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HomeMy WebLinkAbout143 NW 7 Ave (— DERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION Forlmumm Company Use: BUILDING OWNER'S NAME Policy Number WHITE BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 143 N.W.7°i Avenue CITY STATE ZIP CODE City of Dania FL PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 5,Block 30-TOWN OF MODELO (B/49) BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,9 necessary.) Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type): ( W-##-##AW' or ##.# ##°} ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other;__ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1,NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME W.STATE City of Dania 120034 Broward Fbrida B4.MAP AND PANEL B7,FIRM PANEL B9.BASE FLOOD ELEVA (S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTNWEASED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of ) 12011C 0308 F 1012197 8/18/92 "AE* T B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe): B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe):_ B12,Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes 0 No Designation Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Draaings* ❑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 diagram most sinfilar to the building for whictl this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) C3.Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,ARIA,ARIAE,ARW-a,ARIAH,ARIAO Complete Items C3.-a4 below according to the building diagram specified in Item C2.State the datum used.K 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 ConversionlComments**A/C Pad Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No a)Top of bottom floor(including basement or enclosure) 11. 6 t(m) m b)Top of next higher floor N,A fit.m) �' 1 c)Bottom of lowest horizontal structural member(V zones only) N.A fL(m) d)Attached garage(top of slab) N. A ft(m) w 2 e)Lowest elevation of machinery and/or equipment m servicing the building(Describe in a Canmarnts area) **11.7 fL(m) E 0 Lowest a jacent(finished)grade(LAG) 10.8 it(m) m L !� g)Highest adjacent(finished)grade(HAG) 11. 1 ft(m) h)No.of permanent openings(flood vents)within 1 ft above a4aoent grade 0 A\ i)Total area of all permanent openings(flood vents)in C3.h NIA 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: JERALD A.McLAUGHUN LICENSE NUMBER: 5269 TITLE: PRESIDENT COMPANY NAME: McLAUGHUN ENGINEERJNG COMPANY ADDRESS CITY STATE ZIP CODE 400 JW Md.aughlin Ave(NE 31d Ave) Fat Lauderdale FL 33301 SIG DATE TELEPHONE 10/1I03 954.763.7611 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions