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HomeMy WebLinkAbout133-135 SE 1 Avenue i ©23q i8-- 0 *DERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires July 31, 2002 ELEVATION CERTIFICATE ��3 '02 Important Read the instructions on es 1-7. Sl?MON A-PROPERTY OWNER INFORMATION For Iroxarnce Canpary BUILDING OWNER'S NAME - Policy Number ADELA PATO&IVAN C.PATO BUILDING STREET ADDRESS(Includng Apt.,Unit,Suite,ardor Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIL Number 133.135 S.E.1sr AVENUE CITY STATE ZIP CODE ANIA FL 33004 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) RESIDENTIAL LATITUDEILONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):_ ( #10-##-##.W or ##.#NSW) [INAD 1927 ❑NAD 1983 ❑USGS Quad Map Offier_ SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 131.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER 122.COUNTY NAME W.STATE CITY OF DMIA-120034 BROWARD FL B4.WAND PANEL B5.SUFFIX I B6.FIRM INDEX DATE B7.FIRM PANEL B8.FLOOD ZONE(S) B9.BASE FLOOD ELEVATORS) NUMBER 10-2-97 EFFECTNE MISED DATE AE (Zone AO,use depth of ko ing) 1201IC03M F 8.1892 7.0 610.Indicae the swce of the Base Flood Elevation(BFE)data or bass flood depth entered in B9. ❑FIS Ptob N FIRM ❑Community Determined ❑Other('Desabe): B11.Indicate the elevation datum used for the BFE in 1139:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe): B12.Is the budding located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OWEI Yes ®No Designation bate SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1.Building elevations are based on:❑Construction Drawings* ❑Budding Under Construction* ®Finished Construction *A new Elevation Certificate vAl be regnured when cmmtrucbm of the building is complete. 1 C2.Building Diagram N mtw I(Select the buikirg diagram most similar to the bAding for which this certificate is being canpleted-see pages 6 and 7. If no dlagranj accxrat*represents the bulking,provide a sketch or photograph.) C3.Elevations—Zones Al A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,ARIA,ARIAS,AR/A1-A30,ARIAH,ARIAO Complete Items C&H below ac ording to the Wilding dnagan specified in Item C2.State the datum used..lf the datum is different tram the datrn used for the BFt In Section B.Convert the dadm to that used for the BFE.Shaw field measurements and datum conversion calculation.Use the space provided or the Comments aroa of Section D or Section G,as appropriate,to doament the datum conversion. Datum NGVD Con versiodComrments Elevation refererae mark used COUNTY Does the elevation reference mark used appear on the FIRM? ❑Yes ®No ❑ a)Top of bottom floor(Including basement or enclosure) 8.8 ft(m) o ❑b)Top of mead Inner floor WA._1(m) 9 ❑c)Bottom of lowest horizontal stuct ral member(V zones onl ) NIA. ❑ a)Attached pap(top of slab) WA._ft(m) w o / ❑ e)Lowest elevation of machinery and/or equipment 9 9 8.3ftN ❑ Q Lowest adjacent grade(LAG) 8..a(m) z'.L ❑ 9) t grade(HAG) 8.3t MSO ❑ h)No.of permanent openings(flood vents)within 1 It.above adjacent grade 0 ❑ )Total area of all permanent openings(flood vents)in C31h NA sq.in.(sq.cm) 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 in Sections A,B,and C on this cerlificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by#ne or imprisonment under 18 U.S.Code,Section 1001. CERTIFIERS NAME STEPHEN H.GIBBS LICENSE NUMBER 4054 ~ TITLE PRESIDENT COMPANY NAME GIBBS LAND SURVEYORS ADDRESS CITY STATE ZIPCODE 1 ow SUTURE t( / DATE TELEPHONE M'27m QFA-Qn7FM FFUA Frum Al i1 AI IA Aq AFF RFVFRfiF SIrhF FOR MKITINI IATION RFPI Ar`FS Al 1 PRFV101 IR FnrTInN.R