HomeMy WebLinkAbout234 SW 16 St 1 g o3 '0—30 13 'CDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
D'ia--I 0 b NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200!
6 ELEVATION CERTIFICATE
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�d�'l y `a� Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Lke.
BUILDING OWNER'S NAME Policy Number
ALL IMAGE HOMES
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
234 S.W.16"'STREET
CITY STATE ZIP CODE
DANIA FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 7,LESS THE SOUTH 15 FEET,BLOCK 26,NORTH HOLLYWOOD _
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 ❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
31 NFIP CCMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3 STATE
DANIA-120034 BROWARD FLORIDA
B4 MAP AND PANEL 87.FIRM PANEL B9.BASE FLOOD ELEVA'IONS)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth offlcoding)
12011CO309 F 10/2r97 8/18+92 X WA
B 10 Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):_
B 11 Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe):—
B 12 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)
C 1.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,ARIA,AR/AE,ARIA1-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 marls used CROWN Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
o a)Top of bottom floor(including basement or enclosure) 11. 6 ft.(m)
o b)Top of next higher floor WA._fL(m)
o c)Bottom of lowest horizontal structural member(V zones only) N/A._ft(m) S
o d)Attached garage(bap of slab) WA. _ft(m) E C (/ /
o e)Lowest elevation of machinery and/or equipment 1 °
Eservicing the building(Describe in a Comments area)
o f)Lowest adjacent(fnishecl)grade(LAG) 10.6 ft.(m) Z'.2 �' I
o g)Highest adjacent(finished)grade(HAG) 10. 8 ft.(m) m
r, h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0 A2
)Total area of all permanent openings(flood vents)in C3.h 0 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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. _
CERTIFIER'S NAME DANIEL L.CARNAHAN LICENSE NUMBER 3002
TITLE REG.LAND SURVEYOR COMPANY NAME DENVCARNAHAN&ASSOCIATES,INCt
ADDRESS CITY STATE ZIP CODE
1721 NORTH STATE ROAD 7 MARGATE FL 33063
SIGNATURE DATE TELEPHONE
2/27/06 (954)971-0540
FFMA Fnrm R1-31 .lanuary?003 See reverse side for continuation Replaces all previous editions