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U.S.DEPARTMENT OF HOMELAND SECURITI ELEVATION CERTIFICATE OMB No. 1660 0)08
Federal Emergency Management Agency Expires February 28. 009
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A-PROPERTY INFORMATION For Insurance Compary Use:
Al. Building Owner's Name Policy Number
A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number
5345 SIN 40"Avenue Unit 13,Building 3
City Dania Beach State Fl ZIP Code 33314
A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.)
A Portion of Parcel"A",'VILLAS AT OAK HAMMOCK",P.B. 174,PG'S 123 AND 124, B.C.R.
A4. Building Use(e.g., Residential,Non-Residential,Addition,Accessory,etc.) Residential
A5. Latitude/Longitude: Lat.N26d03'20" Long.W80d12'03" 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.
Al. Building Diagram Number 1
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 Q 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 A8.b Q sq in c) Total net area of flood openings in A9.b 0 sq in
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP Community Name&Community Number B2.County Name 83.State
Unincorporated Area 125093 BROWARD FLORIDA
B4. Map/Panel Number B5.Suffix B6.FIRM Index B7.FIRM Panel 68.Flood B9. Base Flood Elevation(s)(Zone
Date Effective/Revised Date Zone(s) AO,use base flood depth)
12011C 0304 F 10/02/97 08/18/92 AE 8
B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89.
❑ FIS Profile ®FIRM ❑Community Determined ❑Other(Describe)
B11. Indicate elevation datum used for BFE in Item 89: ®NGVD 1929 ❑NAVD 1988 ❑Other(Describe)
B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes Ni® p
Designation Date ❑CBRS ❑OPA
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-g
below according to the building diagram specified in Item A7.
Benchmark Utilized 159 Vertical Datum 1929
Conversion/Comments N/A
Check the measurement used.
a) Top of bottom floor(including basement,crawl space,or enclosure floor)_ 8.0 ®feet ❑meters(Puerto Rico only)
b) Top of the next higher floor N/A. ❑feet ❑meters(Puerto Rico only)
c) Bottom of the lowest horizontal structural member(V Zones only) N/A. ❑feet ❑meters(Puerto Rico only)
d) Attached garage(top of slab) N/A. ❑feet ❑meters(Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building 7.5 ®feet ❑meters(Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent(finished)grade(LAG) 7.0 ®feet ❑meters(Puerto Rico only)
g) Highest adjacent(finished)grade(HAG) 7.2 ®feet ❑meters(Puerto Rico only)
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.
® Check here if comments are provided on back of form.
Certifiers Name RICHARD E COUSINS License Number 4188
Title LAND SURVEYOR&MAPPER Company Name COUSINS SURVEYORS&ASSOCIATES, INC.
Address 3921 SW 47T Ave, #1011 City DAVIE State FL ZIP Code 33314
Signature Date 04/26/07 Telephone 954-680-9885
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