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Home My WebLink About34-2113-001-0460Icy 002, 10 6 6 ~EDERAL EMERGENCY MANAGEMENT AGENCY FOLIO#: 3021130010460 NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ELEVATION CERTIFICATE 3 1 d Expires December 31, 2005 c.o.R.: 8.17 FT Important: Read the instructions on pages 1 - 7. 0-0001093 SECTION A - PROPERTY OWNER INFORMATION For InsuranceCompany Use: BUILDING OWNER'S NAME Policy Number P.I.C. ENTERPRISES, INC. BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO. Company NAIC Number 15901 NW 7 AVE CITY STATE ZIP CODE MIAMI FL 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 442-443 Block of BISCAYNE GARDENS SECTION according to the plat thereof as recorded in Plat Book 40 at Page 49 of the public records of MIAMI-DADE County, Florida. BUILDING USE (e.g. Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: I I GPS (Type): ( - - or I I NAD 1927 I I NAD 1983 1-1 USGS Quad Map l1 L_1 Other: NGVD 1929 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE MIAMI DADE 120635 MIAMI-DADE FL B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 1202500080 J 07/17/1995 03/02/1994 AE 7 FT 1310.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I I FIS Profile I X I FIRM I I Community Determined I I Other (Describe): 611.Indicate the elevation datum used for the BFE in 139: IX I NGVD 1929 1 1 NAVD 1988 1 (Other (Describe): B12.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes ( X1 No Designation Date: SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I I Construction Drawings* I I Building Under Construction* I X I 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 430, V (with BFE), AR, AR/A, AR/AE, AR/A1-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 NGVD 1929 Conversion/Comments N/A Elevation reference mark used 6 Does the elevation reference mark used appear on the FIRM? 1X1 Yes 1-1 No a) Top of bottom floor (including basement or enclosure) 8.50 ft.(m) #5204 03/0/2004 b) Top of next higher floor N/A ft.(m) 0 c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m)~ d) Attached garage (top of slab) N/A ft.(m) e) Lowest elevation of machinery and/or equipment A servicing the building (Describe in a Comments area.) N/A ft.(m) f) Lowest adiacent (finished) grade (LAG) 8.40 ft.(m) O g) Highest adiacent (finished) grade (HAG) 8.447 ft.(m) y.. N/A h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade Lice s er, bossed Seal, D i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) Signature; and Date SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION n This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. l certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER John Ibarra 5204 TITLE COMPANY NAME Professional Land S eyor NOVA SURVEYORS, INC. ADDRESS CITY STATE ZIP CODE 5582 N.W. 7TH STR ET, SINE 202 MIAMI FL 33126 SIGNATURE kid/i DATE TELEPHONE 03/05/2004 (305) 264-2660 FEMA Form 81-31, JAN 400 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS IMPORTANT: In these spaces. copy the corresponding information from Section A. 0-0001093 For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldq. Number) OR P.O. ROUTE AND BOX NO. Policy Number 15901 NW 7 AVE CITY STATE ZIP CODE Company NAIL Number MIAMI FL 33169 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 I 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 supportinq 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 I I I ft.(m) I I I in.(cm) I I above or I I 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 I I I ft.(m) I I I in.(cm) above the highest adiacent grade. Complete Items C3.h and C3.i on front of form. 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 floodplain management ordinance? I I Yes I I No I I Unknown. The local official must certify this information in Section 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, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME P.I.C. ENTERPRISES, INC. ADDRESS CITY STATE ZIP CODE 15901 NW 7 AVE MIAMI FL 33169 SIGNATURE DATE TELEPHONE COMMENTS I_1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance 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. I I 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 elevation information. (Indicate the source and date of the elevation deta in the Comments area below.) G2. I I A community officiai'completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AG. G3. 1 a I The'folfow ng information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY ISSUED G7. This Permit has been issued for: I I New Construction I I Substantial Improvement G8. Elevation of as-built iowe`st floor (including basement) of the building is: ft.(m) Datum: 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 SIGNATURE DATE COMMENTS ! i Check here if attachments FEMA Form 81-31, JAN 2003 REPLACES ALL PREVIOUS EDITIONS