HomeMy WebLinkAbout34-2113-002-0010- a J W
j kOCESS #~Z FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-4077
FOLIO # t;NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
C.O.R. (o -7Z,, A14 • i4, 0: 0 ELEVATION CERTIFICATE
j important: Read the Instructions on E!jes 1 - 7. Amended b MDC-DERM- OCT, 1999
-SEOTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
Dade GSA. JA t
BUIL ~~rr STREET ApDRESS (including Apt., Unit, Suite, andfor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
1 VL N.W. 2W Avt~
CITY STATE ZIP CODE
Block Nu-- rs, Tax Parcel Number, Legal Description, etc.)
PROPERTY DESCRIPTION (Lot and
L. T' S 3 S~ _ ~.Birc~Y rt-o s' s aw c~1
BUILDING USE (e.g., Residential, oh „ dential,;Addition, Accessory, etc. Use Comments section If necessary.)
~74 1L_
LATITUDvLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
{ - - ##.W or NAQ 1927 Cl NAD 1983 ❑ USGS Quad Map ❑ Other:
;ECTON - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY „NUMBER 132. JaUNT N" `~AE,_ I B3. STATE ori
1,W-r rp ated 121%
le 1
B4. MAP AND PANEL
B5. SUFFIX
66. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
BE
1206 - 080
J -
DATE
3-2-%
EFFECTIVE/REVISED DATE
N/A
ZONE(S)
AE
(Zone AO, use depth of flooding)
7 ft.
B10. Indicate the source of the Base Flood EldVation.(BFE) data or base flood depth entered in 139.
❑ FIS Profile (3 FIRM ~;A s ❑~,Commonity Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the, BFE in B9: K] NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
3,i
iii
B12. is the building located in a Coastal Barre i Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑ No
'l
Designation Date
SE, TIC =tUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based F_ ❑ Construction Drawings* El Building Under Construction* KI Finished Construction
*Anew Elevation Certificate will W 61 Id when construction of the building is complete.
C2. Building Diagram Number (Sete the1Jilding diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram acc ate(y represents the building, provide a sketch or photograph.)
C3. Elevations -Zones Al-A30, AEA, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARIAE, AR/Al-A30, ARIAH, AR/AO
Complete Items C3a-i below a~ ~rding to 4he 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
I
calculation. Use the space provi ed or the iu Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Colririsen`ts
Elevation reference mark used does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No
❑ a) Top of bottom floor (Includi# "gbasament or enclosure) 13.60 ft.(m)
r,. chi
' Ira
❑ b) Top of next higher floor i'I~il ft.(m) Q
❑ c) Bottom of lowest horizontal structural member (V zones only N74 ft.(m)
I I I~ Ire D
❑ d) Attached garage (top of sa~, (m)
❑ e) Lowest .elevation of mac Irl and/ r equipment
servicing the building NIA ft.(m)
E3 Lowest adjacent rode Lb~-- 9Tft. m) z
w.,
❑ g) Highest adjacent gred® 13.
C1 h) No. of permanent operilr~ ( ood_vents) within 1 ft. above N adjacent grade
q. '
❑ i) Total area of all permanen~i~enings(flood vents) in C3h In. (sq. cm)
k,
40
=WA e,,..,, R1_.44 AI Ir. AA 6 QCC >~c~JCOCG [`Ir1C enn II'1AlTlfa:tta-rill(1 0C01 Afl AI 1 Ill►tn1ten rr~r-rir.xto
TO 39Vd S3iVI0000V 3_1INVdWV0 686I IZ.GSOE t?V : Z I TOK IILO /60
ST"lt~N 0,'- SURVEYOR, ENGINEER; OR ARCHITECT CERTIFltrAT!
M
This certification is to be signed a linosAeaied by a land surveyor, engineer, or architect authorized by law t certif} elevation infna'tlon.
-p
I certify that the information in S ~ A, 8and C on this certificate represents my best efforts to interpm h1h
436ta aival ble. -
. Code; Section 101.
1 understand that and false state dent gray be punishable by fine or imprisonment under 18 US
Sill C S R _
C RTIFIER E 'i4
LJOU1
.~ani_le
~~E
~t,