Loading...
HomeMy WebLinkAbout520 NW 3 Ter FROM :PSM AND ASSOCIATES PA FA: h 10. :1,05 226477�'7 Apr. 02 2004 01:57PM F 2 FEDERAL EMERGENCY MWGE MENT AGENCY O.M.B. No. 3057-0077' NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200; ELEVATION CERTIFICATE I Rwd ftte Instructions on pNes 1-7. SECTION A-PROPERTY OWNER INFORMATION Use BUILDING OWNER'S NAME Poky Nturtber H. ANTHONY ROLLE BUILDING STREET ADDRESS(IndudM Apt..Unn,suite,arwor BkIg.No.)OR P-O-ROUTE AND BOX NO, CampaM NAIL Number 520 NW 3AD TERRACE CITY STATE ZIP CODE DANIA BEACH FL 33004 PROPERTY DESCRIPTION(Lot and Bb*Numtws,Taps Parcel Number,tagat Description,etc.) E 1,2 LOT 2,ALL OF LOTS 3 AND 4,BLOCK B,HANS£N AND NELSON, PLAT BOOK 3,PAGE 76,DADE COUNTY,FLORIDA BUILDING USE(e.g.,Residen 1,Nan-residential,Addbw,Accessory,etc. Use a C;onvrter is area,4 necessary_) RESIDENTIAL LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: LJ GPS(Type)' ( W-##' ##.#$r or Alter ❑NAD 19V O NAD 19M Q USGS Quad Adap 0 Other-NGVD SECTION A-FLOOD INSURANCE MATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&CCMMUN;'"!DUMBER 92 C01rJTY F"E B3 STATE CITY OF DANIA&ACH 120034 3ROWARD FLORIUA j B4.MAP AND PANEL 87 FIRM PANEL B9,SASE FLOOD ELEVA'lON(S) '. NUMBER B5 SUFFIX 06 FIRM INDEX DATE EFFECTNElREV1SED DATE B&FLOOD ZOW(S) (Zane AO Me dan)of IKQdTV) 03M F IOM-97 M18v X. ITA 510.Indicate the souse of Vw Base Flood Bevabon W-Q data or base flood deft es,*W in Ba- ❑FIS P"Alle ®FIFN ❑Cawwaty Deterrrleted ❑Ottter(Descrbe): B 11.I n dcate the elevation dattrrr used for the BFE in 139:®NGVD I TA ©NAVD 19W ❑Other(Describe): B 12.is the buddN to a in a Coastal Barrier Resotrees§'! n(CBRS)awe or DtavAse Pmiecbd Ares(0N9F_1 Yes ®No_ Clesig>allon Date SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1 Building eievabvs are based on:[]rrarstir n RwmW (]&A*q Under Cw*x W OF W Corrahrli n 'A new Elevabon Certificate YA be rw4uired wt*n cor:stwbon of the t ukkq is corrpiel e. C2.BLgdng DAgam Number 1(select the Wkkq diagram most sirn lm to the buddling for vAdch tt>is cer6f to is bk, cornpktbd-see pages 6 and 7 It no diagr rn =U-atey represents tie Wki%provide a state Or 010bqWh-) C3.Elevabom—Zones Al-A30,AE,Ai,A(with BFE),VE,V1430,V(with BFE).AP.AR(A,ARME,AR1A1-A30,AWAH.A3lAO Camptete IE fm C3-i bebw a=dr g b to bul ing dogarn specibed in hem C2.Stat+e the dMw used If fre datum is dent torn the datum used for the BFE 6 i Section B,convert the datum b OW used krr the WE.Show keid meawenieft and dahn conversion c4milabon. Use the space provided or the Catrnarttf;are tf Section D or Section G,as app mpmte,to dournent ttte datum oonwrwn. Dahm NGVD NONE Elevation refererm mark used X Does ttte elevation reference;mark used appear on the FIRM? ❑Yes N No o a)Top of boMm noon(K�tasernent or endow re) 12 05 tt 0n) o b)Top of next tu9twir floor ILA,_tt(m) a o c)Bottom of laRest horn tat struck menu a(Vzones only) WA _ft(m) o d)Attached gage(top of stab) 11 VAN s o e)Lowest elevation of rnachi vY ardor eg4xnent LU seromig the Nfidetg(Desaibe In a Cctrnl'tants area) 11 .72 IL(m) o f)Lowest a*cerd(frushed)glade a AEG) 10.5 R(m) o h)No.of pwronent apen:V(Root!vet)**Iin 1 ft AXW a*c: A gads b J o )Total area of as pemnWesnt qm-w gs(rood vets)in C3.h wA sq In.(sq.an) SECTION D-SURVEYOR,ENGINEER,OR ARCHRECT CEFMFICATION This certification is to be slued and sealed by a land surveyor,engineer,or architect authorized by law to Certify elevation informatim I certify that the informetian in Sectlons A,B,and C on this certificate rapTsents my best efforts to interpret the data avaitable. t understand that any false statam_ent may be punish&*by fate or imprisonment rider 16 U-S,Code,Section 1001. CERTIFIER'S WME PItAR SOLER LXCEW NUMBER 6310 CITtF PROFESSIONAL SUIRWYOR AND MAPPER COMPANY NAME PSM&ASSOCIATES,PA LB# 7149 �- -ADQRf SS "w CITY STATE ZIP CODE y 311 NW 136TH AVENUE MIAMI FL 331�-i952 SIGNATURE DATE TELEPHONE ' � 03-31-04 30.6-226-4334 -