HomeMy WebLinkAbout42 Sw 5 Ave NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
ELEVATION CERTIFICAT Expires December 31, Zoo;
E
Read the instructions on 1-7.
BUILDING ____'S IAA_ SECTION A-PROPERTY OWNER IIFORIYIMTION Forir>euanosunter 11
DOUBLE D PROPERTIES i
BUILDING STREET ADDRESS(inducting Apt,Unit,Suite,and/or
42 SW 5 AVENUEBldS.No.)OR P.O.ROUTE AND BOX NO. CompanyNAlC thither
CITY
DANIA STATE ZIP CODE
PROPERTY DESCRIPTION(Lot and Block FL 33004
NA
Nnrnbers,Tax Parcel Number,Legal Description,etc.)
BUILDING (e.g.,Resided,Non-residential,Addition,Accessory,etc. Use a Comments area,firnecessary,)
LATITUDEWILONGITUDE(OPTIONAL) HORIZONTAL DATUM:
(WV-#Ar- arWar or ❑NAD 1927 ❑NAD 1983 SOURCE: caps(Type):
❑USGS Quad Map 0 Off;
SECTION B-FLOOD INSURANCE RATE MAP INFORMATION
81.IVFP COMMJN(1y NAME&COMMUNITY NUMBER 81 COUNTY NAME CRYOF DANIA 120034 BROWARD H. STATE
134.MAP AND PANG
StFD( B6.FIRM pOD(OWTE B7.FRM PANE B9.BASE FLOOD ELEV • S)
12011C0309 F 10/2/97NUMBER 85. vIS®UATE ::.FLOOD ZOPE(S) (Zane AO,use otAlodr�
B10.Indicate the source of the Base Flood Bevafion(BFE)data or bees flood depthn B9.entered in 9. WA
❑FIS Profile ®FIRM ❑Cornmtmfiy Determined ❑Other(Desobe):
B11.Indicate the elevation datum used fix the BFE in 89:®NGVD 1929
B12 Is the bu located Ina Coastal Barrier Resources0 NAVD 1988 0 Other(Desrxb
CBRS area orOlherwb eProtecedArea CPA ❑Yes No Dale
SECTION C-BUILDING ELEVATION INFORMATION SURVEY REQUIRED
Cl,Bulding elevations are based on:0 Construction Dra ngs* 0 Bu king Under Construct
*A new Elevation Cerf ate wit be required when oonstudon of the buldingIs ®F latest Construction
C2.Buldhg Diagram Number1(Seled the bind' d fib.
acn,rately represents the buid p mograi h.) the bolding brwtdch ttdsaertirnate is being completed- pages 6 and 7. �rnodia�am
tg,Provide a sketch orphotograph.)
CO.Elevations—Zones A1-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 C3.-•t below aocon:O g b the bribing diagram specified in Item C2 State the datum used.If the datum is different from the datum used for the BFE ii
Section Section B,coned the datum b that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments aeon!
DatumD or Section G,as appropriate,to document the drum conversion.
rsnorn/Commerds
Bevadon reference mark used
❑a)Top of bottom floor(including Does the elevation reference mark used appear on the ARM? ❑Yes ®No
f ngbasementorendosure) 12 8ft(m)
❑b)Top of next higher floor
❑c)Bottom of lowest horizontal sbnuctural member
N z �Y) N IV.A ft(m)
.A ft(m) aY1 '
t]d)Altaoh dgarage(bpofslab) N. A ft(m) 1121
as
GI e)Lowest elevation of machinery andbrequipmexnt
servkxg the buldng(Desabe n a Comments area) W
CI f)Lowest adjaoent(finished)grade MG) 12.4 ft(m) Q
❑g)Highest adjacent(finished)grade HA 1.8 ft(m) z ����
g (HAG) 12 1 ft(m) § 0\
❑h)No.of permanent openings(flood vents)within 1 ft above adjaoernt grade WA
GI)Total area of all permanent openings(flood vents)in C3.h MA.in.(sq.om)
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 lnformatron in Sections A,B,and Con 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.
CERTIFIER'S NAME WILLIAM MICHAEL CARR
LICENSE NUMBER 5092
TITLEVICE PRESIDENT COMPANY NAB E ALL COUNTY SURVEYORS
ADDRESS
5950 W OAKLAND PCITY
LAU r STATE ZIP CODE {
LAUDERHILL . FL 33313
DATE TELEPHONE
911803 954-777.4747