HomeMy WebLinkAbout517 NW 3 St FEDERAL EMERGENCY MANAGEMENT AGENC O.M.B. No. 3067-0077
ION NATAL FLOOD INSURANCE PROGRAM -, }1" Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For nsurarm CorrM Use:
BUILDING OWNER'S NAME Number'
ED DARLING �(
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,ardor Bldg.No.)OR P.O.ROUTE AND X 9 Number
517 NW 3RD STREET c
CITY STATE
DANIA BEACH FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 2,BLOCK 4,TOWN OF MODELO
BUILDING USE(e.g.,Residential,Norrresidential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDEA-ONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):
( ##0-#9-##.##" or NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRK INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
DANIA BEACH 120034 1 BROWARD COUNTY FL
B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX DATE B7.FIRM PANEL B8.FLOOD ZONE(S) B9.BASE FLOOD ELEVATION(S)
NUMBER EFFEGrN/MEVISED DATE (Zane AD,use depth of kodn 1)
120034 0309 F 10-02-97 08-18-92 X WA
B10.h&afe to source of the Base Flood Elevation WE)data or vase flood depth enferW h B9. ❑AS Probe ®FIRM ❑Cary u Ay Detemnired ❑Other(Describe):
B11.hdicafe tie elevation datum used for the BFE in B9:®NGVD 1929❑NAVD 198E❑Omer(Describe):
B12.Is tie buk4 Waled in a Coastal Barrier Resources Syslem(CBRS)area or OtwMw Profeded Area(OPA)? ❑Yes ®No Designation Dafe_
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings* ❑Building Under Constriction' ®Finished ConstrlC
'A new Elevation Certificate A be reWred when construction of the building is complete.
C2.Building Diagram Number 1(Select the building diagram most similar to the bukling for which fhis 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,ARIAE,ARIA1-A30,ARIAH,ARIAO
Complete Items C3:a-i below a000dng to the building diagram specified in hem 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_ ConversioniCormients
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ❑No
C) a)Top of bottom floor(axl,ding basement or enclosure) 13. 4 ft.(m) m
❑b)Top of next higher floor NA._ft.(m)
❑c)Bottom of lowest horizontal structural member(V zones only) NA._ft.(m) $o
❑d)Attached garage(top of slab) NA. _ft.(m) E
W cc
0 e)Lowest elevation of machinery ardor equipment
servicring the builfing(Describe in a C nments area) 13.4 ft. m
❑f)Lowest a4acent(finished)grade(LAG) 12.4 ft.(m) .' S G�
❑g)Kgnest a4acerd(finished)grade(HAG) 12. 4_ft.(m)
❑ h)No.of permanent openings(flood vends)within 1 ft.above adacent grade_
❑i)Total area of all permanent openings(flood vents)in C3h_sq.in.(sq.am)
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. _
CERTIRER's NAME PAUL J.STOWELL LICENSE NUMBER 5241
TITLE PRESIDENT coMPANY NAME ATLANTIC COAST SURVEYING INC. _
ADDRESS CITY STATE ZIP CODE
5615 S.UNIVER DRI DAVIE FL 33328
SIGNATURE DATE TELEPHONE
�//j z/ 03-05-03 954-252-5254
FEMA Form 81-31,JUL V SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDIT ONS