HomeMy WebLinkAbout215 SE 15 St :RAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 121005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7. Q-o 3
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company use
BUILDING OWNER'S NAME Policy Number
DAVID&OUTI BATTENFIELD
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,ardor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
215 S.E.157"STREET
CITY STATE ZIP CODE
CITY OF DANIA BEACH FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#####) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bt.NAP COMMUNrrY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
CITY OF DANIA BEACH-120034 BROWARD FL
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATIC
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTNEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding)
12011CO309 F 10-2-97 8.18-92 AE 6.0
1310.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
1311.Indicate the elevation datum used for the BFE in 139:®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 construction of the building is complete.
C2.Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is bung 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,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3:a-i below according to the building diagram specified in Item C2.State the datum used.If 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 NGVD Conversion/Comments_
Elevation reference mark used COUNTY Dees the elevation reference mark used appear on the FIRM? ❑Yes ®No
❑ a)Top of bottom floor(including basement or enclosure) ca
❑ b)Top of next higher floor N/A. ft.(m)
❑ c)Bottom of lowest horizontal structural member(V zones only) N/A._ft.(m)
❑ d)Attached garage(top of slab) 7. 3 ft.(m) 0.0
❑ e)Lowest elevation of machinery arni/or equipment u, %L
servicing the building(Describe in a Comments area) 7.4 ft.(m) E co
2 :�- �� C
❑f)Lowest adjacent(finished)grade(LAG) 6.0 ft.(m) Z.0
i
❑ g)Highest adjacent(finished)grade(HAG) 7. 0 ft.(m) � "7
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade NUA J
❑ i)Total area of all permanent openings(flood vents)in C3.h N/A 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.
/certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
l understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code, Section 1001. _
CERTIFIER'S NAME STEPHEN H.GIBBS LICENSE NUMBER 4054
TITLE PRESIDENT COMPANY NAME GIBBS LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
2131 HOLLYWOOD BOULEVARD,SUITE 204 HOLLYWOOD FL 33020
SIGNATURE DATE TELEPHONE
03-26-2004 954-923-7666
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous -,ditions