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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
o.xf.~ =/~9.93~ ELEVATION CERTIFICATE
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O.M.B. No. 3067-0077
Expires July 31, 2002
98-0001172 SECTION A - PROPERTY OWNER INFORMATION '
BUILDING OWNER'S NAME
NEDAL CARTER AND CARMEL CARTER
BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO.
•320 NW 190 ST
CITY STATE ZIP CODE
-"T FL 33169 _
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3 Block 3 of
NORWOOD according to the plat thereof as recorded in
Plat Book 55 at Page 62 of the public records of MIAMI-DADE Countv Florida.
BUILDING USE (e.g. Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
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LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS (Type):
( - - or 1_J NAD 1927 " NAD 1983 [_J USGS Quad Map 12U Other. NGVD 192 9
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
31. NFIP COMMUNITY NAME & COMMUNITY NUMBER
I
B2. COUNTY NAME
B3. STATE
MIAMI DADE 120635
MIAMI-DADE
FL
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
NUMBER
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
1202500080
J
03/02/1994
07/17/1995
X
7.0 FT
B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69.
1_1 FIS Profile 11 FIRM 1_1 Community Determined 1_1 Other (Describe):
B11.Indicate the elevation datum used for the BFE in B9: x ] NGVD 1929 1_1 NAVD 1988 1_10ther (Describe):
B12.ls the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? IJ Yes 64 No
Desinnation Date:
SECTION C - BUILDING ELEVATION INFORMATION
C1. Building elevations are based on: 1_1 Construction Drawings* 1_1 Building Under Construction* ( X I Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number o (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used 5 Does the elevation reference mark used appear on the FIRM? x Yes No
❑ a) Top of bottom floor (including basement or enclosure) 11.19
❑ b) Top of next higher floor n ft.
❑ c) Bottom of lowest horizontal structural member (V zones only) Y1 F3 _ ft. I.
❑ d) Attached garage (top of slab) N j ► ft.
-
❑ e) Lowest elevation of machinery and/or equipment tso
servicing the building 10.55 ft.
❑ f) Lowest adjacent grade (LAG) 10.17 ft
❑ g) Highest adjacent grade (HAG) 10.49 ft. 4 s G
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade - Y 1 M License Number, Embossed Seat,
❑ i) Total area of all permanent openings (flood vents) in C3h In 10 sq. ft. Signature, and Date
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.
1 certify that the information in Sections A, B, and C 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.
CERTIFIERS NAME LICENSE NUMBER
John Ibarra 5204
TITLE COMPANY NAME
Professional Land Surveyor NOVA SURVEYORS, INC.
ADDRESS CITY STATE ZIP CODE
5582 N.W. 7TH S T UITE MIAMI FL 33126
SIGNATURE )JVA NY_A___ DATE TELEPHONE ,
JI7-5101 (305) 264-2660
6 FE MA Forrn 81-31, Al7(39 SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL PREVIOUS EDITIONS
(1 PORTIANT: In these spaces, copy the corresponding Information from Section A. 98-0001172
OBUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO.
3t0 NW 190 ST
„ITY STATE ZIP CODE
MIAMI FL 33169
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
,Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
C.O.R.= 9.93
NOTE= ALL NEW ADDITIONS WERE CONSIDERED TO DETE NE LOWEST FLOOR ELEVATIONS.
I_J Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting
information for a LOMA or LOMB-F, Section C must be completed.
E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed -
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1_1J ft. ~JJ in. 1_1 above or j below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
I I I ft. L_IJ in. above the highest adjacent grade.
E4. For 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? I I Yes I I No I I Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or
community-issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
NEDAL CARTER AND CARMEL CARTER
ADDRESS CITY STATE ZIP CODE
320 NW 190 ST MIAMI FL 33169
SIGNATURE DATE TELEPHONE
COMMENTS
I_I Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E) and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
G1. (J The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. JJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone A0.
G3. The following information Items G4-G9 is provided for community flood lain management purposes.
G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY
ISSUED
G7. This permit has been issued for: 1_1 New Construction L-1 Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building is: ft. Datum:
G9 BFE or (in ZONE AO) depth of flooding at the building site is: ft. Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE .
COMMENTS
IJ Check here if attachments
FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS