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Home My WebLink About4550 SW 23 TER U.S. DEPARTMEN"OF HOMELAND SECURITY .EVATION CERTIFICATE 4 OMB No.r ° 12 .,` Expires March; Federal Emergency Management Agency U2 National Flood Insurance Program Important: Read the instructions on pages 1-9 0 :,„ ,.,tvw,„,.. „..,\.,,,, , , ,,,,,I.,,,t.,z SECTION A-PROPERTY INFORMATION t ' t: Al. Building Owner's Name NORWOOD/LAWSON (ORDER#15198) �; to � :�� ', A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Gampany NAIL Number 4550 SHELDON DRIVE 44i*,'A, - .` , d4` '4 City DANIA BEACH State FL ZIP Code 33312 bo ? 0Q 7° (o)36 1 A3. Property Description (Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) FOlin 0( (`7'SQ 7 �) LOT 7 OF"SHELDON PLAT" PB 174 PGS 29-31 BCRJ V A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude:Lat.26°03'55"N Long.80°10'18"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 N/A sq in d) Engineered flood openings? 0 Yes ® No d) Engineered flood openings? ❑ 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 86. FIRM Index B7. FIRM Panel B8. Flood B9.Base Flood Elevation(s) (Zone 12011C 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 0 Other(Describe) B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 0 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 ® Nc Designation Date N/A 0 CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* ® Finished Constructior *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/A1-A30,AR/AH,AR/AO. Complete item_ C2.a-h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark Utilized BCBM#3664,ELEV=10.407'Vertical Datum NGVD1929 Conversion/Comments N/A Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)9.1 ®feet 0 meters(Puerto Rico only) b) Top of the next higher floor N/A. ®feet 0 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 9.1 ®feet 0 meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 8.5 ®feet 0 meters(Puerto Rico only) g) Highest adjacent(finished) grade next to building (HAG) 8.8 ®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. P.3 �� I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. iJ ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a , ?,t_.,._ licensed land surveyor? ® Yes 0 No b -/fE47 Certifier's Name JAY KERI License Number 5721 _.� t.-,>_- Title LAND SURVEYOR Company Name KERI LAND SURVEYING, INC. „' - ' Addr ss 1840 NORTH PINE ISLAND RD City PLANTATION State FL ZIP Code 33322 '''-----------..--.) at � ^.g, Date 06-12-09 Telephone 954 473 8010 FI (I1A Form 81-31, Mar 0 "� See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy he corresponding information from Section A. • `' Building Street Address(including Apt., Ur, Jite,and/or Bldg. No.)or P.O. Route and Box No. 4550 SHELDON DRIVE City DANIA BEACHState FL ZIP Code 33312 *a 'r �� 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 LATITUDE/LONGITUDE DISPLAYED ON A5 OBTAINED WITH GARMIN GPS 76 UNIT. ELEVATION OF 9.1 FEET STATED ON C2e OBTAINED ON A/C SLAB ON EAST SIDE OF RESIDENCE. CROWN OF ROAD ELEVATION=7.3 FEET. 3SrtJnature �'� ��" Date 06-12-09 ® Check here if attachments ``SECTION E-BUILD! G ELEVATION INFORMATION (SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet 0 meters 0 above or 0 below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is 0 feet 0 meters 0 above or 0 below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is 0 feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is ❑feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG. E5. 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 0 No 0 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. The statements in Sections A, B,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 0 Check here if attachments SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local official 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. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by 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 0 Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: 0 feet 0 meters(PR) Datum G9. BFE or(in Zone AO)depth of flooding at the building site: 0 feet 0 meters(PR) Datum G10. Community's design flood elevation 0 feet 0 meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments 0 Check here if attachments FEMA Form 81-31, Mar 09 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 4550 SHELDON DRIVE 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. _µme FRONT VIEW x: i .. F ww '...,x i"ems.. REAR VIEW n • ♦tom • r v- .. fi _, :. rev �k _yam n _ • M • 7 , ,