HomeMy WebLinkAbout133-135 SE 1 Ave 023c/- /8- (9210 / ' b —a d-
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE 7/3/62.
Important: Read the instructions on 7. .ges 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use
BUILDING OWNERS NAME Policy Number
ADELA PATO&IVAN C.PATO
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and'or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
133-135 S.E.1s7 AVENUE
CITY STATE ZIP CODE
DANIA FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
BUILDING USE(e g,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):_
( t1/fl-#!t-0.111r or ##. ) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map D diner: --
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
CITY OF DANIA-120034 BROWARD FL
B4 MAP AND PANEL B5.SUFFIX B6.FIRM INDEX DATE B7.FIRM PANEL B8.FLOOD ZONE(S) B9.BASE FLOOD ELEVATION(S)
NUMBER 10-2-97 EFFECTIVE/REVISED DATE AE (Zone AG,use depth of Hooding)
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 Z FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used fa the BFE in B9:®NGVD 1929 ❑NAVD 1988 0 Other(Describe):
B 12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?❑Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Bulking elevations are based on:0 Construction Drawings* ❑Building Under Construction* ®Finished Construction
*A new Elevation Certificate will be required when construction of the buikng is complete.
C2.Bulking Diagram Number 1(Select the building diayan most similar to the building for which this certificate is being completed-see pages 6 and 7. If no slogan
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,ARIA,AR/AE,ARIA1-A30,AR/AH,AR/AO
Complete Items C3a-i below according to the building diajal)specified in Item C2.State the datum used.If the datum is different from the datum used fa 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 aim 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 mark used appea on the FIRM? ❑Yes ®No
❑ a)Top of bottom floor(including basement or enclosure) 8.8 ft.(m) o
❑ b)Top of next higher floor WA._ft.(m) rn
❑ c)Bottom of lowest horizontal structural member(V zones only) WA._ft.(m) 41
d)Attached garage(top of slab) N ._ft.(m) 2
❑ e)Lamest elevation of machinery andlor equipment w o
m
servicing the building 8.3ft.(m)
❑ f)Lowest adjacent grade(LAG) 8.Oft.(m) >6-
❑ g)Highest adjacent grade(HAG) 8.3ft.(m) 6 N �,
❑ h)No.of permanent openings(flood vents)within 1 ft above adjacent grade 0
J _
❑ )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.
CERTIFIERS NAME STEPHEN H.GIBBS LICENSE NUMBER 4054
TITLE PRESIUENT COMPANY NAME GIBBS LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
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SIGNATURE �� � , f DATE TELEPHONE
A 11R77 fl9 Qui4-971-7FAfi _
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