HomeMy WebLinkAbout209 NW 14 Ct 'DERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-007-1
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31 200E
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company L se:
BUILDING OWNER'S NAME Policy Number
CURE
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
209 N.W.1 e Court
CITY STATE ZIP CODE
City of Dania FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
North 1/2 Lot 9,Block 2-SWUN GARDENS (26/37)
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
or ##.####tt°) ❑ NAD 1927 ❑NAD 1983 ❑ USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
City of Dania 120034 Broward FLorida
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVA'ION(S)
NUMBER 85.SUFFIX B6.FIRM INDEX DATE EFFECTIVEREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of floAing)
12011C 0308 F 10/Z57 8/18r92 "AE" 7
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:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe):
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(CPA)? ❑Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
01 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 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,V1430,V(with BFE),AR,AR/A,ARAAE,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 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 of
Section D or Section G,as appropriate,to document the datum conversion.
Datum_ Conversion/Comments-A/C Pad
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
a)Top of bottom floor(inducting basement or endosure) 8, it(m) CU
b)Top of next higher floor N.A ft.(m)
c)Bottom of lowest horizontal structural member(V zones only)
d)Attached garage(top of slab) N. A ft.(m) w \`
e)Lowest elevation of machinery and/or equipment
servicing the building(Describe in a Comments area) -8.1 ft.(m) E
f)Lowest adjacent(finished)grade(LAG) 7.3 ft.(m) Z
g)Highest adjacent(finished)grade(HAG) Z. P.0)
h)No,of permanent openings(flood vents)within 1 ft.above adjacent grade 0 J
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.
I certify that the information in Sections A,B,and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001
CERTIFIER'S NAME: JERALD A.McLAUGHLIN LICENSE NUMBER: 5269
TITLE: PRESIDENT COMPANY NAME: McLAUGHLIN ENGINEERING COMPANY
ADDRESS CITY STATE ZIPCODE
400 JW McLaughlin Ave(NE 31d Ave) Fort Lauderdale FL 33301
SIG DATE �954
PHONE
10/1/03 63.7611
FEMA Form 81-31,January 2003 See reverse side for continuation. ---Replaces all previous editions