HomeMy WebLinkAbout42 SW 5 Ave (2) .--_—---........-..v I oinnmauncn 1 matt.T
NATIONAL FLOOD INSURANCE PROGRAMO.M.B. 77�
( C ' Expires December 31,200:
� - ELEVATION CERTIFICATE
Importa* Read the instruction on pages 1.7.
SECTION A-PROPERTY OWNER INFORMATION For inaaanoe Carresry U
BUILDING OWNERS NAME Nu
DOUBLE D PROPERTIES b j
BUILDING ADDRESS(lncksaing Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Cry NAIC Number
42 5 AVENUE
CITY STATE ZIP CODE
DANIA FL 33004
PROPERTY DESCRIPTION(Lot and Block Nimbus,Tax Parcel Number,Legal Description,etc.)
NA
BUILDING USE(e.g.,Residential,Non-residental,Addtlon,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDEILONGITUDE ❑ 1HORIZONTAL927 1 SOURCE: 0 GPS(Type):
#a'(v- -fgft.#�e'or
O usGs quad Map ❑other:
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFP COMAJNIlY NAIVE&COMMUNITY NUM9Bt B2.COUNTY NAME 83.STATE
CITY OF DANYA 120034 BRCWARD FL
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B4.MAP AND PANS_ B7.FRM PANE. :•.BASE FLOOD B EVAT)N(S)
NUMt3ER B5.SUFFD( 86.FRM KB DATE �ISEDDATE ::.FLOOD ZONE(S) (ZaneAO,use deft offbgdng)
12011C0309 F 10//97 NIA
BIO.Indicate the souroe of the Base Flood Elevation(BFE)data or base flood depth entered in Bs.
❑FIS Paofie ®FIRM 0 Community Deterrnned ❑Other(Desorbe):
B11.Indicate the elevation datum used for the BFE is 139:®NGVD 1929 0 NAVD 19B8 ❑Other(Desoto):
B12 Is the building located h a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Ma(CPA)? 0 Yes 0 No Designation Date
SECTION C-BULDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.Building elevations are based on:0 Consbuctbn Drawings* ❑Building Under Constructlon• 0 Finished Construction
*A new Elevation Certificate wit be required when construction of the buIdirg is oorrplete,
C2 Building Diagram Number 1(Select the buidig diagram most similar to the buicflng brwhich Ns certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provkie a sketch orphobgraph.)
C3.8evations—Zones A1-A30,AE,AH,A(with BFE),VE,V1 V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO
Complete Items C3.-ad below according b the building diagram specified in Item C2 State the datum used.lithe datum Is different from the datum used for the BFE b
Section B,convert the datum b that used for the BFE.Show field measurements and datum o m#ersbn caiaulation. Use the space provided or the Conxrrents area oo
Section D or Section G,as appropriate,b document the datum conversbn.
Datum ConvewersioNC+omments
Elevation reference mark used Does the elevation reference mark used appear on the ARM? ❑Yes (El No
O a)Top of bottan floor(including basement orendosure) 12 8 ft(m) -
❑b)Top of next hlgher1kor N.Aft(m)
O c)Botbm of lowest horizontal structural member(V axles only) N.A ft m E
❑d)Attached garage(bpofslab) N. A ft(m) $
❑e)Lowest elevation of machinery andbr equipment45
minting the buidng(Descrbe h a Comments area) 12.4 ft(m) .8 \'\O
O f)Lowest adjacent(finished)grade(LAG) it.8 ft(m) I§ O`\
O 9)Highest adjacent(finished)grade(HAG) L 1 ft(m)
I
❑h)No.of permanent openings(flood vents)within,l ft above adjacent grade NIA
O i)Total area of at pemnanent openings(flood vents)in C3.h NIA eq.in.(sq.an) •
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
I certify that the information In Sections A,8,and C 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.
CERTIFIER'S NAME IMLLIAM MICHAEL CARR LICENSE NUMBER 5092
TITLEVICE PRESIDENT COMPANY NAME ALL COUNTY SURVEYORS
i
ADDRESS CITY ; STATE ZIP COOT —`
5950 W OAKLAM)P LAUDERHILL . FL 33313 '
GNA DATE TELEPHONE .
. 9118O3 954-7774747
niza nuactbb(mom Apt,Lint 'or Bldg.No)ORP.O.ROUTEANDBt3XND.,~
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CITY
STATE
7PCODE Camay
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION UED)
SPY botir sides of this Bevation Certiic&for Community otfidal,(2)insurance
COMMENTSGooY,and(3)buidirg owner
JOB#03-16655
CENTERLINE OF ROAD=IO.7
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El Chedc here attachments
SECTION E-BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)if
ForZonre AO and Zone A(without BFE),Complete Items El through E4. If the
Section C must be Elevation Certificate is mended forme as completed, �PPod�g�m�ionioral.OMAorLOMR-F,
El.Striding Diagram Number_(Select the buk)hg diagram most*far b the bu
ldIng represents the building,provide a sketch orphobgraph.) forwhidn this certificate is being completed—seepages 6 and 7. fro diagram aocura0ely
E2.The by of the botbm floor(ndudrg basement orendosure)of the building is IL(m)—b.(an)0 above or 0 below(check one)the*est adjaoantgrade.(Use
natural grade,if amiable).
E3.ForBuidng Diagrams 6-8 with openings(see page 7),the next hgherfloororeleva ad floor(elevation b)of the buidirg is —ft(m)_I n.(an)above the highest adjacent
grade. Complete iemsC3.h and C3.ion front ofbnn.
E4.The by of the platform of machinery andlorequipment seMdng the bulding is t(m)—an.(an)0 above or 0 bebw(dnedcone)the highest adjaoentgrade•(Use
natural grade,if available).
E6.ForZone AO only: If no flood depth number is avaiabte,is the top of the bottom floorelevated in accordance with the community's floodplab
❑Yes 0 No 0 Unknown. The local official must certify this information in Section G. management ordinance?
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIRCATION
Property ownerorowner's authorized representative who aorrpletes Sections A,B,C(Items Cah and C3.i on and E forZoneA
issued BFE)or Zone AO must sign here. The statements n Sedanan �), ( a FEMA-sued or commit*.
OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME
oarectb the bestofrny/orowrleCpe,
ADDRESS
CRY STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
COMMENTS
SECTION G•COMMUNTTYINF ❑Check here if atiadtment
The boa official who is authorized INFORMATION 0
by law or b administer the Community's ibodpiain management ordinance can complete SedlonsA,B,C(orE),and G of this
Certificate. Complete the applicable item(s)and sign below.
Cl.0 The inbrtnation in Section C was taken from other
or local raw b oe documentation that has been signed and embossed by a sensed surveyor,engineer,orarchitect who is authorized by state
rti y elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2 0 A community otTidal Completed Section E fora buidng located ed in Zone A
G3.❑The follow infomration(Items G4-G9)is provided for community (without a� �orcommuniy-issued BF�or Zone AO.
yfloodplain management purposes.
G4.PERMIT NUMBER (5. DATE PERMIT ISSUE)
G6.DATE CERTIFICATE OF COIVPUANOFJOCUIPANCY ISSUED
G7.This permit has been issued for:❑New Construction 0 Substantial Improvement
G8.Elevation of as-bust bwest floor(ndudng basement)of the buffing is
G9.BFEor(in Zone AO)depth of flooding at the build' —ft(m) Datum:
n9 building site is:
LOCAL OFFICIAL'S NAME —ft(m) Datum:
TITLE
COMMUNITY NAME
SIGNATURE TELEPHONE _
DATE .
COMMENTS •