HomeMy WebLinkAbout317 NE 2 Ct U.S.DEPARTMENT OF HOMELAND SECURITY ', ELEVATION CERTIFICATE
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Federal Emergency Management Agency Up OMB No. 1660 0008
National Flood Insurance Program d(p-�l6y Expires Februa'v 28 2009
g Important: Read the instructions on pages 1-8. o�3c.t- 0�-02So
SECTION A-PROPERTY INFORMATION For Insurance Company Use: d'
Al. Building Owner's Name DAVID WALLACE
Policy Number
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No.317 N.E.2N COURT Company NAIC Number
City DANIA BEACH State L ZIP Code 33004
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
S.20'LO 20&N.50'LO 21,BLOCK 2,POINCIANA PARK(P.B.31, PG.47,B.C.R.)
A4. Building Use(e.g.,Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat.26°03'29" Long.80°08'27"
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A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insura cenzontal Datum: 0 NAD 1927 El NAD 1983
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 360 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 1
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 60 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name I
CITY OF DANIA BEACH 120034 f BROWARD FL.State
FL
84.Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel
88.Flood B9. Base Flood Elevation(s)(Zone
12011C0309 Date Effective/Revised Date Zone(s) AO, use base flood depth)
F 10-02-97 08-18-92 AE
7.0
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 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 0 NAVD 1988
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)?(Describe)Other ❑Yes
Designation Date 0 CBRS 0 OPA ®No
SECTION C -BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction**A new Elevation Certificate will be required when construction of the building is complete. ®Finished Construction
C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,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 COUNTY Vertical Datum NGVD
Conversion/Comments
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.2 ®feet
b) Top of the next higher floor ❑meters(Puerto Rico only)
N/A._ ®feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. 0 feet
d) _ ❑meters(Puerto Rico only)
Attached garage(top of slab) 6.9 ®feet
e) Lowest elevation of machinery or equipment servicing the building 6.8 0 meters(Puerto Rico only)
(Describe ®feet ❑meters(Puerto Rico only)
type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) 5.7 ®feet
g) Highest (finished) 6 1 El meters(Puerto Rico only)
9 adjacent grade(HAG) ®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. /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.
PLACE
Certifier's Name STEPHEN H.GIBBS License Number 4054 I4 -
Title PRESIDENT HERE Name GIBBS LAND SURVEYORS
Address 2131 HWD.BLVD.,STE.204 City HOLLYWOOD State FL ZIP Code 33020
Signature Date 08-03-2007 Telephone 954-923-7666
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