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Home My WebLink About34-2113-001-0143`vim ;.A:, fw - e Ud j t 203, 4 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 A~ ,-odt -6 t 40 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E CD 13 C. 0. R,h. 7.28 ELEVATION CERTIFICATE 07-13-04 r " w= At Read the instructions on pages 1- 7. SEdTIdN A - PROPERTY OWNER INFORMATION >=of.ii~suran~e Co BUILDING OWNER'S NAM?' `gy'p Policy Number MINISTERIO PROt:ETICO ORDER N0.0404-148 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CompanyIAIC'.N:umtae:`;;..;`:-` 242 NW 161 ST CITY STATE ZIP CODE N. MIAMI-BEACH FL 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 414, 415, BISC GDNS SEC B. SUB. PLATBOOK 40, PAGE 49. BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) COMMERCIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( - - ##.#1#~' or ##.####f#~ ❑ 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, AREAS 120635 MIAMI-DADE 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 AO, use depth of flooding) 1202500 80 J 7-1795 3-2-94 AE 7.00 1310. Indicate the source of the Base Flood Elevation (BFE) data or erase flood deptn entered in M. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 1311. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastai Barrier Rescurcas System (CBRS) area or OthwAse Protected Area (OPA)? ❑ Yes ®No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Dmwings* ❑ Building Under Construction* ® Rnished Cordruction *A new Elevation Certificate W1 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, pimide a sketch or photograph) C3. Elevations - Zones Al A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARIAE, ARM 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 daturn 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 2102 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including baserrmt'or enclosure) 9. 40 ft(m) m E 3 ❑ b) Top of next higher floor NIA. _t (m) CO ❑ c) Bottom of lowest horizontal structural member (V zones only) WA. _it(m) 00 d) Attached garage (top of slab) WA. _ft(m) W 31 0 ..iM Mdi;'. +aF f. ❑ e) Lowest elevation of machinery ardor eq fpment servicing the building {Describe in a Corrnraents area) 9.4(} ft(m) ❑ t) Lowest adjacent (finished) grade (LAG) 9 0 IL(m) C "7 = 1 3 - 0 4 Pi El Highest fin P. 2ft{) y N Al g} advent( ished) grade (HAG ❑ h) No. of permanent openings (flood vent§~ within 1 ft. eve adjacent grade N 1 A. ❑ i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION j This certification is to be signed and seale 1 certify that the information in Sections A, I understand that any false statement may CERTIFIERS NAME WALTER E. VENEGA y a land surveyor, engineer, or architect authorized by law to certify elevation iriforrh'afion. 1 11 and C on this certificate represents my best efforts to interpret the data available. punishable b fine or imprisonment under 18 U. S. Code, Section 1001. LICENSE NUMBER 3106 'a TITLE PROFESSIONAL LAND SURVEYOR COMPANY NAME CARIBBEAN LAND SURVEYOR'S ADDRESS CITY STATE ZIP CODE 11865 SW 26TH STREET MIAMI FL 33175 SIGNATURE DATE TELEPHONE 07-13-04 (305): 227-6967 IMPORTANT: In these spaces, copy the corresponding information from Section A Faranstieo~pattJse - BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. PolICY I!uYr~t~er 242 NW 161 ST Y- CITY STATE ZIP C(DEomparrjiVAIC Number N. MIAMI- BEACH FL 33169 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION {CONTINUEDI both sides of thins Elevation Certificate for 1 commun' official, (2) insurance n SPY ~ age tlconmpany, and (3) building owner. COMMENTS N~a J ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE Ad AIbZbht 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 suppoI in oration for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the buikng 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 of the bottom floor mclucfn basement cr enclosure of the buildri is t m in. do ❑ above or ❑ below I top, ~ 9 ) 9 • - ( ) ( chedknone) the highest adlacentgrade. (Use natural grade, 9 available). 1.1 ! E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is fIm)'_in.(an) above the highest aciacent grade. Complete Rem C3.h and C3.i on front of form. ` 31 ! E4. The top of the platform of machinery ancYor eq*rrent senvicinrg the building is _ ft(m) _in.(an) ❑ 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 flow elevated in accordance with the communit s floo"in management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. i~ SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized re resentatue who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone P (without a FEMA issued or community- issued 8F orZone AID must • here 7hestafenar&in Sections B C a?dEare corlud to the bestofmyknoWedge sign PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATNES NAME " - ADDRESS CITY "STATE ZIP CODE SIGNATURE DATETELEPHONE COMMENTS Check here if attachments II I SECTION G - COMMUNITY INFORMATION (OPTIONAL The local official who is authoi by law or genre to acftninister the communrtys floocoain management ordinance can comiI~ctions A, B, C (or E), and G of this Elevation Certificate. Complete the applicabte iti(s} and sign below. l) G 1. ❑ The information in Section C WAS #alken from other documentation that has been signed and embossed by a licensed surveyor) eixpneer, or architect who is authorized by state or loci law to certify elevation infotimati6n. (Indicate the source and date of the elevator data in the Comments area below.) „ A ~ G2.❑ : community of6aatcompt r sa i n-i (bra bu• located in Zone A { • without a FEMA-issued or conmuni y-issued BM pr Zone AO. l G3. ❑ The foninfor a'do 9 ~ , ,:..lion (Denis &i 9) is provided for carrmunit}r floodplain management purposes. G4_ PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED 4l i G7. This 'pem~it has been sued 6rQ New Construction ❑ Substantial Improvement G8. Elevation'of as-built lowest floor(r&ang t~aasement) of the buildng is: m ) ' Datum: G9. BFE or {n Zone AO} cloth of flooring at the buikng site is: _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE F COMMUNITY NAME TELEPHONE SIGNATURE DATE