HomeMy WebLinkAbout240 NW 12 Ave a— FeDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
jATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200�
a3� ELEVATION CERTIFICATE
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SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
DANIA ECONOMIC DEVELOPMENT CORPORATION
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
4,NVV 12�ul AVENUE
CITY STATE ZIP CODE
DANIA BEACH FL 33004
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A PORTION OF PARCEL"A",COLLINS PARC PLAT No.2,P.B.155/33,BROWARD.
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
MULTI-FAMILY RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( #if-;W-##.##" or ##. ) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other:
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 FL
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATIO V(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zane AO,use depth of floWiig)
12011CO308 F 08/18/92 08/102 AE 7.0
B10.Indicate the source of the Base Flood Elevation(BFE)data or base food depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in 89:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe):
B12 Is the building located in a Coastal Barrier 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 bulding is complete.
C2.Building Diagram Number 1 (Select the building diagram most similar to the building forwhich 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,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a-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 N/A
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ZNo
❑a)Top of bottom floor(including basement or enclosure) 8. 1 ft(m) m I
❑b)Top of next higher floor 118.0 it
❑c)Bottom of lowest horizontal structural member(V zones only) N/A._ft(m) 8 o
❑d)Attached garage(top of slab) N/A. =ft(m) w
❑e)Lowest elevation of machinery and/or equipment i '6
servicing the bulling(Describe in a Comments area) 8.0 ft(m) E 16
❑�Lowest adjacent(finished)grade(LAG) 4.8ft(m) Z ,'
❑g)Highest adjacent(finished)grade(HAG) 8. 0 ft(m) —m
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0
❑ i)Total area of all permanent openings(flood vents)in C3.h 0 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
Francisco A.Aguirre,P.E.,P.L.S. LICENSE NUMBER LS#3354
TITLE
JwNgineer/Surveyor COMPANY NAME Associated Engineers and Surveyors Design Group,Inc. _
RESS CITY STATE ZIP CODE
S.University 241 Davie FI 33328 _
TLIRE DATE TELEPHONE
U'W 05/16/03 (954)791-2110 __