The URL can be used to link to this page

Home My WebLink About125 NW 6 Ave P.N. 2415-98 ELEVATION CERTIFICATE , =�'---- ----_ O.M.B. No. 3067.0077 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires JuJy 31, 1999 NATIONAL FLOOD INSURANCE PROGR M: ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchases equireme{►�trThis orm is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplaji • anagetiaertwitiigikes, to c.etermine the proper insurance premium rate, and/or to support a request for a Letter of Map Amendme 'Revision (LOMA or LOMR).You are not required to respond to this collection of information unless a valid OMB control number is dis o ws of this form. Instructions for completing this form can be found on the f es. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Jones Construction Company, Inc. STREET ADDRESS(Including Apt..Unit.Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 125 N.W. 6th Avenue OTHER DESCRIPTION(Lot and Block Numbers,etc.) Lot 12 ,Block 6 , "MAP OF THE TOWN OF MODELO" (P.B. B, Pg. 49 ,B.C.R. ) CITY STATE ZIP CODE Dania, Florida 33004 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Jrovide the following from the proper FIRM (See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE CF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION (in AO Zones.use depth) 120034 0309 F 10-2-97 AE 7 Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '29 Other(describe on back) :. 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._!feet NGVD (or other FIRM datum—see Section B, Item 7). SECTION C BUILDING ELEVATION INFORMATION • 1. Using the Elevation Certificate Instructions, indicate 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 A1-A30, AE,AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of I I I 11} 1!.121 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 I I I I I.ILJ 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❑ or below Li (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 LLI.0 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 E No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD'29 E Other (describe 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: Ti Yes No (See Instructions on Page 4) 5. The reference level elevation-is based on: E 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 Certificate will be required once construction is complete.) 3. The elevation of the lowest grade immediately adjacent to the building is:I I i 11 !01.21 feet NGVD (or other FiRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION If the community official responsible for verifying building elevations specifies 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 I I I I.(J feet NGVD (or other FiRM datum—see Section B, Item 7). r-. .L'. ir•'Irr:•••, 'f At, --.. .. _�-` _- _ 'C ;c 7:2fC..`. .. - - - - - . . �- 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 Zones AO and A (without a FEMA or community issued BFE), a building official, a pr arty owner, or an owner's representative may also sign the certification. Reference levei diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/re. oreakaway wall, enclosure size, location of servicing equipment, area use,wall openings, or unfinished area Feature(s), then lir a Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be env- I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the c :a available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Sec:c,n 1001. CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) RICHARD E. COUSINS 4188 TITLE CC.MPANY NAME LAND SURVEYOR COUSINS SURVEYORS & ASSOCIATES , INC. -- - -ADDRESS CITY STATE ZIP 5915 SHERIDAN STREET HOLLYWOOD FLORIDA 33021 SIGNATURE vv, � � � August 24 , 1909TE 8 PHONE ( 954 ) 96 _a-7090 Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES. SLAB BASEMENT PIERS.OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES lE REFERENCE LEVEL REFERENCE I REFERENCE I BASE -rl LEVEL 1 __yeL II,M'I ,,,��'((( I Flc TI III r rill rL:.. ELEvA7iCN 3ASE '.• I BASE REFERENCE FL000 � AOJACENTON FlOCO � GAAOE LEVEL IC ELEVATN REFERENCE AC4ACENT - LEVEL GRACE ' ` ELEVATI ' 1 1 . / • AC.AC NT CAACE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. =:ovations for all A Zones should be measured at the top of the reference level floor. Eievaticns for all V Zcr.es should be measured at the bottom of the lowest horizontal structural member.