HomeMy WebLinkAbout133-135 SE 1 AVE 'WDERAL EMERGENCY MANAGEMENT AGENCY
77
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. 3 , 00 200
Jul 31 2
Expires July 2
ELEVATION CERTIFICATE 7�302
Important Read the instructions on es 1-7.
SEC11ON A-PROPERTY OYYNER INFORMATION For Insurance Company
BUILDING OWNERS NAME �
ADELA PATO&IVAN C.PATO Policy N�
BUILDING STREET ADDRESS(Inducing Apt.,Unit,Suite,ardor 81dg.No.)OR P.O.ROUTE AND BOX NO.
Company NAIL Number
133.135 S.E.1sr AVENUE
CITY STATE ZIP CODE
DANIA FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Pare Number,Legal Description,etc.) l
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.)
RESIDENTIAL
(
LATITUDFA yyr a ##.UDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):_#9-##.nM #i1 W) ❑NAD 1927 ❑NAD 1983
❑ ca uscs ,ad Map
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
CITY OF DANIA-120034 BROWARD FL
B4.MAP AND PAWL 65.SUFFIX B6.FIRM INDEX DATE 87.FIRM PANEL B8.FLOOD ZONES) B9.BASE FLOOD ELEVAT S)
NUMBER 10-2-97 EFFECTNEIREVISED DATE AE (Zane AO,use depth of Hooting)
1201IC03M F 8-im 7.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Ptolk N FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datlrn used far the BFE in 69:N NGVD 1929 ❑NAVD 1988 ❑Other(Describe):
812.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?❑Yes N No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) _
Ct.Building elevations are based on:❑CortshIction Drawings* ❑Building Under Construction* ®Finished Construction
*A new Elevation Certificate wifi be required when conshiction of the building s complete.
C2.Building Diagram Number 1(Select the building dragarn most Miff to the building for which this certificate is being cornpleted-see pages 6 and 7. If no degrarb
acaratel}r represents the building,provide a sketch or photograph.)
C3.Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARIAE,ARIA1 A30,ARIAH,ARIAO
Complete Items C3a4 below according to the building diagram specified in Item C2.State the datum used-If the datum is different firm the dahm used for the BtE in
Section B,convert the datum to that used far the BFE.Stow field measurements and datum conversion won.Use the space provided or the Comments area of
Section D or Section G,as appropriate,to doarnent the datum conversion.
Datum NGVD Camersi dCamments
Elevation refer erne mark used COUNTY Does the elevation reference mark used appear on the FIRM? ❑Yes N No
O a)Tap of boilorn door(rmdtrding basement or enclosure) 8.8 ft(m) o
O b)Tap of next higher floor NIA._film)
❑c)Bottom ot lowest halzmtal structural member(V zones ordy) NIA._ft.(m) 3 A
❑ d)Attached garage(top of slab) WA_ft(m) E$
❑ e)Lowest elevation of W
machinery and►a equipment
servicing the buWding 8.3ft(m)
0Lowest a*rent grade(LAG) 8.Oft(m) z'.
U 91 t grade WG) 8.3ft(m) c
U h)No.of perrnanent openings(flood vents)within 1 ft above acljacent grade 0 8
.J
l] )Total area of all permanent openings(flood vents)in C3h NIA sq.in.(sq.an)
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,8,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. 1
CERTIFIERS NAME STEPHEN H.GIBBS LICENSE NUMBER 4054
TITLE PRESIDENT COMPANY NAME GIBBS LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
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SIGNATURE DATE TELEPHONE
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