HomeMy WebLinkAbout2758 E Marina Dr FEE _.AL EMERGENCY MANAGEMENT AGE' 0.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM— Expires December 31, 2005
ELEVATION CERTIFICATE -
_/Important: Read the instructions on pages 1 -7. oil
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use: _-
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Policy Number
BUILDING OWNER'S NAME 0 232— Ito-5520 L.0 cicip [Isioe
TOP VALUE HOMES
BUILDING STREET ADDRESS(Including Apt., Unit,Suite,and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number
2758 E Marina Drive ZIP CODE
CITY STATE
Dania Beach, Florida 33312
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
--
Legal not available
BUILDING USE(e.g.,Residential, Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
1 story manufactured home
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: I_I GPS(Type):
( _ -##.##" or ##.#####°) IJ NAD 1927 II NAD 1983 Li USGS Quad Map II Other
SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
STATE
B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.3.SFlorida
Dania Beach 120034 Broward
B4. MAP AND PANEL B5. SUFFIX B6.FIRM INDEX B7.FIRM PANEL 88.FLOOD B9.
BASE
E FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) ( depth
of flooding)
12011C0308 I F 10-2-97 8-18-92 AE 8. 00
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in B9.
1_1 FIS Profile 1 X1 FIRM 1_1 Community Determined 1-1 Other(Describe):
B11. Indicate the elevation datum used for the BFE in B9: I X I NGVD 1929 1I NAVD 1988 I_I Other(Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? 11 Yes 1 I No
Designation Date: n/a
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: I-1Construction Drawings` I 'Building Under Construction* IX 1Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 5 (Select the building diagram most similar to the building for which this certificate is being competed- 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, 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 Commentsit area of Section D or Section G, as appropriate, to document the datum conversion.
DatumNGVD 1929 Conversion/Comments
Elevation reference mark used see comments Does the elevation reference mark used appear on the FIRM? 1-1 Yes 1_xl No
❑ a)Top of bottom floor(including basement or enclosure)
9 . 1 6 ft.(m) 1I 2835
''
❑ b)Top of next higher floor n/a n/a _ft.(m)ft.(m) oIwr. '
•e0;#'
❑ c) Bottom of lowest horizontal structural member(V zones only) n/a —ft.(m)
❑ d)Attached garage (top of slab) ,u m
❑ e) Lowest elevation of machinery and/or equipment n/ad y
ft.(m)
servicing the building (Describe in a Comments area.) 5 . 9 ft.(m) z'
❑ f) Lowest adjacent(finished)grade(LAG) 5 . 9 ft.(m)
-92
❑ g) Highest adjacent(finished)grade(HAG)
❑ h) No. of permanent openings (flood vents)within 1 ft. above adj na acent grade n J 5—i 7—0 5
❑ i)Total area of all permanent openings(flood vents)in C3.h sq. in. (sq. cm) L
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed .:nd sealed by a land surveyor, engineer,or architect authorized by law to certify elevation information
I certify that the information in S ,:t,ons A, B, and C on 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. . CodeRde, Section 1001.
CERTIFIER'S NAME LICE2835
Richard W. St-ninnff COMPANY NAME
TITLE R.W. _St-oinnff
Professional Surveyor and Mapper CITY STATE ZIP CODE
ADDRESS Hollywood, Florida 33021
35AT North 34th A �'P TELEPHONE
S I�.AT�/R E 5Diri._05 ( 954 ) 989-6912
�lA - 1 ` 'r Re laces all prey previous editions
See reverse side for continuation.
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IMPORTANT: In these spaces, copy the [responding information from Section A.
For Insurance Company Use:
BUILDING STREET ADDRESS(Including Apt., Unit, Suite, and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Policy Number
2758 E. Marina Drive
CITY STATE ZIP CODE Company NAIC Number
Dania Beach, Florida 33312
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company, and (3)building owner.
COMMENTS
Elevations were derived from a Broward County Bench Mark,
I CheckSECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(W THe if OUT
t BFE)en
is
For Zone AO and Zone A(without BFE), complete Items El. through E5. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMR-F, Section C must be completed.
El. Building Diagram Number (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.)
E2. The top of the bottom floor(including basement or enclosure)of the building is 1-1—I ft. (m)
(check one)the highest adjacent grade. (Use natural grade, if available.) I—I—I in. (cm) 1-I above or II below
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor(elevation b)of the building is
III ft. (m) I—I—lin. (cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is III ft. (m) I
(check one)the highest adjacent grade. (Use natural grade, if available.) II in. (cm)) I-1 above or I—I below
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance?I 1 Yes j—(No I j Unknown. The local official must certify this information in Section G.
SECTION F-PROPERTY OWNER (OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A
(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to
the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE
TELEPHONE
COMMENTS
I_I Check here if attachments
SECTION G -COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below.
Gl. II The information in Sec':ion C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Coinmeots area below.)
G2. II A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or
Zone AO.
G3. II The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER 1 G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
ISSUED
G7. This permit has been issued for: II New Construction II Substantial Improvement
G8. Elevation of as-built lowest floor(including basement)of the building is: ft. (m) Datum:
G9. BFE or(in Zone AO)depth of flooding at the building site is: ft. (m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
•
SIGNATURE DATE
COMMENTS
I Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions