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Home My WebLink About34-1136-032-0010m, dupeX00_ 0 1 1,3 G ~ 0,1 (0 _46 3 / y} S-2127 ~Y O.M.B. NO. 3067-0077 ELEV~T C RTIFICATE Expires May, 31, 1996 ' IC)4N FEDERAL E ~RG`ENC 1( MANAGErVIEN' ,AGENCY ATTENTION: Use of this certificate does no p NA oI000 AL ~LOOD INS( RANG P OC1 11 RAM Ihl'd 1 101 he flood insuranc p chase requirement. This form is use only to , provide elevation information necessary to ensure dor4i~pli il with applicable co 'm' mdhity floodplain management o'rdinanc6s, to is 1 - l i ~ 11111 determine the proper insurance premium rate, and/or to support a, request for a Letter of Map Amendment or Revision (L1 MA or LOMR). Instructions for corripletng this form can be foundlon the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE Coll USE BUILDING OWNER'S NAME POLICY NUMBER ~ Il,~ll - I i ~ I' ~ III! STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers, etc.) Tract "A" - GLEN-TIM-PAGE SUB (9816) f CITY- ~i STATE r ZIP l8IO6E Miami Dade County SECTION B FLOOD; II ~v INSURANCE PATE MAP (FIRM) INFORM'A°~'t0~ Provide the following from the RroPer FIRM (See Instructions): Map No. 12025C` 1. COMMUNITY NUMBER 2. PANEL NUMBER 3. SUFFIX 4. DATE OF FIRM INDEX 5. F IRMZONE 6 Ell S EVATION a I 120635 - 0080 °J 312194 _ AE CE n 40 one a depth) Jill 7. Indicate the elevation datum system used on the FIKA for Base Flood Elevations (BFE) NGVD 29 Other (d scri a on back) f ~h 3 v_.~.. 4 . IV IN 111 I. . . - " 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I feet NGVD (or other FIRM datum-see Section B, Item 7) IE jl SECTION C BUILDING ELEVATION INFORMATION i 1. Using the Elevation Certificate Instructions, indicate the diagram number from. the diagrams found on Pages 5 and 6 that best describes the subject building's reference level 2(a). FIRM-Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of i I I I 191.E feet. NGVD (or other FIRM datum-see Section B, Item 7). (b). FIRM Zones V1=V30, VE, and V (with BFE).: The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of 1 I I 1 I I feet NGVD (or other FIRM datum-see Section B, Item 7) (c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is L-L_.J. ❑ feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is III .u feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference rl 'i~ ill I I (III level) elevated in accordance with the community's floodplain management ordinance? M] Yes ❑ No ❑ UrIJ18" 91 'i VIII III JII 3. Indicate the elevation datum system used in determining the above reference level elevations: NGVD '29 ❑ Ot er (.describe , II l I 1 I I I I II 4. ~I under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations lis different than th l i on the FIRM (see Section B, Item 71, then convert the,lpievations to the datum system used on the FIRM and showIth~~~ ~Iclor~~~rersion equation under Comments on Page 2.) ! 111 8 l iii I ' I Ili I'll 4. Elevation reference mark used appears on FIRM. ❑ Yes ~lo (See Instructions on Page 4) ilk ~ ~ III 5. The reference level elevation is based on:x& actual (construction ❑ construction drawings (NOTE: Use of construction drawings is only vapid ifl t~e building does not yet have the reference level floor in pll~ I, ilrt hich case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Ceriificate will be required once construction is complete.) II II III (III p Il;il ''JI lilll I III 1 6. The elevation of the lowest grade immediately adjac l to the building is: I I I I 181.U feet NGVD (or other FBI datlum-see I III Section B, Item 7). I C SECT10D COMMUNITY INFORMATION 1 I 1. If the communit official responsible for verif in g I lJ IiIIVIII:I'I Dp y y g ding elevations specifies that the refer I ence level indicated in ~ection C, Item 1 is not the "lowest floor" as defined in the community's floodplain management ordinance, the elevation of the buil~in{g~lsl "Lowest I I:1 I. floor" as defined by the ordinance is: u feet NGVD (or other FIRM datum-see Section B, Item 7) 2. Date of the start of construction or substantial im p rove,m e n t (III VIII l~ II (III FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE li CONTINUATION Ili ~lil'l ~ III' SECTION E CERTIFICATION This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30, AE, AH, A (with 13FE),V1-V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 8 - Distinguishing Features-If the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Carl E. Albrektsen 4185 CERTIFIER'S NAME f.,, a , LICENSE NUMBER (or Affix Seal) - Vice Pees ..dent MCLAUGHLIN ENGINEERING COMPANY TITLE COMPANY NAME ' 400 Ib'. 3rd':IJE`L' , r FORT LAUDERDALE FLORIDA 33301 ADDRESS CITY = STATE ZIP MARCH 28, 1995 (305) 763-7611 SIGNATURE-~ r SS SEALED WITH AN EMBOSSED SEWIFEYORS SEAL PHONE * OTVALDQ'NE Copies should be' made''ot~t~.11s'Qerti icate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITH ON PILES, SLAB - BASEMENT PIERS, OR COLUMNS A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE REFERENCE LEVEL REFERENCE LEVEL BASE FLOOD LEVEL ' ELEVATION T BASE FLOOD ADJACENT REFERENCE BASE FLOOD ELEVATION REFERENCE ADJACENT GRADE LEVEL ELEVATION- LEVEL GRADE l ADJACENT;. GRADE ' The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. - Page 2