HomeMy WebLinkAbout4541 SW 28 Way 10,Q-0O3LI FEDERAL EMERGENCY MANAGEMENTAGEN' O.M.B. No. 3067-0D77
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ELEVATION CERTIFICATE NATIONAL FLOOD INSURANCE PROGRAM —
031 << I0S
Expires December 31, 2005
Important Read the instructions on pages 1.7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Comply Use:
BUILDING OWNERS NAME
MICHAEL GRANT Policy Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO.
4541 SW 28 WAY Company NAIC Number
CITY
DANIA STATE ZIP CODE
FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) 33312
NA
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM:
( ##'-##'-#ftAt" or ##.## ) ❑NAD 1927 0 SOURCE: GPS(Type):
❑NAD 1983 USGS Quad Map 0 Other:__
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NAP COMMUNITY NAIVE&COMMUNITY NUMBER
UNINCORPORATED AREAS 125093 BROWARD COUNTY FL.STATE
B4.MAP AND PANEL
NUMBER B7.FIRM PANEL B9.BASE FLOOD ELEVATIONS)
85.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of floodirgi
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.
❑FIS Profile ®FIRM ❑Community Determined '
B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 ❑NAVD(1988 e)•
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B12 Is the building located in a Coastal Ranier Resources System(CBRS)area or Otherwise Protected Areal OPA? ElOth Yr�es )'
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRE No Designation Date
C1.Budding elevations are based on:El Construction Drawings* ❑Budding UnderConstructbn* ®Finished Construction
*A new Elevation Certificate wit be required when construction of the budding is complete.
C2.Budding Diagram Number 1(Select the budding diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
asnirately represents the budding,provide a sketch orphobgraph.)
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/A0
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 BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversbn calculation. Use the space provided or the Comments area of
Section D or Section G,as appropriate,to document the datum conversion.
Datum NGVD 1929 Conversbn/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? El Yes ®No
o a)Top of bottom floor(induding basement or enclosure) 8 1 ft(m)
o b)Top of next higher floor
'°
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o c)Bottom of lowest horizontal structural member(V zones only) N.A ft(m)
o d)Attached garage(top of slab) ( )
o e)Lowest elevation of machinery and/or equipment 7. 5 ft(m) $ m
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servicing the budding(Describe in a Comments area) 7.7 ft(m) a 5
o f)Lowest adjacent(finished)grade(LAG) ��
7.3 ft(m)
o g)Highest adjacent(finished)grade(HAG) 7. 5 ft(m) z
o h)No.of permanent openings(flood vents)within 1 ft above adjacent grade N/A 8
o )Total area of all permanent openings(flood vents)in C3.h 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,
1 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 WILLIAM MICHAEL CARR
LICENSE NUMBER 5092
TITLEVICE PRESIDENT COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS
5950 VJ OAK D PARK BLVD CITY STATE ZIP CODE
SIGNATU LAUDERHILL FL 33313
DATE TELEPHONE
- 03/05/05 954-//7-4747