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Home My WebLink About112 NW 14 Ave 13 t / " 3 '' O.M.B.No 3067-077 9g ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM \TTENTION:Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to provide elevation information iecessary to ensure compliance with applicable floodplain management ordinances,to determine the proper insurance premium rate,and/or to support a request for Letter of Map Amendment or Revision(LOMA of LOMR). Instructions for completing this form can be found on the following pages. • SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Pratt STREET ADDRESS(Including Apt.,Unit.Suite and/or Bldg.number)OR P.O.BOX ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 112 N.W. 14th Avenue OTHER DESCRIPTION(Lot and Block Numbers,etc.) Lot 14, Block 5 , WEST MOORLAND CITY STATE ZIP CODE Dania Florida SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 3rovide 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 Zo 120034 0308 F 7/21/95 AE (IN AO+7n.0,'sedepih) '. Indicate the elevation datum system used on the FIRM for the Base Flood Elevation(BFE): ® NGVD'29 ❑ Other(describe on back) 1. 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 l I I I I.LI feet NGVD,or other FIRM datum-see Section B,Item 7). SECTION C BUILDING ELEVATION INFORMATION Using the Elevation Certificate Instructions,indicate the diagram number from the diagrams found on Pages 5 and 6 that best decribes the subject building's reference level 1. ?(a).FIRM Zones A-1-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of +8 . 1 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 I 1 1 1 1 I.LI 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 I I I_LI feet above❑or below 0(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:121 NGVD'29 0 Other(describe under Comments on Page 2).(NOTE:If the elevation datum used in measuring the elevations is different then that used on the FIRM[see Section B,Item 7J, 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:0 Yes®No(See instructions on Page 4) 3.The reference level elevation is based on:®actual construction 0 construction drawings (NOTE:Use on 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 Certificate will be required oncc construction is complete.) 5.The elevation of the lowest grade immediately adjacent to the building is: +7 . 5 feet NGVD(or other FIRM datum-see Section B,Item 7). SECTION D COMMUNITY INFORMATION i.If the community official responsible for verifying building elevations specified that the reference level indicated in Section C,Item 1 is not the"lowest floor" as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is:I I 1 1 l I.0 feet NGVD(or other datum-see Section B,Item 7). 2.Date of the start of construction or substantial improvement SECTION E 'CERTIFICATION This certification is to be signed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30,AE,AH,A(with BFE),V1-V30,Ve,and V(with BFE)is required. Community officials who are authorized by local law or ordinance to provide floodplain management information,may also sign the certification. In the case of Zone AO and A(without a FEMA of community issued BFE),a building official,a property owner,or an owner's representative may also sign the certification. Reference level diagrams 6,7 and 8-Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,enclosure size,location of servicing equipment,area use,v.'all openings,or unfinished area Feature(s),then list the Feature(s)not included in the certification under comments below. The diagram number,Section C,Item 1,must still be entered. I certify that the information in Sections 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. Michael J. Hitt #2771 CERTIFIER'S NAME I ICFNSF NI IMRPR(nr Affiv Spat)