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Home My WebLink About1400 SE 3 Ave ELEVATION CERTIFICATE O.M.B. No. 3067-007 Expires Jain 31, 199' F DER � EMERGENCY MANAGEMENT A _ .NCY -�/7::1NA170NAL FLOOD INSURANCE PROGRAM ATTENTION: Use of this certificate does not provide a waiver of the flood Insurance purchase requirement.This form is used only to pro- vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances.to determine the proper insurance premium rate. and/or to support a request for a Letter of Map Amendment or Revision(LOMA or LOMR).You are nc required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner at that form. Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANC&COMPANY use SUILDINGOWNER'S NAME POLICYNULMR TRAFALGAR & ASSOCIATES STREET ADORESS(Ut0Afnq Apt..Una,s-Ake arWW Skip.NW bwJ OR P.O.ROUTE AND BOX NUMBER COMPANY NAIG NUMBER 1400 SE 3RD AVENUE OTHER DESCRIPTION(Lot aria SIM*NWOM,atc.) PARCEL A, SHERIDAN 300, PB. 131, PG. 1 BCR, BUILDING 2 CITY STATE ZIP COIX DANIA FLORIDA SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Provide the following from the proper FIRM(See Instructions): f t.CdAMUNt1 V NUMBER I 2 PANEL NUMBER 3.SUFnx 4.oATE OF Fuw tNoex S.ftRN ZONE IL BASE FLOOD EU:VATtOrt I (m AO�,e&wa asomi 1 1.20034 0309 F 7-21-95 AE 6 7.Indicate the elevation datum system used an the FIRM for Base Flood Elevations(BFE): I$-NGVD-a ❑Other(describe on back) 8.For 7Anes A or V,where no BFE is provided on the FIRM,and the community has established a SFE for this btblding site.�ndicate ffie community's 8FE I I I I I. I.J feet NGVD(or other FIRM datum-see Section 8,Item 7). SECTION C BUILDING ELEVATION INFORMATION 1.Using the Elevation Certificate Instructions.indicate the diagram number from the diagrams found on Pages 5 and 6 that test describes the subject building's reference level I . 2(a). FIRM Zones At-A30,AE,AH,and A(with 8FE). The top of the reference level floor from the selected diagram is at an eieva;tion of(_1_� 1 18 12 feet NGVD (or other FIRM datum-see Section B.Item 7). M.FIRM Zones V1-V30,VE,and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from the selected diagram,is at an elevation of I I I I i !J feet NGVD(or other FIRM datum-see Section B, Item 7). (c). FIRM Zone A(without 8FE). The floor used as the reference level from the selected diagram is JJ.J feet above EJ or below❑ (check on6) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is L_L�.:_. feet above LI or below (check one)the highest grade adacent to the building. If no flood depth number is available,is the building's lowest floor(reference level)elevated in accordance with the communitys ffoodptain management ordinance? ;_ Yes ❑ No ❑ Unknown 3.Indicate the elevation datum system used in determining the above reference level elevations:® NGVD'29 ❑ Other(describe under Comments on Page 2). (NOTE. If the elevation datum used in measuring the elevations is different than that usec on the FIRM (see Section a.Item 77,then convert the elevations to the datum system used on the FIRM and show the corniersion equation under Comments on Page 2.) d.Elevation reference mark used appears on rFIRM: ❑ Yes a No (See Instructions on Page a) FI 5.The reference level elevation is based on: �a,I actual construction 71 construction drawings (NOTE. Use of construction drawings is only valid it the building does not yet have the reference level floor in place,in which case this cenihcate will only be valid for the building during me course of construction. A post-construction E/sva0ctn Certificate will be required once construction is complete.) �?G.The elevation of the lowest grade immediately adjacent to the building is: 7_,7 � feet NGVD{orwbther FIRM d, ym- ee Section B, Item 7). SECTION 0 COMMUNITY INFORMATION 1. If the community official responsible for verifying building elevations specifies that the reference leyet io;dlcated in Sectith'C.I em 1 is not the 'lowest floor'as defined in the community's fioccolain management ordinance.the elevation of the buildinq's"lowQ4 t floor"as defined by the ordinance is: : I ' I I LJ feet NGVD (or other FIRM datum-see Section B.Item 7). �- 2.Date of the start of construction or substantial improvement FI=MA Form 61-31,MAR 97 REPLACES All PREVIOUS EDMCWS SEE REVERSE SIDE FOR CO^mNOAT10N SECTION E CERTIFICATION This certification is to be signed by a land surveyor,engineer,or arcnnect who is authorized by state or local law to certify elevation information when the elevation Information for Zones At—A30.AE.AH, A (with 8FE),V1—V30,VE, and V (with 8FE) is required. Community officials who are autbonzed by local law or ordinance to orovide floodplain management information, may also sign the certification. In the case of Zones AO and A(without a FEMA or community issued 8FE).a building official,a property owner, or an owners representative may also sign the cenification. Reference levei diagrams 6.7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakawayinon-breakaway wall. enclosure size. location or servicing equipment, area use,wail openings,or unfinished area Feature(s), than list the Feature(s)not included in the certification under Comments below. The diagram number, Section C. Item 1, must still be entered. r certify that the information in Sections 6 ttnd C on this cerfificare represents my best eltorts to infemrer the data available. I understand that any false statement may be punishable by line or imprisonment under 13 U.S. Cede. Section 1001. CEATIFIER'S NAME LICENSE NUMBER for Amin Seail 61f+,4&LC- 5 �. SGNp'4 MM '07 5366 TITLE COMPANY NAME PROFESSIONAL SURVEYOR AND MAPPER CALVIN, GIORDANO AND ASSOCIATES, INC. AOORESS '— CITY a1.�TE ZIP TWO OAKWOOD BOULEVARD HOLLYWOOD FLORIDA 33020 S1t3NATUlaE OATS p�,v C • 5 z' 3.ZD - 98 (9541 21-778? Copies should be made of this Certificate for: t)community official,2)insurance agenticompany,and 3)building aviner. COMMENTS: VAT" OM VV." IRAS SAS" fir aces.0*=Luw" • v A A v 70141fS ZONES tr ZOW'S 20rK3 wf N11f Mir q f IfYMR ,[Hl �� ICKC Wf[wil,Gt �,LnC ,CKI (lrwc++ f1000 .rGYCIMr lllvUpu Fl[f{f�KE GRAM CCCvaTIr. �O1•C[hT 777 CjkAm IEWI Gw•Of The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member Page 2