HomeMy WebLinkAbout201 E. Sheridan St — a FERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
7— Qb 0 NATIONAL FLOOD INSURANCE PROGRAM � Expires December 31, 2005
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ELEVATION CERTIFICATE
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Im rtant: Read the instructions on pages 1.7,
SECTION A-PROPERTY OWNER INFORMATION Fa tnsuarxeGxrp"Asa:
BUILDING OWNER'S NAME Policy Nmib r
FIRST BAPTIST CHURCH OF DANIA
BUILDING STREET ADDRESS(Including Apt.,Unft,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO, Company NAIL Number
201 SHERID.AN STREET
CITY ^— -- STATE --- ZIP CODE
CITY OF DANIA BEACH FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOTS 19&20,BLOCK 3,LOTS 16-18,BLOCK 3,ST.JAMES PARK-NORTH(PB.3,PG.33 B.C.R.) —
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
CHURCH _
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS(Type):
( ##°•##'•##.W or ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Ofker.
SECTION B-FLOOD_ INSURANCE RATE MAP(FIRM)INFORMATION
Bt NFII'COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
CT/OF DANIA BEACH•120034 BROWARD FL
B4,MAP AND PANEL. - T�- B7.FIRM PANEL B9.BASE FLOOD ELEVATfON(�i5
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of IlDodrg)
12011C0309 F 1&2.97 B-18.92 T � AE 6.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:0 NGVD 1929 ❑NAVD 1988 ❑Other(Describe):
B12 is the building located in a Coastal Bamer Resources System(CBRS)area or Otherwise Protected Area(OPA)? []Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction* ®Finished Construction
*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 bang completed-see pages 6 and 7. If no diagrayn
am-arately represents the building,provide a sketch or photograph.)
C3.Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,VI-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARIAO
Complete Items C3.-aA 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
Seaaon B,oxiver1 the datum to that used for the BFE.Show field measurements and datum conversion calculation. Use the space provided or the Comments area of
Secdw D or Section G,as appropriate,to document the datum conversion.
Dr tum NM ConvetsionfComments__
Elevation reference mark used COUNTY Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
0 a)Top(f bottom floor(including basement or enclosure) Q. lit-0)
b)Top of next higher floor I A. ft.(m)
J(;)Bottom of bNest horizontal structural member(V zones only) NIA. ft.(m)
G d)Attached garage(top of slab)
G e)Lowest elevation of machinery and/or equipment `U Ca � ,Q
servicing the building(Describe in a Comments area)
Ct f l Lowest adjacent(finished)grade(LAG) 7.4 ft.(m) z' ,
U g)Highest adjacent(finished)grade(HAG) 8. aft-0) i 7 �
Q h)No,of permanent openings(flood vents)within 1 ft.above adjacent grade 0 D
U i)Total area of all permanent openings(flood vents)in C3.h g 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 certiry that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
f understand that any false statement may be punishable by fine or_iMpr Qnment under 18 U.S.Code, Section 1001.
CERTIFIERS NAME STEPHEN H.GIBBS LICENSE NUMBER 4054
fff1.E PRESIDENT -�— - ---- ----------------- -- COMPANY NAME GIBBS LAND SURVEYORS
ADDRESS - --�--�----- CIiY - STATE ZIP Cox ----
2131 HOL.YWOOD BOULEVARD,SUTrE 204 HOLLYWOOD FIL 33020
--DATE'--— ----_ — TELEPHONE ---- - -- —
SIGI`Jt+TLIAE ��� , _
FEMA Form 81.31,January 2003 See reverse side for continuation. Replaces all previous editions