HomeMy WebLinkAbout1009 SW 12 Ave /Z 0 3 -3V 0 0/O NATIONAL FLOOD INSURANCE PROGRAM U T O.M.B. No. 3067-0077
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ELEVATION CERTIFICATE Expires December 31, 2co�
o Important; Read the instructions on pages I.7.
BUILDI SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
NG OWNER'S NAME
DOUBLE'D' PROPERTIES, INC. Policy Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO.
BOIL IN 12 AVE Company NAIC Number
CITY
DANIA STATE ZIP CODE
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,LFL egal Description,etc.) 33309
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) —
RESIDENTIAL
LA TITUDE/LONGITUDE(OPTIONAL)
or HORIZONTAL DATUM: SOURCE: ❑GPS —
❑NAD 1927 ❑NAD 1983 CrYPe)'
❑USGS Quad Map ❑Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1,NFIP COMMUNITY NAME&COMMUNITY NUMBER
CIT Y OF DANIA 120034 62.COUNTY NAME �FB�3STATE
BROWARD
64.MAP AND PANEL
NUMBER B5.SUFFIX 86.FIRM INDEX DATE 87.FIRM PANEL B9.BASE FLOOD ELEVAT IONS)12011CO308 F EFFECTIVE/REVISEDDATE B8,FLOODZONE(S) (Zone AO,use de thoffbding)
10/I.197 8/18/92 X
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 18/❑FfS Profile 89.
®FIRM ❑Community Determined B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑Other(Describe);
812.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Aea OpA OtheY(�DescribN
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)No Designation Date
C1.Building elevations are based on:❑Construction DraWn s' k
Building �r
'A new Elevation Certificate will be required when construction of the building is complete�nstrudion ®Finished Construction
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,ARIA,AR/AE,AR/A1-A30,AR/AH,AFZ/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 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used a
Ela)Top of bottom floor(including basement or endosure ppear on the FIRM? []Yes ®No
NO
Top of next higher floor ) 9. 4_ft.(m) /
N.Aft.(m) a)
❑c)Bottom of lowest horizontal structural member(V zones only) N,A ft,m 0 d)Attached garage(top of slab) ( ) "0
N. A ft.(m) .o°
❑e)Lowest elevation of machinery and/or equipment w
CU
servicing the building(Describe in a Comments area) 9.3 ft.t71
El 0Lowest adjacent(finished)grade(LAG) ( ) 0
❑ g)Highest adjacent(finished)grade(HAG) 8.5 ft.(m) Z in
❑ h)No.of permanent g ( 8. 9 ft•(m) y
openings flood vents)within 1 ft.above adjacent grade NA
❑i)Total area of all permanent openings(flood vents)in C3.h NA ac 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 an false statement may be punishable by fine or imprisonment under 16 U.S. Code,Section 1001.
CERTIFIER'S NAME:WILLIAM MICHAEL CARR
LICENSE NUMBER 5092
TITLEVICEPRESIDENT
COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS
5950 W OAKLAND PARK BLVD#108 CITY STATE ZIP CODE
SIGNATURE LAUDERHILL FL 33313
DATE TELEPHONE
12/2r03 954-777-4747
FEMA Form 81-31, January 2003
See reverse side for continuation. Replaces all previous editions