HomeMy WebLinkAbout2190 SW 47 St FEDERAL EMERGENCY MANAGEMENT AGENCY p,M.B. Np. 3067-0071 i
NATIONAL FLOOD INSURANCE PROGRAM—, Expires December 31, 2005 j
L.,.EVATION CERTIFICATE YJ
Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
Policy Number
BUILDING OWNER'S NAME IL
Marvin & Carolyn Wickham
BUILDING STRE T ADDRESS(Including Apt.,Unit,Suite,and Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
2190 SW 7th Street ---A
STATE Zip CODE
CITY
Dania
_
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
L. 3 B1. 1 West Dania Heights" 23/49 Broward ----
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 1-1 GPS(Type):
( ##°- _ or ##. k°) 1-1 NAD 1927 1-_I NAD 1983 I_I USGS Quad Map I_J Other _
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
[B�1,1�NFWMMUNITY NAME&COM�125093
Y NUMBER B2.COUNTY NAME .Broward Florida _
84.MAP AND PANEL 85.SUFFIX B6.FIRM INDEX 87. FIRM PANEL B8,FLOOD B9.BASE FLOOD ELEVATIONS)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding)
12011C 0306 F 10/2/97 8/18/92 X -
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in B9.
1_1 FIS Profile IX I FIRM I_1 Community Determined ��� Other(Describe):
B11. Indicate the elevation datum used for the BFE in B9: IX I NGVD 1929 I NAVD 1988 1_1 Other(Describe): —
B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? I Yes IL I No
Designation Date:
SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) �-
C1. Building elevations are based on: 1_1Construction Drawings" 1,R16uilding Under Construction' J 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 NGVD 29 Conversion/Comments -'
Elevation reference mark used Broward Ctv.B11 Does the elevation reference mark used appear on the FIRM? �`� Yes 1_1 No
❑ a)Top of bottom floor(including basement or enclosure) 11 65 ft.(m) � 3/24/04 i
❑ b)Top of next higher floor N/A. ft.(m)
❑ c) Bottom of lowest horizontal structural member(V zones only) N/A,_ft.(m) �A i
❑ d)Attached garage (top of slab) N/A,—ft.(m) w 12 y
EI e)Lowest elevation of machinery and/or equipment 11 65 °
servicing the building (Describe in a Comments area.) ft•(m)
sn
❑ f) Lowest adjacent(finished)grade(LAG) 10 .80 ft.(m) z
❑ g) Highest adjacent(finished)grade(HAG) 11 ,00 ft.(m) L.S NO = 7 7 !
❑ 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 N/A 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
ROBERT T. BOGLE L S N0. 3277 -
TITLE COMPANY NAME
REGISTERED VE OR T BOGLE & ----
CITY STAT -ZIP
ADDRESS
HOTITlywoon FLORIDA
70 SIGNATURE DATE TELEPHONE _
3/24/04
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces ail previous editions