HomeMy WebLinkAbout15 SW 6 Ave U.S.DEPARTMENT OF HOMELAND SECUI( ELEVATION CERTIFICAT( I OMB No. 1660-0000
Federal Emergency Management Agency . Expires February 28 2009
National Flood Insurance Program Important: Read the Instructions on pages 1-8. •
Qs-ov7 0331.1.O 1-a770ECTION A-PROPERTY INFORMATION ;Rbr 1:
A1. Building Owner's Name
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II(ERIAL H(Rffi IMPROVEMENTS 0I01)a'I 07 ..
A2. Building Street Address(Including Apt:,Unit,Suite,end/or Bldg.No.)or P.O.Route and Box No. mp yM
15 S.W. 6TH AVENUE .
sfltyy �••, -• •••---•- -.0....w ,
DANIA BEACH FLOeRIDA 33004
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 7, BLOCK 19, MAP OF THE TOWN OF MODFLO
A4. Building Use(e.g.,Residential,Non-Residential;Addition,Accessory,etc.) RESIDENTIAL
A6. Latitude/Longitude:Lat. Long. Horizontal Datum: (j NAD 1927 [] MAD 1983
AS. Attach at least 2 photographs.of the building If the Certificate is being used to obtain flood insurance.
A7. Bultdl np Diagram Number
A8. For`a building with a crawl space or englosure(s),provide: A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage sq ft,
b) No.of permanent flood openings In the crawl space or b) No.of permanent flood openings In the attached garage
.enclosure(s)wells within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade 2
c) Total net area of Hood openings In AB.b sq in c) Total net area of flood openings In A9.b 130 sq in
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SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP Community Name&Community Number 82.County Name 83.State
DANIA BEACH s 120034 BROWARD FLORIDA
84.Map/Panel Number B6.Suffix B8.FIRM Index 87.FIRM Panel 88.Flood 89.Base Flood Elevatlon(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12011C0309 F 10/2[97 8/18/92 AE/X 7.0'N/A
810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe)
811. Indicate elevation datum used for BFE in Item 89: NI NOVD 1929 ❑NAVD 1988 ❑Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)9 []Yes ® No
Designation Date NGVD 1929 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑Construction Drawings* []Building Under Construction* al 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 02.a-g
below according to the building diagram specified In Item A7. •
Benchmark Utilized BROWARD FILE Vertical Datum
Conversion/Comments •
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Check the measurement used.
a) Top of bottom floor(Including basement,crawl space,or enclosure floor) 11 ,.55 0 feet 0 meters(Puerto Rico only)
b) Top of the next higher floor N/A . ❑feet • 0 meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A . ❑feet • 0 meters(Puerto Rico only)
d) AttaEhed garage(top'of slab) 11..05 ❑feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building' 1 1..71 ❑feet 0 meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAO) 10..3__C feet [meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 10..8` feet C meters(Puerto Rico only)
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SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification Is to be signed end sealed by a lend 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. •
I understand that any false statement maybe punishable by fine or Imprisonment under 18 U.S..Code,Section 1001. 06/01/07
El Check here if comments are provided on back of form. t`F
Certifier's Name License Number �y`' I
PAUL A. DAVIS Company Name 4531. STATE OF 1Tr.nRIDA ` RE
T tie •
> .S.M. ....millIi DAVI & PURMORT 'C
14 ? 11 , Di IELD BEACH State ZIP Code
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Si.1 ,I'/ pp t Telepfiorte
,, K 06�Ue1/07 954-69R-91111
FE v A Form 81-31,February 2008 See reverse side for continuation. Repleces all previous editions