HomeMy WebLinkAbout2637 SW 51 Ct O.M.B.No 3067-077
ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL 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 provide elevation information
necessary to ensure compliance with applicable 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 of LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
F.A. Home Improvements
STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg,number)OR P.O.BOX ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
2637 S.W. 51st Court
OTHER DESCRIPTION(Lol and Block Numbers,etc.)
Section 32-50-42
CITY STATE ZIP CODE
Dania Florida
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the ro er FIRM See instructions
F1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE FLOOD ELEVATION
125093 0306 F 7/21/95 AE (IN AO Zones,use depth)
. +8 .0 '
7. Indicate the elevation datum system used on the FIRM for the Base Flood Elevation(BFE): ® NGVD'29 ❑ Other(describe on back)
S. For Zones A or V,where no BFE is provided on the FIRM,and the community has established a BFE for this building site,indicate the community's
BFE:LLLI_IJ.Lj feet NGVD,or other FIRM datum-see Section B,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 best decribes the subject building's
reference level 1.
2(a).FIRM Zones A-1-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation of +8 .5 feet
NGVD(or other FIRM datum-see Section B,Item 7).
(b). FIRM Zones V1430,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 I.LI feet NGVD(or other FIRM datum-see Section B,Item 7).
(c). FIRM Zone A(without BFE).The floor used as the reference level from the selected diagram is 11_1.0 feet above❑or below❑(check one)the
highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is feet above❑or below❑(check one)the highest grade
adjacent to the building. If no flood depth number is available,is the building's lowest floor(reference level)elevated in accordance with the community s
floodplain 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 used on the FIRM[see Section B,Item 7], then convert the
elevations to the datum system used on the FIRM and show the conversion equation under Comments on Page 2.)
4.Elevation reference mark used appears on FIRM:❑Yes®No(See instructions on Page 4)
5.The reference level elevation is based on:H actual construction❑construction drawings
(NOTE:Use on construction drawings is only valid if the building does not yet have the reference level floor in place,in which case this certificate will
only be valid fort building during the course of construction. A post-construction Elevation Certificate will be required one construction is complete.)
6.The elevation of the lowest grade immediately adjacent to the building is:+7 . 8 feet NGVD(or other FIRM datum-see Section B,Item 7).
1 SECTION D COMMUNITY INFORMATION
1.If the community official responsible for verifying building elevations specified that the reference level indicated in Section C,Item 1 is not the"lowest floor"
as defined in the community's floodplain management ordinance,the elevation of the building's"lowest floor'as defined by the ordinance is:I I I I I I_U feet
NGVD(or other datum-see Section B,Item 7).
2.Date of the start of construction or substantial improvement
SECTION E 'CERTIFICATION
This certification is to be signed by a land surveyor,engineer,or architect who is authorized by state or local law to certify elevation information when the elevation
information for Zones Al-A30,AE,AH,A(with BFE),V1430,Ve,and V(with BFE)is required. Community officials who are authorized by local law or ordinance
to provide floodplain management information,may also sign the certification. In the case of Zone AO and A(without a FEMA of community issued BFE),a building
official,a property owner,or an owner's representative may also sign the certification.
Reference level diagrams 6,7 and 8-Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall,enclosure size,location of
servicing equipment,area use,wall openings,or unfinished area Feature(s),then list the Feature(s)not included in the certification under comments below. The
diagram number,Section C,Item 1,must still be entered.
I certify that the information in Sections 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.
Michael J. Hitt #2771
CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal)
Registered Land Surveyor Deni Associates of Florida, Inc.
TITLE COMPANY NAME
5701 PINE ISLAND ROAD, Suite 260 Tamarac, FL 33321
ADD SS n CITY STATE ZIP CODE
—!� rG:•'� •� --� ��� 2/6/98 (305)-720-1042
SIGNATURE DATE PHONE NUMB ER
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