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Home My WebLink About180 SW 18 Ave *JERAL EMERGENCY MANAGEMENT AG�116Y O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -7. SECTION A-PROPERTY OWNER INFORMATION - For Insurance Company Use- BUILDING OWNER'S NAME Policy Number COED Stirling Road LLC dba n BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,a OUT AND BOX NO. Company NAIC Number 180 S.W. 18th Avenue CITY STATE ZIP CODE Dania Beach Florida 33004 PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) „ HILTON GARDENS AT STIRLING ROAD" PARCEL "A" BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.) Non Residential LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM. SOURCE: L_I GPS(Type): N/A or lJ NAD 1927 lJ NAD 1983 LJ USGS Quad Map L_l Other N/A N/A SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE Dania Beach; 120034 Broward I Florida 84.MAP AND PANEL 65.SUFFIX B6.FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATI N(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding) 12011C0308 F 10/2/97 8/18/92 N/A B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in N/A J FIS Profile 1J FIRM (_J Community Determined J Other(Describe): B11. Indicate the elevation datum used for the BFE in 139:1J NGVD 1929 U NAVD 1988 1_1 Other(Describe): N/A B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 1J Yes 1.Xj No Designation Date: N/A SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) C1. Building elevations are based on: JJConstruction Drawings* IBuilding Under Construction* IXJFinished Constructi *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being complete-se pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.) t C3. Elevations—Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different I rom 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 of Section D or Section G, as appropriate,to document the datum conversion; Datum NGVD' 2 9 Conversion/Comments N/A El ev n reference mark used N/A Does the elevation reference mark used appear on the FIRM? I_�Yes LX1 No cy Jeffrey R. Wagner ❑ b)Top of next higher floor N/A —ft.(m) . PLS #5 3 0 2 LB #3'5 91 ❑ c)Bottom of lowest horizontal structural member(V zones only) N/A —ft(m) $ State O f on ❑ d)Attached garage(top of slab) N/A —ft'(m) m Date• 4 ❑ e)Lowest elevation of machinery and/or equipment servicing the building(Describe in a.Comments area.) N/A —ft•(m) ❑ f)Lowest adjacent(finished)grade(LAG) N/A —ft.(mr Z. - ❑ g)Highest adjacent(finished)grade(HAG) N/A ft.(m) L ❑ h)No. of permanent openings(flood vents)within 1 ft.above adjacent grade N/A ❑ i)Total area of all permanent openings(flood vents)in C3.h N/A 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, 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. l understQnd that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. C TI I R'S NAME LI ENSE NUMBER e rey R. Wacfner, P.L.S. ; 5302 LB #3591 TI LE COMPANY NAME Survey Coordinator Caulfield & Wheeler Inc. AD RE S CITY STATE ZIP CODE 7301A W. Palmetto Park Road. #100A, Boca Raton, Florida 33433 SIGNATURE ' /13/04 TELEPHONE( 392-1991 FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous ditions IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Policy Number 180 S.W. 18th Avenue C� Dania Beach, Florida 33004 STATE ZIP CODE Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official, (2)insurance agent/company, and(3)building owner. COMMENTS Finish Floor Elevation = 12. 75 I 1 Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE). For Zone AO and Zone A(without BFE), complete Items El.through E5. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,Section C must be completed. El. Building Diagram Number N/A (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.) E2.The top of the bottom floor(including basement or enclosure)of the building is NV-4 ft. (m)IJJ in.(cm)I above or 1J below (check one)the highest adjacent grade. (Use natural grade, if available:) E3. For Building Diagrams 6-8 with openings(see page 7),the next higher floor or elevated floor(elevation b)of the building is WIA I ft.(m)1JJin.(cm)above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4.The top of the platform of machinery and/or equipment servicing the building is (m)IJJ in. (cm)1J above or 1_1 below . (check one)the highest adjacent grade. (Use natural grade, if available.) E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?p1/lAfes i 1 No 11 Unknown The local official must certify this information in Section G SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,C(Items C3.h and C3.i only),and E for Zone A (without a FEMA-issued or community-issued BFE)or Zone AO must sign here. The statements in Sections A, 8, C, and E are correct to the best of my knowledge. PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME �1 N/A ADDRESS CITY STATE ZIP CODE N/A SI Nq A RE DATE TELEPHONE" CON///EANTS I 1 Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E),and G of this Elevation Certificate. Complete the applicable item(s)and sign below. G1NIIM The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer,or architect who is authorized by state or.local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments.area below.) G2N�,_I A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or T� Zone AO. G::kM The following information(Items G4-G9)is provided for community floodplain management purposes. G4.PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY N/A N/A ISSUED N/A G7.This permit has been issued for N A New Construction JJ Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building is: N/A —ft.(m) Datum: N/A G9. BFE or(in Zone AO)depth of flooding at the building site is: N/A ft.(m) Datum: N/A N/A LO AA OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE N/A SIGNATURE DATE N/A COMMENTS Check here if attachments FEMA Form 81-31,January 2003 Replaces all previous editions