HomeMy WebLinkAbout209 NE 1 Ct (� 1 �_ �3 FEDERAL EMERGENCY MANAGEMEN I AGENCY --
1J U d NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
ELEVATION CERTIFICATE Expires July 31, 2002
Importaint: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company USE
BUILDING OWNER S NAME
DOREEN BARTLEY Policy Number
BUIL.DUIG STREET ADDRESS(Inckdng Apt..Unit,Suite,Aroma Bldg.No)OR P.O.ROUTE AND BOXNO, Compary NAIC Number
209NE 11TCCURT
CITY STATE ZIP CODE
DANIA FL
33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Descnplion,etc) —
LOT Z BLOCK 1,VICTORIA VILLAS
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Commends section if necessary) —
RESIDENTIAL
LATITUDFAONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE ❑GPS(type):—_
( ##a-W-##.##"or ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1 NFIP COMMUNITY NAME 8 COMMUNITY N_PBER B2 C(XINTY NAME B3 STATE
CITY OF DANIA BEACH-120Q34 BROWARD FL
B4 MAP AND PANEL B5 SUFFIX B6 FIRM It DEX DATE 07 FIRM PANEL B&FLOOD ZONES) B9.BASE FLOOD ELEVATION(S)
NUMBER 10-2-97 EFFECT IVE/REVISED DATE AE (Zone AO,use depth of flooding)
12011C0309 F B-18-92 7.0
B 10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
B 11 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 ®No Designation Date_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings* ❑Building Under Construction* ®Finished Construction
*A new Elevation Certificate will be required when constnrction of the building is complete.
C2.Building Diagram Number I(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or phobgaph.)
C3.Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/Al-A30,AR/AH,AR/AO
Cornplete Items C3aA below according to the bdaking diagram specified in Item C2.State the datum used.If the datum is different from the datum used fox the BFE in
Section B,convert the datum to that used for the BFE.Shaw 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 NGVD ConversloNCorrments_
Elevation reference mark used COUNTY Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
❑ a)Top of bottom floor(including basement or enclosure) 8.2 ft(m)
co
❑ b)Top of next higher floor N/A._ft(m)
❑c)Bottom of lowest horizontal structural member(V zones only) WA._ft(m)
❑ d)Attached garage(top of slab) 6.7ft(m) a00
❑ e)Lowest elevation of machinery and/or equipment
w m
servicing the building 7.1 ft(m)
❑ f)Lowest ad)acent gade(LAG) 6.2ft(m) z'm
❑ g)Highest adjacent grade(HAG) 6.7ft(m) �y-
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade NA
❑ )Total area of all permanent openings(flood vents)in C3h WA sq.in.(sq.am)
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.
certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available,
1 understand that Ty false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
CERTIFIER'S NAME STEIPHEN H.GIBBc LICENSE NUMBER 4054
TITLE PRESIDENT —�---
� COMPANY tIAME GIBBS LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
SKJATLR E OLll EVA3Tl sty�m unr i vWMn
DATE TELEPHONE
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