Loading...
HomeMy WebLinkAbout3010 Ravenswood Rd FE 1AL EMERGENCY MANAGEMENT AG► :Y O.M.B. No. 3067-0077 RATIONAL FLOOD INSURANCE PROGRArrr Expires July 31, 2002 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. 50/42/20 SECTION A- PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number 3050 RAVENSW00D1 LLC BUILDING STREET ADDRESS(Including Apt., Unit,Suite,and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number 3010 RAVENSWOOD ROAD (CENTER BUILDING) CITY STATE ZIP CODE DANIA BEACH FL 33312 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 1.5± ACRE PORTION OF TRACT 8, SEABOARD FARMS, PLAT BOOK 18, PAGE 22 BUILDING USE(e.g., Residential, Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) COMMERCIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: L_I GPS(Type): ( ##°-##'-####" or ##.#####°) LI NAD 1927 LI NAD 1983 LI USGS Quad Map .Li Other: SECTION B -FLOOD INSURANCE RATE MAP(FIRM) INFORMATION 61. NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME 63.STATE DANIA BEACH 120034 _ BROWARD FL B4. MAP AND PANEL 85.SUFFIX B6. FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELE:VATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth Df flooding) 12011C0306 F 10/2/97 8/18/92 AH 7 FEET _ B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in 89. II FIS Profile I/1 FIRM 1_1 Community etermined 1J Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: Jjl NGVD 1929 1—I NAVD 1988 I_J Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? 1i Yes J J No Designation Date: SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: I_JConstruction Drawings* 11Building Under Construction* JliFinished Constutction *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,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO Complete Items C3a-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 cor version calculation. Use the space provided or the Comments area of Section D or Section G,as'appropriate,to document the datum i:onversion. Datum NGVD 1929 Conversion/Comments Elevation reference mark used SEE COMMENTS Does the elevation reference mark used appear on the FIRM? 1_I Yes di No ❑ a)Top of bottom floor(including basement or enclosure) 8.0 ft.(M) D b)Top of next higher floor N/A _ft.(m) ',� ❑ c) Bottom of lowest horizontal structural member(V zones only) N/A ft.(m) g o ❑ d)Attached garage (topof slab) 9 9 N/A _ft.(m) ❑ e) Lowest elevation of machinery and/or equipment LICENS(NUMBER 3707 servicing the building N/A _ft.(m) ❑ f) Lowest adjacent grade (LAG) 3.. ft.(rXi) z FEBRUARY 3, 2005 ❑ g) Highest adjacent grade(HAG) 8.0 ft.(rXr) ❑ h) No. of permanent openings (flood vents)within 1 ft. above adjacent grade N/A D i)Total area of all permanent openings(flood vents)in C3h 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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER HARLEY GREENE. JR. FLORIDA LICENSF NUMRFR 3707 TITLE COMPANY NAME LAND SURVEYOR ADDRESS CITY STATE ZIP CODE 19208 NORTHFAST 25TE1 AVFNIIF IINTT 301 AVENTURAr FL 33180-3217 SI IRE 2/3/E5 TELEPHONE (q54) S22-0143 OR L3O5) 439-2R43_ FEMA Form 81-3 ,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces,copy the co ponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit, Quite, and/or Bldg. No.)OR P.O. ROUTE AND BOX Nv. Policy Number 3050 RAVENSWOOD ROAD CITY STATE ZIP CODE Company NAIC Number DANIA BEACH FL 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 THE BENCH MARK USED FOR THIS SURVEY IS BROWARD COUNTY ENGINEERING DEPARTMENT BENCH MARK NUMBER 3666. A NAIL AND DISC IN THE SLDFWAIK AT THF NORTHWEST CORNFR OF THF ,7llNC.TTON OF SOUTHWEST 31ST STREET AND RAVENSWOOD ROAD, ELEVATION 5.053 FEET, BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929. I-I Check here if attachments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items El through E4. 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 LI_I ft.(m) LI above or LI below (check one)the highest adjacent grade. E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is I_L—I ft.(m) I_I—lin.(cm)above the highest adjacent grade. E4. 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? II Yes I_I No I_I 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, and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here. 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 Sectiol is A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1. I_I The information in Section 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 Comments 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. I_I The following information(Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: Li New Construction LI 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 1-1 Check here if attachments FEMA Form 81-31,AUG 99 REPLACES ALL PREVIOUS EDITIONS