HomeMy WebLinkAbout714 SW 3 PL � 263 -36 - 06?0
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-007'!
1,0113166 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 20C
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
CJN HOLDING INC
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
714 SW 3RD PLACE
CITY STATE ZIP CODE
DANIA BEACH FL 33004
PROPERTY DESCRIPTION(Lit and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 24,BLOCK 11,OF COLLEGE TRACT 2"D ADDITION,IN PLAT BOOK 19,PAGE 19,PUBLIC RECORDS OF BROWARD COUNTY,FLORIDA
BUILDING USE(e.g.,Residential,Nonresidential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL SINGLE FAMILY
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
or ##.# °) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ®Other:NGVD
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81,NFIP COMMUNITY NAME&COMMUNITY NUMBER— B2.COUNTY NAME B3.STATE
CITY OF DANIA BEACH 120034 BROWARD FLORIDA
B4 MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVA f ION(SI
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTNEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of fYx�ng)
0308 F 10-0297 08-18-92 'AE' 700
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 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 Drawir>gs* ❑Building Under Construction' ®Finished Construction
*A new Elevation Certificate will be required when cordruction of the building is complete.
C2.Building Diagram Number 1(Select the buidng diagram most simnilaar 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-4 below w00rdng 10 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 avasurennents 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 NGVD 1929 ConversiordCorrrlents NONE
Elevation reference mark used X Does the elevation reference mark used appear on the FIRM? [:]Yes ❑No
o a)Top of bottom floor(including basement or enclosure) 10. 19 ft(m)
o b)Top of next higher floor N/A._ft.(m)
o C)Bottom of lowest horizontal structural member(V zones only) WA._ft.(m)
o d)Attached garage(top of slab) 9. 71 fir(m) �-
o e)Lowest elevation of machinery ardor equipment
servicing the building(Describe in a Comments area) 9.92 ft.(m)
o f)Lowest adjacent(finished)grade(LAG) 8.8 ft(m) Z'to
o g)Highest adiacent(finished)grade(HAG) 9. 9 ft.(m) S
o h)No.of permanent openings(flood vents)within i ft above addacent Bade WA
o )Total area of all permanent openings(flood vents)in C3.h WA sq.in.(sq.eon)
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.
l certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
/understand that any false statement may be punishable by tine or imprisonment under 18 U.S.Code,Section 1001.
CERTIFIERS NAME PILAR SOI ER LICENSE NUMBER 6310
TITLE PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME PSM&ASSOCIATES,PA LB# 7149
ADDRESS CITY STATE ZIP CODE
311 NW 136TM AVENUE MIAMI FL 33182-1952
SIGNATURE DATE TELEPHONE
09-22-06 305-2264334