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0 �\v —�� ELEVATION CERTIFICATE Ex Maya , 79
pre
�72.`v' B.
No306 T9
t JERAL EMERGENCY MANAGEMENT. !NCY
o 7/1/ NATIONAL FLOOD INSURANCE PROGRAM
". ATTENTION:Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used on'y 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 COM'ANY USE
BUILDING OWNERS NAME POLICY NUMBER
PULTE HOME CORPORATION
STREET ADDRESS(including Apt.,Unit.Suite and!or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION(Lot and Block Numbers,etc.)
UNITS 244-251 BLDG.36 A PORTION OF PARCEL "A" BANYAN OARKBRIDGE COMMERCIAL PLAT PB1571
CITY STATE ZIP CODE
DANIA, FL
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
t.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASE
EO FLOOD use LEdept )ON
(in125093 0306 F 10/20/97 AF 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 BFE: I I I I I.LJ 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 best'
describes the subject building's reference level .
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 I. I I I ! 9.13J feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1-V30,VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of I I 1 1 1 I.LJ feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is LL1.1_1 feet above❑ cr
below❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is ILL.0 feet above❑ or below. n (check
one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
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: 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 7J, then convert the elevations to the datum system used on the FIRM and show the co,Tversion
R- equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes ENo (See Instructions on Page 4)
5.The reference level elevation is based on: ia actual construction ❑ construction drawings
x,.
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
t 6.The elevation of the lowest grade immediately adjacent to the building is:I I I I 181.LiJ feet NGVD (or other FIRM datum-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 I I I I I,(J 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 CONTINUATION
r'
• • SECTION E CERTIFICATION
•
'This certification is to be signed by a land surveyor, engineer,or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30,AE,AH,A(with BFE),V1—V30,VE,and V(with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A(without a FEMA or community issued BFE), a building official, a property owner,or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8- Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use,wall openings, or unfinished area Feature(s),then list the Feature(s) not
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.
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(or Affix Seal)
DONALD A. SPICER, PLS 4677
TITLE COMPANY NAME
PROJECT MANAGER CRAIG A. SMITH & ASSOCIATES
ADDRESS CITY STATE ZIP
1000 WEST MCNAB ROAD SUITE 200 POMPANO BEACH, FL 33069
SIGNATURE/T� ) - DATE PHONE
!J!� s.io-So (954) 782-8222
Copies should be made of this Certificate for: 1)community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
•
ON V'iTH
ON PILES,
SLAB EASEMENT PIERS,OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL \ 7� REFERENCE
LEVEL II \\t �' ~/
Ii FLOOD LEVEL
ELEVATION 1
1 4 y�.� III♦,M
FLOOD BA
FLOOD REFERENCE FLOOO
ELEVATION LEVEL ELEVATION GRADE '� N
REFERENCE I AWACEM ,
lE,EL GRADE
.
•.n:?:.::�.�.;. ...:,1:'ADJACENT:;.
:':t*.s r :: `:52.' ':::nrci. 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.
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