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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 7111 Ho I YWITIO PflI II F\/ARIl Si IITFin1 Ho'I Ywmn FI R1(YX) _ SIGNATURE �� � , f DATE TELEPHONE A 11R77 fl9 Qui4-971-7FAfi _ FFMA Fnrm R1-:11 Al Ir;Q4 SFF RF\/FRSF SIr1F FOR r.ONTINI IATION RFPI AfFS Al I PRFVIOI I.c Frl TIC)NS (11 • a • • • Yx r F ,. • . .f. .._., T.:<a, .. _.., :�:..,ra+...c 4 ..-::..r,m.n- r-xrn-+K'.r., ri, s a.- :. � ra+,-.:' .aa-:,E.. SFr✓. ._.. ,hA. »+exin �-..r ...� �vpe�. ..il£ ... -..__ x. _. ,..