HomeMy WebLinkAbout4761 SW 39 Way OMB No. 1660-0008
U.a PARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB Nos l660- 28.2oQ
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A- PROPERTY INFORMATION For Insurance Company Use:
Policy Number
Al. Building Owner's Name Quantum Homes, Inc.
A2. Building Street Address(including Apt.,Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. CompanyNAIC Number
4745,4749,4753,4757,4761 S.W.39th Way BLDG#4 (�(�
City Dania Beach State Fl ZIP Code 33312 0 330-A£ _ oO 1 0
ion,etc.)
A3. Property DescriptionSLES PLAT, Plat Bookr176,PAGESI 163-165,Broward Cou Legal nty
IP Records,Florida 07- 0 57 ! t�r ""
Parcel A,AQUA
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude:Lat.26-03-54 Long.-80-11-57 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 #1 with an attached garage,provide:
A9.
For a
,A8. For a building with a crawl space or enclosure(s),providea)Sgbure building ge of attached garage
a) Square footage of crawl space or enclosure(s) sq ft b)No.of permanent flood openings in the attached garage
b) No. of permanent flood openings in the crawl space or grade
enclosure(s) walls within 1.0 foot above adjacent
walls within 1.0 foot above adjacent grade c)Total net area of flood openings in sq in
c) Total net area of flood openings in A8.b sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B3.State
81. NFIP Community Name&Community Number B2. County Name Florida
City-of Dania Beach 120034 Broward
B4. Map/Panel Number B5.Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood Zone(s) B9.Base use Flood
Ejee flood depth)c
12011C0302 F 10-02-97 Effective/Revised Date AEb 8
8-18-92
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
❑ FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item 89: ® NGVD 1929 0 NAVD 1988 ❑Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? Oyes No
Designation Date 0 CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
❑ Construction Drawings* 0 Building Under Construction* ElFinished Construction
Cl.Building elevations are based on: 9
A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARIAO. Complete hems C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Vertical Datum NGVD 1929 Check the measurement used.'
Conversion/Comments
9.0 ®feet El meters(Puerto Rico only)
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 18 8 l feet ❑meters(Puerto is o only)
c) Top of theo he es floor N.A ❑feet 0 meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N.A 0 feet El meters(Puerto Rico only)
d) Lowestw elevationv (top of slab) 9.1 ®feet 0 meters(Puerto RicD only)
e) of machinery or equipment servicing the building
(Describe type of equipment in Comments) ❑feet ❑meters(Puerto Rico only)
f) Lowest adjacent(finished)grade(LAG) g 8.4 0 feet 0 meters(Puerto Rco only)
g) Highest adjacent(finished)grade(HAG)
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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
® Check here if comments are provided on back of form.
Certifier's Name Donald L.Cooper License Number 6269 '
Title Professional Surveyor and Mapper Company Name Calvin,Giordano&Associates,Inc.
Address 1800 Iler Drive City Ft.Lauderdale ::::177:1'
Code 33316SiatuDa 04- 1-08 Telephone _
v
FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions