The URL can be used to link to this page

Home My WebLink About4584 SW 24 Ave 3- 03-7 a 11-13-0; 0 Da - ja---035-0 FELAtRAL EMERGENCY MANAGEMENT AGENctr O.M.B. No. 3067-0077 PROCESS# NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 FOLIO# ljC.O.R. 8.25' g , 03 ELEVATION CERTIFICATE J Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION For Insurance Company USE,: BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIL Number 4584 SW. 24th AVENUE CITY STATE ZIP CODE DANIA FLORIDA PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 15 , BLOCK 2 , PLAT BOOK 31 , PAGE 28 , BROWARD COUNTY, FLORIDA. BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) RESIDENTIAL LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: I I GPS(Type): ( ##°-##'-##.#4" or ##.444,1*°) Li NAD 1927 I_I NAD 1983 I USGS Quad Map 1_ 1 Other SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 63. STATE UNINCORPORATED - 125093 BROWARD FLORIDA B4.MAP AND PANEL B5.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATIONS) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 12011C0306F F 10-02-97 08-18-92 X N/A B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in B9. I1 FIS Profile LXJ FIRM L_�Community Determined Li Other(Describe): 611. Indicate the elevation datum used for the BFE in B9: IX 1 NGVD 1929 I_I NAVD 1988 I_I Other(Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? LJ Yes IX' No Designation Date: SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on: LIConstruction Drawings' _'Budding Under Construction' IL((Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2.Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 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 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 conversion calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion. Datum NGVD29 Conversion/Comments _ Elevation reference mark used SEE BACK Does the elevation reference mark used appear on the FIRM? L_1 Yes LX I No ❑ a)Top of bottom floor (including basement or enclosure) 9.9 ft.(m) ❑ b)Top of next higher floor N/A _ft.(m) ❑ c)Bottom of lowest horizontal structural member(V zones only) N/A ft.(m) G o ❑ d)Attached garage (top of slab) .c T , T;A . ;€.1)) 9-6 ft.(m) E a ❑ e)Lowest elevation of machinery and/or equipment L servicing the building(Describe in a Comments area.) A/C 10.0 ft.(m) ❑ f)Lowest adjacent(finished)grade(LAG) 8.5_ft.(m) ❑ g)Highest adjacent (finished)grade(HAG) _ 8.9 ft.(m) ❑ h)No.of permanent openings (flood vents)within 1 ft. above adjacent grade N/A DATE: 11-13-03 — ❑ i)Total area of all permanent openings(flood vents)in C3.h N/A sq.in.(sq. cm) LICENSE No.: 5184 SECTION D -SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed ti !and surveyor, engine,'- or . hiteslrti : ,,;`a certify elevation informatio't. certify that the information in Seotibns A. B,and C on this certificate represents rry best efforts J:.• arpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER ANTONIO FIORE 5184 TITLE COMPANY NAME PROFESSIONAL SURVEYOR AND MAPPER A. FIORE AND ASSOCIATES, INC. ADDRESS CITE STATE 921 S.a. 12 nd A'VEN' tiNAMI FLORIDA 331S4 SIGNATURE $ DATE TELEPHONE • 1 1-1 3-03 305-221-3040 Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions 11-13-03 IMPORTANT: In these spaces,copy the ck. esponding information from Section A. For Insurance Company Use BUILD NO STREET ADDRESS(Including Apt.,Unit,Suite, and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number 4584 SW. 24th AVENUE CITY STATE ZIP CODE Company NAIC Number DANIA FLORIDA 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. OMiJltl ' BROWARD COUNTY BENCHMARK I I Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zone AO and Zone A(without BFE), complete Items El.through E5. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,Section C must be completed. El.Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed— see pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) E2.The top of the bottom floor(including basement or enclosure)of the building is LLI ft.(m) LLI in.(cm) LI above or LI below (check one)the highest adjacent grade. (Use natural grade,if available.) E3.For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is I_LJ ft.(m) 1_JJin.(cm)above the highest adjacent grade. Complete Items C3.h and C3i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is J_LJ ft.(m) LLI in.(cm) LI above or I_I below (check one)the highest adjacent grade. (Use natural grade,if available.) E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? I I Yes J I No J I 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,C(Items C3.h and C3.i only),and E for Zone A (without a FEMA-issued or community-issued BFE)or Zone AO must sign here. The statements in Sections A, 8, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS (_I 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. G1. LI The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. LI A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.1—I The following information(Items G4-G9)is provided for community floodplain management purposes. .PERMIT NUMBER G5. DATE PERMIT ISSUED G6 DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7.This permit has been issued for: Li New Construction LI Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building is: _ft.(m) Datum: G9.BFE or(in Zone AO)depth of flooding at the building site is: _ _ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS • 1_I Check here if attachments FEMA Foorm 81-31. January 2003 _ .