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Home My WebLink About43 SW 15 St / 5 6i, .7, ELEVATION CERTIFICA O.M.B. No. 3067-0077 ,WV/ FE.,,[RAL EMERGENCY MANAGEMENI•AGENCY Expires July 31, 1999 NATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement.This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision(LOMA or LOMR).You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNERS NAME POLICY NUMBER JIM MICHAELS STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 43 S.W. 15TH STREET OTHER DESCRIPTION(Lot and Block Number's,etc.) LOT 17 AND 1d, LESS THEREFROM WEST 40 ' LOT 18 BLK 43 NORTH HOLLYWOOD, CITY STATE ZIP CODE DANIA, FLORIDA SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM(See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION (in AO Zones,use depth) 120034 030,9 F 10-2-97 X —NA— 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): XJ NGVD'29 J Other(describe on back) 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this building site, indicate the community's BFE:! • _I feet NGVD (or other FIRM datum-see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions,indic to the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level • 2(a). FIRM Zones Al-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of 1 I 1 1 1 I.!J feet NGVD (or other FIRM datum-see Section B, Item 7). (b). FIRM Zones V1-V30,VE,and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram,is at an elevation of .—feet NGVD (or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is feet above oir below (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is —__.. feet above or below (check one)the highest grade adjacent to the building. If no flood depth number is available. is the building's lowest floor(reference level)elevated in accordance with the community's floodplain management ordinance? Yes No Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:X NGVD'29 - Other(des ibe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on the FIRM (see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: Yes .X No (See Instructions on Page 4) 5.The reference level elevation is based on: actual construction construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place. in which case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certifica4e will be required once construction is complete.) 6.The elevation of the lowest grade immediately adjacent to the building is: i 0 .-I feet NGVD (or other FIRM datum-See Section B. Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1 is not the"lowest tloor"as defined in the community's floodplain management ordinance. the elevation of the building's"lowest floor"as defined by the ordinance is: feet NGVD (or other FIRM datum—see Section B. Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81-31, AUG 96 REPLACES AU.PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E CERTIFICATION A1—A30,AE,AH, A(with BFE),V1—V30,VE,and V(with BFE) ion, isy required.o sign the ;ertification is to be signed by a land surveyor,engineer, ngineer,or architect who is authorized by state or local law to certify elevation nation when the elevation ihorizediby localfor lae to provide s nmation officials e are authorized and A(without a FEMA ore community iissuedain management BFE) a building official, a property owner,or an tification. In the case of Zone ,vner's representative may also sign the certification. wall openings,fio unfinished area Feature(s),00r then list thed Feature(s) not Reference level diagrams 6,7 and 8- Distinguishing Features—lfpthe certifier is unable to certify to breakaway/non-breakaway wall, e enclosures the, location of under g equiement.area b included in the certification under Comments below. The diagram number, Section C, efforts to interprem 1, must still t the data available. I certify that the information in Sections B and C on this certifificate ne orepresents my best imprisonmen under 18 U.S. Code, Section 1001. I understand that any false statement may be punishable by 5241 PAUL J. STOWELL LICENSE NUMBER for Affix Seal) TITLE IER'S TE ATLANTIC COAST SURVEYING INC. REGISTERED SURVEYOR COMPANY NAME TITLE DAVIE, FLORIDA 33314 5623 SW 57TH PLACE STATE ZIP CITY 4—27 —9 8 954-587-4949 ADDRESS INVOICE * 6488 DATE PHONE SIGNATURE /2 Copies should be made of his Certificate for: 1)community official,2) insurance agent/company,and 3)building owner. COMMENTS: FIN 1-IF-0 VA n! - . l ON PILES. WITH ON OR COLUMNS ON BASEMENT SLAB a V 1 A MCA ZONES A V 11 ZONES j!t, ZONES ZONES RE-ERENCE -EFERENC �.� _EVE ti LE`�E' gASE '�T REFERENCE FLOOC :'.0 LEVEL IT j '� LccD t REFERENCE �\` . C�ry BASE N +CJACENT EVEL nib 3RACE !' FLOC° ELEVATION AE.EQENCe ADJACENT ;�'. 1,1 '.EL 3RACE f: .�---- 1,!I i The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations tor all V Zones should be measured at the bottom of the lowest horizontal structural member Page