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Home My WebLink About5650 Woodland Ln U.S.DEPARTMENT,OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY Nc.,.onalFloodIp- •ncr.,"rogram OMB No. 1660-0008 Important: Read the instructions on pages 1-9. Expiration Date:July 31, 2015 SECTION A-PROPERTY INFORMATION - FOR�NSU} ANCECOMPANY Al. Building Owner's Name SUAREZ (ORDER#19658) • Poliby NW.A0eir A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. 5650 WOODLAND LANE Company NAIL Number, Y` City DANIA BEACH State FL ZIP Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) A PORTION OF TRACT 7,BLOCK 3 OF PLAT OF SEC'S 28,29,31 AND 32,T5OS R42E"PB 2 PG 32 (D) A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) RESIDENTIAL A5. Latitude/Longitude: Lat.26°03'05.33"N Long.80°11'50.05"W A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insuran oeizontal Datum: ❑ NAD 1927 ® NAD 1983 A7. Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) N/A sqft A9• For a building with an attached garage: b) Number of permanent flood openings in the crawlspace a) Square footage of attached garage N/A sq ft or enclosure(s)within 1.0 foot above adjacent grade N/A b) Number of permanent dood openings in the attached garage c) Total net area of flood openings in A8.b within 1.0 foot above adjacent grade N/A c) Total net flood openings? El N/A sq in c) Total net area of flood openings in A9.b N/A sq in ® No d) Engineered flood openings? 0 Yes El No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number DANIA BEACH 120034 B County Name B3.State BROWARD FL B4. Map/Panel Number B5.Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. BaseFlood Elevation(s) (Zone 12011 C 0308 F 10-02-97 Effective/Revised Date Zone(s)( ) AO,usesebase flood depth) 08-18-92 X 310. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9. N/A ❑ FIS Profile ® FIRM ❑ Community Determined El Other/Source: 311. Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ther/Source: 112. Is the building located in a Coastal Barrier Resources System (CBRS)area or or Otherwise Protect NAVD 1988 ed OArea(OPA)? El Yes Designation Date:NIA ❑ CBRS ElOPA ® No SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 1. Building elevations are based on: El Construction Drawings* El Building Under Construction* *A new Elevation Certificate will be required when construction of the building is complete. ® Finished Construction :2. 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-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: BCBM#159, ELEV=5.750' Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h) below. El NGVD 1929 ❑NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor(including basement;crawlspace,or enclosure floor) 8.2 Check the measurement used. b) Top of the next higher floor - El feet El meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A. El feet ❑meters ❑feet El meters d)Attached garage(top of slab) N/A. El feet El meters e) Lowest elevation of machinery or equipment servicing the building 8.3 (Describe type of equipment and location in Comments) ❑feet El meters f) Lowest adjacent(finished)grade next to building(LAG) 7.5 Highest adjacent(finished) El feet El meters g) 9grade next to building (HAG) 8.0 El feet h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. El meters El feet ❑meters SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 'his certification is to be signed and sealed by a land surveyor, engineer,or architect authorized by law to certify elevation r- iformation./certify that the information on this Certificate represents my best efforts to interpret the data available. r Jay Keri understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Professional Surveyor& g Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Mapper#5721 g Check here if attachments. licensed land surveyor? ® ❑ No Yes State of Florida ertifier's Name JAY KERI - 2-License Number 5721 PLACE itle LAND SURVEYOR Company Name KERI LAND SURVEYING, INC. c-- ddress 1840 NORTH PINE ISLAND RD. City PLANTATION State FL ZIP Code 33322 , gnature `-a,____, _ _ - _�,.-___ ��_,,y� .. .....x.s/# Date 04-03-14 Telephone 954-473-8010 IMPORTANT: In these spaces,copy the corresponding information -um Section A. FOR INSURANCE.COMPANY USE 1 Building Street Address (including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number: 5650 WOODLAND LANE City DANIA BEACH 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 agent/company,and(3)building owner. Comments LATITUDE/LONGITUDE DISPLAYED ON A5 OBTAINED WITH GARMIN GPS 76 UNIT. ELEVATION OF 8.3 FEET STATED ON C2e OBTAINED ON NC SLAB ON SOUTH SIDE OF RESIDENCE. CROWN OF ROAD ELEVATION=7.07 FEET. $a'g ure Date 04-03-14 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. E1. 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,or enclosure)is ❑feet ❑ meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. 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 ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑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? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's 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'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 this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items GB—G10.In Puerto Rico only,enter meters. G1. ❑ 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. 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. El 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: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. PPl,AA Fnrm nRR-1122'4 (7/191 Ranlarac all nrawini is ariitinnc ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building%met Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 5650 WOODLAND LANE 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 flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. •y• .,: r t v 4 , '1'' i • xis [11111111 II i .,r .. il�lil(� II � #fir 04/0 J201 ' r • FRONT VIEW mix L , t j� • Y'./ ; te,11/ /0. /?014 °c dap:. REAR VIEW FEMA Form 086-0-33 (7/12) Replaces all previous editions. -w • , . ;A } ♦ 3 • 4 • t