HomeMy WebLinkAbout31 NW 6 Ave P.N.4035-01 FEp�,,,Al EMERGENCY MANAGEMENT AGENCY 0 M 13 NQ 3057-0077
/e VA/ 6 - 'OMAL FLOOD INSURANCE PROGRAM w Expires December 31.2005
EC.EVATION CERTIFICATE
0S34 O1'akt 0 3- 0a73
Important: Read the instructions on pages 1 -7 i.
SECCiON A•PROPERTY OWNER INFORMATION For Insurance Company Use:
Poiiry Number
BUILC•IrF:OWNERS NAME
M.L.JONES CONSTRUCTION COMPANY NAIC Number
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg No)OR P O ROUTE AND BOX NO Company
31 N.W.6th AVENUE ZIP CMS:
}
Florida CITY STATE
Fort Lauderdale 33020
PROPERTY DESCRIPTION(Lot end Block Numbers,Tex Parcel Number,Legal Deecnpbon.etc)
LOT 9,BLOCK 17,"TOWN OF MODELO",P.B."B",PG.49,M/D.C.R.
BUILDING USE(e g,Residenbal,'Non-residential,Addition,Accessory,etc Use a Comments area,if necessary)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM. SOuRCE Lf gpg Rype)
( '.> - ilA1P or Ili°i I_I NAD 1927 L l NAD 1983 L.i USGS Quad Map Li Other
SECTION S-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1 NWCOMMUNITY NAME&COMMUNITY NUMBER 82 COUNTY-NAME 83 STATEFlorida
Dania 120034 Broward
l
B4 MAP AND PANEL 85 SUFFIX 88
FIRM INDEX BS) B �C
FLOOD f7 )
NUMBER DATEFFECTIVEIREVISEL DATE ZONE( (� .use depth flooding)
12011C 0308 F 10/02197 08118/92 AE 7
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9
I_I FIS Profile LI FIRM L_,I Community Determined I_I Other(Describe).
811.indicate the elevation datum used for the BFE in B9:IX I NGVD 1929 I__j NAVD 1988 U Other(Describe).
B 12.Is the building located in a Coastal-Berner Resources System{CMS)area or Otherwise Protected Area.(OPA)? Li Yes Ixj Nq,
Designation Date: .
SECTION S BUILDINGELEYATION INFORMATION(SURVEY REQUIRED) Fnished Construction
Cl Building elevations are based on: L-,I
Construction Drawings' I-...IBullding Under ConatrUCtiOn' IX
Finished
new Elevation Certificate will be required-when construction of the building incomplete.
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 talik ulg..Atoit►de a sketcn or photograph.)
C3 Elevations It ZonesCA1'A�vAEccord g(tto the building diagram specified inEItem C2.State the datum used.If the datum is different front
the datum
Items or a
the datum usadfor the BFE in Section B.convert the datum to that used for the BFE.Show field measurements to doc�mentthe datumdatum nconversntversion�.
calculation. Use the space provided or the Comments area
of
Section 0 or Section G,•as•apPyo P
Datum,_. _1929 Conversion/Comments
Elevation referen
ce mark used Con •,# 1ill__ Does the elevation reference-marts used appear the FIRM? I_I Yes I X I No
12.1 IL ft.(m) a ,
a a)Top of bottom floor(Including basement or enclosure) i
N/A _• ft(m) in K.t3+ .�_3i,
O b)Tap of next higher floor ____ft.(m} K.V - ''
O c)Bottom of lowest horizontal structural member N zones only) N/A1 ft ft(ml g / �/�
O d)Attached garage(top of slab) m
4.
O e)Lowest elevation of machinery end/or equipment ,` ,�, AIL(t,(m} _N License#4188
servicing the building(Describe in a Comments area.) (a• -iff fk ft,(m) z v,
O I)Lowest adjacent(finished)grade(LAG) 1 0, ,L [t. ft,(m}
O g)Highest adjacent(finished}grade(HAG) -
O h)No of permanent openings(flood vents)within 1 ft.above adjacent grade U,
O i)Total area of as permanent openings(flood vents)in C3.h 0 sq.in_(sq.cmj
SECTION 0-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION-certify-elevation information.
This certification is to be signed and-sealed byaland surveyor;engineer,er-architect authorized by
law to t certify that the information in Sections A,f3:and-C on this certificate represents my best efforts to interpret the data available
I understand that an false statement Pe-punishable by fine or-imonsonment undertft
ENSE NNUNI.,-, 10Section
at88
CERTIFIER NAME RICHARD E.COUSINS
COMPANY NAME COUSINS SURVEYORS AND ASSOCIATES,INC.
i L LAND SURVEYOR AND MAPPER Zt BODE
CITY STATERi(UA 33314
ADDRESS 6501 ORANGE-DRIVE E
DATE TELEPHONE 954480-9885
$t NATURE 0 4
See reverse side for continua on
Replaces all previous lions
FEMA Form 81-31 January 2003