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Home My WebLink About3071 SW 44 St U.S.DEARTMENT OP HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 2)15 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Compan) Use: Al. Building Owner's Name Andre Gagnon and Francine Gagnon Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number 3071 SW 44 Street City Dania State FL ZIP Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Lot 17,Schooner Ridge,ID#5042 29 0170 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude:Lat. 26 04'03.18'N Long. 80 11'02.13'W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number IA A8. For a building with a crawl space or enclosure(s),provide A9. For a building with an attached garage,provide: a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage 440 sq ft b) No.of permanent flood openings in the crawl space or b) No.of permanent flood openings in the attached garage enclosure(s)walls within 1.0 foot above adjacent grade 0 walls within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in AB.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in d)Engineered flood openings? ❑Yes No d)Engineered flood openings? Oyes No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name 83.State Unincorporated Broward County,120035 Broward FL 134.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel Effective/Revised B8.Flood Zone(s) 69.Base Flood Elevation(s)(Zone AO, 12011C0306 F 08/18/1992 Date AE use base flood depth) 08/18/1992 8' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. 0 FIS Profile ®FIRM ❑Community Determined 0 Other/Source: 811. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑NAVD 1988 0 Other(Describe) 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Oyes No Designation Date / / 0 CBRS 0 OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings' ❑Building Under Construction* ®Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-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 C2.a-h below according to the building diagram specified in Item A7.Use the same datum as the BFE.In Puerto Rico only,enter meters. Benchmark Utilized: County Datum Vertical Datum: NGVD Indicate elevation datum used for elections in items a)through h)below. ® NGVD 1929 ❑ NAVD 1988 0 Other/Source: _ Datum used for building elevations must be the same as that used for BFE. Check the measurement used. a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.08 ®feet ❑meters b) Top of the next higher floor 18.08 .0 feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A 0 feet 0 meters d) Attached garage(top of slab) 7_5 ®feet 0 meters e) Lowest elevation of machinery or equipment servicing the building IQ ®feet 0 meters (Describe type of equipment in Comments) f) Lowest adjacent(finished)grade(LAG) L.Q, ID feet 0 meters g) Highest adjacent(finished)grade(HAG) 7_2 ®feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A 0 feet 0 meters structural support 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. / certify that the information 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. I i ® Check here if comments are provided on back of form. Were latitude and longitude in Damon A provided by a CK Check here if attachments. licensed land surveyor? ❑Yes ®No '��,P(IFI A � Certifier's Name Patrick K.Ireland License Number 6637 . Q�'Gl �'�CC'aiO ;a Title Professional Land Surveyor&Mapper Company Name Ireland&Associates Surveying,Inc. 'p NO.6637 1 w '^ • STATE OF a m -. Address 5725 Wayside Drive Suite 1002 City Sanford State FL ZIP Code 32771 ,N g 91,9< PLORlOP. oe s 6 Signature a [ y.a - ' AHO 500. 9 Date 8/26/2013 Telephone 407-678-3366 - FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 3071 SW 44 Street Policy Number City Dania State FL ZIP Code 33312 Company NAIC Number SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agenttcompany,and(3)building owner. .M Comments Lowest Machinery=A/C Pad Signature Date 8/26/2013 ❑ Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El-E5. If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items El-E4,use natural grade,if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet 0 meters 0 above or 0 below the HAG. b)Top of bottom floor(including basement,crawl space,or enclosure)is 0 feet ❑meters ❑above or 0 below the LAG. E2. For Building Diagrams 6-8 with permanent flood openings provided in Section A Items 8 and/or 9(see page 8 of Instructions),the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet 0 meters 0 above or 0 below the HAG. E3. Attached garage(top of slab)is 0 feet 0 meters 0 above or 0 below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters ❑above or 0 below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance'? 0 Yes ❑ No 0 Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owners authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone Aid must sign here. The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of thi>Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8.and G9. G1.0 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is author zed by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.0 A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.0 The following information(Items G4.-G9.)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6_ Date Certificate Of Compliance/Occupancy Issued G7.This permit has been issued for: 0 New Construction ❑Substantial Improvement G8.Elevation of as-built lowest floor(including basement)of the building: 0 feet 0 meters(PR)Datum G9.BFE or(in Zone AO)depth of flooding at the building site: ❑feet 0 meters(PR)Datum G10.Community's design flood elevation 0 feet 0 meters(PR)Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments FEMA Form 086 0 33(7/12) Replaces all previous edrions ELEVATION CERTIFICATE,page 3 Building Photographs Continuation Page IMPORTANT: In these spaces,copy the corresponding information from Section A FOR INSURANCE COMPANY USE Building Street Address(including Apt.Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 3071 SW 44 Street City Dania State FL ZIP Code 33312 Company NA If submitting more photographs than will fit on the preceding page,affix the additional photographs below. Identify all photographs with:date taken;"Front View"and"Rear View";and if required,"Right Side View"and"Left Side View."When applicable,photographs must show the foundation with repres4antative examples of flood openings or vents,as indicated in Section A8. Front View 8/23/2013 • yam• Air #iw FEMA Form 086-0 33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE,page 4 Building Photographs Continuation Page IMPORTANT: In these spaces,copy the conespondirg Informaliot from Section A FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number 3071 SW 44 Street City Dania State FL ZIP Code 33312 PenyNACNumber tf submitting more photographs than will fit on the preceding page,affix the additional photographs below. Identify all photographs with:date taken;"Front View" and"Rear View";and if required,"Right Side View"and"Left Side View."When applicable,photographs must show the foundation with representative examples of flood openings or vents,as indicated in Section A8. Rear View 8/23/2013 l .,,;' 4 'r.' _ sA i .. �— * .c, w$y ,,>t 1 .eifl , .�.. 1 P f "-v ,, / I � I b s = S x "i + a CM t, ro s s4`� FEMA Form 086-0-33(7/12) Replaces all previous editions