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Home My WebLink About133 NW 6 Ave (2) 0 LI—)(42 6 FPDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 Q a3-1-0)-070 J NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2O0f. ors 1 i (0l o(0 ELEVATION CERTIFICATE Important Read the instructions on pages 1-7. Ps- ®J� SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use._� BUILDINGOWNER'S NAME Policy Number H.ANTHONY ROLLE / h/ •,e• Mope-.04,4=s Coe BUILDING STREET ADDRES (Including Apt,Urrt,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 133 NW 611'AVENUE CITY STATE ZIP CODE DANIA FL 33004 -- PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOTS 8,BLOCK 6,TOWN OF DANIA,PLAT BOOK B,PAGE 49,PUBLIC RECORDS MIAMI-DADE CO.LYING IN BROWARD CO.FL,ID#504234010761 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 .##/$##°) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map El Other:NGVD SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NAP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE CITY OF DANIA 120034 BROWARD FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER 85.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE ::.FLOOD ZONE(S) (Zone AO,use depth of flooding) 12011C 0308 F 10-02-1997 08-18-92 "AE' B10.Indicate the sane of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile El FIRM 0 Community Determined 0 Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVE)1988 0 Other(Describe): B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?D Yes ®No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Bilking 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 Diagram Number 1(Select the building damn most similar to the building far which this certificat is bang completed-see pages 6 ark 7. If no diagram 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,AR/A1-A30,AR/AH,AR/AO Complete Items C3.-a-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 for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NGVD 1929 Conversion Comments NONE Elevation reference mark used X Does the elevation reference mark used appear on the FIRM? 0 Yes ®No o a)Top of bottom floor(including basement or enclosure) 13. 15 ft.(m) v o b)Top of next higher floor N/A._ft(m) CO o c)Bottom of lowest Irviiontal structural rrroftber(V zones only) N/A._ft.(m) a o ( ,,. o d)Attached garage(top of sue) 12. 27 ft.(m) w co o e)Lowest elevation of machinery ancVor equipment -E /0 servicing the building(Describe in a Comments area) 12.75 ft(m) S 72 o f)Lowest adjacent(finished)gade(LAG) 11 .5 ft.(m) F5' Ci 5- /: d o g)Highest adjacent(finished)gade(HAG) 11. 9 ft.(m) "_ o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A o i)Total area of all permanent openings(flood vents)in C3.h N/A 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 PILAR SOLER LICENSE NUMBER 6310 TITLE PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME PSM&ASSOCIATES,P.A LB# 7149 ADDRESS CITY STATE ZIP CODE 311 NW 1361"AVER N� ` MIAMI FL 33182-1952 SIGNATURE / 7 DATE TELEPHONE `�� 7r�<"--&--)/' 05-12-06 305 226 i7 IMPORTANT: In these spaces,copy the corre'-,nding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,any efg.No.)OR P.O.ROUTE AND BOX NO. _ Policy Number 133 NW 6TH AVENUE CITY STATE ZIP CODE Company NAIC Number DANIA FL 33004 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 CROWN ELEVATION: 11.15' BENCH MARK USED:MANHOLE AT THE INTERSECTION OF(VW FR AVENUE AND 3RD STREET,RIM ELEVATION 10.32' AIR CONDITIONER/CONCRETE.SLAB ELEVATION: 12.75' ELEVATION CERTIFICATE FOR BUILDING FINAL ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items El through E4. lithe Elevation Certificate is intended for use as supporting information for a LOMA or LOMR F, Section C must be completed. El.Building Diagram Number_(Select the building diagram most similar to the building forwhich this certificate is being completed—see pages 6 and 7.If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is_ft.(m)_in.(cm)0 above or 0 below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is_ft.(m)_in.(cm)0 above or 0 below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floociplain management ordinance? 0 Yes 0 No 0 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,C(items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A B,C,and E are coned 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 here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's s fioodplain management ordnance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. GI.0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by stet or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4-G9)is provided for community floodelain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This pe+rnit has been issued fq0 New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(Including basement)of the building is: —_ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _ _ft(m) Datum: LOCAL OFFICIAL'S NAME TIRE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Check here if attachments