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Home My WebLink About34-2111-003-1130/ ~ ~j `_i iY', l "1~J , q 170 7 FEDERAL. EMERGENCY MANAGEMENT AGENCY O.M.B. N0.3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 031, 6 2002 ELEVATION CERTIFICATE Important: Road the Instructions on pages 1 •7. SECTION A - PROPERTY OWNER INFORMATION . U-9-i5s: f3Uli.DltvG UwNER's NAME ~ ~ ~ - ~ ✓ ~ J/~ ~ IP.,4~1:~; M~IDir;~~ : i;;.• • . Leslie Chin A. I'. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. nY' : W~Der 700 N.W. 183 Street CITY STATE ZIP CODE Mlami FL 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, eta) The East 125 feet of the North 125 feet of Tract A, SCOTT LAKE MANOR SECTION ONE, PB 57, PG 79 BUILDING USE (e.g., Residential. Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) Residential LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( W - SW - ###.W or ##.i14gi ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION 1 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3. STATE City of North Mlarni„Beach 120656 DADE FLORIDA B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD 9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 1202500080 J 7117/95 312!94 X NIA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. O FIS Profile ® FIRM C3. Community Determined D Other (Describe): 811. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? E] Yes ❑ No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1, Building elevations are based on: ❑ Construction Drawings* Q Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building Is complete. C2. Building Diagram Number --L (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, V1 430. V (with BFE), AR, ARIA, AR/AE, AR/AI-A30, ARIAH, ARIAO 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 DCBM Does the elevation reference mark used appear on the firm? ❑ Yes ® No O a) Top of bottom floor (including basement or enclosure) 11 0 ft. (m) ❑ b) Top of next higher floor NIA . ft. (m) . O c) Bottom of lowest horizontal structural member (V zones only) NIA . -ft. (m) O d) Attached garage (top of slab) NIA . _ft. (m) 13e) Lowest elevation of machinery and/or equipment w _ Serving the building (Roof Mounted) ft. (m) I ❑ f) Lowest adjacent grade (LAG) _ 0 . 1 ft. (m) E z' . ❑ g) Highest adjacent grade (HAG) 10 . 3-- ft, (m) ❑ h) No, of permanent openings (flood vents) within 1 ft, above adjacent grade O i) Total area of all permanent openings (flood vents) in C3h sq, in. (sq, 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. I 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 an false statement may be punishable b fine or Im risonment under 18 U. S. Code Section 1001. CERTIFIER'S NAME LICENSE NUMBER NELSON MOJARENA 5504 TITLE COMPANY NAME REGISTERED LAND SURVEYOR MOJARENA & ASSOCIATES INC. ADDRESS CITY ATE ZIP CODE FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS e IMPORTANT: in the" spaces, copy the corresponding information from Section A. STATE ZIP COOS . SECTION D - SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) won= No= Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent1company, and (3) building owner. COMMENTS Highest Crown Of Road =10-1W Check here If attachments 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 Certiftate is intended for use as supporting inflammation for a L0114A or LOMR-E, 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. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in_(cnt) 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? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FEMA issued or community-lssued BFE) or Zone AO must sign here. P O-PER OWNS S OR NER's UTHO 2ED R RESEN ATiVE' NAME ADDRESS CITY I STATIE ZIP DE SI TURE DATE TELEPHONE COMMEKT37 ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodpiain 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. ❑ 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 SFE) or Zone AO. G3. The following Information (Items G449) is provided for community fioodplain management purposes. G7. This permit has been Issued for: ❑ New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: Datum: G9. BFE or (in Zone AO) depth of flooding at the building site Is: Datum: LOCAL OFFI IAL'S A E TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here If attachments FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS