HomeMy WebLinkAbout505 NW 3 Ter rCucrwL CIVICKutINU T IVIANAhtIVItN I AULNl,T O.M.B. No. 3067-0077
doNATIONAL FLOOD INSURANCE PROGRAM - Expires Derember 31, 200E
ELEVATION CERTIFICATE �_6 20
Important: Read the instructions on pages 1.7. , r
SECTION A-PROPERTY OWNER INFORMATION V For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
DOUBLE D, LLC
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Numbe,
505 NW 3 TERR.
CITY STATE ZIP CODE
DANIA 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 a Comments area,if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##0-##'-##,##" or ##.### #0) ❑NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
__7
B1.NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2.COUNTY NAME B3.STATE -
CITY OF DANIA 120034 BROWARD FL.
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATIONS)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flooding)
12011 CO309 F 10/2197 8118/92 X WA
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(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 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-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
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
❑ a)Top of bottom floor(including basement or enclosure) 13. 5 Nm)
❑ b)Top of next higher floor N.A ft.(m)
❑c)Euaom of lowest horizontal structural member(V zones only) N._{ft.(m) 00
❑ d)Attached garage(top of slah) N. A ft.(m)
❑ e)Lowest elevation of machinery and/or equipment W
servicing the building(Describe in a Comments area) 13.4 ft.(m) 2 I�
❑f)Lowest adjacent(finished)grade(LAG) 12.8 ft.(m) z'�
❑ g)Highest adjacent(fnished)grade(HAG) 13. 0 ft.(m)
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A
LJ i)Total area of all permanent openings(flood vents)in C3.h 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 certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. _
CERTIFIER'S NAME:WILLIAM MICHAEL CARR LICENSE NUMBER 5092
TITLEVICE PRESIDENT COMPANY NAME ALL COUNTY SURVEYORS
ADDRESS CITY STATE ZIP CODE
5950 W OAKLA D PARK BLVD#108 LAUDERHILL FL 333131,
SIGNATURE DATE TELEPHONE
6/17/04 954-777-4747
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions