HomeMy WebLinkAbout218 NW 14 Ave :DERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2C 0`
ELEVATION CERTIFICATE
Important: Read the instructions on pages I.7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use.
Policy Number
BUILDING OWNER'S NAME
DARION Company NAIC Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. P Y
218 N.W.14"Avenue STATE ZIP CODE
CITY FL --
City of Dania
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 4,Block 3-SUN GARDENS (26/37)
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
Residential SOURCE: ❑GPS(Type):
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM:
❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map El Other:_
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
62.COUNTY NAME B3.STATE
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER Broward FL
City of Dania 120034
B7.FIRM PANEL 69.BASE FLOOD ELEVATIrW(S)
B4.MAP AND PANEL
NUMBER B5.SUFFIXB6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of iloaiing
8/18192 AE
12011C 0308 F 1007
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. —
❑FIS Profile ®FIRM ❑ Other Community Determined ❑ (Describe):
B11,Indicate the elevation datum used for the BFE in 139:®NGVD 1929 ❑
NAVD 1988 ❑Other(Describe):—
Yes
812.Is the buildinq located in a Coastal Barrier SBUILDING ELEVAtem(CBRS)area or TION INFORMATION(SURVEY erwise Protected Area(OPA)? REQUIRE®No Des! nation Date
SECTION C _
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. 6 and 7. If no diagram
C2.Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see pages9
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,AR/AE,AR/A1-A30,ARIAH,ARIAO
am specified in Item C2,
ate the
um used.If the datum is dIfferent from the datum used for the
FE in
Complete Items rt the i belodatum
to that ing to the used for the BFIng E.Shown field measurements and dtatum conversion calculation. Use the space provided or the Comments a area of
Section B,convert the datu
Section D or Section G,as appropriate,to document the datum conversion.
Datum— Conversion/Comments-AIC Pad
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? Yes ®No
M
a)Top of bottom floor(including basement or enclosure) 8. 00.(m)
b)Top of next higher floor N.A ft.(m) 2
N.Aft.m o0
c)Bottom of lowest horizontal structural member(V zones only) ( ) In
d)Attached garage(top of slab) N. A ft.(m) w
e)Lowest elevation of machinery and/or equipment
servicing the building(Describe in a Comments area) *'8,1 ft.(m) :3 r \
f)Lowest adjacent(finished)grade(LAG) 7.2 ft.(m) in 0
g)Highest adjacent(finished)grade(HAG) 7. 5 ft.(m)
h)No.of permanent openings(flood vents)within 1 ft,above adjacent grade 0
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.
ICENSE NUMBER: 5269
CERTIFIERS NAME: JERALD A.McLAUGHLIN
TITLE: PRESIDENT COMPANY NAME: McLAUGHLIN ENGINEERING COMPANY
CITY STATE ZIP CODE:
ADDRESS Fort Lauderdale FL 33301
400 JW McLaughlin Ave(NE 31d Ave) DATE TELEPHONE
SIGNATU 10/1 M 954.763.7611
Replaces all previous editions
,.n Pnrm Al-11 January 2003
See reverse side for continuation.