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As-Built ELEVATION CERTIFICATE
To complete refer to Elevation Certificate Guidelines. This certificate shall be presented in duplicate to DERM Water Control before obtaining
S CERTIFICATE OF COMPLETION OR OCCUPANCY.
Inspectors: DO NOT ACCEPT if all item are not completed
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PROPERTY INFORMATION
(The following information to be provided by contractor or property owner, please Print)
Folio # : 30 _ 2111 _ 005 _ 0050 (DO NOT ACCEPT WITHOUT FOLIO#)
Address 1350 NW 183 Street, Miami, FL. 33169
Process
Permit # .
FLOOD INSURANCE RATE MAP INFORMATION
Community #
Suffix
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
J
0080
March 2, 1994
X
Ft. NGVD
If any Variance or Waiver has been obtained from Metropolitan Dade County D.E.R.M.
Please provide case NUMBER #
All ares below the base flood elevation are in compliance with _
I certify that the above information represents my best effort to interpret the data requested :
Name
Phone #
Date :
Signature
ELEVATION CERTIFICATE
Using Elevation Certificate instructions, indicate diagram found on Pages 5 and 6 that best describes the subject building's reference level 1
LOWEST ADJACENT GRADE ELEVATION
9.30
FT.
N.G.V.D.
LOWEST FLOOR ELEVATION (Top Reference level)
9.88
FT.
N . G . V . D .
GARAGE OR STORAGE FLOOR ELEVATION
NSA
FT.
N.G.V.D.
ELEVATION OF HIGHEST CROWN OF ROAD (Fronting Property)..
8.90
FT.
N. G . V . D .
(IF IN A "VE" FLOOD ZONE AREA)
BOTTOM ELEVATION OF THE LOWEST HORIZONTAL STRUCTURAL MEMBER......
FT.
N. G. V. D.
I hereby certify that the information on this certificate for the above mentioned property is true and correct to the best of my knowledge and
belief.
Date October 25, 1995
Certifier Name : JOSE F. LOPEZ
Phone (305) 836-1822
(l~ntj -
Certifier's Signature
F
Certificate # : /86 _ PLS'E.
' P
(Circle~One) r `
Rev. ELEVCERT.194 Jun 29, 1994
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