1070 SUNSET POINT RDEi�EVATK3N CERTlFlGATE
Builti`mg S#�ee# �d� ;
107i} Sunset Poit�i Rt3ad
�iearwaier
sp7/ tlua corrosponding infiormation from Ssction A.
�t., Unii, Sui�e, antilor Bldg. Na.j or P.O. Route and Box No.
��� 33755
4M8 No. 166i?-Oppg
Expiration Da#�: tdav�»ber 3t), 2018
F�R i1VSURAtVCE GOAAPANY U5E
Policy iVuxnl�er:
SECfi1t3N C— BU1Lt�lNG ELEVi1i'ION lMFflRMATit)N {SURVEY R�QU1RE�j
Gi. Buitdi� ebva#it�ns are t�aseri on: �j Constructic�n Drawings* [] Buiitiing Under Construction" 0 Finished Construdion
*A new Elewatiat Cert#fica#e wiii be requir�t! wh�n cortstructk3n oi ihe builrling is c�mplete.
C2. Elevatia�s — Zr�nes Ai-�13a, AE, AH, A(wifh BFEj, VE, V1—V30, V(rvith BFE), AR, ARIA. ARIAE, A#2/A1 A30, ARJAH, ARlAU.
Complet8 liern� C�.a-h b�low act�rdin� #o t#te buiiding diagram �pecified in ltem A7. In Puerto Rico anly, enter meiers.
Senct�rrtark Utiiiz�ei: Pir�ei�s Cour�y F�DT Network Verticai O�#urn: NAVD 1��
lndicate sleveYron datum used fcx ihe �isvations in items a) #hro�gh h) beiow.
❑ rv�vo �s�� � ��W� ��ss p otn��rsc�,�:
batum used for bu+lding sieva#ic�ns must be the same as it�at used for the BFE.
a) ToP of boi#onr► floor (ir�ciuding basement, cra�nrlspace, or er�dasure #iovr) � 4
b� 'Top cr� ihe ttsxt t�gt'�r itoor
10 1
�3 ��om of #�e tawest harizontal strucxura! member {V Zones only} nla
d) �ttac�ed 9ara�e (top of slab} n/a
e) Lowes# eieve#ic�n �f machinery or equi�rr�n# sen+icing ihe buitding 8 1 b
(l�eseribe type of equiPmenf air�d locairon in Cammer�ts)
� Lowest adja�er�t (finished) grade next to buiidin9 i�G} 7 4
9) ��J� g+�j�cent (finished) 9rar#e a�c# to buihiirr� (HAG) 8 3
h} ���j� �rade at lowest elevation of deck ar stairs, including n/a
�
Cher�c the measurem�nt u�d.
� �1 ❑ rrteters
� � ❑ meters
� f� ❑ me#ers
� � ❑ rneters
� �� ❑ meters
� fi� ❑ meters
� � ❑ meters
� � ❑ me#ers
:SECTWN D— SU�itEYOR, Efid�INEER, OR ,�►i�CHITECT CERi'IFtC,t4T1aN
Tl�is r.�R'�icatinn is tn be signed artd seaied by a land surveyor, en�ineer, or architect authori2ed by iaw to certify elevatitm itrformaiian.
i�ertd'y fhat the in�rnatitan on #his Gsff'�fi'rate �p�sents rr�y bes� efi`orts fo interpnst fhe data available 1 understartd the# any fals$
st�t�9r»er# msY +be put�isitabl� by fft�e or impriso�trr�enf under 18 U. S. Gode, Sectlon 1 t)(17.
Vltere latitude and longi#utl� in Sac#ion A provicieci by a licenseci iand surveyor? ❑ Yes � No [�x Check ents.
r�t�1� �.,..... ��• �-x .
i'�triek K. ireland
Professionat Land Surveyor
..
�ompany Name �? '�`� � � �i' E �� ' �. q`_`4'�
LakeR' Su � Q�U�� ���'3�,�,�"?
� n�yi� ar�d �+1ap�iag, LL� �
AddtBSS �o NO. Sfi37 w'✓,�
139$ �s m SiATE OF a�
�.egendary Boulevatd � �, � %
c• �:? o .. �w
C ermar�t S� ZIP G�e A': ��s� �<OR1DP. o� .y
��Oiit� �ii') "I (�ND SllflJKC-1
Sigrtltt,�e
i�7ate Tefephone _..... ._�._ ...
�" � `�'„� � � � t�7) 3$5-3159
Copy atl pages ofth�s �i�va#�o rhficate and a!1 att�Gtments far (1) community oificial, {2) insuranc� ager�ticomt�arty. and (3) buik3ing owner.
cor»�nts �indudins fy� a{ ����rn and rocacion, per C2(e>, if appricable>
C2e=alc ur�it
j� numb� 17-0325 pt�se nots that tl�e en#ire s�uct�re is »ot on an enciased crawlspac;�; q Portion of the �rawlspace is covered w�#h
latfice as s�n in the �sho#as,
FEMA Form (?88-fl-33 (7115} Replaces all �revious editions.
Farn Page 2 oi 6
ELEVAT1t?N CE�tT1F1��7'F o�►s tvo. �sst�-pooa
tM�iTANT: tn ##�ase speaes ExP+ration Date: Nt�vember 30, 2t318
��PY ��an'effipc�nding irtformat+an from Sec�ion A. FOR INSURANCE CdMPANY USE
F3uiltfing Sireet Adriress �indeu3ing Apf., Unit, Suite, andJor 8klg. No.) or P.O. Raute and Box No. Policy Number:
1070 Suns�# Puir�i Road
�� State
C�ate� Z#P Code Cam�any NAiC Number
Ftarida 33753
gECTf4N E— BUILDING EL�/,�iTlON iNFOR1WlATIi�N (Si1RVEY NOT REQUlRED}
Ft�f# Z�NE AU AND 20�IE A{Vy13HOUT BFEj
For Zor� AO and A(vriihou# BFE), compl�e ltems Ei�S. li the Certificaig is intended ta su
��te 5�t�ians A�. 8;ar�i �. For Items Et—E4. use naturat P� a LOMA or LOMR-F requsst,
e�r meters. 9rade, ii availatsle. Check the m�suremerit used. !n Puerto Rico anly,
E1. Provic� eievatitsn infonnation for ihe foJlvwin� and �e�lc the appr�priaie baxes to show whether the elevatir�n is atmve or below
th+a higt�st �fjacenf 9rade' (HAG} anci th� lowest adjacent gracie (LAG}.
a} Top of bts�ian ib� #�ing base�nent,
t�'a'a+tspat�, e�' e�clr�sure) is
bj Top oi bottom fkx�t (iru�t,rding basemen#, � �� ❑�eiets ❑ above or ❑ bel�v the HAG.
�rawispace, or endosure} is . ❑ fee# Q me#ers
❑ above ar (� below ihe iAG.
E2. For Suiiding Diagrarns 6--9 �rrith permanent �iood openings pravicied in Section A#t�ms 8 andlor 9 see
#re next higher fi�c�' {eleuation G2.b in ( pages t-2 ofi Insiructirnns),
�te ri'sagrart�} o#ti� buii�iing is
❑ feet ❑ me#ers ❑ above ar ❑ belaw the HAG.
E3. Atta�hed 9arage f#�sP of siab) is
• ❑ f�# ❑ maters ❑ abave or ❑ t�eiow ihe HAG.
E4. Top of p�lafforrr� o# madunery andlor equipment
serviang the building is '
• ❑ ieet ❑ meters ❑ above or ❑ below ihe HAG. '
E5. Zone E40 or�{y: !f no flood depiFt nurr�ber is available, is the iop of the bottom floor elevaied in accordance with the cc�rr�rrwnity's
#ioodplafn management �ance? [] Yes [] No � ltnknc3wn. The local oif'iciai must
wn certify this i»formation in Sedion G.
SE�TltN+l F— PRQi�ERTY �1WNER (t3R t3WNE1t'S REPitESEWTATiVE) CERTlfICATiON
The �'c�rty �er tir tiwne�'s authorized represetaia#ive who completes Sections A, 6, and E#or Zone A(w'rthoui a FEhr1A-issued or
t�muni�+-�sed SFE} �r Zane AD rnust sign here. The staternents in Sections A, 8, and E are comeci to thg best of mY loncrivledae.
PropertY Owner or _ _
Add�s
Sigr:afiur�
Gorr�r��snts
FEIVl,4 Fotm Q86-t)-33 (7J1�)
Name
City
Date
RBplaces alt pre�ious editions.
Code
�elephone
❑ Chedt here i# a##at�ments.
Fonn Page 3 af 6