HomeMy WebLinkAbout225 NW 6 Ave NATIONAL FLOOD INSURANCE PROGRAM v O.M.B. No. 3067-OC 77
_ Expires December,11 Zoo-
ELEVATION CERTIFICATE
Important: Read the instructions on I es a .7.
pages �2/�/603 /G3-t'�20
SECTION A-PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME For Insurance Compan/Use:
LUZ I. ORTIZS C 2 3(1_ Q 1_ 6 6 so Policy Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO.
225 NW 6 AVENUE Company NAIC N�mher
CITY
DANIA n STATE ZIP CODE
PROPERTY DESCRIPTION(Lot FI and Block Numbers,Tax Parcel Number,Legal D scription,etc.) 33004 —
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,d necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM:
( TI- 1D;-##.##" or ##. ❑NAD 1927 SOURCE: ❑GPS(Type);
❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME
CITY OF DANIA BEACH 120034 BROWARD B3.STATE
FL
84.MAP AND PANEL
NUMBER 67.FIRM PANEL B9.BASE FLOOD ELEVATIONS)
85.SUFFIX 66,FIRM INDEX DATE EFFECTIVElREVISED DATE B8.FLOOD ZONES) (ZoneAO,use depth of tI)>dirg)
12011C0309 F IlOt 7
8/18192 X NA
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined
811.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑Other(Describe);
1988 El
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected AeOPA?a NAVD Other(Describe):
( )� [I 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 being 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,V1430,V(with BFE),AR,AR/A,AR/AE,AR/AI 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 c f
Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments ,-
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? f�
C] a)Top of bottom floor(including basement or enclosure) 9 4 ft.(m)
Yes ®No
Elb)Top of next higher floor
C) c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m)) y
C] d)Attached garage(top of slab) 8. 6 ft.(m) 00
o
❑ e)Lowest elevation of machinery and/or equipment E
servicing the building(Describe in a Comments area) 9.3 ft.(m)
❑f)Lowest adjacent(finished)grade(LAG) _7 7 ft.(m) _
Elg)Highest adjacent(finished)grade(HAG) z.° 1
❑ h No,of permanent $ 5 ft.(m) y�'
pe openings(flood vents)within 1 ft.above adjacent grade NA
❑ i)Total area of all permanent openings(flood vents)in C3.h NA 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.
1 certify that the information in Sections A,B,and C on this certi#cate'represents my best efforts to interpret the data available.
I understand that an false statement ma be punishable bZ fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME:WILLIAM MICHAEL CARR
LICENSE NUMBER 5092
I TLEVICE PRESIDENT COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS
5950 W OAKLAND PARK BLVD#108 CITY STATE ZIP CODE
SIGNATURE LAUDERHILL FL 33313
DATE TELEPHONE
11/18/03 954 777-4747
FEMA Form 81-31,January 2003
See reverse side for continuation.
Replaces all previous editions