HomeMy WebLinkAbout106 Phippen Waiters Rd Da3q J 05- ,=rr)ERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
0 I b-g I 0(0 .4ATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200!
ELEVATION CERTIFICATE
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�� Important Read the instructions on pages 1.7. g;
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company use
BUILDING OWNER'S NAME Policy Number herrinil
HERRING
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
106 PHIPPEN-WAITERS ROAD
CITY STATE ZIP CODE
DANIA BEACH FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
PORTION LOTS 1,3&5,BLOCK A,GEO.M.PHIPPENS SUBDIVISION
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS(Type):
( ##°-##'-##.##" or ##.aA#°) ®NAD 1927 ❑NAD 1983 ❑ USGS Quad Map ❑Other __
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
DANIA-120034 BROWARD FLORIDA
84 MAP AND PANEL B7.FIRM PANEL 89.BASE FLOOD ELEVA-ICN(S)
NUMBER 85.SUFFIX 86.FIRM INDEX DATE EFFECTIVE/REVISED DATE 88.FLOOD ZONE(S) (Zone AO,use depth oftkodng)
12011C0308 F 10297 8/1892 AE +7.0
810.I D:tate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 89.
❑FIS Profile ®FIRM ❑Cammurity Determined ❑Other(Des te):
Bit Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVD 19:: ❑Other(Desalbe):
12.Is tie building located in a Coastal Barrier Resources System(CBRS)area or Othervise Protected Area(OPA)? ❑Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C i.Building elevations are based on:❑Construction Drawings* ❑Building Under Construction* (21 Finished Construction
*A new Elevatiat Certificate mil be required when canstnrction of the buiding's complete.
C2.Building Diagram Number 1(Select the buicing ciagram most similar to the bukiing for Mich ttis certificates being completed-see pages 6 and 7. If no cfagam
accurately represent the buidng,Rands a sketch or photograph.)
C3.Elevations-Zones Al-A30,AE,AH,A(milk BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a-i below according to the bilking deg-am specified in Item C2.State the datum used If the datums different from the datum used for the BFE in
Section 8,convert the datum to that used for the BFE.St>dw field rnanrements and datum conversion calculation. Use the space provided or the Comments area of
Section D a Section G,as apprcpiate,to document the datum conversion.
Datum NGVD Conversion/Conmenis
Elevation reference mark used CROWN Does the elevation reference mark used appear on the FIRM? ❑Yes (21 No
o a)Top of bottom floor(inducing basement or enclosure) 10. 3 It.(m)
o b)Top of next higher floor WA.—R(m)
o c)Bottom of lowest horizontal structual member(V zones only) N/A._ft(m)
o cf)Attached garage(top of slab) N/A. —R(m) E -
o e)Lowest elevation of machney and/or equipment 1 •
servicing the buidng(Desate in a Comments area) 10.3 ft.(m)
o 1)Lowest ad)acent(finished)gads(LAG) 9.3 R(m) z' ��,
o g)Highest (finished) (HAG) 9. 5 ft.(m) \% ,U
o h)No.of permanent openings(flood vent)withn 1 R above ac>jacent Bade 0
0 I)Total area of al permanent openings(flood vents)in C3.h 0 sq.in.(sq.am)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION __
his 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,B, 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 DANIEL L CARNAHAN LICENSE NUMBER 3002
TITLE REG.LAND SURVEYOR COMPANY NAME DEN4CARNAHAN&ASSOCIATES,INC.
ADDRESS CITY STATE ZIP CODE
1721 NORTH STATE ROAD 7 • MARGATE FL 33063
SIGNATURE DATE TELEPHONE
1/12/06 (954)971-0540
FMA Form 81-31 January 2003 See reverse side for continuation Replaces all previous editic ns