HomeMy WebLinkAbout4530 SW 23 Ter U.S. DEPARTMENT OF HOMELAND SECURITY .EVATION CERTIFICATE 0 OMB No. 1660-0008
Expires March 31, 2012
Fed�'ral Eme9gency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-9. D ' ✓ .7
SECTION A- PROPERTY INFORMATION ,For t yam;
Al. Building Owner's Name WYLENE SMITH (ORDER#15305) ,
A2. Building Street Address(including Apt., Unit, Suite,and/or Bldg.No.)or P.O. Route and Box No. 'k1P 'Il
4530 SOUTHWEST 23RD TERRACE - -
City DANIA BEACH State FL ZIP Code 33312 I' 0 1•oaaCt-5-0-.0e)S-0
A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Q O b ! c1 n /_ !AJ '7 Q� 09 / / 9
LOT 5 OF"SHELDON PLAT"PB 174, PGS 29-31, BCR
A4. Building Use (e.g., Residential, Non-Residential,Addition,Accessory,etc.)RESIDENTIAL
A5. Latitude/Longitude: Lat.26°03'56"N Long. 80°10'19"W Horizontal Datum: 0 NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1A
A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft
b) No.of permanent flood openings in the crawlspace or b) No. of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b NIA sq in
d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? 0 Yes ® No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
UNINCORPORATED BROWARD COUNTY 125093 BROWARD FL
B4. Map/Panel Number B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
12011 C 0306 F Date Effective/Revised Date Zone(s) AO, use base flood depth)
10-02-97 08-18-92 AE 7 FEET
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9.
0 FIS Profile ® FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item 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)? ❑ Yes ® No
Designation Date N/A 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* 0 Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. 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 C2.a-h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized BCBM#1476, ELEV=10.852' Vertical Datum NGVD1929
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor(including basement,crawlspace, or enclosure floor)9.2 ®feet 0 meters(Puerto Rico only)
b) Top of the next higher floor N/A. ®feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ®feet 0 meters(Puerto Rico only)
d) Attached garage(top of slab) N/A. ®feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 9.2 ®feet 0 meters(Puerto Rico only)
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building (LAG) 8.4 ®feet 0 meters(Puerto Rico only)
g) Highest adjacent(finished)grade next to building(HAG) 8.4 ®feet 0 meters(Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A. ®feet 0 meters(Puerto Rico only)
structural support
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 on this Certificate represents my best efforts to interpret the data available. l .si`. ` 5 7
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a S-*CC-''Cq
licensed land surveyor? ® Yes ❑ No
Certifier's Name JAY KERI License Number 5721 •
Title LAND SURVEYOR Company Name KERI LAND SURVEYING, INC.
Address 1840 NORTH PINE ISLAND RD City PLANTATION State FL ZIP Code 33322
Signature Date 07-30-09 Telephone 954-473-8010
FEMA • •• : ii• See reverse side for continuation. Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number
4530 SOUTHWEST 23RD TERRACE
City DANIA BEACH State FL ZIP Code 33312 Company NAIC Number
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to
the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
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FRONT VIEW
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REAR VIEW T