HomeMy WebLinkAbout5325 SW 40 Ave U.S.DEPARTMENT OF HOMELAND SECURITI, ELEVATION CERTIFICAT! / OMB No. 1660-00(18
Federal Emergency Management Agency Expires February 28, 2009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
(- 0 5' g$3 SECTION A-PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name Co/3 ) _a b~OO t 0 obi/ 9
bfi/ 9 [07 Policy Number
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number
5325 SW 40th Avenue Unit 23,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.N26d03'20" Long.W80d12'03" Horizontal Datum: ❑NAD 1927 ❑ NAD 1383
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 endosure(s),provide A9. For a building with an attached garage,provide:
a) Square footage of crawl space or endosure(s) Q 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 garage
enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b Q sq in c) Total net area of flood openings in A9.b Q sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name 83.State
Unincorporated Area 125093 BROWARD FLORIDA
B4.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel B8.Flood B9.Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth I
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.
❑FIS Profile ®FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)9 DYes ®No
Designation Date ❑CBRS 0 OPA
SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings" 0 Building Under Construction" ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations-Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-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)_ Q.1 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor N/A. 0 feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. 0 feet 0 meters(Puerto Rico only)
d) Attached garage(top of slab) N/A. 0 feet 0 meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 7.4 ®feet meters(Puerto Rico only)
(Describe type of equipment in Comments) ❑
f) Lowest adjacent(finished)grade(LAG) 7.0 ®feet 0 meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 7.2 0 feet ❑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 maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® 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 47`"Ave, #1011 City DAVIE State FL ZIP Code 33314f22 n ` i vim`
Signature lae _ �7� Date 04/27/07 Telephone 954-680-9885 �lrs�-1/5