HomeMy WebLinkAbout34-2109-007-0341ClCIf1 MIAMI-DADE 6i;kaJ
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PROCESS # rlC~,
FINAL-EC Rev. JAN 01 2000
NATIONAL FLOOD INSURANCE PROGRAM v
ELEVATION CERTIFICATE
important: Read the instructions on pages 1 - 7
SECTION A - PROPERTY OWNER INFORMATION
I ILLANV Vvvnen ~ rv 1-m
DENFIELD KIRBY AND DELORES KIRBY z
.DING STREET ADDRESS (Inctuding Acc . unit. Suite. and/cr
iv
O.M.B. No. 3W67
Expires July 31. 200?
ZIP CODE
Caw.
For Insurance Company i)
Policy Number
Company NAIL' Num.::,--'
tUYtRIT utscxlH: RUN (LO( and Block Numbers, Tax Parcel Number, Legal Description, etc.;
LOT 8 BLOCK 3 FIFTH ADDITION TO GOLDEN GLADES PARK PLAT BOOK 47 PAGE 3 MIAMI-DADE COUNTY FL.
JILGING USE (e.g.,.Residential, Nen-residential, Addition, Accessory, etc. Use Comments section if necessary.)
ATITUDVLONGITL'DE (OPTIONAL) HCRtZCNTAL DATUM: SOURCE: F-i GPS (Type):
W • tx' - i#.!w of ##.:i##Jta'•' NAD 1927 E)NAD 1983 ❑ USGS Quad Map Z] Other.NGVD 1929
B- FLOOD INSURANCE RATE MAP
'.1. NFIP COMMUNITY NAME i
MIAMI DADE 120635
TION
Bs. MAP AND PANEL 85. SUFFiX BE. FIRM INDEX B7. FIRM PANEL 58. LOCO B9. BASE FLOOD EUZVa' Sri?n,.
NUMBER DATE I EFFECTIVE/REVISED DATE ZONE(S) (Zero AO, use depth, ~ ~tr-vl~• -
1202500080 J 3/2/1994 07/17/1995 tom. X
10. Indicate the source of the Base Flood Eevation (BFE) data or base flood de n 89.
C1 FiS Profile Q FIRM ❑ Community Determined ( 'be):
11. Indicate the elevation datum used for the BF_ in 89: [n NGVD 1929 4ea NA 1988 [1 Other (Describe):
12. Is the building located in a Coastal Barrier Resources System (CSR or 9therwise Protected Area (OPA)? ❑ Yes ❑ Ne
Designation Date 14V
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
1. Builft elevations are based on: ❑ Construction Drawings' Building (,1 der Construction' ® Finished Construction
'A new Elevation Certificate will be required when construct n ofthp~u8dirig Is complete. ~T
2. Suitdrng Diagram Number 1 (Select the building diag st similar to the building for which this certificate is being compse,r r
pages B and 7. If no diagram accurately represents the ~ ng, rovide a sketch or photograph.)
3. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE V pV (with SFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AC
Complete items C3a4 below according to the build' dia specified in Item C2. State the datum used. If the datum is diftemr f(.- I;-
datum used for the BFE in Section B, conv11 the~aW`mAI that used for the BFE. Show field measurements and datum conversi:)
calculaticn. Use the space provided or the Cot3lmen area of Section D or Section G. as appropriate, to document the daturr~r!r
Datum _ Conversion/Comments ~ t11 -
Elevation reference mark used A Doe's levy ion reference mark used appear on the FIRM? U Yes .Z-3 No
O a) Top of bottom Boor (including basem y'Bhc:osure) in 64
Q b) Top of next higher floor 7Iil rftwAii~ n ~a
ft.
Q C) Bottom of lowest horizontal slru I member (V zones only) (1 R
G
ft.I
0 d) Attached garage (top of slab) at
. ge Door (Mia-Dade) (11 R
R
Q a) Lowest elevation of machinery and/or equipment servicing the building 10.5
ft,
0 f) Lowest adjacent grade (LAG) 9.29 ,
ft:
O g) Highest adjacent grade (HAG) 9.39.
ft.
Q h)Total area of all permanent openings (flood vents) in C3h 0 sq. in. (sq. cm)
Q i) No. of permanent openings (flood vents) within 1 ft. above adjacent grade i)
Q Highest crown of road (Mia•Dade) 9.64
ft'
i3
u5
z~
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ^TM .
This rettifcation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation infommar:r
cerbty that the information in Sections A, 9, and C on this certificate represents my best efforts to interpret the data available
understand that any false statement may be punishable by fine or imprisonment murder 18 U. S. Code. Section 1001.
No.) OR P,O, ROUTE AND BOX NO.
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