HomeMy WebLinkAbout851 W Dania Beach Blvd FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 20C2
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
Victory Living Programs, Inc.
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg. No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
851 West Dania Beach Boulevard
CITY STATE ZIP CODE
Dania Beach FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
A portion of Block 2"Henry Park"24-27 Broward County Records
BUILDING USE(e.g., Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.)
Residential
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS(Type):
( ##°-##'-##.##" or ##. 0) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B-FLOOD INSURANCE RATE MAP (FIRM)INFORMATION
FB NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
nia Beach 120034 Broward FL
B4. MAP AND PANEL B5.SUFFIX B6. FIRM INDEX B7.FIRM PANEL B8.FLOOD B9.BASE FLOOD ELEVATIONS)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding)
12011CO308 F 10/02/97 08/18/92 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 (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 C3a-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 conve rsion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate,to document the datum conversion.
Datum None Conversion/Comments None
Elevation reference mark used BC. ENG. Does the elevation reference mark used appear on the FIRM? ❑Yes ® No
o a)Top of bottom floor(including basement or enclosure) 8. Oft. M
o b)Top of next higher floor NONE ._ft.
o c Bottom of lowest horizontal structural member(V zones only) N Aft
o d)Attached garage(top of slab) NONE. _ft. w Mr�\
o e)Lowest elevation of machinery and/or equipment 6
servicing the building AC 7. 5 ft. E M
o f)Lowest adjacent grade(LAG) 7 .4 ft. Z in i v 10�o
o g)Highest adjacent grade (HAG) 7•8ft. "_
o h)No.of permanent openings (flood vents)within 1 ft. above adjacent grade None
o i)Total area of all permanent openings 3h None sq.in. (sq. cm)
TION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION
This certification is to b gned and sealed by a land surveyor, gineer,or architect authorized by law to certify elevation information.
I certify that the in mation ' echo ,8, and C on this c iftcate represents my best efforts to interpret the data available.
I understand t a fals st �ement ma a unishabl fine or im risonment under 18 U.S. Code, Section 1001.
CERTIFIE NAME OBE T WCKSON,A, LICENSE NUMBER 4158
TITLE OFESSIONAL U EYO AND M COMPANY NAME CALVIN,GIORDANO AND ASSOCIATES,INC.
ADDRESS CITY STATE ZIP CODE
WIN AT ^ , DATE TELEPHONE
K/ Q Q� 954-9 1-778
FEMA Form 81-31,AUG 99 EE REVERSE SIDE FOR C NTINUATION REPLACES ALL PREVIOUS EDITIONS
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