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Home My WebLink About34-2101-005-085070 FEDERAL EMERGENCY MANAGEMENT AGENCY O.Y.B. No. 3067-0077 -1 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 20051 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. 41[ z ror insurance Uom an Use: BUILDING OWNER'S NAME Policy Number AR_LENNEE LINDSAY-MARSHALL # 03-2014 BUILDING STREETADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 300 N.W. 189TH ST. MIAMI S IAI L ZIP CODE FLORIDA 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 1, 13LOCK 7, PB 55, AT PAGE 62 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments area if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1-1 GPS (Type): or 1-1 NA.D 1927 1_1 NAD 1983 1_1 USGS Quad Map 11 Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME COMMUNITY NUMBER B2. COUNTY NAME B3. STATE UNINCORPORATED AREAS 120635 MTAMT-T)An-W -rrn„ , I I B4. MAP AND PANEL NUMBER r Lutul)a B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL 68. FLOOD B9. BASE FLOOD ELEVATION(S) DATE EFFECTIVE/REVISED DATE ZONES 1202500080 J 7/17/95 3/2/94 X N/A B10. Indir^atP th,- Cniw- nf+t, ❑ CI r i_. ._i: in rr ~_i_ _ uaao !-food Elevation tDrC1 uata UI base TIDoa depth. entered !n B9. - 1_1 FIS Profile 1 X 1 FIRM 1_1 Community Determined 1_1 Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IX I NGVD 1929 1-1 NAVD 1988 1_1 Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes IL I No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on. 1_1Constructlon Drawings* 1_1Bullding Under Constructions IX IFinished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Buildinc Diagram Number 1 (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, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO Complete Items C3.a-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. NGVD Conversion/Comments Elevation reference mark used BM Does the elevation reference mark used appear on the FIRM? 1 X 1 Yes 1_1 No r-k a -rf op o bottom floor (Including basement or enclosure) Ub) Top of next higher floor 10.36 ft.(m) N/ A ft c h. ~c) Bottom of lowest horizontal structural member (V zones only) . .(m) N/.A ft- (m) c y 0d) Attached garage (top of slab) N/A ft.(m) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area ) N/A ft (m) LU M. . 0 f) Lowest adjacent (finished) grade (LAG) . 9..15 ft. (m) J g) Highest adjacent (finished) grade (HAG) 10.4 ft.(m) ~ M ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0 Z.0 i) Total area of all permanent openings (flood vents) in C3.h 0 sq. in. (sq. cm) 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. I 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. CERTiFIER S NAME LICENSE NUMBER ADIS Na NUNEZ 5924 TITLE COMPANY NAME REGISTER17D LAND SURVEYOR BLANCO SURVEYORS, INC. ADDRESS CITY STATE ZIP CODE 555 NORTH ORE DRIVE SIGNATURE_ DATE TELEPHONE 5- FEMA Form 81-31, January 2003 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS ~RJayc" 4n., e.,v dne cDrresPortmtnc 1671TQrrTda€eon rro rre bectiea rt P., Fo7 insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR R0. ROUTE AND i30 \JO. Policy Number QQ N.W. 189TH ST. CITY e STATE ZIP CODE Company NAIC Number MIAMI FLORIDA 33169 SECTION D - SURVEYOR:, ENGINEER, ORARCHITECT GERT IRCATiON (CONTiNUED) CC Ty both Sides of this € evaatio n CerLlsicate fc (Ej roE'baiaelanity off iclal, (2) insurance agennvcon, pan y, and (3) 6widing ownev. COMMENTS CROWN OF ROAD ELEVATION: 8.86' ON CENTERLINE ON CENTER OF ROAD BM # N-500 LOCATOR # 2100 W s® ELEV. 10.00' 1_1 Check here if attachments SECTION E - BUILDING, ELExJ ION INEORNAcATION (SURVEY i O T RE01.#IPFM FnR 7rINIF Ln per: 7.1 .lr k 11!aH s Wn Rr acct For Zone AO and Zone A (without BFE), complete Items Eli . through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-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 ft.(m) 1-1_lin.(cm)1_1 above or 1-1 below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is 1_1_1 ft•(m) 1-1_1in.(cm) above the highest adjacent grade. E4. The top of the platform of machinery and/or equipment servicing the building is 1,_1_1 ft. (m) 1-1-1 in. (cm) 1_1 above or 1-1 below (check one) the highest adjacent grade. (Use natural grade, if available.) E5. 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? 1_1 Yes 1_1 No I-1 Unknown. The local official must certify this information in Section G. The property owner or owner's authorized representative who completes Sections A B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS 1_1 Check here if attachments SECTION G - COMMUNITY INI°OFRIV@ATION_(OPTIONAL) The local official who is authorized by law or ordinance to administer the community'; 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. 1_1 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 be!ovj.) G2. 1-j A community oficiai completed Section E for a building located in Zone A, (without a FEMA-issued or community-issued BFE) or Zone AO. G3. 1-I The foilowinq information (items G4-G9) is nrovided for commnnity flnnrinkain .Y,=-o.,,oha G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED r7 TI_:_ N~ 11ini Incas ueen issuea tor: I_I New construction i-I 5ubstan#ial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: ft.(m)Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft.(m)Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME e TELEPHONE SIGNATURE DATE COMMENTS _ 1_I Check here if attachments FEMA Form 81-31, January 2003 REP'_ACES ALL PREVIOUS EDITIONS