HomeMy WebLinkAbout410 NW 3 Ter O.M.B. No.NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE / _ 7Oo7/
Important: Read the instructions on pages 1-7.
BUILDING OWNER'S NAME SECTION A PROPERTY OWNER INFORMATION
DOUBLE'D' PROPERTIES, LLCI For Insurance Comi�anyUse:
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO Policy Number
UI D 3 TERRACE
CITY Company NAIC Numb r
DANIA STATE
FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ZIP CODE
33309
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL)
LATITUDE/LONGITUDE
-#D'-LO.N#" or E(OPTIONAL)
HORIZONTAL DATUM:
❑NAD 1927 ❑NAD 1983 SOURCE: ❑GPS(Type):
❑USGS Quad Map ❑Ocher:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
61.NFIP COMMUNITY NAME&COMMUNITY NUMBER
______,
CITY OF DANIA 120034 B2.COUNTY NAME
BROWARD B3.STATE
64.MAP AND PANEL FL
NUMBER 65.SUFFIX B6.FIRM INDEX DATE B7.FIRM PANEL
12011C0309 F EFFECTIVE/REVISED DATE 89.BASE FLOOD ELDIATION(S)
10/2/97 8/18/92 B8.FLOOD ZONES) (Zone AO,use depth o tbodlrx l)
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9. X
❑FIS Profile ®FIRM
B11.Indicate the elevation datum used for the BFE in 8�9.®NGVD 1929 Community De 1988 rmined ❑Other(Describe):
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise ProOt dA ❑Are El Other(Describe): .
a(OPA)? Yes
Eg
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIR®No Designation Date
C1.Building elevations are based on:Q Construction Drawings*
Under
*A new Elevation Certificate will be required when construction of the buildinlg is ldin complete.Construction* El Finished Construction
C2.Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the building,provide a sketch or photograph)
C3.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 g
Complete Items C3.-a-i below according to the building diagram specified in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area 1
Section D or Section G,as appropriate,to document the datum conversion,
Datum Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM?
❑ a)Top of bottom floor(including basement or enclosure) 13. 1 ft.(m), Yes ®No
To
0 b)Top of next higher floor
❑ c)Bottom of lowest horizontal structural member(V zones only) N A ft(m) �,
0 d)Attached garage(top of slab) N A ft.(m) N
❑ e)Lowest elevation of machinery and/or equipment N. A ft(m) o
wm
servicing the building(Describe in a Comments area) a
❑ f)Lowest adjacent(finished)grade(LAG) N.A ft.(m) n
❑ g)Highest adjacent(finished)grade(HAG) 10.9 ft.(m) �\'v
z m
❑ h)No.of permanent openings(flood vents)within 1 fl.above adjacent grade NA
11 5 ft.(m) N
❑ i)Total area of all permanent openings(flood vents)in C3.h NA sq.in.(sq.cm)
J
SECTI
N D-
This certification is to be signed and sealed by a0land surveyor,engiRneeNor architect
cOa ARCHITECToZ CERTIFICATION
I certify that the information in Sections A, B, and Con this certificate represents my best efforts to interpret the data available.
I understand that an false statement ma be punishable by fine or im risonment under 18 U.S. Code,w too certifyn1 elevation information.
CERTIFIER'S NAME:WILLIAM MICHAEL CARRSection 001.
LICENSE NUMBER 5092
TITLEVICE PRESIDENT
COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS
5950 W OAKLAND PARK BLVD#108 CITY STATE
SIGNATURE LAUDERHILL ZIP CODE
DATE FL 3313
1/09/04 TELEPHONE •
954-777-4747
FEMA Form 81-31,January 2003
See reverse side for continuation.
Replaces all previous ed tions