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C~ Cot i c~~l 3 F~E.RL EMERGENCY MAXAGc~t1.~xT, AGE C- C.M.9..NC. 1Ofii-0Oi ~
=OLIO 30QI W410aBO N-A-MCNAL FLOOD INSURANCE PROGRAM E.,irt:s Juiy 31, 2002
:-o-R- 10.301 -E E(A i ION CER 1 IFICATE k
hnoo-== Rsad the lnz=cfom at aaces 1 Am '10*d by MDC-0077 CC;. 1s99
SECTION A - PROPERTY OWNER INFORMATION For lrsuranca C- r...any Use:
SUILLING CWNE.R'S NAME I Pixy NUTZW
BUILDING S"i7:Lc=-i ADDRESS (Inc=ding Apt, UniL S,=e, and/or 54;. No.) CR P.C. ROUT_ AND BC : NO. ~ Company NAIC Nu- cw
C'^ S ` ZIP CODE
Miami. - 33169
PRCr-c LO~E ~I*^b c 1 - CLO T= PasGAR) ~D = P)B 157 - PAGE 39
BUIL:tNG USE (e.g , Rasxmrrt ai, Non-m=ental, Aodbon. A==sory, e= Use Comrnentt sedan It fir.)
LA 7 UDEILONG'TUDE (OFIIONAW HORIZONTAL DATUM: SOURCE ❑ GPS (Type)-
( - # or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other
SECTION B - R-000 INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP COMMUNM NAME & COMMUNrrY NUMBER
Bz. COUNTY NAME
B3. STATE
c
UNINCORPORATED AREAS
120635
MIAMI-DADE
I FLORIDA
B4. MAP AND PANEL
NUMBER
B5. SUFFIX
BS_ FIR.tiA INDEX
DATE
87. FIRM PANEL
E.-reCTiVEIR-MSED DATE
Ba. FLOOD B9. BASE FLOOD ELEVATION(S)
' ZONE(S) (Zone A0, tua depth of flooding)
12025 C 0080
J
7/17/95
3/2/94
% . N A
B10. Indicate the sours of the Base Flood Elevation (BFI data or base good depth entared in 89.
❑ FIS Profae FIRM ❑ Community Determhed ❑ Other (Desc'ibe):
811. Indicate the elevation datum used for the BFE in B9: UNGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
912. is the buadrng located In a Coastal Barrier Reso=es-System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No
Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Const =t Drawings' ❑ Building Under Coast uction' Finished Construction
'A new Elevation Certificate will be requirk when construction of the buWmg is campieb--
C2- Building Diagram Numbed (Select the buMng diagram most similar to the budding for which this certificate (s being =mpleted - see
pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.)
C3. = evations - Zones At-A30, AE, AH, A. (with BFE), VE, V1 430, V (with BFI, AR, ARIA, ARIAS. ARIA1-A30, ARIAH, ARIAO
Complete Items C3a4 below according to the bolding diagram specified in Item CZ. State the datum used. If the datum is drffererrt from the
datun used for the BFE in Section B, =nvert the datum to that used for the BF -r- Show field measure:rmerrts and datum inversion
raicalaticm Use the space provided or the Cc-mments area of Secdon'D or Section G, as appropriate, to document the datum conversion.
Datum NGVD Conversion/Comments
Elevation referents mark usedl!~60 Does the elevation reference mark used appear on the FIRM? X Yes ❑ No
Cl a) Top of bottom floor (including basement or enclosure)
11 *10 fL(m)
0 b) Top of next higher floor
N/A fL(m)
N/A
0 c) Bottom of Lowest hcri=ntal structural member (V zones only)
_fL(m)
-
o
0 d) Aitaehed garage (top of slab)
.
.
. N/A
ft- (m)
= g
0 e) Lowest elevation of ma&dneryzix1 cr equipment
-o
servicing the building -
11.0 _ gy(m)
~ 3
0 f) Lowest adjacent grade (LAG)
J„0.4
0 g) Highest adjacent grade Cr(AG)
104 8(m)
~
0 h) No. of permanent openings (flood verrts) w(thin 1 ft. above
-adjacent grade N/A
0 Total area cif all permanent openings (good vents) in C3h
_sq. (n. (sq. cm) H/A
SECTION D -SURVEYOR. ENGINE=.R_ OR ARCHITECT CERTIFICATION
i ru c2rtific-atien is to be signed and sealed by a land sruveycr, engineer, or erchited author--ad by law to certify eievzBcn irrfrrmzrt;cn.
I csrtrfy that the inrnrradcn in Sec~cna A. B, and Con this c*rrfcsrs represe= my best eforz to interpret ttm data available.
I understand list snvfalse statement maybe curs able by,me crirrrariz--nment under 18 U.S. Code. Section 1001.
CE.RMFiE.F'S NAME LICENSE NUMBER L.6 3
IDl~RDO M ENSENAT _
rr~S _ Siu'TOR MPANY NAM---
7 EDUARDO ENSENAT SU&VEYING INC. .
AZORESS 830 treet Ste 100-4 CITY V-; r u3iF9s
s;cw;~uR_ l ull CA-1-
/11/02 (305) 885-2810
11
IMPORTANT: In these spaces, copy the corrasoonding information from Section A.
aUlt-LING STREET ADDRESS (InCuoing Apt,. Urit Suite, arc'lor 81Cg• No.) O
464 NW 179 Street R P.O. ROUTE AND 80X NO
CITY
STATE
Fl
Fcr lnsurance CcCcLsa•
Pc11c1 Nut-ber
CODE corn
pany,VAIC Nun 1
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERT(F C1AT9iON (CONT(NUEO)
Copy both sides of this Elevation Certificate fcr (t) community official, (2) insurance agent/company, and (3) buildin own
co~,+MENTS ~ N-35•
ELEV: 9. sl ~ er•
LOCATED AT NW
Ave. Miami
❑ Check here if attac~men;s
SECTION E - BUILDING ELEVATION INFOR 4tgTlON (SURVEY NOT REQUIRED FOR ZONE AO AND ZONE A (WITHOUT BF=)
For Zone AO and Zone A (without 8FE), complete Items Et through E4• If the Elevation Certificate is intended for use as suppcrtin
information for a LOMA or LOMR-F, Section C must be completed.
E 1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being com let g
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) P ed -see
E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in. cm
the highest adjacent grade. ) ❑ above or ❑ below (check one)
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.
E4. 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
floodolain 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, 8, and E for Zone A (without a FEMA-issued or
community-issued 8FE) or Zane AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME -
STATE ZIP CODE
StGNA T URE
DATE TELEPHONE
COMMENTS
SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if attachments
•he locat offidal•who is authorized by taw or ordinance to administer the community's fleodplain management ordinance.can complete
iections A, 8, C (ar E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
1. ❑ 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 elevaticn information. (indicate the source and date of the
elevation data in the Comments area' below.)
2. ❑ A community official completed Section E (or a building located : Zone A (without a FEN+A-issued or community-issued 8F=) or
Zone AO.
3. ❑ The following information (items G4-G9) is provided far community floodp(ain management purposes.
~4.PERUIT.~iuuaFa i cc n,-_ •
- too, u^ I = ~,c c ir~t,~a t t UF- GOMPUANCE1000uP.:,VCY
ISSUED
T. This permit has been issued for.
❑ New C,onstruc,fon ❑ Substantial Improvement
3. Elevation of as-built lowest floor (including basement) of the building is:, ' 11 10
BF-E or (in Zone AO) depth of flooding at the building site is: - ft-( Datum: V , G • t; p
- •(m) Datum:
j OCAL OFr=ICIAL'S NAME
TITLE
OMB+UNITY NAME
r=L.?tiONE
GNATURE
OAIE
~MhIC~TS
Check here if a: achrants