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Home My WebLink About220 NW 7 Ave FEDERAL 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 1-7. SECTION A-PROPERTY OWNER INFORMATION For insurww Canpary Use: BUILDING OWNER'S NAME Policy Number H.ANTHONY ROLLE "-g +03 -0 3 4 Z BUILDING STREET ADDRESS(Includiig Apt,Unit,Suite,arKVor Bldg.No.)OR P.O.ROUTE AND O�BOX Jf�1` G Company NAIC Number 220 NW 77"AVENUE b23 —W-0 650 — ill c.;_ CITY STATE ZIP CODE DANIA BEACH FL 33004 PROPERTY DESCRIPTION(Lit and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 14,BLOCK 5,MAP OF THE TOWN OF MODELO,PLAT BOOK B,PAGE 49,DADE COUNTY,FLORIDA BUILDING USE(e.g.,Resideritial,Non-residential,Addition,Accessory,etc. Use a Comments area,if rmessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type): ( ##°-##'-##.#s' or ##Am##') ❑NAD 1927 ❑NAD 19M ❑USGS Quad Map ®Other:ScVD SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Bt NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3 STATE CITY OF DANIA BEACH 120054 BROWARD FLORIDA B4 MAP AND P.M1EL I I B7 FIRM PANEL B9 3ASE FLCOD ELEVATICR(S) NUMBER B.5.SUFF;Y i 86 FIRM INDEX DATE EFFECTNEIPPASED DATE B8.FLOOD ZCNE(S) (Zone A0,use depth of 9oodrgg) 0309 F 10-02-97 C8-18-92 "X" NWA B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69. ❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe)__ B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVD 19M ❑other(Describe): 212 is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPAPCI Yes ®No Desiccation Date_ SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1 SLAki)g elevations are based on:❑Construction Drawings" ❑Building Under Construction" ®Finished Construction 'A new Elevation Certificate w K be mcli ed when consnction of the building is complete. C2.Euiding Diagram Number 1(Select fie building diagram most similar to the bulking for which this catificate is being completed-see pages 6 and 7 If no diagram accurately represents the bu tdrig,provide a sketch or photograph.) C3.Eevabons—Zones At-A30,AE-AH,A with BFE),VE,Vt-V".�,V(with BFE),AR,ARIA,AR/AF,AR/A1-A30,AR/AH,ARIAO C=*te Items C3.-a•4 below according to the building diagram specified in Item C2.State the daturn used If the datum is different from the datum used for the BFE in Section B,convert rile datum to that used for the BFE.Shwa field measurements and datum conversion cafarfation. Use the space provided or the Comments area of Section D or Section G,as appropriate.to document the datum conversion. Datum_ is— Elevation reference mark used X_Does the elevation reference mark used appear on the FIRM? ❑Yes ®No a)Top of bottom floor(including basement or enclosure) 11. 10 ft(m) b)?op of next higher floor WA._fL(m) u c)Bottom of bh est Wvontal structural member N zzaies onty) "VA._tf(m) o o o d)Attac garage(top of stab) 10. 50 fL(m) hed o LU e)Lowest elevation of machinery ardor equpnent servicing fife buik#ng(Describe in a Comments area) 10.05 2(m) , > f)Lowestadiacent(fins ned)grade(LAG) .10 15 ft(m) z in m o g)Highest adjacent(fmisho grade(,HAG) 10. 20 fL(m) o h)No.of permanent openings(flood vents)w►thin 1 ft above adjacent grade WA o t)Total area of all permanent openings(flood vents)in C3.h NIA sq.in.(sq.an) 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 SedGans A.B.and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may oe punishable by fine or impnsonment under 18 U.S. Code. Section 1001. _ CERTIFIER'S NAME ?'d.AP\ Kt-ER LICENSE NUMBER 6310 TITLE PROFESSIGiuAL SURVEYOi: AND MAPPER COMPANY NAME PSM&ASSOCIATES,PA LB# 7149 ADDRESS CITY STATE ZIP CODE 311 NW 136m'AVENUE MIAMI FL 33182-1952 SIGNATURE DATE TELEPHONE 305-2264334 IMPORTANT: In these spaces,copy the cortesponding infomutiott from Section A For Insurance Company Use: BUILDING STREET ADDRESS(Induci)g Apt.,Und,Suite,ardor Bldg.No.)OR P.O.ROUTE AND BOX NO Policy Number 220 NW TTH AVENUE CITY STATE ZIP CODE Company NAIL Number DANIA BEACH FL 33004 SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenUar pang,and(3)building ovw. COMMENTS CROWN ELEVATION: 9.97 BENCH MARK USED: BM AT THE INTERSECTION OF NW 7T"AVENUE AND 30D STREET,MANHOLE RIM ELEVATION: 10.37 AIR CONDITIONER/CONCRETE SLAB ELEVATION 10.66 ELEVATION CERTIFICATE FOR FINAL Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A WMiOUT BFE) ror Zone AO and Zone A(without BFE),=rtpiete Items E1 thmxrgh E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. 1.Building Diagram Number_(Select the biAdng dag-am most similar to the building for which this certificate is being completed—see pages 6 and 7. if no diagam accurately represents the buiking,provide a sketch or photograph.) E2.The too of the bottom floor(mchudng basement or enciosue)of the building is_tt(m)_in.(am)❑above or ❑below(check one)the highest actlacent gade. (use natural grade,if available). E3.For Bulking Diagrams 6-8 with openings(see page 7),the next hix floor or elevated ricer(elevation b)of the buticing is _ft(m)_in.lan)above the highest adjacent Bade. Complete items C3.h and C3J on front of form. =4.The top of the platform of machinery and/or eq*ment setvaN the undoing is—ft(m)_in-(cm)❑above or ❑below(check one)the highest a4acent Bade. (tlse natural gade,if available). E-5.For Zone AO only: If no flood depth number is available,is the lop of the bottom floor elevated in accordance with the carmur*'s tloodpiain management ordinance? ❑Yes ❑No ❑Unknown. The local official must citify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA-issued or com munity- :ssued BFE)or Zone AO must sign here. The statements in Sections A.B.C.and E are corned to the best of my knowledge. PRCPER TY OVNINER'S OR CWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The focal offlaa;�uno is authonz -,by law or ormnance to administer the community's flooctiiain management ad dance can complete Sections A,B,C(or E),and G of this Elovauon Certificate. Carplete i a appk-Anie ite►n(s)a w sign below. G 1.❑Ttn information in Section C wq..;taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authored by stale or--rA taw to certify elevaton intimation. (indicate the source and dale of the elevation data in the Comments area below.) 32.❑A community offcal axroeted Section E for a building located in Zone A(without a FEMA-+ssued or commurlty4ssued BFE)or Zane AO G3.❑The follovvaq information(It xns G4-G)is provided for conminity f 000lptain management purposes. G4 PERMIT NUMBER G5. DATE PERMIT ISSUED C6. DATE CERTIFICATE OF COMPLWICEiOCCUPANCY ISSUED 37.This permit has been issued for❑New Construction ❑Substantial Improvement G8.Elevation of as-built lovuest floor(inducing basement)of the building fs: _._ft.(m) Datun: G9.8FE or(n Zone AO)depth of flooding at the building site is: _ _Vrn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments