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HomeMy WebLinkAbout34-2112-041-01001"Wt11AL tmtKtatNLY MANAUtMtN I AW:NV Y O.M.B. No. 3067-0077 PROCESS NO. c q Caoi UlJOIN NATIONAL FLOOD INSURANCE PROGRAM Ex Tres December 31, 2005 FOLIO NO. 3 07 I jI'70 t 1 L 1W p C.O.R. 9.851 - ELEVATION CERTIFICATE Important Read the instructions on es 1- 7. SECTION A - PROPERTY OWNER INFORMATION 1=or iltarar a CompenylUse: 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 NAIC Ntxnber 44 NVV 1179th Street CITY STATE ZIP CODE Miami, FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 513, 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): ( #90 - - or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 82. COUNTY NAME B3. STATE Unincorporated Miami-Dade County 120635 Miami-Dade County FL 134. MAP AND PANEL NUMBER 12025C 0080 B5. SUFFIX J B6. FIRM INDEX DATE 7/17/95 B7. FIRM PANEL EFFECTIVEIREVISED DATE 03/02194 B8. FLOOD ZONE(S) X B9. BASE FLOOD ELEVATION(S) (Zone A0, use depth of flooding) - b] U. inaicate me source or me base mooa tievanon (tjrt) aata or base nooa aeptn entered in tiy. ❑ 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, ARIA, 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. , . e_ Datum NGVD Conversion/Comments ' Elevation reterence mark used #2 Does the elevation reference mark used appear on the FIRM? H Yes Q9 No .'-,0- I - . o a) Top of bottom floor (including basement or enclosure) 10. 72 ft.(m) o b) Top of next higher floor ft.(m) N/A. _ o c) Bottom of lowest horizontal structural member (V zones only) N/A. 00 o d) Attached garage (top of slab) N/A. _ft.(m) I gaP~ E F . : o e) Lowest elevation of machinery and/or equipment ` ` ' ' servicing the building (Describe in a Comments area) 10.72 ft.(m)m 1 ¢ , o f) Lowest adjacent (finished) grade (LAG) 9.8d ft.(m) Z.2) o 9) Highest adjacent (finished) grade (HAG) 9. 90 ft.(m) _ 111436816 i / 15103 o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA ~ e it h d il j _ 'gp o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. cm) p I''i~F,' i ' 3 3 SECTION D- SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION I gg I i ' I I i 11 This certification is to be signed and sealed by a land surveyor engineer or architect authorized by law to certify elevation W6 ation , , , , III M If certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data availableMl , , /understand that an false statement maybe punishable b fine or imprisonment under 18 U.S. Code, Section 100, d CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER #385 ~ r'' ~ I !IH~ I ~ it l rl' i - lk ,Ii~l ~ V~II~I~ TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & ASSOCIATES, INC. ~(I h fill Ii I IL I ~ 1 ii I~ I, ~ ICI h 1111{I I AUUKCJo 7900 NW 155TH STREET, SUITE 104 VI 1 T MIAMI LAKES JIAIt FL SIGNATURE , DATE 05115/03 (305) 821 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A For k>sjartoe *W~ use BUILDING STREET ADDRESS (Ind udir g Apt, Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX No. Poky Number 244 NW 179TH STREET CITY STATE ZIP CODE CarpM NAIC Nth MIAMI FIL SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUEb) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, and (3) building owner. COMMENTS HIGHEST CROWN OF ROAD ELEVATION IN FRONT OF PROPERTY: 9.85 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. El. 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.'1 only), and E for Zone A (without a FEMA-issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, Q and E are cwed 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 w ❑ Check here if attachments mss. SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local offi thorizediu y~, fa w o r o~ td administer the community's floodplan management ordinance can complete Sections A, B, C (or E), and G of this Elevation * ~ai who~s authmar►~e Certificate Co I , ete thepplicable'.em(s) did sign below. G1. ❑ The irib aboP rn 5e-ction C4-as taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local 16 66r* elevation infonz-t in "(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A co m unity c a) completed Section Efor a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0. i G4-O G3. ❑ The ollou+nn IIIs. is, provided for community floodplain management purposes. nformation niter g ( G4. PERMIT NUMBER G5; DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED fN t G7. This permit has been issued for. New Construction ❑ Substantial Improvement : ' G8. Elevaton of as-built lowest floor (i :1 udingeas' ent) of the building is: Datum: !p€'IE III G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: NAME TITLE LOCAL FFICIALS fid ~ TELEPHONE COMMUNITY NAME ski I!' _ DATE SIGNATURE 4 111 h COMMENTSI 11. 1; 1 dr I 6 _ Iky III 11 I III -i I I' III' `I I, ❑ Check here ;f attachments FEMA Forhl 81 31 I, January 2003 Replaces all previous editions I~~I; i I ~~I.IiI I !