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Home My WebLink About34-2112-041-0120PROCESS NO. FOLIO NO. 3 oill WO 4 to 190 C.O.R. 9.82' IrtUtKAL tmtKUtNVY MANAULMtN 1 AVtNUY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instnictions on pages 1.7. SECTION A PROPERTY OWNER INFORMA O.M.B. No. 3067-0077 Expires December 31, 200 TION 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. 254 NW 179th Street CITY STATE ZIP CODE Miami, FL Forlrwitarce D Policy Number Company NAIC Number PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 66, Block 1 of "CLOVERLEAF GARDENS DUPLEXES", P.B. 157-39 BUILDING USE e.g., Residential, on-res en a , Addition, Accessory, etc. sea 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 62. COUNTY NAME VB3. 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 EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of hooding) 12025C 0080 J 7117/95 03102194 X - t5 u. inaicate the source or me i3ase riooo tievauon (t:irtl aata or ease riooa aeptn enterea in by. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® 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 0 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, ARIAS, AR/A1-A30, AR/AH, AR/AO Complete Items C3: a~ 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 ConversiordComments 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. 70 ft.(m) c o b) Top of next higher floor N/A. _ft.(m) I c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft.(m) o d) Attached garage (top of slab) N/A. on ~ D o e) Lowest elevation of machinery and/or equipment L servicing the building (Describe in a Comments area) 10.70 ft.(m) - o f) Lowest adjacent (finished) grade (LAG) 9.Kt(m) z .21 I g) Highest adjacent (finished) grade (HAG) 9. 90 ft.(m) I h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A i) Total area of all rmanil nin s flood ts)i'n rill h WA ` ' Vill! o ( ven _sq. in Fill vi 9 . (sq. cm) f 1II~ II h SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION .I ~I L1 This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevat pn ih oIr 'ation. lily I~n,~~ii li I I~ I'lp 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the dafaaiailable ai) li 'I m I I^ Ili - ~~II, 1 understand that an false statement maybe punishable b fine or im risonment under 18 U. S. Code, Section 1001 CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMB ' ER #3086 ial 11. it . , 101 TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & AS80CIATES,"INC. IT, ADDRESS CITY STATE ZIP CODE 7900 NW 155TH STREET, SUITE 104 MIAMI LAKES FL 33016 SIGNATU DATE TELEPHONE 05/15/03 (305) 828-2725 FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions FalnstaxeCaFparryUse IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 254 NW 179TH STREET CITY STATE Zip CODE Company NAIC Nwnber 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: 9.82 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 Secctions A, B, Q and E are collect 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 ❑ Check here if attachments x s SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorize by faw &r ordnance 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(e)and sign below. G1. ❑ The information m $echon 6 as taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state rtfij 1i1~I lit or local law toce elevoir~ft om;ation. (indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community, official completed ~6cn E fora building located in Zone A (without a FEMAAssued or community4ssued BFE) or Zone A0. 1 g in' (Items G4-G9)is provided for community floodplain management purposes. G3. 01 The followinformation _ G4. PERMIT NUMBER' G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for❑l~NewConstr'ucllon ❑ Substantial Improvement G8.Elevatonofas-bu or (indudmg basement) of the building is: -ft•(m) ilt lowest mo Iii!" „ i a i G9. BFE or (in Zone AO) depth of flooding 'at the building site is: _ ft.(m) LOCAL OFFICIAL'S NAME i TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE i COMMENTS lis ,:a I i Ili I 'I~1 I .I ~i 13 i!' 'II I ❑ Check here if attachments Datum: Datum: FEMA Form 81-31January 2003 ' Replaces all previous editions r II