HomeMy WebLinkAbout4410 SW 26 Ave U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008
'Federal Emergency Management Agency Expiration Date: November 30, 2018
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company, and(3)building owner.
SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
GUILLEN, ALEXIS V1749 R
A2. Building Street Address(including Apt., Unit,Suite, and/or Bldg. No.)or P.O. Route and Company NAIC Number
Box No.
4410 SW 26 AVENUE
City State ZIP Code
DANIA BEACH FL 33312
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
LOT 10, N 60' OF S 430' OF W 140' OF E 305, BLOCK 4 MARSHALLS EVERGLADE SUB (2/32)
A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 26°04'01.6"N Long.80°10'31.5"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 1 B
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) N/A sq ft
b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in
d) Engineered flood openings? ❑ Yes ® No
A9. For a building with an attached garage:
a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes ® No
SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION
B1. NFIP Community Name&Community Number B2. County Name B3. State
DANIA BEACH 120034 BROWARD FL
B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s)
Number Date Effective/ (Zone AO, use Base
12011C0558 08/18/2014 Revised Date Flood Depth)
H 08/18/2014 * "AH" * 5
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B
❑ FIS Profile ® FIRM ❑ Community Determined ❑Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 El Other/Source:
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? El Yes ® No
Designation Date: N/A ❑ CBRS ❑ OPA
FFNAA Fnrm OAF_11_1'2/7/1 c1 Ranlanac all nravintis ariitinns Fnrm Pana 1 of R
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 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. Policy Number:
4410 SW 26 AVENUE
City State ZIP Code Company NAIC Number
DANIA BEACH FL 33312
SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑Construction Drawings* ❑ 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—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: SEE COMMENTS Vertical Datum: NAVD88
Indicate elevation datum used for the elevations in items a)through h)below.
❑NGVD 1929 ® NAVD 1988 ❑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) 6.10 ®feet ❑ meters
b) Top of the next higher floor N.A ❑feet El meters
c) Bottom of the lowest horizontal structural member(V Zones only) N.A ❑feet ❑ meters
d) Attached garage(top of slab) N.A ❑feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 8.35 ®feet El meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4.90 ®feet ❑ meters
g) Highest adjacent(finished)grade next to building(HAG) 5.60 ®feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck orstairs,including N.A ❑feet ❑ 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.
I certify that the information on this Certificate represents my best efforts to interpret the data available. /understand that any false
statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
Were latitude and longitude in Section A provided by a licensed land surveyor? ®Yes ❑No ❑Check here if attachments.
Certifier's Name License Number
JERALD A. McLAUGHLIN 5269
Title
PRESIDENT
Company Name Place
McLAUGHLIN ENGINEERING COMPANY Seal A
Address Here`
1700 NW 64 STREET, SUITE 400 k
City State ZIP Code
FOR RDALE FL 33309
natur Date Telephone
10/13/16 954-763-7611
opy all pages ofth' levation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments(including type of equipment and location, per C2(e), if applicable)
Al. OWNERS NAME PER THE BCPA.NET WEBSITE. A5. GOOGLE EARTH
B8.&B9. PROPERTY LIES IN BOTH FLOOD ZONE"AH"&"AE", ELEVATION =5'
C2. REFERENCE BENCHMARK—BENCHMARK NE CORNER ON THE WEST MANHOLE,
ELEVATION=5.94(NGVD29), CONVERSION [-1.59=4.35(NAVD88)]
C2. e)BOTTOM OF A/C ON RACK ELEVATION
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Fnrm Pane 9 of R
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 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. Policy Number:
4410 SW 26 AVENUE
City State ZIP Code Company NAIC Number
DANIA BEACH FL 33312
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,
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 1-2 of Instructions),
the next higher floor(elevation C2.b in
the diagrams)of the building is •
®feet ❑ meters Elabove 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 SectionG.
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 or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
®Check here if attachments.
FFMA Fnrm nRF-n-T (7/1.ri) RAnlarAs all nravinus Priitinns Fnrm Pana' of R
OMB No. 1660-0008
ELEVATION CERTIFICATE Expiration Date: November 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. Policy Number:
4410 SW 26 AVENUE
City State ZIP Code Company NAIL Number
DANIA BEACH FL 33312
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.
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 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued orcommunity-issued BFE)
or Zone AO.
G3. ❑ The following information(Items G4—G10)is provided for community floodplain managementpurposes.
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: Dfeet ❑ 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(including type of equipment and location, per C2(e), if applicable)
Check here if attachments.
FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6
•
BUILDING PHOTOGRAPHS OMB No. 1660-0008
"ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 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. Policy Number:
4410 SW 26 AVENUE
City State ZIP Code Company NAIC Number
DANIA BEACH FL 33312
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.
TTMR - - , -_, -.. ,_ :., - :4 '' ' i - •, , ''''Z 4t, 40
a,t7,04 >. ,./ 1i f Vi
r.
I
°<._ 'E ,sif ,Si ..
tl R,sT ,- 7 '* Rai s y
10
I.II '',,,''�
......e4r
Photo One Caption -FRONT VIEW
!.-- ':
s
iR'`P` :t k°' an x , f
,rr„ w *r- - t-
gy m.. .I_ � "„ .
_ sue 4,_.. i It 4
. ,
- d'4- I‘V; . ,
- ,"tit, y:� #;`}+ " .,« _ �..
3
Photo Two Caption—REAR VIEW
C RAA C....., 110L: n ')' /7/1C',
BUILDING PHOTOGRAPHS OMB No. 1660-0008
ELEVATION CERTIFICATE Continuation Page Expiration Date: November 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. Policy Number:
4410 SW 26 AVENUE
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.
—'
t t'.1$1 ft. i
i
! r e
+se +4S
i
t_`p
J : '
E s,. b _. ,L n `a. s.
am s '� ✓,: ,� / $� _-
`,/.; ` I
Photo One Caption—SIDE VIEW
f r t
{ tf
I4 ' ' ' 116'.t:,...;,.1.
f ,:,;1„..:'‘Y1416:1";11'1.4):i*-'4..'
;4:3 ...., 2. : . ,
II
• y �`
•
lif 0. ,
„s tw;
.� a t
S . < .
G
$ k
Photo Two Caption—SIDE VIEW
FFMA Fnrm r1R5-11-T1/7/151 Ranlacas all nrevinuc artitinnS_ Form Paae 6 of 6
U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 --J
FEDERAL EMERGENCY MANAGEMENT AGENCY Expiration Date:July 31, 2011>
National Flood Insurance Program IMPORTANT:Follow the instructions on pages 1-9.
SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name ALEXIS GUILLEN Policy Number:
A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. I Company NAIL Number: 1
4410 SW 26 AVE.
City FT.LAUDERDALE State FL ZIP Code 33312
A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
LOT 10,BLOCK 4,SEC 29,PLAT BOOK 2,PAGE 32,PUBLIC RECORDS OF BROWARD COUNTY,FL.
A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) RESIDENTIAL
A5. Latitude/Longitude:Lat.�°f 02 1n"N Long. 80°10'31.42"W Horizontal Datum: 0 NAD 1927 0 NAD:_983
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 crawlspace or enclosure(s): A9.For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A _sq ft
b) No.of permanent flood openings in the crawlspace or N/A b) Number of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in AB.b N/A sq in c) Total net area of flood openings in A9.b N/A :;q in
d) Engineered flood openings? ❑Yes ®No d) Engineered flood openings? ❑Yes I No
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1. NFIP Community Name&Community Number B2.County Name B3.State
DANIA BEACH 120034 BROWARD FL ___
B4. Map/Panel Number B5.Suffix 86.ARM Index Date 87.FIRM Panel Effective/ B8.Flood Zone(s) B9.Base Flood Elevation(s)(Z)ne
Revised Date AO,use base flood depth)
12011C0558 H 08/18/2014 08/18/2014 AE,AH 5 FT,5 FT
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89:
❑FIS Profile FIRM 0 Community Determined 0 Other/Source: _
B11.Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 IN NAVD 1988 0 Other/Source: N/A _
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ._No
Designation Date: N/A / / ❑CBRS ❑OPA
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl. 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 Al-A30,AE,AH,A(with BFE),VE,Vl-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: BROWARD COUNTY BENCHMARK Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a)through h)below. 0 NGVD 1929 0 NAVD 1988 ❑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) 6 18 IN feet 0 meters
b) Top of the next higher floor N/A . 0 feet ❑meters
c) Bottom of the lowest horizontal structural member(V Zones only) N/A . ❑feet 0 meters
d) Attached garage(top of slab) N/A . 0 feet 0 meters
e) Lowest elevation of machinery or equipment servicing the building 5 55 .�feet 0 meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent(finished)grade next to building(LAG) 4 79 .+feet El meters
g) Highest adjacent(finished)grade next to building(HAG) 5 . 13 r_!feet El meters
h) Lowest adjacent grade at lowest elevation of deck or stairs,including N/A . El 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.I certify that the Information on this Certificate represents my best efforts to interpret the data available. S
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. �N IBq,Q�Ir c
El Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a FICq rir
1 Check here if attachments. licensed land surveyor? ®Yes ❑No
.5204 d ,
Certifier's Name License Number T a.
JOHN A. IBARRA 5204 m
Title Company Name STATE OF ;
PRESIDENT JOHN IBARRA&ASSOCIATES,INC. c ` .'r[OR► .- off
Address City State ZIP Code 4A . sit{ -
777 N • VE, ITE#3025 MIAMI FL 33126 a D S�`�'
Signature Date Telephone 12/31/2014
4% 12/31/2014 (305)262-0400
FEMA F. f086.O.33(7/12) See reverse side for continuation. Replaces all previous editions.
ELEVATION CERTIFICATE,page 2 .... ,
INIPOI :is these ippo••,,alp Ike simoupspoidieg 6iil.nw.ti.n haw Section A. 'FOR INSURANCE COMPANY USE
BuildingStreet Address(including
g Apt.,Unit,Suite,and/or 81dg.No.)or F?0.Route and Box No. Policy Number:
4410 SW 26 AVE.
City State ZIP Code Company NAIC Number:
FT.LAUDERDALE FL 33312
SECTION D-SURVEYOR,ENGINEER,OR ARCIETECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
Comments SECTION C2(E)LOWEST ELEVATION OF AMCFNERY=THE A/C PAD;LATITUDE AND LONGITUDE DETERMINED BY
SURVEYOR USING GOGGLE EARTH
Signature 0 Date 12/31/2014
1 ¢`t-INDLOINII IlL.EVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE)
For Zon'.i , awl A toRke t IRE),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 1-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,or enclosure)is ❑feet 0 meters ❑above or 0 below the HAG.
b)Top of bottom floor(including basement,crawispace,or enclosure)is 0 feet 0 meters ❑above or 0 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 0 below the HAG.
E3.Attached garage(top of slab)is 0 feet 0 meters ❑above or 0 below the HAG.
E4.Top of platform of machinery and/or equipment servicing the building is 0 feet 0 meters 0 above or 0 below the HAG.
E5.Zone AO only:tf no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management
ordinance?❑Yes 0 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 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 or Owner's Authorized Representative's Name At.Exis GULLEN
Address City State ZIP Code
AE. FT.LAUDERDALE FL 33312
Signat Date Telephone
Comm .:1.:
12/31t2014
1
0 Check here if attachments.
SECTION B-COMMUNITY DIFORS/ATION(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 items)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters.
GS. ❑ 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 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: ❑New Construction 0 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.
FEMA Form 086-0-33(7/12) Replaces all previous editions.
ELEVATION CERTIFICATE,page 3 BUILDII PHOTOGRAPHS
See Instructions for hem A6.
IMPORTANT:In these epnrces,�p9 the a*"iMormation hanar Section A. FOR INSURANCE COMPANY USE
Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or PO.Route and Box No. Policy Number:
-
4410 SW 26 AVE.
City State ZIP Code Company N41C Number:
FT.LAUDERDALE FL 33312
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 "Leff
Side View." When applicable,photographs must show the foundation with representative examples of the flood openings or vents,as
indicated in Section AS. If submitting more photographs than will fit on this page,use the Continuation Page.
FRONT VIEW 12/31/2014
f�,j :
E�� i�R 7d,
.4/ • +
t'b,ki:,,
. .,,.
s *a74: r s
, ,� °�►.
REAR VIEW 12/31/2014
h}_
et 4 4 ' f'i'1 tie '
it{p' s
7r env �6a tt4.
t .
.
, ,:
x /, -
i1 --,r.. 1
• { tr
i
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 corresponding inf.rmatian 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:
4410 SW 26 AVE.
City State ZIP Code Company NAIC Number:
FT.LAUDERDALE 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 VIEW 12/31/2414
1.0-N
i
f
y
1
RIGHT SIDE 12131/11014
•
Ceti
1 I'
e
i y'
ItY
-/ i
FEMA Form 086-0-33(7/12) Replaces all previous editions.