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Home My WebLink About5650 Woodlane Ln U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEC AAL`LMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 National Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July31, 2015 SECTION A-PROPERTY INFORMATION FOR INSURAi!�CI^iC01(1Pf\Itovi$ ' Al. Building Owner's Name SUAREZ (ORDER#20237) Palley%NUrnberY c ;h A2. Building Street Address (including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Con117&ny NAIL On;thOr 5650 WOODLAND LANE 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 ADDITION A5. Latitude/Longitude: Lat.26°03'05.33"N Long.80°11'50.05"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 1A 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) NIA sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade I/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b I\JI A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No 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 Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 12011 C 0562 H 08-18-14 Effective/Revised Date Zone(s) AO,use base flood depth) 08-18-14 X N/A B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: 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) C1. 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: BCBM#159, ELEV=4.24FEET(NAVD1988) Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a)through h)below. ❑ NGVD 1929 El 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) 6.7 ❑feet ❑meters b) Top of the next higher floor N/A. ❑feet ❑ 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 6.8 ❑feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished) grade next to building (LAG) 6.0 ❑feet ❑ meters g) Highest adjacent(finished)grade next to building (HAG) 6.5 ❑feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support N/A. ❑feet ❑ meters 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. Jay Keri I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Professional Surveyor& ® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a Mapper#5721 CICheck here if attachments. licensed land surveyor? ElYes ❑ No State of Florida \-3-t4-- Certifier's Name JAY KERI License Number 5721 PLACE Title LAND SURVEYOR Company Name KERI LAND SURVEYING, INC. Address 1840 NORTH PINE ISLAND RD. City PLANTATION State FL ZIP Code 33322 Signature 7.f. Date 10-31-14 Telephone 954-473-8010 FFMA Fnrm 11RR-r-'q 17/171 Cao rawarca circa fnr rnntini uatinn Ranlarac all nrawini Ic arlitinnc 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. 5650 WOODLAND LANE Policy Number;-. • 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 6.8 FEET STATED ON C2e OBTAINED ON A/C SLAB ON SOUTH SIDE OF RESIDENCE. CROWN OF ROAD ELEVATION=5.56 FEET. ADDITION FLOOR ELEVATION 7.1 FEET(MATCHES EXISTING MAIN FLOOR ELEVATION). Sig ature Date 10-31-14 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. 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 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 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 or community-issued BFE)or Zone AO. 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: ❑ 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. • PPI\AA Pnrm r7/191 Ranlarac all nravini is ariitinnc