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HomeMy WebLinkAbout34-2109-002-1070Reoce~ aPoo1~©~b I.'II iI'1 FEDERAL EMERGENCY MANAGEMENT AGEII~III,ni O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM : E Expires July 31, 2002 ELEVATION CERTIFICATE ~I 'I II Iwllj Im rtant: Read the instructions on a es 1 - 7. Foi` Irisiirance Qompany Use SECTION A -PROPERTY OWNER INFORMATION bincy Number BUILDING OWNER'S NAME d Illi II 13~~1 ~Ik City of North Miami Beach BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No) OR P.O. ROUTE AND SO NO. Company NAIL Number ' i 17820 NW 2EP Court CITY STATE ZIP CODE Miami FL _ PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Pt of Tract "Di", -MYRTLE GROVE" Plat Book 53-90 Folio No. 30-2109.002-1070 BUILDING USE e.., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary Government LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS (Type): rgllll 16 Quad -M p ❑ Other: j ##0-##'-##.##" or ❑ NAD 1927 ❑ NAD 1983 13 USG II I°,. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFOf 'WION 1111 k-A V. 1. 9 B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME III 53,'STATE Miami-Dade County 120635 Miami-Dade _ _-londa B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD '139. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE it (Zone AO, use depth of flooding) 0080 J 17 July 95 2 Mar 94 All 7.0 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in BI 1 it llll ®FIRM ❑ Community Determined ❑ Other (Describe): ❑ FIS Profile a B11. Indicate the elevation datum used for the BFE in 89: ® NGVD 1929 ❑ NAVD 1988 ❑ othe ll(Descr►lbe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Pro ~III°~I'~ild Brea II;I'll (OPA)?O ece Yes No Designation Date SECTION C -BUILDING ELEVATION INFORMATION (SURVEY g9 r IUIRED) II IN a II n1 111 1 I!'i C1. Building elevations are based on: Construction Drawings* E] Building Under Construction I I OF inshed Construction A new Elevation Certificate will be required when construction of the building is complete. III' * I~ ~,l~ ICI ~ III C2. Building 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 Photo9r ya I'll ~l _ C3. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/A9, ~ R/A1J30, AR/AH, Ai mse. If the datum is different from Complete Items C3a-i below according to the building diagram specified in Item C2. State they q1' 3 d -,.I ~II~ I°II~II h i llments and datum conversion the datum used for the BFE in Section B convert the datum to that used for the BFE. Show €iefc~ measui` Ili~lpll' III pa~a,a~ll calculation. Use the space provided or the Comments area of Section D or Section G, as appsnate, toocument the datum conversion. Datum NGVD 29 Conversion/Comments I III I, I ;f Elevation reference mark used Does the elevation reference mark used appear on the Flit Yes No ii~lV111 ~ o a Top of bottom floor (including basement or enclosure) -8. 36 ft. (m) o b) Top of next higher floor it•(m)I - n ft c Bottom of lowest horizontal structural member V zones onIv .(m) ti l~ ...Ii o d) Attached garage (top of slab) -ft•(m) III , o e) Lowest elevation of machinery and/or equipment w servicing the building 8. 4ft.(m)~ o f) Lowest adjacent grade (LAG) ( ) _ o g) Highest adjacent grade (HAG) 8. Oft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade (l "III o i Total area of all permanent openings (flood vents) in C3h sqin. (sqcm 11NIlil1 ) SECTION D - SURVEYOR ENGINEER, OR ARCHITECT CERTIFI .11 T1 N.,. r nln 161111w 1611`1:60111 This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized ,y rtifyelevation information. 11381 certify that the information in Sections A, B, and C on this certificate represents my best effortso iniller ret >!he data available. 1111 14! Ilil 111 1~~'~II! I understand that any false statement may be punishable by fine or imprisonment under 18 U. S.oc~e, S~ecion 1001. - - I MB5R 2997 CERTIFIER NAME James E. Beadman LICENSE NU M I I~~'~ I Ili I,, I TITLEProfessional Land Surveyor COMPANY NAME James Beadmen & A Inc. it IIII ssdc , u ADDRESS CITY STATE ZIP CODE SIGNATURE DATE 421,4 FEMA Form 81- , AUG 99 SEE REVERSE SIDE FOR CONTINUATION lltPl ICES ALL PREVIOUS EDITIONS 1 p~lllii; III IMPORTANT: In these spaces,°copythe corresponding information from Section A. tr BUILDING' STREET ADDRESS'(Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. li - Ilia CITY STATE ZIP CODE I, SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (C( Forinsurance:CampanyUse Policy. NumbeF Comp.any NAIL Number . ■ ~~rrrrrrrrr+rr~n~rrr..~ - - irnrrrw Copy both sides 'of fh,s Elevation" Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Centerline of Street = 7.06 ❑ Check here if attachments w.r~■~.A~■.ww..~r~.wii~~rr ~r.r.~■w■.-■r~r~rwrnr ■wrrrri..■~iwrr.r■w.~~■~w.wnnwwriw~~.r.~.rw.~w~i.r..r~ 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 _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. °111 E3. For Building Diagrams'6=8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is ft. (m) -in. (cm) abode 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 II'' floodplain management ordinance? E] Yes [3 No El Unknown. The IOCal official must certify y this information in Section G. i~~r r~~i~i~rw~r~~r■~wwrrr.~w+~~~~■~w~.~~■.r n+~~rruw SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION I 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 ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ 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 appiicabie item(s) and sign below. G1. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. - G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This permit has been issued for ❑ New Construction ❑ Substantial 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 TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS