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Home My WebLink About34-2112-041-0050PROCESS NO. 20011"W6" I-WhIl AL tMtKUhWY MANAUhMl l I AW--Nil NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 FOLIO NO. Expires December 31, 200; C. 0. R. 9.80 ' ELEVATION CERTIFICATE '07 /107 040 Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION Fort. Caanytke:'' BUILDING OWNER'S NAME Policy Number D.K: Development III, Inc. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAICNumber' 220 NW 179th Street CITY STATE ZIP CODE Miami, FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) - Lots 3A, Block 1 of "CLOVERLEAF GARDENS DUPLEXES", P.B. 157-39 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( - - or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER, B2. COUNTY NAIVE B3. STATE Unincorporated Miami-Dade County 120635 Miami-Dade County FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of floodiril 12025C 0080 J 7/17/95 03/094 X - is i u. inaicate uie source or me case riooa tievall (bi-tl aata or oase nooa aepm enterea in bV. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ,R No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished 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 Al A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO Complete Items C3: a4 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 NGVD Conversion/Comments Elevation reference mark used #2 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No 4- o a) Top of bottom floor (including basement or enclosure) 10. 73 ft.(m) _T o b) Top of next higher floor N/A.. _ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) WA . _ft.(m) o o o d) Attached garage (top of slab) N/A. _ft.(m) E "S r o e) Lowest elevation of machinery and/or equipment w servicing the building (Describe in a Comments area) 10.73 ft.(m) ry ' €1 E N~ t* Ili o f) Lowest adjacent (finished) grade (LAG) 9 . so ft (m) 11 II VIII Z q ii CD o g) Highest adjacent (finished) grade (HAG) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A , ! II { 11 I e r I 5 /15/08 3 0 8 6 o i) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. cm) SE&ION D- SURVEYOR, ENGINEER, OR" O Wveg.,. SOT CSI 101 A ION tip I gg ~ilru r i i li`il:.,:r r iri I fi;- fail iI SIR I This certification is to be signed and sealed b a land surveyor, en ineer,'or architect autholnzed bhaw to der ti elevation in rmation fo y _ g f iiIIIIIII~ y~ I- s dull I.ilflr hill ? I certify that the information in Sections A, 8, and C on Phis certificate reptesents my best e9orts tol►rn'erpre he.da><a available, ~ ~I II61Ity.I I~ ~IJrsul ~iflnlR III = b 1 j f (UJ ~ f I understand that any false statement may be punishable by fine or impnsonment u rider de Seci'ion 100 . CERTIFIERS NAME JOSE F. LOPEZ I ° I 111 1 I I 'I 1 LICENSE NUMBER #3086 I f ~t ~ I i. ! u ~I I E~ k~ l;l' ,II I I ~ !,i ~ ~ ass TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & ASSOCIATES, INC. it l II d-- In I : a~Ilt illli~",',2i fI i w ql; a II, ADDRESS CITY STATE ZIP CODE 7900 NW 155TH STREET, SUITE 104 MIAMI LAKES FL 33016 SIGNATURE DATE TELEPHONE 05/15103 (305) 828-27215 V FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding informadon from Secdon Q Porlnsufam ComOrrytise: BUILDING STREET ADDRESS (Inducting Apt, Unit, Sure, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky 220 NW 179TH STREET CITY STATE ZIP CODE Comp" NAIC Number K_ r MIAMI FL e SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/oompany, and (3) building owner. COMMENTS HIGHEST CROWN OF ROAD ELEVATION IN FRONT OF PROPERTY: 9.80 FEET, NGVD ❑ 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 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 _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(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 _ ft.(m) _in.(cm) ❑ above or ❑ 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 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, 8, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS h ❑ Check here if attachments - SECTION G -COMMUNITY INFORMATION (OPTIONAL) J#Rz ~ik The local official who is authoried byf 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. ❑ A community official, completed Section E for a building located in Zone A (without a FEIUrA-issued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED a. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions