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Home My WebLink About34-2113-002-0271PROCESS #CZ00L0.348.5 Z FOLIO #_3 0-2 t 13-COZ-OX71 CROWN OF ROAD 4.86' Ft. NGVD FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCEPROGRAM ELEVATION CERTIFICATE Important Read the instructions on pages 1. - 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME CORDELIA WRIGHT BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 16005 N. MIAMI AVENUE Q Fa fturaiee Canpany Use Policy Number Con party CITY STATE ZIP CODE MIAMI FL 33169-6531 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 591, BISCAYNE GARDENS SECrTON'V', PLAT BOOK 40, PAGE 54 BUILDING USE (e g., Residential, Nan-residential, Addition, Accessory, etc. Use a Convnents area, if necessary.) RESIDENDIAL LATMUDE&ONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): ( -#9 -##.#ff' or ##.####ff') ® NAD 1977 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Bt. NFIP COMMUNITY NAME & CCMMI INITY M WEIR 0-.oi Y NAME Flo firATF UNICORORATI_DAREA 120635 I MIAMI-DADE I FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTNEIREVISEDDATE B8. FLOODZONE(S) gmAO, usedeplhoffl=Wq) 1202500083 1 7-17-95 3.02-94 AE 7.0 B10. Indicate the source d the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other P>esrxrbe): 1311. Indicate the elevation datum used forthe BFE in 89: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Desc ibej: B12 Is the budding 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. Budding elevations are based on: ❑ Construction Drawings' ❑ Building Under CansNxiion' ® Finished Construction 'A new Elevation Cefificale will be re"red when construction of the b Adult is co mpli& C2 Bung Diagram Number l (Select the budding diagram most similar to the building farwhich this oertncate is being completed -see pages 6 and 7. If no diagram accurately represents the building, pnowide a sketch a photograph.) C3. Ele Airis - Zan Al AW, AE, AH, A (Wlh BFE), VE, V1430, V (wlh BFE), AR ARIA, AME, AWA1-AM, AR(AH, ARIAO Complete Items C3 -a-i below ac:ordirg to the burg diagram specified in Item C2 State the dat urn used. 9 the dalum is dillerent 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 Conimerts area of Section D or Section G, as appropriate, to document the datum conversion. Datum 1929 NGVD Co nrer*n/Commerits Elevation reference mark used RSH162 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bodom floor (ncuding basement or enclosure) 8. 95 R(m) ❑ b) Top d next higt>er floor WA . t(m) ❑ c) Bottom of lowest ha¢atal structural member (V acres only) _ WA . R(m) o ❑ d) Attached garage (top of slab) I. 10 ft(m) E ~ ❑ e) Lowest elevation of machinery and/or equipment w W , servicing the budding (Describe in a Comments area) 7.56 ft (m) eb 1 ❑ f) Lowest adjacent (finished) grade (LAG) 5.. 0t(m) z .Lm ❑ g) Highest a jacert (finished) grade (HAG) 6. DL(m) ❑ h) No. of permanent openings (flood vents) within 1 tt above ad)acert grade WA ❑ 'T t l d d a o a I) area permanent opernngs (flood vents) n C3.h N!A sq. n. (sq. cm) O.M.B. No. 3067-0077 Expires December 31, 200: . 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. 1 certify that the information in Sections A. B, and C on this certificate represents my best efforts to interpret the data availabla I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERi1FIERS NAME HOWARD C. GAMBLE LICENSE NUMBER 1683 VICE-PRESIDENT COMPANY NAME AR TOUSSAINT &ASSOCIATES, Inc. ADDRESS CITY STATE ZIP CODE 620 RE 126 street NORTH MIAMI FL 33161 X03 305891-7340 IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use BUILDING STREET ADDRESS (Induding Apt, Unit, Sute, ardor Bidg. Na) OR P.O. ROUTE AND BOX NO, Poky Number 16005 N. MIAMI AVENUE CITY STATE ZIP CODE Comparry NAIC Number MIAMI FL 33169531 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides d this Elevation Certificate for (1) community dfical, (2) insurance agentlcompany, and (3) building ovrner. COMMENTS C3 (e) North NC pad 7 56 South NC pad 7.73 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zane A0 and Zane A (without BFE), complete Items Elba* E4. ff the Elevation Certificate is intended for use as supporting domration for a LOMA or LOMB-F, Section C must be completed. E1. Buidmg Diagram Number _(Select the butidrng diagram most sirrftto the building forwtrch this cedic& is being completed -see pages 6 and 7. ff no diagram accurately represents the building, provide a sketch or photograph.) E2 The top of the botbom floor (inducing basement or enclosure) d the building is _ k(m) _in.(crn) ❑ above or ❑ below (check one) the NOW adjacent grade. (Use natural grade, if available). E3. For Bull ft Diagrams 6-8with oper>ngs (see page 4 the red tigherfloor ordevaied floor (elevation b) dthe buuidng is _ t(m) _h(cm) above the highest adjaoent grade. Complete items C3.h and C3.i on Uont dform. E4. The top of the platlomn of machinery ardor equipment servicing the buildings _ ft(m) _m(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use naturd grade, i available). E5. For Zone AO ortf. 9 no flood depth number is available, is the top of the bottom floor elevated in accordance with the cemmurnb/s floodplan management o dnan w? ❑ Yes ❑ No ❑ Unnkrnown. The local official must c&* this it mnation in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The properly owner or aw*r's authorized representative who completes Sections A, B, C (Items 0.11 and C3.i only), and E for Zane A (witted a FEMA-weed orcornmur*- issued BFE) orZone AO must sign hem 7hestatem&*inSecbonsAAQandEarece7edtothebastofmylmaf/ga 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 a #wwed by law or adin m to admnirrsterthe canmurily's floodplain management adnarncs can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable "s) arndsign below G1. ❑ The k6mation in' ection C was taken from other doamentation that has been signed and ernbossed by a licensed surveyor, engineer, or archiled who is authorized by state or local law tocerdfy elevation irnformatiu)n. (Indic* the sauce and date of the elevation data in the Comments area below) G2 ❑ A corrnnnu* dfical Section E fora building located n Zone A (w ftd a FEMA4ssued or corm u nity4ssued BFE) or Zone A0. G3. ❑ The bbh g it wnadon (Items G4-G9) is provided for wmxsnigr iloodpW management purposes. G7. This penmit has been issued for ❑ New Corstnxxclion ❑ Substantial Impr mTxwd G8. Elevation of as4m iti lowest floor (including basement) d the b Aft is. - _R(m) Datum: G9. BFE or (in Zone AO) depth d flooring at the buildng site is: ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachment.