HomeMy WebLinkAbout4013 Ravenswood Rd P.N. 1904-97
FEDERAL EMERGENCY MANAGEMENT AGENCY ON B No. 3087-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31,2002
ELEVATION CERTIFICATE
• Important Road di»instructions on Gies 1 -7. Expiration Date Extendel
SECTION A-PROPERTY OWNER INFORMATION For insurance Cempmiy taw
BUILDING OWNER'S NAME 15210,Nharhber
$anna Alima
BUILDING STREET ADDRESS(Including Apt.Ure,Suits,indict Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
4001 SW 56th Street
CITY STATE
Fort Lauderdale Flori i a 33312
A Portion Qf Lpt laRattc� 1 - 11 31 T_own.•�l—+In 32.M/D.C.L
BUN.D eS.,FMls�dsrlll�.NOR�1'is10ar1sa�...�..u.a i'�•••�•i,�• Y.
Residential
tATITUOGLONOTTUOE(OPTIONAL) HORIZONTAL DATUM SOURCE: Li OPS(Type):
( W.htel-tsar or N,JNeV) Li NAD 1927 Li NAD 1ge3 Ll USGS Quad Map LJ Otlrr: —
SECTION 8-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NO .S
Unincorporated Area 125093 Broward Florida
171.MAP AND PALE. 135.SUFFIX 86.FIRM wet 87.FIRM PAN. At FLOOD 89.BASE FLOOD ELEVAfI 1
NUMBER DATE EFFECTIVEIREVISED DATE ZONES) (Zone AO, we depth of toot`rag)
unite 3414 F 10/02/97 08/18/92 X - N/A
810.Indicate the source of the Bess Flood Elevation(BFE)data or base flood depth entered in B9.
Li FIS Profile 1.x!FIRM Li Community Determined Li Other(Describe):
811.Indicate the elevation datum used for the BFE in Sir ULI NGVD 1929 Li NAVD 1988 Li Other(Describe).
B12.Is the building located in a Coastal Barrier Resources System(CARS)area or Otherwise Protected Area(OPA)? U Yes U Nu
Designaion Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1 Butidag elevations are based on: Ljeonstruction Drawings' L(Buildng Under Construction' UX Finished Construction
-A new Elevation Certificate MN 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 completrec -see
pages 8 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3.Elevations-Zones A1-A30,AE,Ali,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/AI-A30,ARJAH,AR/AO
Complete Items C3a-1 below according to the bulking diagram specified in Item C2.State the datum used.If the datum is different hom
the datum used for the BFE in Section 8,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 O,as appropriate,to document the datum cony irsior
Datum 1929 Convention/Comments N/A
Elevation reference mark used County#159 Does the elevation reference mark used appear on the FIRM? Li Yes L. Nr
Cl a)Top of bottom floor(including basement or enclosure) 10.1 ft R(m)
L.l b)Top of next higher floor N/A ._ft ft(m)
O c)Bottom of lowest horizontal structural member(V zones only) N/A _ft(m)
• d)Attached garage(top of slab) 9.3 .-11 ft(m)
W . n r+
O e)Lowest elevation of machinery and/or equipment a-X Z.( d
servicing the building A/C 9.7 ft rt(m)
O /)Lowest adiscent grade(LAG) R 0 . R ft.(m) z November 22,2002
O g)Highest adjacent grade(HAG) 9-0 •-f ft-(m) License# 91 88
3h)No.of permanent openings(food vents)within 1 ft.above adjacent grade 4
O i)Total area of N permanent openings(flood vents)in C3h 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,8,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.
CERTWIER'S NAME UCENS R 88
RicharCil F Cantina .. - '41 1
TITLE COMPANY NAME
.. 60.3Land Surveyor Mapper , _ —
SfCNATURFe 4rante Drive � �e —LEPH N 3331-4 NE
DTnvanntwr N 9nM 454.690423 —
FFMA Fnrm Al-i/ Al It;qA REF RFVFRSF SifF FOR r'ONTINI IATION RFPI ACES Al I PRFVIOI IR FrITIONC
EDERAL EMERGENCY MANAGEMENT AGENCY _
NATIONAL FLOOD INSURANCE PROGRAM -F O.M.B. No. 3067-0077
JZ 2 --_L,a/z Expires December 31, 200E
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION _ For Insurance Company Jse:
BUILDING OWNER'S NAME Policy Number
RAVENSWOOD UNITED LLC (i 229-VP—00(
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No. OR P.O.ROUTE AND BOX NO. Company NAIC Number
4013 RAVENSWOOD ROAD B03—Oqr CO dc1 c01231 5
CITY STATE ZIP CODE
DANIA BEACH FL 33312-5342
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
UMT PARCEL"A',PLAT BOOK 171,PAGE 125
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
NON-RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##'-##.##" or ##.#####°) El NAD 1927 0 NAD 1983 El USGS Quad Map El Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE
DANIA BEACH 125093 BROWARD FLORIDA
B4.MAP AND PANEL 85.SUFFIX B7.FIRM PANEL B9.BASE FLOOD ELEVikTION(S)
NUMBER B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding)
125093 0306 F 10/02/97 08/18/92 AE 7'
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM 0 Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑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* ❑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 Al-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 BFIE 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 wet of
Section D or Section G,as appropriate,to document the datum conversion.
Datum NGV Conversion/Comments NA
Elevation reference mark used BC Does the elevation reference mark used appear on the FIRM? ❑Yes No JOHN F. PULICE
a)Top of bottom floor(including basement or enclosure) 11 . 64 ft.(m) 1 #2691
b)Top of next higher floor NA . _ft.(m) April 19, 2005
c)Bottom of lowest horizontal structural member(V zones only) NA . _ft.(m) o 0
d)Attached garage(top of slab) NA . ft.(m) /
e)Lowest elevation of machinery and/or equipment f3 1
servidng the building(Describe in a Comments area) NA . _ft.(m) K✓'
f)Lowest adjacent(finished)grade(LAG) 10 . 5 ft.(m) /
g)Highest adjacent(finished)grade(HAG) 11 . 0 ft.(m) ! `
h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade NA
i)Total area of all permanent openings(flood vents)in C3.h NA 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: JOHN F.PULICE LICENSE NUMBER 2691
TITLE: LAND SURVEYOR COMPANY NAME:PULICE LAND SURVEYORS,INC,
ADDRESS CITY STATE ZIP CODE
5381 NOB HIL1_,BOA17 SUNRISE FL 33351
SIGNql) DATE TELEPHONE
/ .-._._ May 10,2005 954-572-1777
FEMA Form 81-31,JANkJ?NRY 2003 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
M:\ELEVCERT\VEZINA&SONS47545.doc
IMPORTANT: In these spaces,copy the cot. sponding 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
4013 RAVENSWOOD ROAD
CITY STATE ZIP CODE Company NAIC Number
DANIA BEACH FL 33312-5342
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
❑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.
E1.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 _ft.(m)_in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is _ft.(m)_in.(cm)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
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?
❑Yes ❑No ❑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
❑Check here if attachments
SECTION G-COMMUNITY INFORMATION(OPTIONAL)
The local offical 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.
G1.❑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.❑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.❑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:❑New Construction ❑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
FEMA Form 81-31,JANUARY 2003 REPLACES ALL PREVIOUS EDITIONS
M:\ELEVCERT\VEZINA&SONS47545.doc