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ELEVATION CERTIFICATE 0.VB.tlo3067.00
0/ ��Ql/��'D FEDERAL EMERGENCY MANAGEMENT AGENCY Ex,ates.May31, 19!
ypg- gg ffrO k NATIONAL FLOOD INSURANCE PROGRAM •
ATTENTION:Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances,to
determine the proper insurance premium rate, and/or to support are-quest for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
PULTE HOME' CORPORATION
STREET ADDRESS(Including Apt.,Unit,Suite and'or Bldg.Number)OR P.O.ROUTE AND BCX NUMBER COMPANY NMC NUMBER
i OTHER DESCRIPTION(Lot and Block Numbers,etc.)
UNITS 252-257 BLDG.37 A PORTION OF PARCEL "A" BANYAN OARKBRIDGE COMMERCIAL PLAT PB157F
CITY STATE ZIP CODE
DANIA, FL
SECTION B FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BO EVT ION
(i An
AO ZonesFLOD,use LEdeathA )
125093 0306 F 10/02/97 AE 8'
7. Indicate the elevation datum system used on the FIRM for Ease Flood Elevations (BFE):) NGVD '29 ❑Other.(describe on back)
8. For Zones A or V,where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BEE:I I I I I I.(_;feet NGVD (or other FIRM datum—see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that pest
describes the subject building's reference level____1_ .
2(a). FIRM Zones A1-A30,AE,AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation
of IIII /9 I,_11 feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIR Zones V1-V30,VE, and V(with BEE). The bottom of the lowest horizontal structural member of the reference level from
the s lected diagram, is at an elevation of I I I I I ),I I feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIR Zone A(without BFE). The floor used as the reference level from the selected diagram is LL.J.Li feet above❑ or
below❑ (check one) the highest grade adjacent to the building.
I
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I 1 1.1 1I feet above❑ or below(_I(check
one)the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(refe.ence
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations:E NGVD'29 ❑ Other(describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 71, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes $XNo (See Instructions on Page 4)
5.The reference level elevation is based on: ER actual construction ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in wi ich
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certiticate
will be required once construction is complete.)
6.The elevation of the lowest grade immediately adjacent to the building is:I I I I 181.L feet NGVD (or other FIRM datLm-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"lowest
floor" as defined by the ordinance is: I 1 1 I I ),U feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement .
FEMA Form 81-31,MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINJATION
•
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer,or architect who
o is authorized
t or zed by s tate or
d local
(wit law
a to iertifireq elevatione .
information when the elevation information for Zones A1—A30,AE,AH,A( a )� also
Comma ion officialsInhewho are of Zones AO anorized d A(without a FEMA or co local law or ordinance tommunity irovide ssued BFE),a building official, a propen management information, rty sign
or an
certification. In the case
owner's representative may also sign the certification.
to
all,
enclosure
Reference level diagrams 6,7 and 8-Dequipment, use,wall opeures—If nings,rorunfin shed r is unable area Features)then list the Feature(s)Nnot
enclosure size, location of servicing equipment,
included in the certification under Comments below. The diagram number,Section C, Item 1, must still be entered.
I certify that the information in Sections 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,
LICENSE NUMBER(or Affix Seal)
CERTIFIERS NAME
MARK RAY MINTER 5785
TITLE COMPANY NAME
PROFESSIONAL SURVEYOR & MAPPER CRAIG A. SMITH & ASSOCIATES STATE ZIP
ADDRESS CITY
1000 WEST McNAB ROAD SUITE 200 POMPANO BEACH, FL 33069
X''.--,--1
FHONSIGNATUFE ' /1,,/ ,:/ rS 2.8 //9� (954) 7.82-8222
Copies should be mae of this Certificate for: 1)community official,2) insurance agent/company,and 3)building owner.
COMMENTS:
WITH ON PILES,
ON SLAB EASEMENT PIERS,OR COLUMNS
A V A A V
ZONES ZONES `. ZONES ZONES ZONES m
REFEFENCE �'
REFERENCE
REFERENCE EASE LEVEL I LEVEL
LEVEL i FLOOD
ELEVATIpN r
�.� .t-1 i. a _. EASE
FEFERENCE
EASE ••. ADJACENT .: LEVEL ELEVATION
•~• GRADE .'.
ELE \ FL 003
1'Ai10N FEFERENCE ADJACENT =:�
LEVEL GRADE ','az. .
;`'•'•'•5 •j'.'..4::•' .ADJACENT•':
r'. ::: ::r(_i:• GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Pace 2