HomeMy WebLinkAbout34-2113-002-0090, dupe30 - at t 3 - OCO OOqZ C 200 I ► o -^00
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
Y.t-mrf 20014 - O :i~ a 4 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E
C. 0. R. 6.0 0 ELEVATION CERTIFICATE
12-23-04 St1nG
Important: Read the instructions on pages 1- 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use
BUILDING OWNER'S NAME Policy Number
ANGEL DEVELOPMENT ORDER NO.0412-102
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
11 NW 159 ST
CITY STATE ZIP CODE
MIAMI FL 33169
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PARCEL "B", BISCAYNE GARDENS SECTION "C". SUB. PLATBOOK 40, PAGE 54
BUILDING 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 ##.#####t ❑ NAD 1927 ❑ NAD 1983 0 USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COL I NTY NAME I63. STATE
UNINCORPORATED, AREAS 120635 MIAMI- DADE FL
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
136. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
B8. FLOOD ZONE(S)
(Zone AO, use depth of flooding)
1202500 80
J
7-17-95
3.2-94
AE
7.00
B10. Indicate the sourced the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the devaton datum used for the BFE in B9: ® 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 ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the bui ding is complete.
C2. Building Diagram Number I (Select the budding dagrarn 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 V30, V (with BFE), AR, ARIA AR(AE, AR/Al-A30, AR/AH, ARIAO
Complete Items C3: a-i below according In the budding dagam specified in Item C2. State the d altun 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 ConverslonlCorm enis
Elevation reference mark used 2102 W Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
O a) Top of bottom floor (including basement or enclosue)
8. 41 ft(m)
m
U b) Top of next higher floor
WA. _ft.(m)
a
U c) Bottom of lowest horizontal structural member (V zones only)
WA.
ft-(m)
m
w
g
U d) Attached garage (top of slab)
_
7. 62 ft(m)
i
E c
U e) Lowest elevation of machinery and/or equipment
w m
servicing the budcling (Describe in a Comments area)
8.35 tt(m)
E S
U I Leanest adjacent (finishers) grade (LAG)
6.8 fL(m)
z g2
U g) Highest adjacent (finishecj grade (HAG)
Z. 0-M
= N
U h) No. of permanent openings (flood vents) within 1 k above ad)acent grade N
U )Total area of all permanent openings (flood vents) In C3.h MA sq. In. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certty elevation information.
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement maybe punishable by fine or imprisonment under 18 US. Code, Section 1001.
CERTIFIER'S NAME WALTER E. VENEGA LICENSE NUMBER 3106
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
12-23-04 (305) : 227-6967
IMPORTANT: In these spaces, copy the corresponding Information from Section A Fa ltrsurar parry Uw
BUILDING STREET ADDRESS (Indudng Apt., Unit, Suite, ardor ft. No.) OR P.O. ROUTE AND BOX NO. Pofi~y Neidiber
11 NW 159 ST
CITY STATE ZIP CODE Company NAIC Number
MIAMI FL 33169
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both skies of this Elevation Certificate for (1) community official, (2) insurance agentibompany, and (3) budding diner.
COMMENTS
❑ Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zoe A (without BFE), complete Items E1 thi ough E4. If the Elevation Certificate is ink far use as supporting infomialion fa a LOMA or LOMR-F,
Section C mast be completed.
E1. Building Diagram Nunber_(Select the building diagram mostsindar to the building for which this certificath is being completed-see pages 6 and 7. If no dagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (mludng basement or enclosure) of the buildng is _ 1t(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
rrahxal grade, 6 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.(an) above the highest e4acent
grade. Canplete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery andror equipment servicing the buddirg is _ t(m) _in.(an) ❑ above or ❑ below (check are) the highest adjacent grade. (Use
natural grade, I 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 commtniy's floodplain management ordnance?
❑ 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 Zane A (without a FEMA-issued or carrrwnity-
issued BFE) or Zane AO must sign here. The statements in Sections A, 8, Q and E are coned to the best ofmykvdedge.
PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodpfain management adihance can complete Sections A, B, C (a E), and G of this Elevation
Certificate. Complete the applicable item(s) and sign below.
G1. ❑ The information in Section C was taken from other doameMation that has been signed and embossed by a licensed suaveyor, engineer, or architect who is authorized by state
or local lawto certify elevation infamation. (Indicate the source and date of the elevation data in the Comments area below.)
G2. F1 A corrmdmity official completed Section E fa a buffing located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.
G3. ❑ The following information (Items G4-G9) is provided for community floodplair management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED
G7. This pera tt has been issued fix: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as-built lowest Ioor (including basement) of the bulking is: _ _t(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the buildng site is: _ ft(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS