HomeMy WebLinkAbout28 SE 12 St U.S.DEPAATMENT OF HOMELAND SECURITIP_. ELEVATION CERTIFICATE pi OMB No. 1660-0008 Expires
Federal Emergency Management Agency Expires February 28.2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name CINDY MCKENZIE Policy Number
A2. Building Street Address (including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number
28 SE 12th STREET
City DANIA State FL ZIP Code 33004 ( -07-/79g' 0 lia
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)LOTS 15&16,"ST.JAMES PARK DELMAR",11/26 BROWARD /o?0 3--O8'_ O/D C7
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N.26 02.221' Long. W.080 08.527' Horizontal Datum: ® NAD 1927 El NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or enclosure(s) N/A sq ft a)Square footage of attached garage N/A 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)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c)Total net area of flood openings in A9.b N/A sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
DANIA 120034 BROWARD FLORIDA
B4. Map/Panel number 65.Suffix 86.FIRM Index B7.FIRM Panel B8. Flood B9.Base Flood Elevation(s) (Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12011C 0309 F 10/2/97 8/18/92 AE 6.0' i
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in item B9.
❑FIS Profile ®FIRM ❑Community Determined 0 Other(Describe)
B11. Indicate the elevation datum used for the BFE in B9: ®NGVD 1929 0 NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ®No
Designation Date 0 CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction* ®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/A0. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized BROWARD COUNTY Vertical Datum NGVD29
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor). 11.0 ® feet ❑meters(Puerto Rico only)
b) Top of next higher floor N/A._ ® feet ❑meters(Puerto Rico only)
c) Bottom of lowest horizontal structural member(V zones only) �. ® feet 0 meters(Puerto Rico only)
d) Attached garage(top of slab) N/A. ® feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery and/or equipment servicing the building 9.2 feet ❑meters(Puerto Rico only)
(Describe type of equipment in a Comments area)
f) Lowest adjacent(finished)grade(LAG) 9.0 ® feet 0 meters(Puerto Rico only)
g) Highest adjacent.(finished)grade(HAG) 9.2 ® feet ❑meters(Puerto Rico only)
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 on 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.
❑ Check here if comments are provided on back of form.
Certifier's Name ROBERT T.BOGLE License Number LS.NO.3277
Title REGISTERED LAND SURVEYOR Company Name R.T.BOGLE& ASSOCIATES,INC.
Address 7080 ST City HOLLYWOOD State FLORIDA ZIP Code 33024
Signature Date 7/11/08 Telephone (954)961 8008
IMPORTANT: In these spaces,copy the corresponding information from Section A. I For Insurance Company Use:
FEMA Form 81-31, February 2006 Replaces all previous editions