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Home My WebLink About34-2113-002-0095C Z.Ooq ►10 22.0 FEDERAL EMERGENCY MANAGEMENT AGENCY FExpires .B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM December 31, 200E C.O.R. 6.00 ,,-z~-.--~ ELEVATION CERTIFICATE ii 12-23-04 L 30-~►1 3 - aoa -aoG~ Important: Read the instructions on pages 1- 7. L SECTION A - PROPERTY OWNER INFORMATION For kisur'anee Compa[ry 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 NAIL 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 ❑ NAD 1927 ❑ NAD 1983 N USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (HIM 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 1 7-17-95 3-2-94 AE 7.00 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Desmbe): 1311. Indicate the elevation datum used for the BFE in B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Desc ibe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawinge ❑ Building Under Cornstnrcfion* N Finished Construction *A new Elevation Certificate will be requveed when construction of the bung's complete. C2. Building Diagram Number I (Select the building diagram most sirnilar to the building fix which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or pholbgaph) C3. Elevations - Zones Al AW, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, ARIAH, ARIAO Complete Items C3: a-i below aocordng to the budding diagram specified in Item C2. State the datum used. If the datum is dif iarent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurernents 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 ConversioNComments Elevation reference mark used 2102 W Does the elevation reference mark used appear on the FIRM? ❑ Yes N No 0 a) Top of bottom floor Qnduding basement or enclosure) 8. 41 ft.(m) m 0 b) Top of next higher floor VA. _t(m) 0 c) Bottom of lowest horizontal structural member (V zones only) WA. _ft.(m) o -a 0 dt) Attached garage (top of slab) Z. 62 ft(m) E 0 e) Lowest elevation of machinery anft equip tent u, m servicing the building (Descrftie in a Comments area) 8 . ~ ft(m) E 0 t) Lowest adjacent (finished) Bade (LAG) 6.8 t(m) z 0 g) Highest adacent (finished) grade (HAG) Z. 2 IL(m) 0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N .21 0 ) Total area of at permanent openings (flood vents) in C3.h NIA sq in. (sq. on) 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 certify elevation information. / certify that the information in Sections A, Q and C on this certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable bV fine or imprisonment under 18 U.S. 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) : 22741967 IMPORTANT: In these spaces, copy the corresponding information from Section A For frsurarre Company We, BUILDING STREET ADDRESS (Irducing Apt., Unit, Suite, ardor Bldg. No.) OR P.O. ROUTE AND BOX N0. 4Pofi~yNumber 11 NW 159 ST CITY STATE ZIP CODE C~inparry'MG Nwiber MIAMI FL 33169 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community olfiaal, (2) insurance agenticompany, and (3) building owner. 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 Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the bolding diagram most similar to the building for which this certificates being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the botom floor (mclucing basement or enclosure) of the building is _ ft(m) _in.(crm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use nabual 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 _ ft(m) _in.(crn) above the highest adjacent grade. Complete items C3.h and C3.i an front of form. E4. The top of the platform of machinery andYor eguiprro t servicing the building is _ ft(m) _in.(crn) ❑ above or ❑ below (check one) the highest adacent grade. (Use natural grade, if available). E5. For Zone AO or1y: If no flood depth norther is available, is the top of the bottom floor elevated in accordance with the community's tloodplain management ordinance? ❑ Yes ❑ No Unknown. The local official must certify this infomalion in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The proprerly oww or amWs au thonzed representative who completes Sections A, B, C (Items C3.h and C3.t only), and E for Zone A (without a FEMA-issuied or community- issued BFE) or Zone A0 must sign here. 7hestafa7w& 1n Sedans A, B, C, and E arecoued to hire best ofmyknoWedge. 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 conmunflys floodplain management ordinance can complete Sections A. B, C (or E), and G of this Elevation Certificate. Complete the applicable dem(s) and skin below. G1. ❑ 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 data in the Comments area below.) G2. ❑ A community-official completed Section E for a burg located in Zone A (without a FEMA-issued or communily- ssued BFE) or Zone A0. G3. ❑ The following infomnation (Items G4-G9) is provided for community floodplain management purposes. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built bvrest floor (including basement) of the bulling 's: - -ft(m) Datum: G9. BFE or (n Zone AO) depth of Hooking at the building site is: - - ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS