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Home My WebLink AboutEC 15 NW 14 Ct 1c Cp- (USA FEDERAL EMERGENCY MANAGEMENT O.M.B. No. 3067- 77 L,-,� NATIONAL FLOOD INSURANCE PROGRAM`„ Expires Decemberi31, 200; ELEVATION CERTIFICATE / C) "d33-')3-0(a-0 Important: Read the instructions on pages 1.7. O9•is'-0 to SECTION A-PROPERTY OWNER INFORMATION Far Insurance Company Use: BUILDING OWNER'S NAME Policy Number # U0237 BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Dumber 15 NW 14TH COURT CITY STATE ZIP CODE DANIA FL 33004 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 13,MANN SUBDIVISION(21/7) BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS(Type): (##°-##'-##.##" or ##.#111:0#°) ❑NAD 1927 j]NAD 1983 ID USGS Quad Map El Oiler: 1 SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER BZ COUNTY NAME E33.STATE DANIA 120034 BROWARD FL 64.MAP AND PANEL B7.FIRM PANEL 9.BASEne O ATION(S) 86 NUMBER 85.SUFFIX .FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) se depth �fffloating) 12011C 0308 F 10/2197 8/18/92 "AE T B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile ®FIRM 0 Community Determined 0 Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes No Designation Date {{ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) 1 Cl.Building elevations are based on:0 Construction Drawings* ❑Building Under Construction* ®Finished Construction I *A new Elevation Certificate will be required when construction of the building is complete. C2.Building Diagram Number I(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,ARAA1-A30,AR/AH,AR/AO Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.lithe datum is different from the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments aria of Section D or Section G,as appropriate,to document the datum conversion. Datum Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No -.( a)Top of bottom floor(including basement or endosure) 9. 0 ft.(m) b)Top of next higher floor -a N.A ft:(m) ri ' c)Bottom of lowest horizontal structurdi member(V zones o ly) N.A ft.(m) _ 2 \ d)Attached garage(top of slab) N. A ft.(m) cn- ` e)Lowest elevation of machinery and/or equipment wk % -&H servicing the building(Describe in a Comments area) *"9.0 ft.(m) f)Lowest adjacent(finished)grade(AG) - 8.2 ft.(m) 1 r t g)Highest adjacent(finished)grade(HAG) 8. 5 ft.(m) ca.. h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 i)Total area of all permanent openings(flood vents)in C3.h 0 sq.in.(sq.cm) J 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 in Sections A,B,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. CERTIFIER'S NAME JERALD A..McLAUGHLIN LICENSE NUMBER 5269 TITLE PRESIDENT COMPANY NAME McLAUGHUN ENGINEERING COMPANY ADDRESS CITY STATE ZIP CODE{ 400 NE 3RD' •a." E FORT LAUDERDALE FL 33301 `I DATE TELEPHONEi. ,, toili 05/30/06 954.763.7611 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the cone,' 'ding information from Section A - BUILDING STREET ADDRESS(Including Apt,Unit,Suite,armor Bldg,No.)OR P.O.ROUTE AND BOX NO. For Insurance Company Use: 15 NW 14TH COURT Policy Number CITY . . DANIA STATE ZIP CODE Company NAICFL Number 33004 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 "NC PAD ELEVATION=9.0' • Check here if SECTION E•BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE(ITHOUT BFEattadiipents ) For Zone AO.and Zone A(without BFE),complete Items El through E4. If the Elevation Certificate is intended for use as sup porting irrfiomtation.for a LOMA or LOMR-F, El.Building Diagram Number_(Select the building diagram most similar to the building for which this certificate is being completed—see pages 6 and 7. If no diagram accttrately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is ft(m)—in.(cm)0 above or 0 below(check one)the highest adacentgrade, (Uae natural grade,if available). E3.For Building Diagrams 6.8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is —.ft.(m)_in.(.on)above the highest adjace . grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _f t(m)__in.(cm)0 above or 0 below(check one)the highest adjacent grade. (U natural grade,if available). E5.For 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 l cal official must certify this information in Section G. • SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION • The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),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,C,andEare conectto the best ofmyknowledge. PROPERTY OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE. ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS SECTION G-COMMUNITY INFORMATION(OPTIONAL) Check here if attachments The local official who is author by lawor ordinance to administer the communitys floodplain management ordinance can complete Sections A,B,C(or E),and G ofthis Elevation Certificate. Complete the applicable item(s)and sign below. Gi.0 The information in Section C,was taken from other documentation that has been signed and embossed by a licensed surveyor, or local law to y engineer,or architect who is authorized 'state 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 fora building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4G9)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.0 New Construction 0 Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: G9.BFE or(in Zone AO)depth of flooding at the building site is: .—ft•(m) Datum: LOCAL OFFICIAL'S NAME —th(m) Datum: TITLE COMMUNITY NAME SIGNATURE • TELEPHONE COMMENTS DATE • FEMA Form 81-31,January 2003 ❑Check here if attachments