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Home My WebLink About5845 SW 29 Ter U.S.DEPARTMENT OF HOMELAND SECURITY ELhVA I IUN L;CK I II'I -,M I C. OMB No. 1660-0008 FEDERAL EME119ENCY MANAGEMENT AGENCY I Expiration Date:July 31,2015 atzo:' r,iod'nsurance Program Important: Read the instructions on pages 1-9 SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE Policy Number Al. Building Owner's Name DOROTHY R.CONGDON A2. Building_Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Cornpany NAIC Nurriber. 5845 SW 29 TERRACE City DANIA BEACH State FL ZIP Code 33312 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) LOT 48, BLK 27,THIRD ADDITION TO RAVENWOOD ESTATES AND MARINAS,PB 72,PG 20,BCR — A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)RESIDENTIAL A5. Latitude/Longitude:Lat.26*03'01" Long.80*10'51" 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 5 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) 1450 sq ft a) Square footage of attached garage 0 °q ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garac e foot above adjacent grade NA or enclosure(s) within1.0 within 1.0 foot above adjacent grade NA c) Total net area of flood openings in A8.b NA sq in c) Total net area of flood openings in A9.b NA ;.q in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No — SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION — B3.State B1. NFIP Community Name&Community Number BB2.County ARDName FLORIDA DANIA BEACH 125093 B4.Map/Panel Number B5.Suffix Be. FIRM Index Date B7.FIRM Panel B8.Flood B9.Base uFloodseEleood d vation pth)one 12011 C 0308 10-02-97 Effective/Revised Date Zone( s) s 08-18-92 .0' B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile A FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 0 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: ❑ CBRS ❑ OPA SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: 0 Construction Drawings` ❑ Building Under Construction* El 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:BCED BM Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 0 NAVD 1988 0 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) 9.9 ®feet ❑metersNA ❑feet ❑meters b)Top of the next higher floor NA ❑feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) NA ❑feet ❑meters d)Attached garage(top of slab) N.5 ®feet ❑meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 6 0 ®feet ❑meters f) Lowest adjacent(finished)grade next to building(LAG) 6 3 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) —— feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support NA. ❑ 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. 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. Were latitude and longitude in Section A provided by a �__ ,O� ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No i Q - Certifiers Name PAUL J.STOWELL License Number 5241 G' Title PROFESSIONAL SURVEYOR Company Name ATLANTIC COAST SURVEYING INC 06/26/14 Address 6129 STIRLING ROAD SUITE 2 City DAVIE State FL ZIP Code 33314 Signatur7 j/ i�G�l- � , Date 06/26/14 Telephone 954-587-2100 GGrr FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. 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 Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number. 5845 SW 29T"TERRACE 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. it kV 43. R / arm FEMA Form 086-0-33(7/12) Replaces all previous editions.