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FOR INSURANCE COMPANY USE Policy Number: Company NAIC Number: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.: 602 S Genoa Drive City: Santa Ana State:CA ZIP Code:92704 SECTION E – BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO, ZONE AR/AO, AND ZONE A (WITHOUT BFE) For Zones AO, AR/AO, and A (without BFE), complete Items E1–E5. For Items E1–E4, use natural grade, if available. If the Certificate is intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only, enter meters. Building measurements are based on: *A new Elevation Certificate will be required when construction of the building is complete. Construction Drawings*Building Under Construction*Finished Construction E1. Provide measurements (C.2.a in applicable Building Diagram) for the following and check the appropriate boxes to show whether the measurement is above or below the natural HAG and the LAG. a) Top of bottom floor (including basement, crawlspace, or enclosure) is:metersfeet above or below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is:below the LAG.above ormetersfeet 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 (C2.b in applicable Building Diagram) of the building is:below the HAG.above ormetersfeet E3. Attached garage (top of slab) is:below the HAG.above ormetersfeet E4. Top of platform of machinery and/or equipment servicing the building is:below the HAG.above ormetersfeet 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 AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge Check here if attachments and describe in the Comments area. Comments: Property Owner or Owner's Authorized Representative Name: Address: City:State:ZIP Code: Ext.:Email:Telephone: Signature:Date: FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22)Page 4 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19