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HomeMy WebLinkAbout5851 SW 29 Ave r'.S.OE' ITM> NTOF HOMELAND SECURITY ELEVATION CERTIFICATE I-f DERRL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date:July 3I, 20'5 SECTION A-PROPERTY INFORMATION �y 4 f 1,' fi, ,/ Al. Building Owner's Name MALETTE (ORDER#18781) r„ r a Lilatt i / , �� A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. i a"ri_ * > , 5851 SOUTHWEST 29TH AVENUE > - ���W, e City DANIA BEACH State FL ZIP Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 50 AND THE NORTH 1.8 FEET OF LOT 51, BLOCK 27 OF"THIRD ADDITION TO RAVENSWOOD ESTATES AND MARINAS"PB 72 PG 20 BCR A4. Building Use(e,g., Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude: Lat.26°02'58,70"N Long.80°10'50.84"W Horizontal Datum: 0 NAD 1927E 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 5 A8. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1468 sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade LW A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq is-I d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? 0 Yes At g© SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION l B1, NFIP Community Name&Community Number 1 B2.County Name B3.State DANIA BEACH 120034 I BROWARD FL B4. Map/Panel Number B5.Suffix 86. FIRM Index Date B7.FIRM Panel B8. Flood ( B9. Base Flood Elevation(s) (Zone 12011C 0308 F 10-02-97 Effective/Revised Date Zone(s) AO,use base flood depth) 08-18-92 AE l 8 FEET B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ EIS Profile FIRM ❑ Community Determined ❑ Other/Source: 611. Indicate elevation datum used for BFE in Item 89: ®NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: 312. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes E N Designation Date:N/A ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl, Building elevations are based on: 0 Construction Drawings* ❑ Building Under Construction* ►4 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,Vt-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rico only,enter meters. Benchmark Utilized: BCBM#2686,ELEV=13.98' Vertical Datum. NGVD 1929 Indicate elevation datum used for the elevations in items a)through h) below. E NGVD 1929 0 NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawispace,or enclosure floor) i_Q.4 E feet ❑meters b) Top of the next higher floor N/A. E feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) NIA. E feet ❑meters d)Attached garage(top of slab) N/A. E feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 8.8 E feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6.2 E feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 7.24 E feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. Z feet ❑ meters 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./certify that the information on this Certificate represents my best efforts to interpret the data available. Jay Ken I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Professional Surveyor& ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Mapper#5721 ElCheck here if attachments. licensed land surveyor'? ►T. Yes ❑ No State of Florida Certifier's Name JAY KERI License Number 5721 T'LACE› rTh L Title LAND SURVEYOR Company Name KERI LAND SURVEYING, INC. . Address 1840 NORTH PINE ISLAND RD City PLANTATION State FL ZIP Code 33322 Signature -Date 04-02-13 Telephone 954-473-8010 FFA1A Fnrm OAF-fl q'r77 Cc.w rc.m rcra c;ria fnr rnntini iatinn Ranlarrac all nrowiry is ariitinnc ^ ^ FLD/ATKJNCERTIFJCATE, page 3 ���^kr0^��� ��������raK��s -- ''—' ^� Photographs n-'' ` See Instructions for Item A8, IMPORTANT:In these spacis,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE | Building -----------�--------Unit, -- .unu --- «-- p.O.Route and Box No, ' olicy Number 5851 SOUTHWEST 29TH AVENUE City �ANm�E��� State FL ZIP Code 33312 Company mmCmomhcc | ----- ----................ ----- -----'--------- -- If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below accordingUs#heinmmc(ionm for item A0. Identify all photographs with dm\o taken; 'Front View" and "Rear View": and, if required, "Right Side View" and ~Left Side � vlmw,` When app\icmb|e, photographs mum show the foundation with representative examples of the flood openings or vents, as indicated in Section A8 |(submitting more photographs than will fit un this psQa usedheCunhnuahonP�ge ^ . � [ -------- -------- -- ---- - / �. ` � ^ ! ` ' - ` �fo- ! FRONT VIEW | | | REAR VIEW \ � . ! ' | - — " ~ . - BNA Form O864-33(7112) Replaces all previous edition