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HomeMy WebLinkAbout34-2112-040-0010Proc. # 2004083537 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 Folio # 3421120400010 NATIONAL FLOOD INSURANCE PROGRAM xpires December 31, 2005 ELEVATION CERTIFICATE C.O.R. 10.12 Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME KRINAC INC. Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 17090 N.W. 7th Avenue CITY STATE FLORIDA ZIP CODE North Miami Beach R. 33169 ..,,,,o SOURCE: I~ GPS(Type): ( -##.t#t° or I_I NAD 1927 1_I NAD 1963 _ I_I USGS Quad Map IXI Other N.G.V D,.. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMMUNITY NAME & COMMUNITY NUMBER 62. COUNTY NAME B3. STATE Unincorporated 120635 MIAMI-DADE Ft. B4. MAP AND PANEL B5. SUFFIX 86. 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" 07/17/95 03/02/94 "X" N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. LI FIS Profile IXI FIRM "Community Datennined "Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: IXj NGVD 1929 IJ NAVD 1988 l._I Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? L_J Yes IXI No Designation Date: C1. Building elevations are based on: L_IConstruction Drawings` UBuilding Under Construction' QFinished Construction '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 At-A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.9-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 N.G.V.D. Conversion/Comments Elevation reference mark used 2408 Elev. 11.41 Does the elevation reference mark used appear on the FIRM? I_L Yes IXI No O a) Top of bottom floor (including basement or enclosure) 12 20 fi.(m) m o b) Top of next higher floor 12.20 ft.(m) a m ti; - O c) Bottom of lowest horizontal structural member (V zones only) WA. `fi.(m) - 0 d) Attached garage (top of stab) N/A, _ ft,(m) s g _ ❑ e) Lowest elevation of machinery and/or equipment w servicing the building (Describe in a Comments area.) see comments ft.(m) E ❑ f) Lowest adjacent (finished) grade (LAG) 11 , 5 ft.(m) 2' - O g) Highest adjacent (finished) grade (HAG) 11.9 ft.(m) 0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA LIC-NS 160 11/11/05 O i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to : nee and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the 17f~etio-r In actions A, 8, and C on this certificate represents my best efforts to interpret the data available. " ur`coo 8550 W.Flaaldr Street Suite 107 North Miami I FI 33144 552-7007 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copv the corresoondina information from Section A. I For Insurance Company Use: I CITY Miami STATE FI ZIP CODE I Company NAIC Number SECTION D -`SURVEYOR. ENGINEER. OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS Machinery and/or equipment on the roof I t 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 Et. through E5. 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 I I I ft. (m) L_Ll in. (cm) L_J above or 1_1 below (check one) the highest adjacent grade. (Use natural grade, if available.) E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is LU ft. (m) I I lin. (cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment. servicing the building is I I I ft. (m) I I I in. (cm) LI above or L.__i below (check one) the highest adjacent grade. (Use natural grade, if available.) E5. 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. SECTION F - PROPERTY.OWNER or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.1 only), and E for Zone A ued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to ADDRESS_ CITY ..STATE ZIP CODE. 51UNATURF - - - - DATE TELEPHONE INFORMATION 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. " 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. U A community officiafcompleted Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. - - _ - - G3. j_J The following inforrnatiori (items G4-G9) is provided for community floodplain management purposes. - ca. PERMIT NUMBER 6 G5. DATE PERMIT ISSUED 6. DADTE CERTIFICATE OF COMPLIANCE(OCCUPANCY W. This permit has been issued for. , U New Construction U Subst G8. Elevation of as-built lowest fdor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: -ft. (m) Datum: _ft. (m) Datum: LOCAL OFFICIAL'S NAME TITLE - COMMUNITY NAME TELEPHONE COMMENTS - - FEMA Form 8131, January 2003 Replaces all previous editions