HomeMy WebLinkAbout242 SW 16 St 0 ` —1 O . 3 O ID 'EDERAL EMERGENCY MANAGEMENT AGENCY
�� I a� O.M.B. No. 3067-0077
0 to NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200`.
_ ELEVATION CERTIFICATE
v �� Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use
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
242 S.W.16TH STREET
CITY STATE ZIP CODE
DANIA FL 33004 -
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 6,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
B 1 NFIP COMMUNITY NAME&COMMUNITY NUMBER B2 COUNTY NAME B3.STATE
DANIA-120034 BROWARD FLORIDA
B4 MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATI(N(S)
NUMBER B5.SUFFIX B6 FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AD,use depth of floo(ling)
12011C0309 F 1Q2,97 8/18,92 X WA
B10 Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
B11 Indicate the elevation datum used for the BFE in 139:®NGVD 1929 ❑NAVD 1988 ❑Other(Desatbe): _
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)
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction" ®Finished Construction
'A new Elevation Certificate will be required when constriction of the building is complete.
C2.Building Diagram Number 1(Select the building diagram most sanilar 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/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 time datum to that used for the BFE.Show field measurements and datum corrversion calculation. Use the space provided or the Comments area o
Section D or Section G,as appropriate,to document the datum conversion.
Datum NGVD ConversionlComnents
Elevation reference mark 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._ft(m)
o c)Bottom of lowest horizontal structural member(V zones only) N/A._fL(m)
• d)Attached garage(bop of slab) WA. _ft(m) E
uj
• e)Lowest elevation of machinery and/or equipment m
servicing the building(Describe in a Comments area) 11 .6 ft.(m) E
o f)Lowest adjacent(finished)grade(LAG) 10.6 ft.(m) Z.9 -�I C)o g)Highest adjacent(finished)grade(HAG) 10. 8 ft.(m) r
h)No,of permanent openings(flood vents)within 1 ft.above a jacent grade 0
)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 8 ASSOCIATES,INC.
c
ADDRESS CITY STATE ZIP CODE
1721 NORTH STATE ROAD 7 MARGATE FL 33063
SIGNATURE ,• DATE TELEPHONE
2127106 (954)971-0540
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previoui;editions