HomeMy WebLinkAbout513 NW 3 PL 01i' 0533 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
�'a 13 Lt 0 (0— b _ 'ZONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
J0'7f0y ELEVATION CERTRCAi E
Important: Read the instructions on pages I.7. '0 y-s 33
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
JAMES MCUTCHEON
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
513 NW 3`d PLACE
STATE ZIP CODE
CITY
DANIA FLORIDA 33004 _
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 44&45 BLOCK B,"HANSEN-NELSON SUBDIVISION",3/76 BROWARD —
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,9 necessary.)
RESIDENTIAL —
RESIDENTIA LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: [IGPS(type):
( ##°-##' ##.##" or ##.#####) ❑NAD 1927 ❑NAD 1983 El USGS Quad Map ❑Other:--
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION _
B1.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 UN(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of floc ling)
12011C 307 F 10/2197 8/18/92 X
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 B9:®NGVD 1929 ❑NAVD 19M ❑Other(Describe):—
B12 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 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,AR/A1-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 NGVD29 Conversion/Comments—
Elevation reference mark used BRWD.BM Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
o a)Top of bottom floor(inducting basement or enclosure) 12. ft.(m) a) 12/3/04
o b)Top of next higher floc WA._ft.(m) d Y
o c)Bottom of lowest horizontal structural member(V zones only) WA._ft.(m) 00
o d)Attached garage(top of slab) N/A. _ft.(m) w c L.S. N .3277
o e)Lowest elevation of machinery and/or equipment
servicing the building(Describe in a Comments area) 12.0 ft.(m) E 5 1
o f)Lowest adjacent(finished)grade(LAG) L-P.O z 0 +v`V
o g)Highest adjacent(finished)grade(HAG) 12. P.0) C
o h)No,of permanent openings(flood vents)within 1 ft.above adjacent grade N/A
o i)Total area of all permanent openings(flood vents)in C3.h NIA 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.
I 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.
CERTIFIERS NAME LICENSE NUMBER
ROBERT T.BOGIE L.S.NO.3277
TITLE COMPANY NAME
REGISTERED LAND SURVEYOR R.T.BOGLE&ASSOCIATES,INC.
ADDRESS CITY STATE ZIP CODE
7080 TAFT STREET HOLLYWOOD FLORIDA 33024
SIGNATURE DATE TELEPHONE
1213/04 (954)9618008
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions