HomeMy WebLinkAbout4921-4949 SW 32 Ter v`< c /0 - ELEVATION CERTIFICi E EF resrvay3l 199
- - ga -l 1 Vab 0,0-=-JERAL� EMERGENCY MANAGEMENT AGENCY' 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 a request for a Letter of Map Amendment or Revision (LONA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY IJSE
BUILDING OWNER'S NAME POLICY NUMBER
PULTE HOME CORPORATION
STREET ADDRESSD (Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
1 �-t�� "l4`t I& 4I L V1. uq{-3 L11.{-.)-y '{L. '+Y t Q,k)--' :2,1,k ',eCC x. 4.
OTHER DESCRIPTION(Lot and Block Numbers,etc.)
UNITS 236-243 BLDG.35 A PORTION OF PARCEL "A" BANYAN OARKBRIDGE COMMERCIAL PLAT PB157P
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.BASE FLOOD ELEVATION '
(in AO Zones,i se depth)
125093 0306 F 08/18/92 AE ! 8' %
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):E 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 I.Li 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 1 1 I I 19 I.L2J 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 I I I 111 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 L L I.0 feet above❑ or
below E (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 I 1 III feet above it or below 7 (check
one)the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (ref erence
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknowr
3. Indicate the elevation datum system used in determining the above reference lev elevations:El NGVD'29 ❑ Other'describe
under Comments on Page 2). (NOTE: If the elevation datum used in measurin the elevations is different than that used on
the FIRM [see Section B, Item 77, then convert the elevations to the datum sy tem used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used aNN.ars on FIRM: ❑ Yes ENo (See Instructions on Page 4)
- 5.The reference level elevation is based on: U 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 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.)
6.The elevation of the lowest grade immediately adjacent to the building is:I I I 1 181.LJJ 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, l'em 1
is not the"lowest floor"as defined in the community's floodplain management ordinance,the elevation of the building's"owe:t
floor"as defined by the ordinance is: I 1 I I 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 FOP CONTINUATION
SECTION E CERTIFICATION
---- -
This certi` :lion is to be signed by a land surveyor, engineer,or architect who is authorized by state or local law to certify elevation
informati: when the elevation information for Zones A1—A30,AE,AH,A(with BFE),V1—V30,VE, and V(with BFE) is required.
Common' officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certificatic .. 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 re.xesentative may also sign the certification.
Reference level diagrams 6,7 and 8- Distinguishing Features—If the certifier is unable certify to breakaway/non-br^akaway wall,
enclosure size,location of servicing equipment,area use,wall openings, or unfinisr :..ca reaiure(s),then list the ' ature(s) not
include:: in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify -t the information in Sections B and C on this certificate represents my best efforts to interpret the data a .ble.
I unders._ that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 10C.
CERTIF ER 5 '.:AME LICENSE NUMBER(or Affix Seal)
DOS.' '_D A. SPICER, PLS 4677 ._
TITLE COMPANY NAME
PROJECT MANAGER CRAIG A. SMITH & ASSOCIATES
ADDRESS CITY STATE 2,P
1(200 WEST MCNAB ROAD SUITE 200 POMPANO BEACH, FL 3306�
SIGNATUF.E 0 z,j / DATE PHONE
�y��__,_�, 302-3=98 (954) 782-8222
Copies should be made of this Certificate for: 1)community official,2) insurance agent/company, and 3) building owner.
COMME'iTS:
ON WITH ON PILES,
SLAB EASEMENT PIERS,OR COLUMNS
A V A A V
ZONES ZONES EEFENCE
ES ZONES ZONES
IREFERENCE .' REFERENCE
�LrERENCE ''plN1 TEASE LEVEL LEVEL
_-EVEL 1\ 1 FLOOD LEVEL 1
:ATxYJ (REFERENCE ADJACENT 1
LEVEL GRADE
•..: {-i;::..:,_i .: :.•'::,;.: ADJACENT i•
:•. ::•:�.'`. GRADE
diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
ations for all A Zones should be measured at the top of the reference level floor.
ations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
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