HomeMy WebLinkAbout2748 Treasure Cove Cir FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. 077
Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1.7.
SECTION A•PROPERTY OWNER INFORMATION For Insurance Company Us?:
BUILDING OWNER'S NAME Policy Number
CAROLYN J. FORQUER AND JOHN A. FORQUER,WIFE AND HUSBAND
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
2748 Treasure Cove Circle
CITY STATE ZIP CODE
Ft Lauderdale FL 33312
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
PORTION OF PARCEL A,TREASURE COVE,PLAT BOOK 168, PAGE 36,BROWARD COUNTY RECORDS
Bldg.F,Unit 14,Treasure Cove Yacht CLub
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 ##.#####°) 0 NAD 1927 0 NAD 1983 ❑USGS Quad Map 0 Other.
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME E13.STATE
City of Dania Beach 120034 Broward Florida
B4.MAP AND PANEL 87.FIRM PANEL • 89.BASE FLOOD ELEVATIONS)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of floc(ling)
12011C0306 F Sept 2,1997 August 18,1992 AE EL 7
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
0 FIS Profile Z FIRM 0 Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in 69:®NGVD 1929 0 NAVD 1988 0 Other(Describe):
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:0 Construction Drawings* 0 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 A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,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 Conversion/Comments
Elevation reference mark used 1477 Does the elevation reference mark used appear on the FIRM? 0 Yes Z No 7
o a)Top of bottom floor(induding basement or endosure) 8. Oft.(m)
o b)Top of next higher floor 19.7 ft.(m) co ���
o c)Bottom of lowest horizontal structural member(V zones only) W N A. ft.(m)
o d)Attached garage(top of slab) 7. 2 ft.(m) E
o e)Lowest elevation of machinery and/or equipment W`.,
servidng the building(Describe in a Comments area) 8.4 ft.(m) .2
E 2
o f)Lowest adjacent(finished)grade(LAG) 6.8 ft.(m) z'
o g)Highest adjacent(finished)grade(HAG) 7. 1 ft.(m) 0) n.���V
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade n/a
J
o 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.
1 certify that the information in Sections A,B,and Con this certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code,Section 1001. _
CERTIFIER'S NAME Douglas M.Davie LICENSE NUMBER 4343
TITLE Vice President,Surveying COMPANY NAME Craven Thompson and Associates,Inc.
ADDRESS CITY STATE ZIP CODE
3563 NW 53rd Street Ft.Lauderdale FL 33309
SIGNATURE DATE TELEPHONE
4 L)lD 3 954-739-6400
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous l>ditions