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Home My WebLink About11 SE 14 St 417-'6 ELEVATION CERTJFIC"TE o.M.e. No.3067•• �_9.g/ / �IiERAL EMERGENCY MANAGEME AGENCY Fuglires July 3I, 1 NATIONAL FLOOD INSURANCE PROGRAM `ATTENTION:Use of this certificate does not provide a waiver of the hood insurance purchase requirement.This form I used only to t vide elevation information n to ensure com pliance mpliance with applicable communityflo management the proper insurance premium rate.and/or to support a request for a Letter o mendment or Revision o to .Ydef u at required to respond to this collection of information unless a valid OMB control number is (LOAAII or I ON�)t ar displayed in the upper right cbnwrot this to Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION rot mums=COMPANY usa SURDING'OWNER'S NAME Ilia.Cv maim MR. ADAM ZAWISTOWSKI STREET ADDRESS(Indud'ng Apt..Unit.Suits adhr elde.Number)OR P.O.ROUTE AND SOX NUMBER COMPANY NMC NUMIER 11 SE 14TH STREET OTHER DESCRIPTION(Us and Mledi Nundens.etG LOT 4, BLOCK 1, OF ST. JAMES PARK NORTH, PB.3, PG. 33 BCR CRY DANIA FLO CODE • 3704 SECTIONS FLOOD1NSURANCE RATE MAP(FIRM)INFORMATION Provide the following from me proper FIRM(See Instructions): • I I.COrMII I1Y NtIUER 2.PRIM MaaS 1.SUPPIX a.DATE OP Pent N= 5.ARM ZONE S.t1:1 4�L0 D ELEY T10N Os toe s.w...orN 120034 0309 F 7-21-95 X N/ tek 7.Indicate the elevation datum system used on the FIRM for Base Flood Elevations(EIFE): iZI NGVO 79 ❑Other(deseeon back 8.For Zones A or V,where no BFE is provided on the FIRM,and the commuter/has established a BFE for thhis building ' .indicate the community's BFE:( I I I I l.`J feet NGVO(or other FIRM datum-see Section B,Item 7)• SECTION C BUILDING ELEVATION INFORMATION - t 1.Using the Elevation Certificate Instructions.indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level J_. . • 2(a).FIRM Zones At-A30.AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevatior of I 11111 oI,Ii feet NGVD(or other FIRM datum-see Section B.Item 7). (b).FIRM Zones V1430,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the referenda level from the selected diagram,is at an elevation of I I I I i 1.11 het NGVD(or other FIRM datum-see Section B.Item ). (c).FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is L.LI.L1 feet above 0 or below 0 (check one) the highest grade adjacent to the budding. - • (d).FIRM Zone AO. The floor used as the reference level from the selected diagram is l ; !."feet above 0 or below 0(check one)the highest grade adjacent to the building. If no flood depth number is available,is the building's lowest floor(reference level)elevated in accordance with the community's floodplain management ordinance? ❑ Yes 0 No 0 Unknown 3.Indicate the elevation datum system used in determining the above reference level elevations:® NGVO'29 ❑ Other(describe under Comments on Page 2). (NOTE: if the elevation datum used in measuring the elevations is different than that Yawl on the FIRM (see Section S.Item 71,then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4.Elevation reference mark used appears on FIRM: ❑ Yes tI No (See Instructions on Page 4) 5 • a reference level elevation is based on: tit actual construction 0 construction drawings '"'y TE.• Use of construction drawings is only valid If the building does not yet have the reference level floor in place. n ch , - 'this.eemficare will only be valid for the building during the course of construction. A post-construction Elevation Corti Certificate will bdrriied once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is:I ! ' ' 8• j feet NGVO(or other FIR datum-see ✓ Section B,Item `tee '. .• y 1 j SECTION 0 COMMUNITY INFORMATION 1 If the communityresponsible for verifying building elevations specifies that the reference level indicated in Section C.Item.' is'° t the_'low�,esst .dr•as defined in the community's floodatain management ordinance,the elevation of the buiidingls"lowest floc definer/'the ordinance is: i I 1 I I 1.0 feet NGVD(or other FIRM datum-see Section B.Item 7). 2.Date of st aryof construction or substantial improvement v FEMA Form 81.31,MAR 97 PEPI Ads AlL PREVIOUS EDITIONS SEE REVERS`SIDE FOR CONUMJATIC , ! ' SECTION E CERTIFICATION This certification is to be signed by a land surveyor.engineer.or architect who is authorized by state or local law to certify el no information when the elevation information for Zones Al—A30.AE.AH.A(with 8FE),V1—V30.VE.and V (with EWE)is requir Community officials who are autborfzed by local law or ordinance to provide floodplain management information.may also s' n th certification. In the case of Zones AO and A(without a FEMA or community issued BFE).a building official,a property own .or an owner's representative may also sign the certification. Reference level diagrams 6.7 and 8 • Distinguishing Features—if the certifier is unable to certify to breakawayinon-breakaway wall. enclosure size.location of servicing equipment,area use,wall openings,or unfinished area Feature(s),then list the Features)not included in the certification under Comments below. The diagram number,Section C.Item 1, must still be entered. I certify that the information in Sections 8 and Con 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. CEATrFIERS NAM; LICENSE NUMBER for ANii Sean CHARLES_ R. SCHRAMM, JR. 5366 TmE COMPANY NAME PROFESSIONAL SURVEYOR AND MAPPER CALVIN, GIORDANO AND ASSOCIATES, INC. P.fORESit CRY STATE - ZIP TWO OitKWOOD BOULEVARD HOLLYWOOD FLORIDA 33020 SKWATURE OATS ',ON C. ;�. . . S Tr. Z-2 -1 (954� 521-7781 Copies should be made of this Certificate for:1)community official,2)Insurance agent/company,and 3)building caner. COMMENTS: i i 1 ON wee ON MES. SLAB NAsillrcwr seas.OR eOLU S • v A A V . 70NES ZONES ,f 1 ZONES ZONES . ties ,,,, nnarE:e ft. LIv L III '� . -•---:.:,.1 •a 1 1 � 1 ` '$. -L - - \ -•• •,7--, Pit s 1 lltv.1gv IIENf1iKE�./ammo .cane t own 1 ` 426 LEvtl Gimlet� The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member Page 2