HomeMy WebLinkAbout505 NW 3 PL Federal Emergency Management Agency 0 23�J Q(a ^©g740 70151 6, - I Expires February 28. 2009 National Flood Insurance Program Important: Read the instructions on pages 1-8. 3 SECTION A-PROPERTY INFORMATION For Insurance Compary Use: Al. Building Owner's Name DEWITT DELANCY Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number 505 NW 3 PLACE City DANIA BEACH State FL ZIP Code 33004 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. N26'03'32" Long.W80'08'45" Horizontal Datum: ❑NAD 1927 ❑ NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1 A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage 480+- sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade N/A walls within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2.County Name B3.State CITY OF DANIA BEACH 120034 BROWARD FL B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone Date Effective/Revised Date Zone(s) AO,use base flood depth) 12011 CO309 F 10/2/97 8/18/92 X N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ®FIRM ❑Community Determined ❑Other(Describe)N/A Bl 1. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑ NAVD 1988 ❑Other(Describe)N/A B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date N/A ❑CBRS ❑OPA 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. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-g below according to the building diagram specified in Item AT Benchmark Utilized 1892 Vertical Datum NGVD 1929 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 12.02 ®feet ❑meters(Puerto Rico only) b) Top of the next higher floor 21.02 ®feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural member(V Zones only) N.A ®feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 11.36 ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 11.80 ®feet ❑meters(Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) 11.25 ®feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade(HAG) 11.58 ®feet ❑meters(Puerto Rico only) 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. l certify that the information 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. ® Check here if comments are provided on back of form. Certifier's Name WILLIAM B.GROOVER License Number 5190 Title VICE PRESIDENT Company Name ALL COUNTY SURVEYORS Address 5950 W OAKLAND PARK BLVD#108 City LAUDERHILL State FL ZIP Code 33313 Sign a ure Date 9/ 77/06 Telephone 954-777-4747 FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions