HomeMy WebLinkAbout4938-4968 SW 32 Ter ELEVATION CERTIFI ATE OW piresMay361,
FEDERAL 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 USE
BUILDING OWNERS NAME POLICY NUMBER
PULTE HOME' CORPORATION
STREET ADDRESS(Including Apt.,Unit, uite and/or Bldg.N tuber)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
} OTHER DESK 'tPTION(Lot and Block Numbers,etc.)
UNITS 196-201 BLDG. 28A PORTION OF PARCEL "A" BANYAN OARKBRIDGE COMMERCIAL PLAT PB157P
c m, 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 I_LEVA—ION
(in AO Zones,use depth)
125093 0306 F 08/18/92 AE 8'
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE):)NGVD'29 E 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,U 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_L .
2(a). FIRM Zones Al-A30,AE,AH, and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation
- of I 1 I I h I.0 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,__)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 I.0 feet above❑ or
below E (check one) the highest grade adjacent to the building.
'a). FIRM Zone AO. The floor used as the reference level from the selected diacram is I I i.1 II feet above I❑ or below (chock
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 E 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 7], then convert the elevations to the datum system used on the FIRM and show the convers'on
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: a 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 Certi,9care
will be required once construction is complete.) aa
6.The elevation of the lowest grade immediately adjacent to the building is:I I I I 181.L� 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 Sectio T 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,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 FOF',CONTINUATION
. 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 A1—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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS 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 3306S
SIGNATURE gm.ii/... .4.,.:...._, ioAT ao 57 PHONE (954) 782-8222
Copies should be made of this Certificate for: 1) community official;2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES, ,
SLAB EASEMENT PIERS,OR COLUMNS
A V ' A A V
ZONES ZONES ZONES ZONES ZONES / ,
REFERENCE
NCE
REFERENCE m EASE LEVEL REFERELEVEL
LEVEL j� 1FLOOD
ELEVATION I ERIAtimAgsstr
-��
'nC
''fit
•
�.`.... :: t BASE
EASE 1 .... ..- ADJACE yy��` REFEAENCE FLOOD
*"\
FLOODADE :::t4.. ELEVATION
ELEVATION REFERENCE ADJACENT GM LEVEL
LEVEL GRADE •.
. "'iv? C .'': ADJACENT
&:::;'1:.: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.
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