The URL can be used to link to this page

Home My WebLink About34-2109-009-1480, dupef. L L E V~q1 ION C E I i 11 1C fat- E g, 0. A4. a. No 3osT 0077 Expires May 31, 19 93 VEDEBAL EiVILIIGENCY MANAGEMENT AGENCY Nn-110E4AL FLOOR INSURANCE PROGRAM Ai lt4l bN: Use of if Ili,; certificate dues not provide n waiver of the flood in surance purcirase red uirerlfelk This l proyfde elevation iriforrnatlori necessary to efisure colt iplianc:e with applicable cormnu►nily tioodplaiii rnatlagernenlordinances, tally to riiir deter' I le the proper insurance prerriiurn rate, and/or to support a request for a Letter of Map Arnenditierit or R vision (COMA or'tOMR). Instruciletis for completing this form can be found on the following pages. SECT 10P! A rnovEt1 rY INronmAl ton FOR 1NSUnANCE COMPANY USE BU1LONO M0WNEn S NAME - POLICY NUMBER ANNA BENNETT _01,02 '(toe) S1ni_ET AbonESS (indud'n~g Apl.. Uuil. St►fir.:►nc)ror 111cki. Number) 0111'.0. 110111E ANn UOX NUMUEn COMPANY N f 3420 -N. W.79Tff S_LI UiF1En DESCf~IPFION (Lot ctr>tl bltx:tc Ntrrrrbcrs. <~tr..) c1r'yt. MIAMI A C NUMBEn SiATE FLORIDA ZIP CODE - 3 05f SECTICr`0 6 FLOOD INSUTANCE RACE MAP (FIRM) iNFOF1MATION f i Provide the foliowiitg'lrortt the prover 1-11'1M (See Irisirucliot►s): 1. CONIMUNitY:NUMBER 2. FANEI_ hfUMl)t Fl 3. StirF1X A. DAi E OF FIRM INDEX s. FrnM ZONE f .1 BASE FLOOD EI.EVATM 1(in O C Z C 0 0n O AO Zones. use depth) 3_2_94 EL,7, -FEE_. 7. Indicate the elevation daturn system used on tire F11-IM for Base Flood Elevatlons (BF'E): W NGVD '29 [j Other (describe on back) 8. For Z0, 1es A br V, where`no Br`E is provided orr file FIRM, and the community.has established a BFE for Elms building site, Indicate Eli! the cornillunlty's BF E: I I i (INI ANI feet NGVD (or oil ier FiiIM datum-see Section B. Item 7) SECTION C BUILDING ELEVAiIiON INF0nMA1 IOM 1. IJsing tli1e Elevation Certificate Instructions, Indicate late diagrain number from the diagrams. found on Pages 5 and 6 that best describ s the subject building s ieleience level L.,_ . 2(a). FIRM Zones A I -A30, AE, AN, and A (with WE). T he lop of the reference level floor from the selected diagram Is at an elevation of I._J.J_...I 110-T71 feet NGVU (or oNter FIRM datum-secs Section B. item 7). (b). FIRM 7_otnes V t-V30. VE, alid V (with BFE). 'flirt bottort► of the lowest horizontal structural nieniber of file reference level from the selected diagram, Is Man eipwalion vl ( I i I INI/. AA I feet NGVU (or other FinM datum-see Section S, Item 7). (c). FIRM Zone A (without BFE_). 'the floor used as life telprer►c;e level irons the selected diagram is I.. INi/.IAi feet-above I. or below I_1 (check one) the highest tirade adjacent to Ilin building. (d). FIRM Zone AO. Tine floor used as he teletence level (torn the selected diagram is I ._P VA I feel above L j or below El (check one) )1ie Etlgliest grade adjacent to the buikying. It no flood depth number is available, is the building's lowest'lioor (reference level) elevated in accoidatnce wili► lice community's fioodplairn management ordinance? ( I Yes I ._I-No [~.I Unknown 3. Indicate the elevation datum s slenl y used In determining tiro above refe►erticEl level elevatioris: ICI NGVD'29 Other (describe Under C;omrnenls on Page 2). (NOI F_: It the elevarliurr daffinir used /it measudnq the elevatioris h; different thart (list used on the F/fiFfillf (see Section B, ltem 71. their convert the elevations to fire datum system used on fire FIRM and show lire conversion equation) under Comments oil Page 2! d. Elevatlon teleience mark used appears on FIl1M: I I Yc!s IX No (See Instructions bit Page 4) 5. The tel6rence level elevation is based ori:.I31 actual corisitt►ction I I Construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have fire reference level floor i►1 place, in which case IW certificate will only be valid for the building during the course of construction. A post-construction Fievation Ceifificate will be r4quired once construction is comple(e.) y 6. The elevaliotT oI fire lowest yaide immediately • ad)'acelit to Ilic building is: feet NGVD (or other FIRM datun)-see Section b, item 7). SECT ION D COMMUNI rY INFORMATION 1. It the comniurn!Y I official res pollsible lot ventY' itg building elevations specifies that the reference. level indicat fed in Section C, Item 1 Is not the "lowest floor" as defined !it the coil irrtunity s floodpiatra Inatnage►1lerrt ordinap e, the elevation of the building's "lowest floor" as defined by the ordinance is: ( ( i i i N/.1f1 I lent NGVL) (or oilier `I=ts M da`luln-see Section 13, Item 7). 2. Date of the start of construction or suibstanlial inni uvemonf tEMA rorin 61-3 Fr MAY 90 RI r'i A(i S All I I1itl:VlQ115 i.DIIIONS SE-E i r-Vr_r1SF SIDE 170n CONI NUATION SECTION E CERTIFICATION . III, This certification is to be signed by a land surveyor,-engineer, or architect who is authorized by state or local law to certify elevation information when the elevation information for Zones Al-A30, AE, AH, A (with 13FE),V1-V30,VE, and V (with BFE) is required. Community officials who are authorized by local law or ordinance to provide floodplain management information. may also sign the certification. in the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner, or an owner's representative may also sign the certification. Refetence level diagrams 6, 7 and 8 - Distinguishing Features-if the certifier is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, item 1, must still be entered. I certify that the information in Sections 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 (or Affix Sea!) CHARLES W. CARR PLS 1060 a. TITLE COMPANY NAME LAND SURVEYOR ADDRESS " CITY STATE ZIP 9245 S.W. 44TH STREET MIAMI FLORIDA 33165 SIGNATURE q. 1.,7 n.C sZ SEPTEMBER D1T~ 7JJ PHONjQ~j-221=3416 Copies should be made ~vr ?h03 dertificate for: 1) community official 211 Insurance a ei nt/company, and 3) buttOng u.lirier. Ct^;i` 110ENTS: 7- r III _ WITH ON PILES, BASEMENT PIERS, OR COLWdNS A V ZONES ~26NES Z014ES REFERENCE BASE ' = FLOOD - - - - ADJACENT ELEVATION REFERENCE ADJACENT GRADE LEVEL GRADE :r BASE FLOOD REFERENCE REFERENCE BASE FLOOD LEVEL ELEVATION `%::-•:•'::°-%r ADJACENT-- GRADE The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. Elevations for all A Zones should be measured at the top of the reference level floor. Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member. Page 2 ON SLAB A V ZONES ZONES