HomeMy WebLinkAbout203 SE 2 Ave -)V.D
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federa!Eriiergency Management Agency - _ Expires February 28. 2009
National Flood Insurance Program Important: Read the instructions on pages 1-8. V/
SECTION A-PROPERTY INFORMATION For Insurance Company Use
A1. Building Owner's Name JACK&RUTH BARTLEY Policy Number
A2. Buiidin�q Street Address(including Apt., Unit,Suite, and/or Bldg.No.)or P.O. Route and Box No. Company NAIC Number
203 S.E.2" AVENUE //ll
City DANIA BEACH State FL ZIP Code 33004 3ab� f SL03"I? 0O 1 V
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal W" Description,etc.) O� /��107
PORTION OF LOTS 1 AND 2,BLOCK 1,"DANIA GOLF VIE P.B.36, PG. 50,B.C.R. a
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.26°02'54" Long.-80°08'29" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage 772 sq ft
b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage
enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 3
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 178 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1.NFIP Community Name&Community Number B2.County Name B3.State
CITY OF DANIA BEACH 120034 IROWARD I FL
84.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8. Flood B9. Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12011 CO309 F 10-02-97 08-18-92 AE 6.0
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑FIS Profile ® FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in Item 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 ®fdo
Designation Date ❑CBRS ❑ OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construction Drawings' ❑ Building Under Construction' ® Finished Construct on
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item AT
Benchmark Utilized COUNY Vertical Datum ND
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.3 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor n/a.- ❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A._ ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) 6.3 ®feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 7.2 ®feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) 5.9 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 6.3 ®feet ❑ meters(Puerto Rico only)
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 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.
Check here if comments are provided on back of form.
Certifier's Name STEPHEN H.GIS License Number 4054
Title PRESIDENT Company Narr,a GIBBS LAND SURVEYORS
Address 2131 HWD. BLVD.,STE.204 City HOLL"%"-OD State FL ZIP Code 33020
Signature ��__ Date 04-30-2007 Telephone 954-923-7666
?cnlnrac ail nravinim ariitinnR