HomeMy WebLinkAbout5981 SW 37 Ter I
CROWN=5.64' O.M.B. No. 3067-0077
r TDERAL EMERGENCY MANAGEMENT AGENCY r
( NATIONAL FLOOD INSURANCE PROGRAM . Expires December 31, 2005
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
MARIO DAVID CERA
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
5981 S.W.376'.TERRACE
CITY STATE ZIP CODE
DANIA BEACH FL 33312
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
PORTION OF PARCEL A,PB 77,P-a) __
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL _
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS(Type):
( ####°-#li'-#q#.###" or ##,#°) ❑NAD 1927 ❑NAD 1983 0 USGS Quad Map ❑Other:
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1 NFIP COMMUNITY NAME&COMMUNITY NUMBER 82 COUNTY NAME 83 STATE
BROWARD COUNTY UNINCORPORATED 125093 BROWARD FL
84 MAP AND PANEL B7.FIRM PANEL 89.BASE FLOOD ELEVATIO 1(S)
NUMBER 85 SUFFIX 136.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone AO,use depth of flood)g)
12011C308F F 3/2/97 8/1892 X N/A
B10.Indicate the source of the Base Flood Elevation(BFE)data a base flood depth entered in B9.
❑FIS Profile ®FIRM 0 Carmunity Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE in B9:®NGVD 1929 0 NAVE)1988 0 Other(Describe):
B12.Is the buidng located in a Coastal Barter Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ®No Designation Date -
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
--
Cl.Bulking elevations are based on:❑Construction Cravings* 0 Buiking Under Construction" ®Finished Construction
'A new Elevation Certificalo will be required when construction of the buidung is complete.
C2.Buiking Diagam Number 1(Select the bilking ciagarn most similar to the buiking for which this certificates being corrpleted-see pages 6 and 7. If no dagam
accurately represent the building,provide a sketch or photogaph.)
C3.Elevations—Zones Al-A30,AE,AH,A(At BFE),VE,V1-V30,V(with BFE),AR AR/A AR/AE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3.-a-i below accaring to the buidng dagam specified in Item C2.State the datum used If the datums dfferent tun the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Storm field measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropriate,to docunent the datum conversion.
Datum NGVD 1929 Conversion/Canments N/A
Elevation reference mark used BCBM Does the elevation reference mark used appear on the FIRM? 0 Yes ®No — -----"\
o a)Top of bantam floor(inducing basement a enclosure) 9. 05 R(m)
o b)Top of next higher floor N/A. ft(m) /
o c)Bohan of lowest horizontal structural member(Vzones any)) WA._tt(m) 31 w o d)Attached garage(topof slab) 8. 15 ft.(m) E 7
Ca
o e)Lowest elevation of machinery and/r equipment „ -
servicing the building(Desaibe in a Comments area) 8.10 R(m) _�i/ S (C>
o f)Lowest adjacent(finished)Bade(LAG) 7.45 tt(m) rrit C -
o g)Highest adjacent(finished)Bade(HAG) 7. 60 It(m) u v 0
o h)No.of permanent openings(flood vents)witlmn 1 is abovelade
adjacent de WA Z _
o )Total area of al permanent openings(flood vents)in C3.h WA sc}in.(sq am)
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This certification s to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I cerJ'fy that the information in Sections A,B,and C on thus certificate represents my best efforts to interpret the data available.
I understand that any false statement.may kee punishable by fine or imprisonment under 18 U.S.Code,Section 1001.
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CERTIFIER'S NAME_ANtANO J.GARCIA LICENSE NUMBER 5105
TITLE .•I D SURVEYOR AND MAPPER ,,.
COMPANY NAME
le DRESS CITY STATE ZIP CODE
7210 S.W.12 a MIAMI FL 33183
SIGNA ''I DATE TELEPHONE
01-20-2004 305-595-2824