HomeMy WebLinkAbout34-2109-015-2400C.O.R.= 7.32 FEET
99-0007763/
BUILDING OWNER'S NAME
CLEVELAND ROSIER
FEDERAL EMERGENCY MANAGEMENT AGENC >i
O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
1r...,...•i~r.~• Ds~d 41,s irtM soM~%Q o%n naAAC I - 7_
N A - PROPERT'~ OWNER INFORMATION
BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO,
3367 NW 179 ST r'
CITYl STATE ZIP CODE
MIAMI FL 33056
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 24 Block 9 of
BANKERS SUBDIVISION NO. 1 according to the plat thereof as recorded in
Plat Book 70 at Page 62 of the public records of MIAMI-DADE County, Florida.
_BUILDING USE (e.g. Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1_J GPS (Type):
( - or L J NAD 1927 L J NAD 1983 L.J USGS Quad Map IX I Other. NGvD 1929
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
I B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER } B2. COUNTY NAME I B3. STATE
MIAMI DADE 120635 1 MIAMI-DADE I FL
B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding)
1202500080 J 07/17/1995 03/02/1994 AE 7FT
B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
1_1 FiS Profile I x I FIRM 1_1 Community Determined 1_1 Other (Describe):
B11.Indicate the elevation datum used for the BFE in B9: x NGVD 1929 L_J NAVD 1988 1J0ther (Describe):
B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? LJ Yes (.L1 No
Desianation Date:
SECTION C - BUILDING ELEVATION INFORMATION
_I Construction Dr' ings* JJ Building Under Construction* L x J Finished Construction
C1. Building elevations are based on: I
*A new Elevation Certificate will be required when construction of the building is complete.
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 photograph.)
C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO
Complete Items C3a-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 Conversion/Comments
Elevation reference mark used 6 Does the elevation reference mark used appearon the FIRM? Lx J Yes ive
❑ a) Top of bottom floor (including basement or enclosure) 9.02
❑ b) Top of next higher floor N/A ft.
❑ c) Bottom of lowest horizontal structural member (V zones only) N/A ft.
❑ d) Attached garage (top of slab) 19. /A ft.
❑ e) Lowest elevation of machinery and/or equipment
servicing the building 8.90
❑ f) Lowest adjacent grade (LAG) 7.45 ft. 5204 02/15/02.
❑ g) Highest adjacent grade (HAG) 8.42 ft.
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade -/A License Number, Embossed Seal,
❑ 1) Total area of all permanent openings (flood vents) in C3h N/A sq. ft. Signature, and Date
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.
1 certify that the information in Sections A, 8, 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
John Ibarra 5204
TITLE COMPANY NAME
Professional Land Surveyor NOVA SURVEYORS, INC.
ADDRESS CITY STATE ZIP CODE
5582 N.W. 7TH STI , WITE 201A - -MIAMI FL 33126
SIGNATURE DATE TELEPHONE
n?/15/n?_ (305) 264-2660
FEMA Form 81-31,
SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding Information from Section A. 99-0007763
BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO.
3367 NW 179 ST
CITY
STATE
ZIP CODE
SECTION D - SURVEYOR, ENGINEER, OR ARCtNTECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insumnce agenticompany, and (3) building owner.
COMMENTS
NOTE: ALL ADDITIONS WERE CONSIDERED TO DETERMINE LOWEST FLOOR ELEVATIONS
HIGHEST CROWN OF ROAD ELEVATIONS- 7.32 FEET
LOWEST CROWN OF ROAD ELEVATIONS- 6.63 FEET
LJ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (1MTHOUr 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 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 J~J_._.I ft. J._I_I in. L _J above or J,J below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
JJ_J ft. (,_L J in. above 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
_ floodplain management ordinance? I I Yes I I No I I Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATPM CERTIFICATION
The property owner or owner's authorized representative whQ 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
CLEVELAND ROSIER
ADDRESS CITY STATE ZIP CODE
3367 NW 179 ST MIAMI FL 33056
SIGNATURE DATE TELEPHONE
COMMENTS
- I 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 applicable item(s) and sign below.
G1. JJ 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. LJ 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. 1 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY f
I
ISSUED i
G7. This permit has been issued for. L_J New Construction I_J Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the building is: ft. Datum:
G9. BFE or (in ZONE AO) depth of flooding at the building site is: ft. Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
LJ Check here if attachments
FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS