HomeMy WebLinkAbout5323 SW 40 Ave U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008
Federal Emergency Management Agency Expires February 28.�'009
National Flood Insurance Program Important: Read the instructions on pages 1-8. t/''
6-0 - `a544 SECTION A-PROPERTY INFORMATION For Insurance Compary Use:
Al. Building Owner's Name ®!ram(0-,c _QOj 0 1_ J j q/I0-7 Policy Number
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No Company NAIC Number
5323 SW 40th Avenue Unit 24,Building 5
City Danie Beach State Fl ZIP Code 33314
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A portion of Parcel"A"of"VILLAS AT OAK HAMMOCK",P.B. 174,PG'S. 123& 124,B.C.R.
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude:Lat.N26003'20" Long.W80d12'03" Horizontal Datum: 0 NAD 1927 ❑ NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide:
a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage Q sq ft
b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garace
enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade Q
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
BI.NFIP Community Name&Community Number B2.County Name B3.State
Unincorporated Area 125093 BROWARD FLORIDA
B4. Map/Panel Number B5.Suffix B6.FIRM Index B7. FIRM Panel B8.Flood B9.Base Flood Elevai ion(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12011C 0304 F 10/02/97 08/18/92 AE 8
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile ®FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 0 NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No
Designation Date ❑CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. Building elevations are based on: ❑Construction Drawings* 0 Building Under Construction* 0 Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO. Complete Items C2.a-g
below according to the building diagram specified in Item A7.
Benchmark Utilized 159 Vertical Datum 1929
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.1 ®feet 0 meters(Puerto Rico only)
b) Top of the next higher floor WA. 0 feet 0 meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. 0 feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) WA. 0 feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 7.4 0 feet 0 meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) 7.Q ®feet 0 meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 7.2 0 feet 0 meters(Puerto Rico only)
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 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.
0 Check here if comments are provided on back of form.
Certifiers Name RICHARD E COUSINS License Number 4188
Title LAND SURVEYOR&MAPPER Company Name COUSINS SURVEYORS&ASSOCIATES, INC.
Address 3921 SW 47m Ave, #1011 City DAVIE State FL ZIP Code 33314ceZ - (Ca
Signature e l) Date 04/27/07 Telephone 954-680-9885 /21p7