Loading...
HomeMy WebLinkAbout3251 SW 26 Ter DERAL EMERGENCY MANpiQEMFfJT�! -mil Vi �VCY_ G r ESQ '- NATIONAL FLOOD INSURA CE PROGRAM"- O.M.B. JNul 31 2002 �, Expires July 31 2002 B_ k �L\ -°\t ELEVATION CE kFICMII7E z ii Important: Read the instructs `,9n pages 1 -7. T 44111 SECTION A-PROPERTY OWN INFORMATION For insurance Company Use: BUILDING OWNER'S NAME r, Peithy Number BUILDING STREET ADDRESS(Including Apt., Unit,Suite,and/or Bldg.No.)OR P.O. ROUTE AND BOX NO. CompanytiAIC Numb?r 3251 S.W. 26th Terrace CITY STATE • ZIP CODE Dania Florida PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number Leal Description etc) -- Portion of Parcel "A" - ISGETTE ' S RUNWAY (158/18) BUILDING USE(e.g.,Residential, Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) Non—Residential LATITUDE/LONGITUDEa (OPTIONAL) HORIZONTAL DATUM: SOURCE: I I GPS(Type): ( ## -##'-##.##" or ##.#####) I—i NAD 1927 I_I NAD 1983 i_I USGS Quad Map L I Other: SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER 62.COUNTY NAME B3.STATE Dania 125093 Broward Florida B4. MAP AND PANEL 85. SUFFIX 66.FIRM INDEX 67.FIRM PANEL 68.FLOOD B9.BASE FLOOD ELE:VATI,DN(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth pf flooding) 12011C0306 F 10/2/97 8/18/92 "AE" 7 ' B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in B9, LI FIS Profile Ixl FIRM I_I Community Determined LI Other(Describe): B11. Indicate the elevation datum used for the BFE in B9: LA NGVD 1929 LI NAVD 1988 Li Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? II Yes I.—I No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: LiConstruction Drawings* I—(Building Under Construction* IX: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,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 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 Does the elevation reference mark used appear on the FIRM? II Yes pq No ❑ a)Top of bottom floor(including basement or enclosure) 10 0 ft.(m) Tj 0 b)Top of next higher floor N/A. ft(m) cn ❑ c)Bottom of lowest horizontal structural member(V zones only) N/A,_ft.(m) 1,)111 D d)Attached garage(top of slab) N/A, ft.(m) E c ❑ e)Lowest elevation of machinery and/or equipment Li03 servicing the building N/A. ft.(m) .2 ❑ f)Lowest adjacent grade(LAG) 9 . 2 ft.(m) z' ❑ g) Highest adjacent grade(HAG) 9 5 ft.(m) 2wco ❑ h)No. of permanent openings (flood vents)within 1 ft.above adjacent grade 0 ❑ i)Total area of all permanent openings (flood vents)in C3h N/A sq.in. (sq. cm) J 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 may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME Jerald A. McLaughlin LICE 526t9MBER 9 TIT president Col' Y7 '�ELIN ENGINEERING COMPANY ADDRESS 400 JW Mc • ghlir Av (NE 3rd Av) FFort Lauderdale STAorida ZIP CODE 3_;30 SIGN �� 3AT/0 2 TELEPk IIgr 7 6 3—7 61]. MA Form 81-31 G 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. ForInsurance Company Use: Policy Number BUILDING STREET ADDRESS(Including Apt., Unit, Suite, and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. 3251 S.W. 26th Terrace ZIP CODE Company NAIC Number CITY STATE Dania Florida 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 1_1 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.) above or I-1 below E2.The top of the bottom floor(including basement or enclosure) of the building is II—I ft.(m)I—_I--IIn(cm) I-1- (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 1-1-1 ft.(m) I_I—Iin.(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? 1_1 Yes II No II 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 CITY STATE ZIP CODE ADDRESS DATE TELEPHONE SIGNATURE COMMENTS II Check here if attachments .o— SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain msign Bement ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) 9 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. I_I 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. L_I The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER FG5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPAN3Y —� ISSUED — New Construction ( I Substantial Improvement G7.This permit has been issued for: II _ft.(m)Datum: — 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: -- LOCAL OFFICIAL'S NAME TITLE TELEPHONE COMMUNITY NAME DATE SIGNATURE — COMMENTS I_I Check here if attachments REPLACES ALL PREVIOUS EDITIONS ,l ,h_ 1 jj ��_cj .__DERAL EMERGENCY MANAGEMENT A1ENCY NATIONAL FLOOD INSURANCE GROGRAM Expires No. 31, 200200 �� I A Expires July ELEVATION CERT�' ICAitt 2 Important: Read the instruction h'3gflg II SECTION A-PROPERTY OWNER ILEQRMA,ILQN For Insurance Company Use: BUILDING OWNER'S NAME + policy Number BUILDING STREET ADDRESS(Includin pt., Unit,Suite,and/or Bldg. No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number ?). 1 5w -D—L, °--f—~'- . CITY STATE ZIP CODE b'>niia FLORioA PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) P,,r�(om f s,rcel A', ISGETTES RI)NGJAY 6SR/18> BUILDING USE(e.g., Residential, Non-residential,Addition,Accessory,e{tc. Use Comments section if necessary.) -- Non-Res,den±ic l LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: I_I GPS( ##°-##'-##.##" or ##.#####°) I_I NAD 1927 II NAD 1983 (Tyua): 1I USGS Quad Map II Other SECTION B -FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME DANIA IZ5O t3 ARow).r 163.r=STLo2lATE oq B4. MAP AND PANEL 85.SUFFIX B6. FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE S ZONE /aa//c 0306 E' /o/z/ 7 8 /�4/9 Z -A 5 � ) (Zone AO, use depth of flooding) B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in 69. 7 II FIS Profile ICI FIRM I_I Community Determined I_I Other(Describe): B11. Indicate the elevation datum used for the BFE in 69: Iz<I NGVD 1929 I_I NAVD 1988 I_I Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area (OPA)? II Yes I2 I No Designation Date: SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: I_IConstruction Drawings* IIBuilding Under Construction* I—'Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. 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.) 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 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 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 Does the elevation reference mark used appear on the FIRM? II Yes IX,I No ❑ a)Top of bottom floor(including basement or enclosure) 8 . O ft.(m) ; -- ❑ b)Top of next higher floor )/A . ft.(m) O c)Bottom of lowest horizontal structural member(V zones only) AAA .—ft.(m) o 0 ❑ d)Attached garage(top of slab) /'/q ._ft.(m) E 12 0 e) Lowest elevation of machinery and/or equipment wcO servicing the building /v�n ._ft.(m) i ❑ f) Lowest adjacent grade(LAG) 7 ft.(m) z' ❑ g) Highest adjacent grade(HAG) cu 0 7 7 ft.(m) ❑ h) No. of permanent openings (flood vents)within 1 ft. above adjacent grade 0 0 i)Total area of all permanent openings(flood vents)in C3h O 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 may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME C A RL E r1� LICENSE NUMBER ��t _ l tz�tcr's�N ti 18S v IG-e-F RE51 DSNT COMPANY NAME ADDRESS CITY Mc1.av5V,.11.ro E.rtc3I',.,eering Corn P�rty _ too �.w. M�> �d STATE ZIP CODE SIGNATURE d�uo�Iin Ave (�I.� 3 F\�/� Fot ( ��e� o\e f Lorrcja 333 o t DATE TELEPHON /Z / oo (�95y) 763 76// EMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES Al I PRPVIni IC Pr ITInnlc