HomeMy WebLinkAbout4750 SW 43 Ave _ w
�DERAL EMERGENCY MANAGEMENT AGENCY ---
kTIONAL FLOOD INSURANCE PROGRAM Explre No.December
)
y Expires December 31, 200f I
ELEVATION CERTIFICATE 6/2 S—° — 007� _—_a
Important: Read the instructions on pages 1-7. 0 2-1(30 5 '7/O5/
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME
FEDERICO FERNANDEZ Policy Number
BUILDING STREET ADDRESS(Including Apt,Unit Suite,and/or Bldg.No.)OR P.O ROUTE AND BOX NO.
4750 SW 43RD AVENUE Company NAIL Number
CITY - — _
STATE ZIP CODE n
DANIA FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc,) '
LOT 7 OF TROPICAL HAVEN PLAT BOOK 42 PAGE 5
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS(Type):
(tie-##'-##.##" or ##.#!ice°) 0 NAD 1927 0 NAD 1983 0 USGS Quad Map 0 Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Bi.NFIP COMMUNriY NAME&COMMUNITY NUMBER 82.COUNTY NAME
UNINCORPORATED AREAS 125093 BROWARD COUNTY � 83.STATE
FLORIDA J
8it MAP AND PANEL - T B7.FIRM PANEL
li
NUIVBER 85.SUFFIX 86,FIRM INDEX DATE 1 EFFECTIVE/REVISED DATE I B8.FLOOD ZONE(S) B(Zonne AO, use depth of9.BASE FLOODAfloodxng))
12011C0302 F 07/21/95 I 08/18/92 AE +
810.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. $.0
❑EIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
811.Indicate the elevation datum used for the BFE in 89:®NGVD 1929 0 NAVD 1988
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area( },OPA? Other(Describe)❑Ye s1Z1N:
®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.Building elevations are based on:0 Construction Drawings* XX Building Under Construction* 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 Al.A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,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 BEE 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 0 or Section G,as appropriate,to document the datum conversion.
Datum NGBD Conversion/Comments
Eievatic.,n reference mark used BM Does the elevation reference mark used appear on the FIRM? ❑Yes ®No --
O a)Top of bottom floor(including basement or enclosure) 880 ft.(m) -
O b)Top of next higher floor N/A ft(m) 0)
O c)Bottom of lowest horizontal structural member(V zones only) N/A.-ft.(m) v*lc,'d)Attached garage(top of stab) 72 ft(m) o
❑e)Lowest elevation of machinery and/or equipment w e
servicing the building(Describe in a Comments area) 8,1 ft.(m) _8 a P• •2/ #5034
O f)Lowest adjacent(finished)grade(LAG) s.sft(m) Z E. -
E /104
g)Highest adjacent(finished)grade(HAG) 6.9 ft.(m) `�
0
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A g J
Cl i)Total area of all permanent openings(flood vents)in C3.h N/A sq.in.(sq.cm)
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 in Sections A,B,and Con 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.
CERTIFIERS NAME OSCAR EMILIO BAEZ-CUSIDO LICENSE NUMBER 5034
TITLE REGISTERED SURVEYOR AND MAPPER COMPANY NAME BAEZ&ASSOCIATES,INC.
ADDRESS — CITY
2000 SW 83RD CT. STATE ZIP CODE —
MIAMI
SIGNATURE FL 33155
—DATE TELEPHONE
---- 05/12/04 305-265-1002
FEMA Form 81- ,January 2003 See reverse side for continuation.
Replaces all previous editions