HomeMy WebLinkAbout127-129 SE 1 Ave 023v-6- 02( 0 3�02 02-390 -Ouftex- f C.) _ �1 ��
i.DERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B.Expires JulyNu. 31, 2002007
ELEVATION CERTIFICATE —
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use.
BUILDING OWNERS NAME Policy Number
MARCO F.OSORIO
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg No.)OR P O ROUTE AND BOX NO Company NAIC Number
127-129 S.E 1ST AVENUE
CITY STATE ZIP CODE
DANIA FL
33004
PROPERTY DESCRIPTION(Lot and Bla;k Numbers,Tax Parcel Number,Legal Description,etc.) --__.. —
;-
I
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) .i JL 2
RESIDENTIAL Ali;
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): �; —._
( #i?i,-##-##.#te or ##.#Nt##) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map ❑Other: --
—.
Y
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME E33.STATE
CITY OF DANIA-120034 BROWARD FL
B4.MAP AND PANEL B5 SUFFIX B6.FIRM INDEX DATE B7.FIRM PANEL 88 FLOOD ZONE(S) B9.BASE FLOOD ELEVATIONS)
NUMBER 10-2-97 EFFECTIVE/REVISED DATE AE (Zone AO,use depth of floc ding)
12011C0309 F 8-18-92 7 0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ---
❑FIS Profile ®FIRM ❑Community Determined ❑Other
B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 0 NAVD 1988 ❑Other(Describe):
B12.Is the bulking located in a Coastal Barier Resources System(CBRS)aea or Otherwise Protected Area(OPA)?❑Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.Bulking 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.Building Diagarn Number 1(Select the building diagram most similes to the buiking for which this certificate is being completed-see pages 6 and 7. If no riagan t
accurately represents the building,provide a sketch or photograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,ARIA1-A30,AR/AH,AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used fa the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments a ea of
Section D a Section G,as appropriate,to document the datum conversion.
Datum NGVD Conversion/Comments
Elevation reference mark used COUNTY Does the elevation reference maid used eppea on the FIRM? ❑Yes ®No
Cl a)Top of bottom floor(including basement or enclosure) 8.8 ft(m)
ClIt
b)Top of next higher floor N/A._ft.(m) 9
Cl c)Bottom of lowest horizontal structural member(V zones only) WA._ft.(m) x11
Cl d)Attached garage(top of slab) N/A._ft.(m) -o /
Cl e)Lowest elevation of machinery andlor equipment \
servicing the bulking 8.4ft.(m) —jam
Cl f)Lowest adjacent Bade(LAG) 8.Oft.(m) z.01 )
a
Cl `� ✓
g)Highest adjacent grade(HAG) 8.3ft.(m) E
Cl h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 2
Cl )Total area of all permanent openings(flood vents)in C3h WA sq.in.(sq.cm)
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 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 STEPHEN H GIBBS LICENSE NUMBER 4054
TITLE PRESIDENT COMPANY NAME GIBES LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
71'11 Hnl I YWClnrl Pill II FVnRn ci DTP 9(11 Hnl I YWmn FI '-4'ypn
SIGNATURE' L_— > . .c`- ,�_ DATE TELEPHONE
`�-Y l �7.m (L4921 FFFi _
FFMA Fnrm R1-11 Al1(4 QQ SFF RFVFRSF RIr1F Ff1R C`CMITINf IATIr1N RFPI ACFR Al I PRFVIC)I IR Fr1ITIC%R