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HomeMy WebLinkAbout4531 SW 23 Ter U.S. DEPARTMENT OF HOMELAND SECURITY :LEVATION CERTIFICATE OMB No. 1660-0008 Floral Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. © 167-/3"7 7 SECTION A-PROPERTY INFORMATION -For lnsuramceCompanyUse: Al. Building Owner's Name FRANCES&JACKELINE SEVERINO (ORDER#15306) Pn1icyNtInther A2. Building Street Address (including Apt., Unit,Suite,and/or Bldg.No.) or P.O. Route and Box No. Company'NAAC Number 4531 SOUTHWEST 23RD TERRACE City DANIA BEACH State FL ZIP Code 33312 R011o:oaa9-so - oi� 61 A3. Property Description (Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) O _ ���/� LOT 14 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°10'21"W Horizontal Datum: ❑ 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 N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. 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. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑ NAVD 1988 ❑ 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 ❑ CBRS Cl OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-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 ❑ 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 ❑meters(Puerto Rico only) d) Attached garage(top of slab) N/A. ®feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 9.1 ®feet ❑meters (Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished) grade next to building(LAG) 8.4 ®feet ❑meters (Puerto Rico only) g) Highest adjacent(finished)grade next to building (HAG) 8.5 ®feet El 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. /certify that the information on this Certificate represents my best efforts to interpret the data available. - ' 2_ 1 i understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. .57 ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 'r --( - b9 licensed land surveyor? ® Yes ❑ No Certifier's Name JAY KERI License Number 5721 Title LAND SURVEYOR Company Name KERI LAND SURVEYING, INC. Ac�dces. 1840 NORTH PINE ND RD City PLANTATION State FL ZIP Code 33322 \_ c re Date 07-30-09 Telephone 954-473-8010 FE 9 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 4531 SOUTHWEST 23RD TERRACE I Company NAIL Number City DANIA BEACH State FL ZIP Code 33312 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two band "Rear View"; and, if ruilding photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" eqnuation Page, Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Conti uired, "Right following. x ;; is r- 3Runi' 3 -.r.7 .e.�. ... FRONT VIEW - h '' � lam.. ram., --,-<,,,' ' .. . . , -j 1111111 9 +i $a III Milli 1 pli ,. _ .., ,.,4,.., {h S.c.:.', Ill "N..kA } t . � � i t ' , 4 REAR VIEW