❑ meters
❑ meters
O meters
PLACE
SEAL
HERE
9/15/2014
LS5709
See reverse side for continuation. Replaces all previous editions.
ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No.
6019 NW 69 WAY
City
PARKLAND
FOR INSURANCE COMPANY USE
Policy Number:
State ZIP Code Company NAIC Number:
FL 33067
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTNNUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments (PARTIAL TOPOGRAPHIC)
JOB # 14-40674342
LONG & LATT OBTAINED IN FIELD C2E=A/C
Signature,
4•200.` — � , Date 09/15/2014
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 E1—E5. 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, crawlspace, or enclosure) is ❑ feet 0 meters 0 above or 0 below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is 0 feet 0 meters 0 above or 0 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 0 meters 0 above or ❑ below the HAG.
E3. Attached garage (top of slab) is 0 feet 0 meters 0 above or
0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 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? 0 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
Signature Date Telephone
Comments
0 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. 0 A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone A0.
G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: _ 0 feet 0 meters Datum
G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet 0 meters Datum
G10.Community's design flood elevation: 0 feet 0 meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
0 Check here if attachments.
FEMA Form 086-0-33 (Revised 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.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P0. Route and Box No.
6019 NW 69 WAY
City
PARKLAND
State
FL.
• ZIP Code
33067
FOR INSURANCE COMPANY USE
Policy Number:
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.
FEMA Form 086-0-33 (Revised 7/12)
Replaces all previous editions.
.91'£P6 M.370.t75o00N
FOUND 1/2" IRON
PIN NO ID OFFSET
8.7 EAST
FENCE POST: 0.0'
NORTH 14.9' EAST
122.4'
b
N
121.9'
FENCE POST: 0.5'
NORTH 9.9' EAST
L
S89°37'57"E 329.98'
A/C
I: -1 PAD
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ONE STORY
ADDITION
#6019
ELEVATION: 18.04
47.4'
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FOUND 1/2" IRON
PIN NO ID
5' DEDICATED DRAINGE EASEMENT PER CITY OF PARKLAND i
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.0.
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.5\' DEDICATED DRAIN4iE EASEMENT PER CITYOFPARKLAND
FOUND 1/2" IRON
PIN NO ID OFFSET
8.7' EAST
BOUNDARY SURVEY Flood Data:
PROPERTY ADDRESS:
6019 NW 69 WAY
PARKLAND, FL. 33067
ZONE: AH 15
COMMUNITY NUMBER: 120051
PANEL & SUFFIX: 0165 F
DATE OF FIRM: 8/18/2014
FF ELEV = 18.04
Date:
9/4/2012
9/16/2014
NC
PAD
31.3'
in
M
TILE
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TILE Tii_E
COV. WALK L
ENTRY
10.1' I'
TWO STORY
CBS STRUCTURE
#6019
4.5' ELEVATION: 18.04'
N
28.9
a
N89°36'48"W 329.98'
17.1'
CERTIFICATIONS:
RORY O'DWYER
KATIE O'DWYER
JEREMY O'DWYER
Revisions:
LOCATION OF FIELD IMPROVEMENTS
FINAL SURVEY
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SOUTHEAST SECTION 2, TOWNSHIP
48 SOUTH, RANGE 41 EAST
BROWARD COUNTY, FLORIDA
Scale: 1" = 30'
CADD: LJ
QA / QC: DG
4•211111." - I�
LEGAL DESCRIPTION:
THE SOUTH 3 OF THE NORTHWEST 4 OF THE
NORTHEAST 4 OF THE SOUTHEAST 4 OF THE
SOUTHEAST 4 OF SECTION 2, TOWNSHIP 48 SOUTH,
RANGE 41 EAST, BROWARD COUNTY, FLORIDA,
SUBJECT TO AN EASEMENT FOR INGRESS, EGRESS
AND UTILITIES OVER AND ACROSS THE EAST 25 FEET
THEREOF, A/K/A LOT 141-C PINETREE ESTATES,
UNRECORDED
Surveyor's Notes
Bearing Reference: The bearings shown hereon are
referenced to the recorded plat.
2. Legal description provided by client.
3. No attempt was made to locate any underground utilities,
except as shown.
4. The information shown hereon is for the purpose to obtain
permit and/or construction.
5. The dimensions shown hereon have an estimated
horizontal positional accuracy of 0.10 feet.
6. This survey is not valid without the signature and original
raised seal of a Florida licensed Surveyor and Mapper.
7. This survey was prepared without benefit of a title
commitment. There may be additional matters of record,
not shown, which can be found in the Public Records of
the corresponding county noted hereon.
8. Benchmark Reference: Broward County Benchmark
Elevation = 17.42 (NGVD 1929, converted to NAVD 1988
Elevation = 15.92 The elevations shown hereon are
referenced to the North American Vertical Datum of 1988
(NAVD 1988).
GENERAL LEGEND:
BCR = BROWARD COUNTY RECORDS
BM =BENCHMARK
C/L = CENTERLINE
CBS = CONCRETE BLOCK STRUCTURE
CONC =CONCRETE
DE = DRAINAGE EASEMENT
D = DELTA (CENTRAL ANGLE)
ELEV. = ELEVATION
X 0.00' = EXISTING ELEVATION
EOW = EDGE OF WATER
FF = FINISHED FLOOR
FN = FOUND NAIL
INV = INVERT
FIP = FOUND IRON PIPE
FIR = FOUND IRON ROD
FND = FOUND NAIL AND DISC
L = ARC LENGTH
MDCR = MIAMI DADE COUNTY RECORDS
N/D = NAIL AND DISC
Invoice No. 14-40674 DENNIS J. GABRIELE
PROFESSIONAL SURVEYOR AND MAPPER
Sheet No. 1 of 1 NO. L.S. 5709 STATE OF FLORIDA
ORB
PB
PBCR
PCP
PG
POB
POC
R
RM/
S/W
SIR
SND
UE
= OFFICIAL RECORDS BOOK
= PLAT BOOK
= PALM BEACH RECORDS
= FOUND NAIL AND CAP
= PAGE
= POINT OF BEGINNING
= POINT OF COMMENCEMENT
= RADIUS
= RIGHT OF WAY
= SIDEWALK
= SET i' IRON ROD
= SET NAIL & DISC
= UTILITY EASEMENT
ALL COUNTY SURVEYORS
SOA
SURVEYO' i " PPERS
LICENSE NO. 6677
OFFICE: (954) 777.474
FAX: (954) 777-2707
5400 SOUTH UNIVERSITY DRIVE
DAVIE, FLORIDA 33328 SUITE 216
ABBREVIATIONS:
A/C
ADJ
ASPH
BCR
BOW
BM
CALC
CA
C/L
CB
CBS
CE
CHATT
CONC
CM
COL
DE
D
EASE
EOP
ELEV.
EOW
EOP
FF
FD
ID
INV
IP
IR
LAE
LF
LM E
M
ME
MF
NGD
N/D
N/G
NR
NTS
NTT
OHC
ORB
P
PB
PBCR
PC
PCC
PCP
PG
PI
POB
POC
PRC
PRM
PR
P/L
R
RGE
ROE
RP
RNV
SEC
S/W
TOB
TYP
UE
WF
WPP
= AIR CONDITIONING UNIT
=ADJACENT
= ASPHALT
= BROWARD COUNTY RECORDS
= BACK OF WALK
=BENCHMARK
= CALCULATED
= CENTRAL ANGLE
= CENTERLINE
= CATCH BASIN
= CONCRETE BLOCK WALL
= CANAL EASEMENT
==CHATTAHOOCHEE
=CONCRETE
=CONCRETE MONUMENT
= COLUMN
= DRAINAGE EASEMENT
= DEED
=EASEMENT
= EDGE OF PAVEMENT
= ELEVATION
= EDGE OF WATER
= EDGE OF PAVEMENT
= FINISHED FLOOR
= FOUND
= IDENTIFICATION
= INVERT
= IRON PIPE
= IRON ROD
= LENGTH
= LIMITED ACCESS EASEMENT
= LOWEST FLOOR
= LAKE MAINTENANCE EASEMENT
= MEASURED
= MAINTENANCE EASEMENT
= METAL FENCE
= NATIONAL GEODETIC DATUM
= NAIL AND DISC
= NATURAL GROUND
= NON RADIAL
= NOT TO SCALE
= NAIL AND TIN TAB
=OVERHEAD CABLES(
= OFFICIAL RECORD BOOK
= PLAT
= PLAT BOOK
= PALM BEACH COUNTY RECORDS
POINT OF CURVATURE
= POINT OF COMPOUND CURVATURE
= PERMANENT CONTROL POINT
= PAGE
= POINT OF INTERSECTION
= POINT OF BEGINNING
= POINT OF COMMENCEMENT
= POINT OF REVERSE CURVATURE
=PERMANENT REFERENCE MONUMENT
= POINT OF TANGENCY
= PROPERTY LINE
= RADIUS
= RANGE
= ROOF OVERHANG EASEMENT
= RADIUS POINT
= RIGHT OF WAY
= SECTION
= SIDEWALK
= TOP OF BANK
= TYPICAL
= UTILITY EASEMENT
= WOOD FENCE
= WOOD POWER POLE (UTILITY POLE)
OVERHEAD CABLES
METAL FENCE
—x —x —x —x
METAL FENCE
O C
WOOD FENCE
—//—// -1/—//
PLASTIC FENCE
EASEMENT LINES
CENTERLINE (C/L)
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NORTH 9.9' EAST
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PROPERTY I,
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5' DEDICATED DRAINGE EASEMENT PER CITY OF PARKLAND
y- Y- Y- y- Y- y- y- y— y- y y— n y Y y
-FOUND 1/2" IRON
122.4'
121.9'
CONC. SLAB
WITH STEMWALLS
TOP OF SLAB
ELEVATION: 19.58'
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TILE
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ENTRY ,
TWO STORY STRUCTURE'1
6019 NW 69TH WAY
PARKLAND, FLORIDA
LOWEST FLOOR rs•I
ELEVATION:19.54' 7,
28.9'
N89°36'48"W 329.98'
PIN NO ID OFFSET
8.7' EAST
GENERAL NOTES:
1. THIS SURVEY IS BASED UPON RECORDED INFORMATION AS
PROVIDED BY CLIENT. NO SPECIFIC SEARCH OF THE PUBLIC
RECORD HAS BEEN MADE BY THIS OFFICE.
2. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED.
3. ELEVATION ARE BASED UPON NATIONAL GEODETIC VERTICAL DATUM
1929 (N.G.V.D. 1929).
4. IN SOME CASES, GRAPHIC REPRESENTATIONS HAVE BEEN
EXAGGERATED FOR CLEARER ILLUSTRATION. MEASURED
RELATIONSHIP SHALL HAVE PRECEDENCE OVER SCALE POSITIONS.
5. ALL DIMENSIONS SHOWN ARE FIELD MEASURED AND CORRESPOND
TO RECORD INFORMATION UNLESS SPECIFICALLY NOTED
OTHERWISE.
6. THIS SURVEY WAS PREPARED FOR CONVEYANCE, TITLE AND
MORTGAGE FINANCING PURPOSES. IT IS NOT INTENDED FOR
CONSTRUCTION USE, UNLESS OTHERWISE SPECIFIED. PERMITTING
FOR ADDITIONAL CONSTRUCTION ETC. MAY REQUIRE ADDITIONAL
INFORMATION WHICH CAN BE OBTAINED FROM THIS OFFICE.
7. WELL -IDENTIFIED FEATURES IN THIS SURVEY AND MAP HAVE BEEN
MEASURED TO AN ESTIMATED HORIZONTAL POSITIONAL ACCURACY
OF 0.10 (FT)
8. NOTE: "I HEREBY CERTIFY" IS UNDERSTOOD TO BE AN EXPRESSION
OF PROFESSIONAL OPINION BY THE SURVEYOR AND MAPPER BASED
ON THE SURVEYOR AND MAPPERS KNOWLEDGE AND INFORMATION,
AND IT IS NOT A GUARANTEE OR WARRANTY EXPRESSED OR
IMPLIED.
9. "ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY OTHER THAN
THE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT THE WRITTEN
CONSENT OF THE SIGNING PARTY OR PARTIES." (CHAPTER 61G17-6.003
OF THE FLORIDA ADMINISTRATIVE CODE PURSUANT TO SECTION 472.027
OF THE FLORIDA STATUTES)
LEGAL DESCRIPTION:
THE SOUTH 1/3 OF THE NORTHWEST 1/4 OF THE
NORTHEAST 1/4 OF THE SOUTHEAST 1/4 OF THE
SOUTHEAST 114 OF SECTION 2, TOWNSHIP 48 SOUTH,
RANGE 41 EAST, BROWARD COUNTY, FLORIDA,
SUBJECT TO AN EASEMENT FOR INGRESS, EGRESS
AND UTILITIES OVER AND ACROSS THE EAST 25 FEET
THEREOF, (A/K/A LOT 141-C, PINETREE ESTAES,
UNRECORDED)
CERTIFICATIONS:
RORY O'DWYER
KATHIE O'DWYER
JEREMY O'DWYER
FLOOD ZONE INFO:
COMMUNITY # 120051 PANEL & SUFFIX: 0105 F
FLOOD ZONE; X DATE OF FIRM: 8/18/92
Survey for the purpose to obtain permit and/or
con,§truction
17.1'
l')1VCf2E7'6;DRI,VEW,4�'.Y,;
INVOICE NO.: 13-38908
DATE:
09/04/2012
09/06/2012
11/20/2012
03/06/2013--
07/24/2013
108.3'
FOUND 1/2" IRON
PIN NO ID
V)
O
O
f
FOUND NAIL AND
DISC NO ID
DESCRIPTION:
FIELD LOCATION OF IMPROVEMENTS
FIELD LOCATION OF IMPROVEMENTS
ADD DEDICATED DRAINAGE EASEMENTS
PER CITY OF PARKLAND
FORMBOARD TIE IN
STEMWALL AND SLAB TIE IN
ALL COUNTY SURVEYORS
'%t
,A Rs SgegiceZ
SURVEY° A APPERS
LICENSE NO. 6677
OFFICE: (954) 777-4747
\ (FAX: (954) 777-2707
5400 SOUTH UNIVERSITY DRIVE
SUITE NO.: 216 DAVIE, FLORIDA 33328
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SOUTHEAST SECTION 2, TOWNSHIP I
48 SOUTH, RANGE 41 EAST
BROWARD COUNTY, FLORIDA
N
SCALE:
1"=30'
I HEREBY CER i 1FY TI1AT THIS MAP OF BOUNDARY AND
PART"AL TOPOGRAPHIC SURVEY MEETS THE
MINIMUM TECHNICAL STANDARDS FOR SURVEYS, AS SET FORTH
BY THE FLORIDA BOARD OF SURVEYORS AND MAPPERS IN
CHAPTER 5J-17.052 OF THE FLCRIDA ADMINISTRATIVE CODE,
PURSUANT TO S " 'ION = 127, FLORIDA STATUES.
GINOAND SURVEYOR AND MAPPER
FLORI A LICENSE NUMBER: 5044
(NOT VALID WITHOUT SIGNATURE AND ORIGINAL RAISED SEAL OF
THE FLORIDA LICENSED LAND SURVEYOR AND MAPPER SHONW
ABOVE)