HomeMy WebLinkAbout517 NW 3 PL GENCY MANAGEMENT
Oa 3L4-v C ` LIE NATIONAL FLOOD INSURANCE PROGRAMCY
O.M.B. No. 3067-0077
P'l I 1 f 0 b ELEVATION CERTIFICATE � Expires December 31, 20C 5
lb'O 5—/ S(7 Important: Read the instructions on pages I.7.
SECTION A-PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME For insurance compairyUse:
JAMES MCCUTCHEON Policy Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No,)OR P.O.ROUTE AND BOX NO.
517 NW 3`d PLACE Company NAIC N ember
CITY
DANIA STATE ZIP CODE
RIDA
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description, tc.) 33004
LOTS 48,49,50&51,BLOCK B,HANSEN NELSON SUBDIVISION,3/76 BROWARD
BUILDING USE(e.g„Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,I necessary.)
RESIDENTIAL --
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM:
##'-##.##" or ##.#####) NAD 1927 NAD 1983 SOURCE: ❑GPS(Type):
❑USGS Quad Map ❑Otter:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER
DANIA 120034 BR COUNTY NAME B3.STATE
BROWARD FLORIDA
64.MAP AND PANEL �I
NUMBER B7I FIRM PANEL B9.BASE FLOOD ELEV4TION(5)
65.SUFFIX 66.FIRM INDEX DATE EFFECTIVE/REVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of looding
X
12011 C 0309 F 1007 8/18/92 _
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in 69.
❑FIS Profile ®FIRM ❑Community Determined
B11,Indicate the elevation datum used for the BFE in B9:®NGVD 1929 Other(Describe):E—
B12.Is the buildinglocated in a Coastal Barrier Resources S stem(CBRS area or Otherwise Prot A ea O A? ❑Other
ar es(Describe):
—
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRE®No Desi nation Date_
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under Construction'
"A new Elevation Certificate will be required when construction of the building is complete. ®Finished Construction
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 At-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3:as 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 NGVD29 Conversion/Comments N/A
Elevation reference mark used BRWD.BM Does the elevation reference mark used appear on the FIRM? ❑Yes ®No
o a)Top of bottom floor(including basement or enclosure) 12. 16 ft.(m)
o b)Top of next higher floor ro 11/15/0 6
o c)Bottom of lowest horizontal structural member V zones only) N/A.—ft.(m) 'n
o d)Attached garage(top of slab) ( N/A.—ft.(m) ° °
11. 81 ft.(m)
o e)Lowest elevation of machinery and/or equipment w cu I L-S. N .3277
servicing the building(Describe in a Comments area) 12.20 ft,(m) a
o f)Lowest adjacent(finished)grade(LAG) E
o g)Highest adjacent(finished)grade(HAG) 12.00 ft.(m) Z m
12. 20
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade N/A °
o 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, 8,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable b fine or im risonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME
ROBERT T.BOGLE LICENSE NUMBER
TITLE L.S.NO.3277
REGISTERED LAND SURVEYOR COMPANY NAME
ADDRESS R.T.BOGLE&ASSOCIATES,INC.
7080 TAFT STREET CITY STATE ZIP CODE
SIGNATURE HOLLYWOOD FLORIDA 33024
DATE TELEPHONE
11/15I06 (954)9618008
FEMA Form 81-31,January 2003
See reverse side for continuation.
Replaces all previous editions