HomeMy WebLinkAbout37 NW 5 Ave I-tUtKAL tMtKGtNUT MANA(itMtNI AtitNUT
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1.7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME
DOUBLED'PROPERTIES, LLC Policy Number
BUILDING SIRE 'ODRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO.
37 NW 5 AVE. Company NAIC Number
CITY
DANIA STATE ZIP CODE
33304
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal FL
LOT 8,BLK 16'THE TOWN OF MODELO"PB'B'PG 49 Description,etc.)
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary)
RESIDENTIAL
LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM:
SG
( ##°-##'-##.##" or ##.###p#°) 0 NAD 1927 0 NAD 1983 SOURCE: 0 (Type):
0 USGS Quad Map 0 Other
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
181.NFIP COMMUNITY NAME&COUANUNITY NUMBER I82.COUNTY NAME
CITY OF DANIA 120034 I3ROWARD B STATE
FL I'
B4.MAP AND PANEL 85.SUFFIX 87.FIRM PANEL
NUMBER B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B ZONE(S)
8.FLOOD B Z BASE Fuse d ELEVATION(S)
12011C0308 F 102,97 8/18/92 (oieAO,trseeplhofibodrg)
NA
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood X
❑FIS Profile [31 FIRMentered in B9.
0 Community Determined 0 Other(Descibe):
B11.Indicate the elevation datum used for the BFE in E39:®NGVD 1929 0 NAVD 1988
B12.Is the building located in a Coastal Barrier Resources S Other( �)
ystem(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes 0 No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) t
Cl.Building elevations are based on:0 Construction Drawings* 0 Building Under Construction'
*A new Elevation Certificate will be required when construction of the bulking complete. ®FlnLshed Construction
C2.Building Diagram Number 1(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 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/A1A30,AR/AH,ARIAO
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE it
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area i)f
Section D or Section G,as appropriate,to document the datum conversion.
Datum •Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
❑ a)Top of bottom floor(inducting basement or enclosure) 10. 35 ft.(m) -
❑ b)Top of next higher floor N.A ft.(m) nw "re-
❑c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m)
❑d)Attached garage(top of slab) o 0
N. A ft.(m)
ca
❑e)Lowest elevation of machinery and/or equipment w
servicing the building(Describe in a Comments area) 9.53 fL(m) . 5 pJ
❑f)Lowest adjacent(finished)grade(LAG) 8.64 ft(m) Z'
g)Highest acacent(finished)grade(HAG) 9. 09 ft(m) ti m rl \
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/AVi—
❑i)Total area of allpermanent openings(flood vents)in C3.h WA sq.in.(sq.cm) "'
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 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 fine or imprisonment under 18 U.S.Code,Section 1001.
CERTIFIERS NAME RICHARD H BICKHAM
LICENSE NUMBER#6066
TITLE VICE PRESIDENT COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS CITY
5950 W OAKLAND PARK BLVD STATE ZIP CODE
SIGNATURE LAUDERHILL FL 33313
t _ DATE TELEPHONE
eY� tk - )�K at M 2/4r03 954-777-4747
FEMA Form 81-31,JUL 00 SEE REVERSE SIDE FOR CONTINUATION
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