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U.S.-DEPARTMENT RTMENT OF HOMELAND SECURITY' ELEVATION CERTIFICATE OMB No. 1560 000,V
Federal Emergency Management Agency
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National Flood Insurance Program
Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Ccmpan.7Use:
Policy Number
Al. Building Owner's Name Quantum Homes, Inc.
A2. Building Street Address(including Apt.,Unit,Suite, and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number
4745, 4749,4753,4757,4761 S.W.39th Way BLDG#4
City Dania Beach State Fl ZIP Code 33312 07- Ss9 0(0 I
-17
A3. Property Description (Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Parcel A,AQUA ISLES PLAT,Plat Book 176,PAGES 163-165,Broward County Records,Florida 033 00
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential NAD 1927 ® NAD 1983
A5. Latitude/Longitude:Lat.26-03-54 Long.-80-11-57 Horizontal Datum: 0
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number #1 wi
th For a an attached garage,provide:
A8. For a building with a crawl space or enclosure(s),provide A9. a)Square f building ge of attached garage
a) Square footage of crawl space or enclosure(s) sq ft b)No.of permanent flood openings in the attached garage
b) No. of permanent flood openings in the crawl space or enclosure(s) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade s in c)Total net area of flood openings in A9.b sq in
c) Total net area of flood openings in A8.b q
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B3. State
B1. NFIP Community Name&Community Number B2. County Name Florida
City-of Dania Beach 120034 Broward
B4. Map/Panel Number B5.Suffix B6. FIRMM Index
Date Effective/Revised B7. IMPanel
Date B8. FlooAdE Zone(s) B9.Base Flood AO use bassleva flood depth)
(s)(Z
12011C0302 F 8'
8-18-92
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9.
0 FIS Profile 0 FIRM 0 Community Determined 0 Other(Describe)
B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 0 Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS)area or Otherwise Protected Area(OPA)? Oyes No
Designation Date ❑ CBRS 0 OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on: 0 Construction Drawings* 0 Building Under Construction" ® Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
C2.Elevations-Zones A1-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-g
below according to the building diagram specified in Item A7.
Benchmark Utilized Vertical Datum NGVD 1929 Check the measurement used.
Conversion/Comments
9.0 ®feet El meter (Puerto Rico only)
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 18 8 ®feet 0 meters(Puerto Rico only)
o b) Top of the next higherfloor
N.A ❑feet El meters(Puerto Rico only i
c) Bottom of the lowwestthorizontal structural member(V Zones only) N A 0 feet El meters(Puerto Rice only)
d) Attached garage(top of slab) 9,1 1E feet ❑ meters(Puerto Ricc only)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment in Comments) g,4_❑feet ❑ meters(Puerto Rico only)
f) Lowest adjacent(finished)grade(LAG) 86 0 feet 0 meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) _
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 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.
®Check here if comments are provided on back of form.
Certifier's Name Donald L.Cooper License Number 6269
Title Professional Surveyor and Mapper Company Name Calvin,Giordano&Associates,Inc. •' .
Address 1800 Iler Drive City Ft.Lauderdale State Fl ZIP Code 33316
Signature / Da 04- 1-08 Telephone 954-921-7781
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FEMA Form 81-31, February 2006 See reverse side for continuation. Replaces all previous editions
