HomeMy WebLinkAbout34-2112-041-0130PROCESS NO. e R Lb2 0 U'1& (4(0 F-tUtKAL tMtKUhNUY MANAUhMtN I A ENUY O.M.B. No. 3067-0077
FOLIO NO. ®a i` i ~ 10 4 I i 3a NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200;
C.O.R. 9.83' ELEVATION CERTIFICATE
Important: Read the instructions on a es 1- 7.
SECTION A - PROPERTY OWNER INFORMATION I`orlr>sile Company use
BUILDING OWNER'S NAME Policy Number
D. K. Development I11, Inc.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
300 NW 179th Street
CITY STATE ZIP CODE
Miami, FL -
PROPER 1Y DESCRIPT iON o and Block Numbers, ax arcs Number, Legal Description, etc.)
Lots 7A, Block 1 of "CLOVERLEAF GARDENS DUPLEXES", P.B. 157-39
BUILUINU 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
Miami-Dade County
FL
B4. MAP AND PANEL
NUMBER
12025C 0080
B5. SUFFIX
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Bs. FIRM INDEX DATE
7117/95
B7. FIRM PANEL
EFFECTWREVISED DATE
03/0Z194
B8. FLOOD ZONE(S)
X
B9. BASE FLOOD ELEVATION(S)
(Zone A0, use depth of flooding)
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a u. a1uu;ale u1e suutw ur Ins tsase riooa tlevauon tart) aata or oase tiooa aeptn enterea in bV,
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in 139: E 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 aNo Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* E 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, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al-A30, AR/AH, AR/AO
Complete Items C3: a-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 VD Conversion/Comments
Elevation reference mark used #2 Does the elevation reference mark used appear on the FIRM? LJYes p0 No
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o a) Top of bottom floor (including basement or enclosure) 10. 71 ft.(m)
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o b) Top of next higher floor N/A . _ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft.(m)
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o d) Attached garage (top of slab) N/A.
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o e) Lowest elevation of machinery and/or equipment w
servicing the building (Describe in a Comments area) 10.71 ft. m
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o fl Lowest adjacent (finished)
rade (LAG) 9
80 ft (m)
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o g) Highest adjacent (finished) grade (HAG) 9. 90 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NIA
Z 5 r 3 3 0 6
o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) il ;
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SECTION D - SURVEYOR
ENGINEER
OR ARCHITECT CERTIFICATION
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This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation n~e'rm'ation;
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I understand that an false statement maybe punishable b fine or imprisonment under 18 U. S. Code, Section 1001 '
CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER43085
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TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & ASSOCIATES, INC.
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MUURGJJ 11.41 1 T .71H 1 C Lir IoVUt
7900 NW 155TH STREET, SUITE 104 MIAMI LAKES FL 33616 = 3!
SIGNATURE DATE TELEPHONE
)7~~ 05/15/03 (305) 88-1725 g'I
_iffl .ill IA
FEMA Form 81-31, January 2003
See reverse side for continuation.
F~epla`ces a I previous editions
~ I III
IMPORTANT: In these spaces, copy the corresponding information from Section A. For ►nsuranoe Comm" Use.
BUILDING STREET ADDRESS (Indudirg Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
300 NW 179TH STREET
CITY STATE ZIP CODE Company NAIL Number
MIAMI FL
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcornpany, and (3) building owner.
COMMENTS
HIGHEST CROWN OF ROAD ELEVATION IN FRONT OF PROPERTY: 9.83 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 (see page 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 FEMA-issued 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
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The locaFdrdal who is authonzerr'by law cr ~xdinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
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Certificate t,e,rmplete the applicable items) 4d sign glow.
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G1. ❑ she mformationln Sectior C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
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or local law 20`66*. elevationyy in orma4~ri Indicate the source and date of the elevation data in the Comments area below.)
G2. F-1 A commuao official completed Sin E for a building located in Zone A (without a FEMA-issued orcommunity-issued BFE) or Zone A0.
G3. ❑ The 1611 {{wr1~g infdrationlter~s G49) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7. This Permit has 6E6',isslued for ,F, Nevr'Construction ❑ Substantial Improvement
31.1
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IP1 udirig 1b ' "'ant) of the building is: Datum:
ilt lowest floor (ind
G8. Elevation of as-bu
III €~:ul ! i .
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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
DATE
SIGNATURE
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COMMENTS
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FEMA Fofm 91-11, Ja'hu;
❑ Check here if attachments
12003 .
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Replaces all previous editions