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Home My WebLink About34-2112-041-0110Mvkombb Nu. C 3Lo0267g4& 3q rlv r r MM%M%=a&.I r"ar-flu T O.M.B. No. 3067-0077 !OLIO NO. 3ca I i go 41o 1 i17 FLOOD INSURANCE PROGRM Expires December 31, 200; c. o. R. 9.851 ELEVATION CERTIFICATE Important Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION ° t`orl~sitanosccmoaiiwil BUILDING OWNER'S NAME - D. K. Development III, Inc. BUILDING STREET ADDRESS (Including Apt, Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 250 NW 179th Street CITY STATE ZIP CODE Miami, FL PROPERTY DESCRIPTION (Lot and. Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 6A, 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 NAME B3. STATE Unincorporated Miami Dade County 120635 M6amizade County FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 120250 0080 1 7/17195 ON2194 X _ o u. inuicate ine source or uie case r-Km tievaoon tot-t) data or case noon aeptn emerea in tiv. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 811. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ER No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under ConsMic0oi* ® Finished Construction *A new Elevation Certificate will be required when oonsfixtim of the building is complete. C2. Building Diagram Number 1(Seiect 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, ARIAE, 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 o a) Top of bottom floor (including basement or enclosure) 10. 67 ft.(m) o b) Top of next higher floor VA. _ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) VA. ft(m) o o . o d) Attached garage (top of slab) N/A. _ft.(m) o e) Lowest elevation of machinery and/or equipment I'I'i a servicing the building (Describe in a Comments area) 10.67 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 9.80 ft(m) z 2m Hi o g) Highest adjacent (finished) grade (HAG) 9. 90ft.(m) 11/03 #3086 o h) No. of permanent openings (ftood vents) within 1 t above adjacent grade N/A glil I , o i) Total area of all permanent openings (flood vents in C3.h NIA n. _sq.i (sq.an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION , ; „J 111 '!'10 ~ It This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation info' ati"' €I I certify that the infonnation in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that an false statement may be punishable b fine or imprisonment under 18 U. S. Code, Section 1001. I, I'I III li CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER # I 0~3086 l ` i II IlI@lII I'I i w sI II TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & ASSOCIATE II " i! S, INC" H i i III li ADDRESS CITY STATE DP CODE 7900 NW 155TH STREET, SUITE 104 MIAMI LAKES FL j 33016 SIGNATU DATE TELEPHONES 05115M (305)828-2 725 FEMA Form 81-31, January 2003 See reverse side for continuation. A6places all previous editions rmrvrc i rjn ~ : lfi IIlel"C,~,7abF7, wNy u w ~.v~ ~ ~t.....M...~ . BUILDING STREET ADDRESS (Including Apt, Unit„ Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 250 NW 179TH STREET t CITY STATE ZIP CODE C-oniM NAIL Nuater 's MIAMI FL 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 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. 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, B, Q and E are coned 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 r ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who-is authorized by law o(Grd narce 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 informations in Section C was talker-from-other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state 1-11 } i, or local law to certify eleT#66 irkrmaton. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A communrty official complete Sec' on E for a building located in Zone A (without a FEMA4ssued or community4ssued BFE) or Zone A0. G3. ❑ The following informati on (Items Q4-G ) is provided for community floodplain management purposes. G4. PERMIT NUMBER b` G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G8. Elevation ts permit ~ i~ued for ❑ New Construction ❑ Substantial Improvement .l1 '.i. M i~~ IRi MJa 11i I'[ II. inZone AO~ d%g hbasement) of the building is: _ft.(m) Datum: G9.BFEor( ) thcepof floodiu ng a building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE