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Home My WebLink About150 Stirling Rd �Tf,y ) ELEVATION CERTIFICATE O.M.B.No. 3067-0077 S DERAL.EMERGENCY MANAGEMENT AGENCY Expires July 31', 1999 l ot q` Q FENATIONAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement.This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to determine the proper insurance premium rate,and/or to support a request for a Letter of Map Amendment or Revision(LOMA or LOMA).You are not required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUILDING OWNER'S NAME POLICY NUMBER Andies Inc. /� T� STREET ADDRESS(Including Apt..Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 150 Stirling Road OTHER DESCRIPTION(Lot and Block Numbers,etc.) Lots 1-22, inclusive of Block 27 of "TOWN OF MODELO" CITY STATE ZIP CODE Dania Florida SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM(See Instructions): 1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 1 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATI N On AO Zones,use deptt 120034 0309 F 10/2/97 % N/A 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): ®NGVD'29 ❑Other(describe onBack) 8. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this building site,ind(date the community's BFE:L_I I�.LJ feet NGVD(or other FIRM datum—see Section B, Item 7). SECTION C _BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions,indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 1 2(a). FIRM Zones Ai-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of I ! I 1112 .1 0 feet NGVD(or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1430,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram,is at an elevation of ! feet NGVD (or other FIRM datum—see Section B, Item 7). (c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is 'feet above❑ or below, (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is 1 I.L feet above❑ or below❑ (check: one) the highest grade adjacent to the building. If no flood depth number is.available, is the building's lowest floor(referenc4 level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes :1 No ❑ Unknown 3. Indicate the elevation datum system used in determining the above reference level elevations:1' NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than 17—i41 the FIRM [see Section B, Item 7], then convert the elevations to the datum system used on the FIRM and shoe equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: KI Yes ❑ No (See Instructions on Page 4) I! ( ! 9M 9 Z AON i 5.The reference level elevation is based on: 1 actual construction _ constructicn drawings (NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place ,'tirsr ' case this certificate will only be valid for the building during the course of construction. A post-construction Elevation C will be required once construction is complete.) �gu Q '50 6.The elevation of the lowest grade immediately adjacent to the building is: 1 111 .10 1 feet NGVD(or other FIRM datum-see Section B, Item 7). SECTION D COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, It m 1 is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor"as defined by the ordinance is: I 1 � I I I,H feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement { FEMA Form 81-31,AUG 96„__ REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION SECTION E' CERTIFICATION This certification is to be signed by a land surveyor,engineer,or architect who Is authorized by state or local law to Information when the elevation information for Zones A1�A30,AE,AH,A(with BFE),V1—V30,VE,and V(with BFE) Community officials who are authorized by local law.or ordinance to provide floodplain management information, m: certification. In the case of Zones AO and A(without a FEMA or community issued BFE),a building official,a props owner's representative may also sign the certification. Reference level diagrams 6,7 and 8-Distinguishing Features—If the certifier is unable to certify to breakaway/non-t enclosure size,location of servicing equipment,area use,wall openings,or unfinished area Feature(s),then list the included in the certification under Comments below. The diagram number,Section C, Item 1, must still be entered. I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data at I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100 CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal) William M. Lynch 4068 TITLE COMPANY NAME Professional Land Surveyor MILLER LEGG & ASSOCIATES, INC ADDRESS CITY STATE 1800 N. Rd. Suite 0 Pembroke Pines FL SIGNATURE 11/25/98 954/436-70 Copies should be made of this Certificate for:1)community official,2)insurance agent/company,and 3)bui COMMENTS: ON WITH SLAB ON PILES, BASEMENT PIERS,OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFEREuC= LEVEL BASE ILEVEL FLOOD ..yX. ELEVATION BASE FLOOD ADJACENT•:;•)a REFERENCE ELEVATION +'3 REFERENCE ADJACENT GRADE k:: LEVEL LEVEL GRADE ,I 1 The diagrams above illustrate the points at which the elevations should be measured in A Zones and V 7 7•\ Elevations for all A Zones should be measured at the top of the reference level floor. �s cf Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural memt ? A/00,." F Oate 0f F tq Page 2 0677