HomeMy WebLinkAbout303 SW 2 AVE FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
/� _ 1 7 I � � NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
3 U
ELEVATION CERTIFICATE
203- 2 6-6200 127 Important: Read the instructions on pages 1.7,
SECTION A A.PROPERTY OWNER INFORMATION For Insurance Company Use.
Policy Number
BUILDING OWNER'S NAME
EAGER BEAVER Company NAIL Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. p y
303 SW.2�AVENUE STATE ZIP CODE
CITY FL 33004
DANIA BEACH
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 41&42,BLOCK 1,MODELO PARK(P.B.14,PG.10 B.C.R.)
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL SOURCE: 0 GPS(Type):
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM. SOUSG(Quad Map ❑Other.
0 NAD 1927 0 NAD 1983
SECTION B B.FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
FL
CITY OF DANIA BEACH/120034 gg.BASE FLOOD ELEVATION(S)
B7.FIRM PANEL (Zone AO,use depth of flooding)
B4.MAP AND PANEL
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED� DATE B8.FLOOD ZONE(S) N/A
12011C0309 F 10-02-97
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. �(Describe):
CI FIS Profile El FIRM 0 Community Determined 0
B11,Indicate the elevation datum used for the BFE in B9:®NGVD 1929
0 NAVD 1988 0 Other(Describe):
612,Is the building located in a Coastal Barrier Resources System Otherwise
INFORMATION(SURVEY REQUIRED)
Yes ®)No Designation Date
SECTION C-BUILDING ELEVATION
C1.Building elevations are based on:0 Construction Drawings* 0 Building Under Construction* 0 Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete. 6 and 7. If no diagram
C2.Building Diagram Number 1(Seled the building diagram most similar to the building for which this certificate is being completed-see pages
accurately represents the building,provide a sketch or photograph.)
C3.Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,ARIA1-A30,AR/AH,AR/AOfor Complete Items C3:a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different fromprhe ovided or the used frrthe area in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space pro
of
Section D or Section G,as appropriate,to document the datum conversion.
Datum NGVD Conversion/Comments on the FIRM? ❑Yes ®No
Elevation reference mark used COUNTY Does the elevation reference mark used appear
14. rt
o a)Top of bottom floor(including basement or enclosure) 14.
NIA 0 ft.(_m)ft.(m) r „
o b)Top of next higher floor
o c)Bottom of lowest horizontal structural member(V zones only) _ft(m) a o
(m)4 ft. w
o d)Attached garage(top of slab) 13. d b
ca
o e)Lowest elevation of machinery and/or equipment
servicing the building(Describe in a Comments area) 14.0 ft.(m) S 1 ��L O
o f)Lowest adjacent(finished)grade(LAG) 12.9 ft(m) z�'z �^
13. 1 ft.(m)
8
o g)Highest adjacent(finished)grade(HAG) J
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0
o i)Total area of all permanent openings(flood vents)in C3.h 0 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 Con this certificate represents my best efforts to interpret the data available.
I understand that an false statement ma be unishable b fine or im risonment under 18 U.S.Code,Section 1001.NUMBER 4054
CERTIFIER'S NAME STEPHEN H.GIBBS
COMPANY NAME GIBBS LAND SURVEYORS
TITLE PRESIDENT
CITY STATE ZIP CODE
ADDRESS 2131 HOLLYWOOD BOULEVARD,SUITE 204 HOLLYWOOD FL 33020
DATE TELEPHONE
SIGNATURE 12-07-06 954 923 7666
See reverse side for continuation.
Replaces all previous editions
FEMA Form 81-31,Jan ary 2003