HomeMy WebLinkAbout649 E Sheridan St FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, :100r
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company use:
BUILDING OWNER'S NAME Policy Number
Trafalgar Associates
BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Numtx;r
649 East Sheridan Street
CITY STATE ZIP CODE
City of Dania Beach FI 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Portion of Parcel B"VETS PLAT',Plat Book 1 7 011 81-1 8 3,Broward County,Florida _
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):
( #go-#9-##.##" or ##. ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other._
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION _
B1.NFIP COMMUNTY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE
City of Dania Beach 120034 Broward Florida
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATI(RS)
NUMBER B5,SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of float ing)
12011CO309 F 10-02.1997 08-18.1992 AE 6'
810,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(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,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO
Complete Items C3:a4 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 NIA Conversion/Comments NIA
Elevation reference mark used Bro.Co.Engr Does the elevation reference mark used appear on the FIRM? ❑Yes ®No1-7Q
o a)Top of bottom floor(including basement or enclosure) 8.1 ft.(m) �
o b)Top of next higher floor 16.7 ft.(m)
o c)Bottom of lowest horizontal structural member(V zones only) N.A ft.(m) 00
o d)Attached garage(top of slab) None. _ft.(m) E
co
o e)Lowest elevation of machinery and/or equipment � �� ✓
servicing the building(Describe in a Comments area) 4_0 ft.(m) E m
o f)Lowest adjacent(finished)grade(LAG) 7.3 t(m) z
o g)Highest adjacent(finished)grade(HAG) 7_5 ft.(m)
o h)No,of permanent openings(flood vents)within 1 ft.above adjacent grade None
o i)Total area of all permanent openings(flood vents)in C3.h None 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.
CERTIFIER'S NAME Gregory J.Clements. LICENSE NUMBER 4479
TITLE Professional Surveyor and Mapper COMPANY NAME Calvin,Giordano&Associates
ADDRESS CITY STATE ZIP CODE
1800 Eller Drive Fort Lauderdale A 33316
SIGNATURE DATE TELEPHONE
6/18/03 (954)921-7781