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Home My WebLink About5401 SW 27 Ter DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION CERTIFICATE IMPORTANT:FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number 1660-0008 1 113 0/2018 n 8 Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(1)building owner. SECTION A-PROPERTY INFORMATION FORM INSURANCE COMPANY USE Al. Building Owner's Name Robert Julian&Donna Julian Policy Number A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIL 5401 SW 27th Terrace Number. City Dania Beach State FL Zip Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Parcel ID:5042 32 16 4220 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude: Lat. 26.0546°N Long.80.1769°W Horizontal Datum: r NAD 1927 r 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 5 A8. For a building with a crawlspace or encosure(s): A9. For a building with an attached garage. a)Square footage of crawlspace or enclosure(s) 0 sq ft a)Square footage of attached garage N/A sq ft b)Number of permanent flood openings in the b)Number of permanent flood openings crawlspace or enclosure(s)within 1.0 foot in the attached garage within 1.0 foot above adjacent grade 0 above adjacent grade 0 c)Total net area of flood openings in A8.b 0 sq in c)Total net area of flood openings in A9.b 0 sq in d)Engineered flood openings? r Yes r No d) Engineered flood openings? (Yes ('No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name 8 Community Number 82. County Name B3.State CITY OF DANIA BEACH: 120034 BROWARD COUNTY FL B4. Map/Panel Number B5.Suffix B6. FIRM Index Date 87. FIRM Panel Effective/ B8. Flood Zone(s) 89.Base Flood Elevation(s) Revised Date (Zone AO,use base flood depth 12011C:0566 H 08/18/2014 08/18/2014 X NONE 810.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: r FIS Profile r FIRM r Community Determined r Other/Source: 811.Indicate elevation datum used for BFE in Item B9, C NGVD 1929 r NAVD 1988 r Other/Source: 812.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? C Yes ( No Designation Date:N/A r CBRS r OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl.Building elevations are based on: r Construction Drawings' r Building Under Construction' a Finished Construction 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.In Puerto Rico only,enter meters. A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized: BCBM:SW 27 TERR&EW54 ST;Elev:7.21' vertical Datum:NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. r NGVD 1929 ('NAVD 1988 r Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(including basement,crawlspace,or enclosure floor) 11 - 20 (=feet C meters b)Top of the next higher floor - N/A r feet r meters c) Bottom of the lowest horizontal structural member(V Zones only) - WA r feet r meters d)Attached garage(top of slab) - N/A C feet r meters e) Lowest elevation of machinery or equipment servicing the building 7 - 80 C."teat r meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 6 - 70 (°feet C meters g) Highest adjacent(finished)grade next to building(HAG) 7 - 30 6'feet C meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including 6 - 70 feet C meters structural support FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE OMB Control Number.1660-0008 Expiration'11I3012016 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. Digitally signed by Were latitude and longitude in Section A _ ❑Check here if attachments. provided by a licensed land surveyor? - Andrew Snyder r Yes (•No !vP P.S.M. Certifiers Name License Number4.M DN:cn=Andrew - Andrew Snyder,P.S.M. LS68 Snyder,P.S.M = y o_a-iidtech Title Company Name",, Surveying,OU, Surveyor&Mapper Landtec Surveying,Inc. ems r=asnyoerpla Address City State Zip Code ndte:h wrvey.com 600 Fairway Drive#101 Deerfield Beach FL 33441 6--` ,C=US Signature Date Telephone Date:2016.02.29 02/26/2016 5613673587 08:54:11-05'00' Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable)" Section C2 E-NC unit Latitude and Longitude derived from Google Earth. Signature Date 02/26/2016 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BEE) 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,Band 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,crawlspace, - ("feet r meters ❑above or ❑below the HAG. or enclosure)is b)Top of bottom floor(including basement,crawlspace, - r feet C meters ❑above or ❑below the LAG. or enclosure)is E2.For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor(elevation C2.b in the diagrams)of the building is -_ C feet C meters ❑above or ❑below the HAG. E3.Attached garage(top of slab)is _-- r feet r meters ❑above or ❑below the HAG. E4.Top of platform of machinery and/or equipment r-_ feet r meters ❑above or ❑below the HAG. servicing the building is 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? (-Yes r.No C 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 AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner or Owners Authorized Representative's Name: Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 088-0-33(7115) Replaces all previous editions. Page 4 of 15 OMB Control Number 1660-0008 Expiration 11/30/2018 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 this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8- G10.In Puerto Rico only,enter meters. Gi. El 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 authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) G2 AAO community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone G3. The following information(Items G4-G10)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 C New Construction ('Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: r feet r meters Datum G9.BFE or(in Zone AO)depth of flooding at the building site: -_ r feet C meters Datum G10.Community's design flood elevation: - C feet r meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments El Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 5 of 15 BUILDING PHOTOGRAPHS See instructions for Item A6 OMB Control Number:1660.0008 Expiration:11/30/2018 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. 6401 SW 27th Terrace Policy Number: City Dania Beach State FL Zip Code 33312 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions for Item A6, 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 the food openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. Front View TIi a Rear View a" • f _ . fit • r f FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 6 of 15 • BUILDING PHOTOGRAPHS Continuation Page OMB Control Number 1660-0008 • Expiation:11/302018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FORM INSURANCE COMPANY USE Building Street Address(including AO.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 5401 SW 27th Terrace Policy Number City State Zip Code Company NAIC Number: Dania Beach FL 33312 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 representative examples of the flood openings or vents,as indicated in Section A8. Left Side View • alter Right Side View N/A FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 7 of 15