HomeMy WebLinkAbout101 NE 2 Ave U.S. DEPt ,TMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE / OMB No. 1660-0008
Expires February 28.2009
Federal .,ergency Management Agency
National Flood Insurance Program Important Read the instructions on pages 1-8.
08-07-5463 SECTION A-PROPERTY INFORMATION For insurance Company Use:
Al. Building Owner's Name: Jorge Hernandez Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number
101 N.E.2nd Avenue
City: Dania Beach State:FL ZIP Code: 33004 i 0`1 "' l 8 2 3
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 10,Block 2,RE-SUBDIVISION OF BLOCKS 2 AND 3 SPAR-RICH 36/35;B b 234 -.3 2--d( 0 0 12( 2 l 0 S ,
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential
A5, Latitude/Longitude:Lat.26°03.257 Long.80°08.485 Horizontal Datum: 0 NAD 1927 ® NAD 198a
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) sq ft a) Square footage of attached garage 421 _ 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 walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b 0 sq in
I
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
City of Dania 120034 Broward FL
B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Pane! B8. Flood B9 Base FloodFod Elevation(s)fl Zone
Date Effective/Revised Date Zone(s) depth)
12011C0309 F 1012/97 8/18/92 AE 7.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile ®FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item 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)? Oyes ®No
Designation Date 0 CBRS 0 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/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Vertical Datum NGVD 1929
Conversion/Comments
Check the measurement use
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8 .1 o feet 0 meters(Puerto Rico only)
b) Top of the next higher floor 0 .0 ►.i feet 0 meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) 0 ®feet 0 meters(Puerto Rico only)
d) Attached garage(top of slab) 6 .5 ®feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 0 .0 0 feet 0 meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) 6 ( T2 ®feet 0 meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 7 \ .8 o 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.
0 Check here if comments are provided on back of form.
Certifiers Name:Peter Blandino Sr., P.S.M. License Number.LS3487
Title:Professional Surveyor and Mapper Company Name:Peter Blandino Sr.,P.S.M. "/
Address:2131 Hollywood Boulevard,Suite 204 City:Hollywood State:FL ZIP Code:33020 1.3` B7
Signature/
Date: 10/6/2008 Telenhone:954-920-6141 / 1/449
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
Building Photographs
See Instructions for Item A6. For Insurance company Use:
Building Street Address(including Apt, Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No.
,ng to
Policy Number
101 N.E.2 Avenue ZIP Code 33004 Company NAIC Number
Ci Dania Beach
State FL
Ifor
using the Elevation Certificate to obtain NAP flood insurda> ken; Fronto
t st twV Vaffix a
ie
andbul "Rear view",andb f�equi ed,a Right
the instructions for Item A6. Identify al{ photographs with a use the Continuation Page,
Side Vie and "Left Side Oiew." I8submitting more photographs than will fit on this pag
following. FRONT VIEW
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