HomeMy WebLinkAboutEC 27 NW 6 Ave P.N.4038-01 FEIa....eAL EMERGENCY MANAGEMENT AGENCY ,..., 0 M B NQ 3067-0077
5/2W0V ;IONAL FLOOD INSURANCE PROGRAM Expires December 31.2005
ELEVATION CERTIFICATE
02b-01 a ktiO Important: Read the Instructions on pages 1 .7. f4:9'5— OPY F'
SECTION A-PROPERTY OWNER INFORMATION A For Insurance Company Uee
Policy Number
BUILC•14,1,OWNERS NAME
M.L.JONES CONSTRUCTION-COMPANY
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg No)OR P 0 ROUTE AND BOX NO Company NAIC Number
27 N.W.6th AVENUE STATE DP CC>r;_
CITY Florida 33020
Fort Lauderdale
PROPERTY DESCRIPTION(Lot and Block Numbers.Tex Parcel Number,Legal Descnpbon.etc)
LOT 12,BLOCK 17,"THE TOWN OF MODELO",P.B."B", PG.49,MID.C.R
BUILDING USE(e g,Reaidenbat.Non•reerdenbat,Addison.Accessory,etc Use a Comments area,if necesaae,L)
_ Residential
LATITUDE/LONGITUDE Ste IN ITor (OPTIONAL) NAAD27HORIZONTAL DATUM.A 983 SOURCE L-'GPS(Type)
Map Li Other
( it#°-*If•tf#tpt^ or ea#bWtt °) Li
SECTION S-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81 NFIP COMMUNITY NAME&COMMUNITY NUMBER 82 COUNTY NAME B3 STATEFlorida
Dania 120034 Broward
1?4 MAP AND PANEL B5 SUfFIX 86
9 BASE FLOOD ELEVATION(g)
F EX SL 88
NUMBER DATE EFFECTIVE/REVIEDDATE TZONE((S) (Zone AO,use se depth of flooding)
12011C 0308 F 10/02/97 08/18/92 AE 7
_
B10. Indicate the source of the Base Flood Elevation(EWE)data or base flood depth entered in 89
Li FIS Profile 13 FIRM U Community Determined U Other(Describe).
811.Indicate the elevation datum used for the BFE in 69:I X I NGVO 1929 1_I NAVD 1988 1_1 Other(Desonbe). i
812.Is the building located in a Coastal Berner Resources System(CBRS)area or Otherwise Protected Area(OPA)? Li Yes lid No
Designation Date:
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY.REQUItRED) Finished Construction
Cl Building elevations are based on: L-IConstruction Drawings' 1_jaudding Under Construction`
'A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed•Les
pages 6 and 7 If no diagram accurately represents the building,provide a sketch or photograph.)
C3 oe t-Zones A- A30, AH A(with building diagram speckled in Item C2.State the used.If the datum iisAdi different frorr4
Complete Items C3.a-,below according
the datum used for the BFE in Section 8,convert the datum to that used for the BFE.Show field measurementso datumconversion
calculation. Use the space provided or the Comments NIA f Section 1)or Sertrer}C3,as appropriate,
ent the datum conversion.
Datum 1929 Conversion/Comments en the FIRM? (J Yes t Na
Elevation reference mark used Coun#Y_#_1131__. Does the elevation reference mark used appear
• a)Top of bottom floor(including12.1 ft. ft,(m) S
casement or enclosure) �,ft OM `�
N/A •
O b)Top of next higher floorft(m)
3 c)Bottom of lowest horizontal structural member(V zones only) N/A _
11 (CLGt ---ek
O d)Attached garage(top of slab) 11.4 ft(m) w ei Vd/)1 /64-.
O e)Lowest elevation of machinery and/or equipment 1 t •q /k�� R.(m) „ ft j188
servicing the building(Describe in a Comments-area.) t d_ ,I ft, ft.(m) z'
O f)Lowest adjacent(finished)grade(LAG) 1��0 i ft(m)
O g)Highest adjacent(finished)grade(HAG)
3 h)No of permanent openings(flood vents)within 1 ft.above adjacent grade J
LI 0 Total area of all permanent openings(flood vents)in C3 h 0 sq.n.(sq.cm)
SECTION D•SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor,engineer,or-erchitect authorized by �certify elevation information.
I certify that the informatiorrm Sections A,B.anct 0 on this certificate representsunder rt ef o t interpretd�ravadab►e
J understand that an raise statement ma be punis►JaWEa LICENSE NUV'eai' #4188
CERTIFIER' NAME RI�RD E.COUSINS
COMPANY NAME COUSINS SURVEYORS AND ASSOCIATESINC.
L LAND SURVEYOR AND MAPPER STATEF ,i,Zl CODE 33314
ADDRESS (rSOI ORANGE DRIVE CITY HAViE
QATq_3 •
TELEPHONE 954480_9885
SI NATURE c,}. o
See reverse side for continu on.
Replaces all previous tiaras
FEMA Form 81-31 January 2003