AAL Land Surveying Services, Inc. - Request Elevation Certificate

Serving All Of Florida

Authorization Form

Request Elevation Certificate

Site Address:

Ordered By:

Lot Number(s):

Telephone:

Block Number:

E-Mail:

Subdivision:

Fax:

Plat Book:

Page(s):

Buyer/Client:

Client Telephone:

Deliver To:

Does this property have a sunken floor or basement?:

Yes No

Does this property have a crawl space under the house?:

Yes No

If you answered "yes", will access be available to the survey crew?:

Yes No

AAL Land Surveying Services, Inc. is pleased to respond to your request for surveying services at the above references site. Our scope and professional fees are as follows:

Residential Elevation Certificate.........$150.00

Commercial Elevation Certificates......Call for Quote 321.768.8110

The client shall be billed upon completion of work. Payment is due in full upon receipt of completed FEMA form.

The "Authorization and Notice to Proceed With Land Survey Services" form shall be faxed to AAL Land Surveying Services, Inc. at: 321-952-9771 or scanned and e-mailed to before the project can begin.