HomeMy WebLinkAbout27 NW 6 Ave P.N.4038-01 FEtIJAl. EMERGENCY MANAGEMENT AGENCY"emir 0 M B Nt? 3067.0077
5/Zct10t TONAL FLOOD INSURANCE PROGRAM [ Expires December 31,2005
ELEVATION CERTIFICATE
naf-Ol A akt1d Important Read the Instructions on papas 1 .7. ff-ID 3- O2Y P
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILC►N .OWNER'S NAME Policy Number
M.L.JONES CONSTRUCTION COMPANY
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg No)OR P O ROUTE AND BOX NO Company NAIL Number
27 N.W.6th AVENUE
CITY STATE 'ZIP CODE s.
Fort Lauderdale Florida 33020
PROPERTY DESCRIPTION(Lot and Block Numbers,Tex Parcel Number,Legal Descnption,etc)
LOT 12,BLOCK 17,"THE TOWN OF MODELO",P.B."B", PG.49,M/D.C.R
BUILDING USE(e 9,Residential,Non-residential,Addition,Accessory,etc Use a Comments area,it nec essan,-)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM. SOURCE LI GPS(Type)
( - Or r °) Li NA01927 (,__INAO 1e83 I_I USGS Clued Map U Other
SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81 NFIP COMMUNITY NAME&COMMUNITY NUMBER B2 COUNTY NAME B3 STATE
120034 Broward Florida
Dania _ r
84 MAP AND PANEL 85 SUFFIX 86 FIRM INDEX 87 FIRM PANEL 88 FLOOD 1 99 BASE FLOOD ELEVATIONS)
I
NUMBER
12011C 0308 F DATE
10/02/97 EFFECTIVE/REVISED DATE ZONES)
I
08/18/92 Al (Zone AO,�a depth of flooding)[
-
810.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 89
I_I FIS Profile L.4 FIRM U Community Determined I._..1 Other(Describe).
811.indicate the elevation datum used for the BFE in 89:IX 1 NGVD 1929 I_I NAVO 1988 (_I Other(Describe). ,
812.Is the building located in a Coastal Samar Resources System(CBRS)area or Otherwise Protected Area(OPA)? IJ Yes IxI No
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1 Building elevations are based on: LiConstruction Drawings' I...18ul10ing under Construction' KIFinished Construction
'A new Elevation Certificate will be required when construction of the bu itding is complete.
C2.Building Diagram Number I(Select the building diagram most similar to the building for which this certificate is being completed-sae
pages 8 and 7 If no diagram accurately represents the building,provide a sketch or photograph.)
C3 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/AO
Complete Items C3.a-I below according to the building diagram specified in Item C2.State the datum used.If the datum is different frotn
the datum used for the BFE in Section B,convert the datum to that used for the BFE.Show field measurements and datum conversiol
calculation. Use the space provided or the-Comments area-of Section D or Section G,as appropriate.to document the datum con
vention. I
Datum 1929 Conversion/Comments N/A
Elevation reference mark used County# 1131 Does the elevation reference mark used appear en the FIRM? L_1 Yes IN No
O a)Top of bottom floor(including oasement or enclosure) 12.1 ft. ton) v
O b)Top of next higher floor _ N/A ft(m) lIam_e_ek e:24-...„ ---..
O C)Bottom of lowest horizontal structural member(V zones only) N/A -•4 -R(m) ii
O d)Attached garage(top of slab) la 03
/j I /64'-
C e)Lowest elevation of machinery and/or equipment io
servicing the building(Describe in a Commentsarea.) 1 i .ct A/cam ft.(m) §1 LICCUSe#4188 -
O I)Lowest adjacent(finished)grade(LAG) t Q"'1 . ft. ft.(m) z
O g)Highest adjacent(finished)grade(HAG} I I�y fL ft.(m)
O h)No of permanent openings(flood vents)within 1 ft.above adjacent grade 0.
LI i)Total area of all permanent openings(flood vents)in C3 h 0 sq.in.(sq.cm) ^�'
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certnccabon is to be signed and sealed by a land surveyor,engineer,or-architect authorized by lawto certify elevation information.
I certify that the information in Sections A,8,and Con this certificate represents my best efforts to interpret the data available
I understand that any false statement may be punishable by linear imprisonment-under 10-US CC'= tOOt
CERTIFIER'S NAME LICENSE NUK740.. #4188
RICHARD E.COUSINS
TITLE COMPANY NAME
LAND SURVEYOR AND MAPPER COUSINS SURVEYORS AND ASSOCIATES,IQIC.
STATE Z1PJrODE
ADDRESSCITY DAVIE FLORIDA 33314�
fr5H1 ORANGE DRIVE TELEPHONE 9g4.JO-9885
81 J'�UNATURE �c,�.,, DAT•E .) /�4.
FfwMA Form 81-31 January 2003
See reverse side for cof`ntin-uu ion. Replaces all previous ei3ltions