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Home My WebLink AboutEC 120 NW 10 Ct _s C�®A �q U.S.- DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0508 Federal Emergency Management Agency Expires March 31, 2012 f iationa!Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION FtsrinsuianceCompany Use: Al Building Owners Name CITY OF DANIA BEACH Pol;cyNutnber, 1 A2. Building Street Address(including Apt.. Unit,Suite,and/or Bldg.No.)or F.O. Route and Box No. I Cnmp4riy NAfC Number s 120 NW. 1(1) CT. _ City DANIA BEACH State FL ZIP Code 33004 6 /0"`/y/� - )-/i / A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) LOTS 1-1 0, BLOCK 1, OF " WEST MOORLAND PB. 19 PG.8 BROWARD COUNTY RECORDS I Q•, O a 3-/O OO O A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.)NON-RESIDENTIAL A5. Latitude/Longitude: Lat. N260317.0 Long.W800317.1 Horizontal Datum: 0'NAB 1927 El ! =.L)1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 1B A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) NA sq ft a) Square footage of attached garage NA sq ft b) No.of permanent flood openings in the crawlspace or b) No.of permanent flood openings in the attached garage enc!osure(s)within 1.0 foot above adjacent grade NA within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes Q No SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 81 NFIP Community Name&Community Number ! B2.County Name I 63.State CIY OF DANIA 120034 1 BROWARD i FL 84. Map/Panel Number I B5.Suffix I B6.FIRM Index B7. FIRM Panel ! B8. Flood I B9. Base Flood Elev. ions (Zone 12011C0308 1 F Date Effective/Revised Date i Zone(s) j AO, use base flo.d de. h) __ I 10-2-97 i 8-18-92 AE 7.00' B1 0. indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other(Describe) B11. indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 0 Other(Describe) B12. is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑:No Designation Date NA ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) CI. Building elevations are based on: ❑ Construction Drawings` ❑ Building Under Construction" Z 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/RH,AR/AO. Complete items C2a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized COUNTYVertical Datum NGVD 1929 Conversion/Comments NA Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)9.6 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor N.A 0 feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N.A 0 feet 0 meters(Puerto Rico only) , d) Attached garage(top of slab) N.A []feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N.A ®feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.0 ®feet 0 meters(Puerto Rico only) i( Highest adjacent(finished)grade next to building(HAG) 9.3 ❑feet 0 meters(Puerto Rico only) t) Lowest adjacent grade at lowest elevation of deck or stairs,including N.A ❑feet ❑meters(Puerto Rico only) - structural support _ 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 . r::= ' information. I certify that the information on this Certificate represents my best efforts tc interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. C, (4 J T `t'i j Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a -'' J licensed land surveyor? ® Yes ❑ No I Certifier's Name PEDRO LUIS MARTINEZ License Number LS5443 -' - Title SURVEYOR AND MAPPER Company Name MARTINEZ AND MARTINEZ ENTERPRISES, INC. - Title Address 5600 WEST 9 LANE City HIALEAH State FL ZIP Code 33012 . [ (-2 -1 2-- Signature Date 01-20-2012 Telephone 305-362-1127 L_ FEMA Form 8"-31, ar 09 See reverse side for continuation. Replaces all previous ed t:one IMPORTANT: In these spaces, copy the corresponding information from Section A. -_.Ii For insurance Company Use Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 1 PoPicy Number• '12G tiW 10 CT. ' •_ City__ r� ;+ DANIA BEACH State FL ZIP Code 33004 — Company NAIL Number SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments BENCH MARK USED: BROWARD COUNTY BENCH MARK #1473 ELEVATION 8.977'. USED GARMIN GPS TO OBTAIN L.A.J. AND LONG. Signature Date 01-10-2012 EI Check here if 9ttach{rents SECTION E-B ' NG ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT EE) For Zones AO an A ithout BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sectiors A, • . and C. For Item -E4, use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. E . Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the Highest adjac nt grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters El above or❑ below the HAG. b)Top of bottom floor(including basement,crawispace,or enclosure)is ❑feet 0 meters ❑above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next limber (elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet ❑meters 0 above cr ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is El feet 0 meters 0 above or El below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodpiein rrIana:.Mier: ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without a FEMA-issued or comrunty-r.s.;ec E or Zone AO must sign here. The statements in Sections A,B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address. City State ZIP Code Signature Date Telephone _Comments Check her- ii ___..�... SECTION C-COMMUNITY INFORMATION(OPTIONAL) ✓µ- -ye local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. E The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or :rc,lct is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) 32 i-. A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone A). G3 ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4. NumberPermit , d i Permit ( G5. Date Issued I G6. Date Certificate Of ssue G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet 0 meters(PR)Datum G10. 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