HomeMy WebLinkAbout34-2101-008-0222C C zoo z z 1 l' ~ FEDERAL aMIGENCY MANAGEMENT AGENCY
O.M.B. No. 3067-0077
r, NATIONAL FLOODINSURANCE PROGRAM Expires December 31 2005
f-o is; 3~► ro l o r1 g `G 2_z, ELEVATION CERTIFICATE
I) 19 -"i...1 : Read the instruccllons on es 1- 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance canpany t>se:
1 , 1 NAND Policy Number
BUILDING OWNERS
Cabadas Construction borp.
BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
124 N.E. 184 TERR
CITY STATE ZIP CODE
Miami FL 33179
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 12 Block 2 of FULFORDALE ADDITION No.1 SECTION B, as recorded in PB 9, Page 97, of the public records of Dade county, Florida.
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Residential
LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
{ #1P - #9 - ##.#If' or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COIt"17Y NAME & COMMUNITY NUMBER 132. COUNTY NAME 133. STATE
Nku Dade 120635 Mrami-0ade FL
134. MAP AND PANEL 137, FIRM PANEL B9. BASE FLOOD ELEVATION(S)
NUMBER B5. SUFFIX `B6. FIRM INDEX DATE EFFECT IVElREVISED DATE 138. FLOOD ZONE(S) (Zane A0, use deo of flooding)
1202500083 J O711-711,99S 03102M994 X NIA
1310. Indicate the source of the Base Flood Elevation (SM data rbasetod depth entered in B9.
El FI Profile Fl FIRM n Community Determined ❑ Other (Describe):
B11. Indicate forthe BFE in 89:'® NGVD 1929 El NAVD 1988 ❑ Other (Describe):
the elevation datum used
B12. Is the buildi22 located in a Coastal Barrier Resources System CBR8 area or O#owise Protected Area OPA ? ❑ Yes ®No Desi ation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construct DrawlW El Building Under Constnucf W ® Finished Construction
"A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. 9 no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations-Zates Al-130, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR(A, AWAE, ARlA7-130, AR(AH, AR/AO
Corrj&e Items C3.-,a-i below according to the building diagram specified in item C2 State he mum used, 9 the datum is crftent firm 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 is area of
Section D orSectian G, as appropriate, to document the datum conversorn.
Datum, 6Vb ConvwxnlComments
• Elevate reference mark used NM79 Does the elevation relbrence mak used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (including basement or ensure) 11. 64 L(m)
o b) Top of next highuffoor NIA. _Vrn)
CIO
r
o c) Bottom of lowest homontal structural member (V zones only) NtA. III. m)
g
o d) Attached garage (top of stab) NWA (m)
o e) Lowest elevation of machinery and/or equipment
' M
L~
`
servicing the, building (Describe in a Comments area) 11.75 t(m)
e
o f) Lowest a 0cent(fnished)grade(LAG) 10.43ft.(m)
z -
o g} Highest cAacent(finished) grade (HAG)
71.914m)
;n
o h) No. of permanent openings (flood vents) within 1 ft. alcove adjacent grade NIA
o i) Total area of all permanent openings (flood vents) in C3.h NJA sq. in. (sq. an)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION j
~~i Y r i •rrirrrrr~,~r~ ~~rr~ ~ rrr~~
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 1009.
CERTIFIERS NAME William Herryman LICENSE NUMBER 2804
TITLE Professional Surveyor and Mapper
COMPANY NAME
ADDRESS CITY STATE ZIP CODE
300 Bayview Dr. S- Sunny Isle Beach FL 33160
SIGNATURE DATE TELEPHONE
M2804 (305) 9448894
FEMA Form 81-31, .lanua(ry 2003/ 1/ See reverse side for continuation. Replaces all previous editions