HomeMy WebLinkAbout234 NW 9 Ave rtutttAL tMERGENCY MANAGEMENT AGENCY =December
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NATIONAL FLOOD INSURANCE PROGRAM 77
1. 2C0
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- ELEVATION CERTIFICATE -
b-01-1-1,3915, 0/1 Important: Read the instructions on pages 1-7.
0 0?,0 SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
ALECIA C.WILLIAMS&SHARON D. CURRY
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Nu-nber
234 NW 9 AVE.
CITY STATE ZIP CODE
DANIA 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
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
or ##. NAD 1927 ❑NAD 1983
❑USGS Quad Map ❑Othf!r:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME H3.STATE
CITY OF DANIA 120034 BROWARD FL.
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVF TION(E)
NUMBER 85.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of fl)odirg)
12011CO308 F 1007 8/18/92 AE 8
1310.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑PIS Profile E FIRM ❑Community Determined ❑Other(Describe):
811.Indicate the elevation datum used for the BFE in B9:E 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 E No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.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,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/All A30,AR/AH,AR/AD
Complete Items C3:a4 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 1929
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? []Yes E No
❑ a)Top of bottom floor(including basement or enclosure) 9. 9 ft.(m)
❑ b)Top of next higher floor N.A ft.(m) N
❑ c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m) y
❑ d)Attached garage(top of slab) 9. 2 ft.(m) w o L
❑ e)Lowest elevation of machinery and/or equipment lv 7
servicing the building(Describe in a Comments area) g 8 ft,(m) `
❑f)Lowest adjacent(finished)grade(LAG) 9.0 ft.(m) Z Lm
❑ g)Highest adjacent(finished)grade(HAG) 9. 4 ft.(m) N�'
❑ h)No.of permanent openings(flood vents)within 1 ft,above adjacent grade N/A
❑ 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.
1 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 any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001
CERTIFIERS NAME:WILLIAM MICHAEL CARR LICENSE NUMBER 5092
TITLEVICE PRESIDENT COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS CITY STATE ZIP CODE
5950 W OAK PARLBLVD LAUDERHILL FL 33�13
SIGNATUR DATE TELEPHONE
1/4/05 954-777-4747
FEMA Form 81-31.January 2003 See reverse side for continuation. Replaces all previous editions