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Home My WebLink About745 SW 4 St t-tUtKAL tMtKUtNL;Y MANAUtMtNl AUtNL;y O.M.B. No. 3067-0077 _ NATIONAL FLOOD INSURANCE PROGRAM _ Expires July 31, 2002 ELEVATION CERTIFICATE -- Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company US3: BUILDING OWNER'S NAME Policy Number JULIAN GARVAN BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 745 SW 4TH STREET CITY STATE ZIP CODE DANIA BEACH FL PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) # s 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 ##. ❑NAD 1927 ❑NAD 1983 ❑ USGS Quad Map ❑Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE DANIA BEACH120034 BROWARD COUNTY FL B4.MAP AND PANEL B5.SUFFIX B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding) 120034 0308 F 08-18-92 10-02-97 AE 7.00 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 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/A1-A30,AR/AH,AR/AO 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 NGVD29 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No —� a)Top of bottom floor(including basement or enclosure) 9. 6 ft.(m) b)Top of next higher floor N/A._ft.(m) c)Bottom of lowest horizontal structural member(V zones only) N/A._ft.(m) d)Attached garage(top of slab) 8. 9 ft.(m) a0 e)Lowest elevation of machinery and/or equipment w `° servicing the building(Describe in a Comments area) WA f)Lowest adjacent(finished)grade(LAG) ._Nrn) z' g)Highest adjacent(finished)grade(HAG) h)No.of permanent openings(flood vents)within 1 ft,above adjacent grade i)Total area of all permanent openings(flood vents)in C3.h 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. 1 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 PAUL J.STOWEH LICENSE NUMBER 5241 TITLEPRESIDENT COMPANY NAME ATLANTIC COAST SURVEYING INC. ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE • nl-roml Q54 959 595d FEMA Form 81-31,JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS ED'TIONS IMPORTANT: In these spaces,copy the corresF ig information from Section A For Insurance Company Use: At 11LD NG STREET ADDRESS(Including Apt,Unit Suite,amor Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number 745 SW 4TH STREET CITY STATE ZIP CODE Company NAIC Number DANIA BEACH FL SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. COMMENTS --- INVOICE#10355 FINISH FLOOR ELEVATION 9.6' —--- BUILDING UNDER CONSTRUCTION ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.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.) E2.The top of the bottom floor(including basement or enclosure)of the building is __ft.(m)_in.(cm)®above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(without a FEMA�ssued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,C,and E are coned to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable items)and sign below. G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official completed Section E for a building located in Zone A(without a FEMA4ssued or community4ssued BFE)or Zone AO. G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED 1 G7.This permit has been issued for: ❑New Construction ❑Substantial Improvement J G8.Elevation of as-built lowest floor(including basement)of the building is: _._ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _ _ft,(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Check here if attachments FEMA Form 81-31,JUL 00 REPLACES ALL PREVIOUS EDITIONS I-LULKAL LMLKUhNUY MANA(hMLN l AUhNUY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1-7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME JULIAN K. GARVIN Policy Number BUILDING STREETADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number 745 SW 4 STREET CITY STATE ZIP CODE DANIA FL PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 3-51-42 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 ®NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other. SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNN NAME B3.STATE DANIA 120034 BROWARD COUNTY FLORIDA B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S) NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding) 12011 C 0308 F 10-2-97 08-18-92 AE 7.00' B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. ❑AS 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 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,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO 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 NGVD1929 Conversion/Comments Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ®Yes []No o a)Top of bottom floor(inducting basement or enclosure) 9. 6 ft.(m) CU o b)Top of next higher floor NA._ft.(m) W o c)Bottom of lowest horizontal structural member(V zones only) NA._ft.(m) y� o d)Attached garage(top of slab) 8, g ft.(m) 00 E @ � o e)Lowest elevation of machinery and/or equipment -M servicing the building(Describe in a Comments area) 8.0 ft.(m) E m o f)Lowest adjacent(finished)grade(LAG) 7.P.0) z.21 o g)Highest adjacent(finished)grade(HAG) 7. 6 ft.(m) o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade J o i)Total area of all permanent openings(flood vents)in C3.h 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 CERTIFIERS NAME CLYDE MCNEAL LICENSE NUMBER 2883 TITLE PROFESSIONAL SURVEYOR&MAPPER COMPANY NAME ATLANTIC COAST SURVEYING,INC. ADDRESS CITY STATE ZIP CODE 6125 STIRLING ROAD DAVIE FL 33314 SIGNATURE DATE TELEPHONE 09-07-05 954-587-2100 v FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions IMPO::TAN i: In thesa spaces,copy the corresponding information from Section A. For Insurance Company use: BUILDING STREET ADDRESS(Including Apt,Unit,Suite,and No.)OR P.O.ROUTE AND BOX NO. Policy Number 745 SW 4TM STREET V �— CITY STATE ZIP CODE Company NAIC Number DANIA FL SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. COMMENTS INVOICE#10355 FINAL Machinery is A/C Flood determination is based soley on F.I.R.M.provided by F.E.M.A. No research was done in regards to L.O.M.R./L.O.M.A. documents. We do not accept responsibility for insurance premiums based on Elevation Certificates. ❑Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1.Building Diagram Number_(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.) E2.The top of the bottom floor(including basement or enclosure)of the building is _fit(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is _fL(m)_in.(cm)above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use natural grade,if available). E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑No ❑Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,C(Items C3.h and Cl only),and E for Zone A(without a FEMA-issued or community- issued BFE)or Zone AO must sign here. The statements in Sections A,B,Q and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate. Complete the applicable items)and sign below. G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for:❑New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _._fL(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: __fL(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions