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Home My WebLink About34-2112-023-0160FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 .NATIONAL FLOOD INSURANCE PROGRAM . Expires July 31, 2002 i. d 0(,c) ELEVATION CERTIFICATE oap Im ortant: Read the Instructions on pages 1.7. ' 3c) z11 d -3 l SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: ~`NWK BUILDING OWNER'S NAME' Policy Numberi a' n- a T TEMPGLASS EASTERN INC BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O: ROUTE AND BOX NO. ) Company NAIL Numbera'ftx'. CITY IAMT . STATE ZIP CODE FL. 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory,'etc: Use Comments'section If necesd WAREHOLILATITUDE/LONGITUDE (OPTIONAL) , :.HORIZONTAL DATUM:' SOURCE: ❑ GPS (Type): or • #l1.#;##W) ` . ' ❑ NAD 1927 ❑ NAD 19830 USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME $ COMMUNITY NUMBER 82. COUNTY NAME 133. STATE 120635 =MIAMI-DADE, FL .04. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX. 07. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) .i NUMBER J . -~~.DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO; use depth of flooding) 80 IN e% A 3•Z.-Q~ B10. indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ❑ FIRM : ❑ Community Determined ' ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929*' ❑ NAVD 1988 : CI Other (Describe): B12. is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes (a No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction" 0,Finished Construction ' "A new Elevation Certificate will requi be red when construction of the building is complete. C2. Building Diagram Number_ (Select the build! 69dia ram'most similar to the building for which this certificate Is being completed - g 9 9 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, ARIA1-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 frorn • 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 N11 At4i" 99 ()e COO~/r f; Elevation reference mark used _Does the elevation reference mark used appear on the FIRM? ❑ Yes . U] No ► a) Top of bottom floor (including basement or enclosure) lo- b) Top of next higher floorft.() ► c) Bottom of lowest horizontal structural member (Vzones only) =ft.(m) 3 lo- d) Attached garage (top of slab) ,_„ft.(m) ► e) Lowest elevation of machinery and/or equipment servicing the building •O E , E 3102 110. Lowest adjacent grade (LAG) 3:~?~..•(m) z' ► ` g) Highest adjacent grade (NAG): (m) 2. ~Z - v. ► h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ► ij Total area of all permanent openings (flood vents) In C3h esq. In., (sq. an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION rrr~t~.t ter, /11111 k ' This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certifyelevation Information','" certify that the lntonnation in Sections A, B, and C on this certllrcate MPreserits my best efforts to inte*t the data avallable. t 1 I understand that an false statement me be nlshabie b Rne orlnr rtsonment under 18 U S Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER.. . ARTURO TOIRAC TITLE . P . L . S . COMPANY NAME VIZCAYA LAND SURVEYOR INC. ADDRESS CITY STATE ZtFrCODE MIAMI 13217 S.W..46 LANE. 331-75 SIGNATURE DATE ~ TELEPHONE . 2 `2.--d0 (305) 223-60-60- : FEMA Form 81-31,AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES'ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding Information from Section A. For.insurance Company Use::.: BUILDING STREET ADDRESS (including Apt., Unit,.Suite, and/or Bldg No.) OR P.O. ROUTE AND BOX NO. Policy Number+!{ ;fkai, i, ' at};~ , rs,_. , - ....r A i i + S s ^ i ! :in F; F ( 1;~!~. ~..k4 ti.y~ ,'+3 • • t:, ' ' CITY i i 5•:;. • T" STA?E 'c t:±' ZIP CODE ',Ganpa~Oy'NAIG Nurllbet,i;+ ,NM;;~,; , ff' f 7 :1 X14 MC t + ! FV i c7, 1 ; ;t; :;r.;a'.!' e'f ;,.y ;f't"E+yrh+ t . 4 ,t i ,i d , r r (a{ p e - - . . 1 + 1}'J,1 • * { V ; 1 i Y..+ . viii' r; 4'1::;!h4.u.{ i;!•:.,i. iy:'~i: .;:,',,r.~ i!•P:~: t1:+' . E1t Hh, •;!;N.N.' _ SECTION D' SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for O 1 community official, (2) insura ~ • nce agenUcomPanY, and (3) building owner. COMMENTS ❑ 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 El through E4. If the Elevation Certfiicate is.intended for use as supporting; ' nfonnation fora. LOMA or LOMB 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 If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement,or endosure) of the buiidmg is 1(m).•,•_in.(cm) ❑ above or ❑ below (check one)' " z . the highest adjacent grade. =3. For Building Diagrams 6-8 with oPenings(see page the next higher; loor or elevated floor (elevation b) of the building is .~1(m) in.(crm) above the highest adjacent grade: E4. For Zone AO onl : If no flood de' th number.I available, is. the top of the bottom floor. elevated• inaccordance with the community's floodplair management ordinance? ❑'fes ❑ No U nknown. The to cal official must certi this information in Section G. r+.~~..r..~r.r.i r~r~~rrr.•r SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION t . • The property owner or owner's authorized representative who.co" mplete's 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 71 11 ADDRESS „CITY STATE:, ZIP. CODE , SIGNATURE DATE TELEPHONE . COMMENTS •1.' 4 t ! :t.' i i. i} ,i•'S{~~ i' r ..r;F r R i.{° ••l,'' r..,i•. r, v• i r+ i . ❑ Check here if attachments SECTION.G • COMMUNITY, INFORMATION (OPTIONAL) ' be local official who is authorized bylaw or-ordinance to administer the community's dodplain management ordinance can complete ; ections A, B, C (or Ej, and G of this Elevation Certificate. Complete the applicable item(s):and sign below. • . 4. ❑ 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;tiyatate or tocallaw to certify, elevation information: • (indicate the source and, date of the elevation dataJn.the:Comrnents area below.) s 2. ❑ A community official c6mPlefled Section E for a 'building located In Zone A (without a•EEMA-issued or community-issued BFE) or Zone AO. - i . 33. ❑ The following information (kems G4-G9) is provided for community floodplam management purposes... G4. PERMIT NUMBER - -]-G& DATE, PERMIT ISSUED G6:. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY.: s: ISSUED 77. This permit has been issued for. ❑ New Construction 0 Substantial Improvement 8. Elevation of ais^built lowest `floo'r (indu'ding'base rent) of the, building is ft.(mj Datum: ,9. BFE or (in Zone AO). depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFtCIA123 NAME . TITLE. COMMUNITY NAME . TELEPHONE SIGNATURE + DATE COMMENTS h ❑ Check here if attachments' AUG'99 _ ; . REPLACES ALL PREVIOUS EDITIONS EMA Form 81-31,