HomeMy WebLinkAbout4561 SW 25 Ave FE RAL EMERGENCY MANAGEMENT AGE Y O.M.B. No. 3067-0077
.TIONAL FLOOD INSURANCE PROGRA.� Expires July 31, 2002
,5°�-U 1 ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
-- SECTION A • PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number .
Loleski
BUILDING STREET ADDRESS(Including Apt.• Unit, Suite, and/or Bldg.No.)OR P.O. ROUTE AND BOX NO. Company NAIC Number
4561 S .W. 25th Avenue
CITY STATE ZIP CODE
Dania, Florida
PROPERTY DESCRIPTION(Lot and Block Numbers.Tax Parcel Number,Legal Description,etc.)
Portion Lots 22 & 23, Block 4, SEABOARD PARK
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.)
Residential. --
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: II GPS(Type):
( Se-alto'-*COW or *tt ai4MMtll°) 2Lj NAD 1927 L_J NAD 1983 L USGS Quad Map L_.J Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
t E31.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2. COUNTY NAME B3.STATE
125093 Broward Florida
Bd.MAP AND PANEL B5.SUFFIX B6. FIRM INDEX • B7.FIRM PANEL 88. FLOOD 89.BASE FLOOD ELEbATION(S)
NUMBER _ DATE
10/2/97 EFFECTIVE/REVISED DATE
8/18/92 ZONES) (Zone AO,use depth of flooding)
C 0306 F X N/A 1
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in B9.
1�_I FIS Profile I3S.J FIRM I,J Community Determined I_I Other(Describe): •
B11. Indicate the elevation datum used for the BFE in B9: lx.i NGVD 1929 I_1 NAVD 1988 I J Other(Describe):
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area (OPA)? L__I Yes 1bJ No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
--
Cl. Building elevations are based on: L__IConstruction Drawings' I_IBuilding Under Construction' p..JFinished Construction
`A new Elevation Certificate will be required when construction of the building is complete.
C:2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being competed -see
pages 8 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
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/AO
Complete Items C3a-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 conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conveision.
Datum NGVD Conversion/Comments
Elevation reference mark used crown of road Does the elevation reference mark used appear on the FIRM? 1 j Yes JK I No
G a)Top of bottom floor(including basement or enclosure) 1 2._4_ft.(m) 1
C) b)Top of next higher floor N/A ft.(m)
CI c)Bottom of lowest horizontal structural member(V zones only) N%$_ft.(m) I M
O d)Attached garage(top of slab) 1 1.A ft.(m) W/s
C] e)Lowest elevation of machinery and/or equipment
servicing the building 1 1 ._9___ft.(m) II
0 t)Lowest adjacent grade(LAG) 1]..,. ft.(m)
C) g)Highest adjacent grade(HAG) . - 1 1....5._ft.(m)
O h)No.of permanent openings(flood vents)within 1 ft, above adjacent grade 0
C) i)Total area of all permanent openings (flood vents) in C3h 0 sq. in. (sq. cm)
SECTION 0 - 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 LICENSE NUMBER
Jeffrey J . Mitt • #4717 i
TITLE COMPANY NAME
Rea . Land Surveyor Hiciains—Deni & Associates
ADDRESS CITY _STATE ZIP CODE
1721 No, th tate - Raod 7 , Margate , Florida 33063 —__--_
SIGNATURE 7 f/�� t D6A%21/02 _TEL(954 )971-0549 _
FEMA Form 8 - ,A}ac�9 SEE REVERSE SIDE FOR CONTINUATION REPLACES.ALL PREVIOUS EDITIONS