HomeMy WebLinkAbout712 SW 8 St NATIONAL FLOOD INSURANCE PROGRAM I O.M.B. No. 3067-0077
Expires December 31, 2005
2 23/ps ELEVATION CERTIFICATE
a�0 Important: Read the instructions on pages 1.7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
Bastion Construction
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
712 SW 8"Street
CITY STATE ZIP CODE
Dania Beach FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 14,Block 4,COLLEGE TRACT(19/9)
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):
or ##.flit) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NAP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
120034 Dania Beach Bromrd FL
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVA--ION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding)
12011C0308 F 10/02/97 08/18/92 X NIA
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑AS Profile 0 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,V1430,V(with BFE),AR,ARIA,ARIAE,AR/A1-A30,AR/AH,ARIAD
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_ Conversion/Comments_
Elevation reference mark used See Bads Does the elevafion reference mark used appear on the FIRM? ❑Yes ®No
o a)Top of bottom floor(including basement or enclosure) 11. 34 ft.(m) t L 6 I
o b)Top of next higher floor N/A._ft.(m)
o c)Bottom of lowest horizontal structural member(V zones only) N/A._ft.(m) N
o d)Attached garage(top of slab) NIA._ft.(m) 0
o e)Lowest elevation of machinery and/or equipment w `°
servicing the building(Describe in a Comments area) 10,62 ft.(m) E ca
o f)Lowest adjacent(finished)grade(LAG) 10.42 ft.(m) Z L IJ
o g)Highest adjacent(finished)grade(HAG) 10. 82 ft.(m)
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0
o i)Total area of all permanent openings(flood vents)in C3.h 0 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 LICENSE NUMBER
Roger J.Dietz 4611
TITLE COMPANY NAME
P.S.M. Dietz&Dietz Land Surveyors
ADDRESS CITY STATE ZIP CODE
1224 N.University Drive Plantation FL 33322
SIGNATURE DATE TELEPHONE
2-11-05 (954)475-7147
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions