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Home My WebLink About34-2113-002-0290 'j 30 oogn C 2.°°`-I 10 aac~ FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 y7e tr - if 2 COL) _ O :i'q a 41 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200.' C.O.R. 6.00 ELEVATION CERTIFICATE ~►sfi - ; a -1303 12-23-04 Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION Fof Insurance Company Use BUILDING OWNER'S NAME Poicy 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 Numbed 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 ##.##l##°) ❑ NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 132. COUNTY NAME B3. STATE UNINCORPCRATED, AREAS 120635 MIAMI- DADE FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX 86. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (Zone A0, use depth of flooding) 12025CO 80 1 7-1795 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 ® FIRM ❑ Community Determined ❑ Other (Describe): 1311. Indicate the elevation datum used for the BFE in 139: ® 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 Constructiat* ® Finished Construction *A new Elevation Certificate will be required when constriction of the building is complete. C2. Building Diagram Number 1(Select the building dagam most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the buffing, provide a sketch or photograph) C3. Elevations - Zones Al-A , AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR, ARIA, ARME, ARIA1-A30, ARIAH, AR/AO Complete Items C3 -a-4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different firm 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 Cornrersion/Comments Elevator reference mark used 2102 W Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) 8. 41 ft.(m) m O b) Top of next higher floor WA. _ft.(m) ❑ c) Bottom of lowest horizontal structural mem leer (V zones only) WA . _ft.(m) Cc go ❑ d) Attached garage (top of slab) 7. 62 t(m) ' E ❑ e) Lowest elevation of machinery and/or equipment w m servicing the bung (Describe in a Comments area) 8.35 tk(m) E G t) Lowest adjacent (finished) grade (LAG) 6.8It(m) z' 0 ❑ g) Highest adjacent (finished) grade (HAG) Z. 2 ft(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above a jacent grade N ❑ )Total area of at permanent openings (flood vents) in C3.h NIA 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 certify elevation information. I certify that the iMormation in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CER11FIER'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 M: 227-6967 IMPORTANT: In these spaces, copy the corresponding information from Section A For fr6urarca i ompany Use BUILDING STREET ADDRESS (Inctudng Apt., Unit, Suite, and/or Bit. No.) OR P.O. ROUTE AND BOX NO. Policy Number 11 NW 159 ST CITY STATE ZIPCODE Gompary NAIC Number MIAMI FL 33169 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) cornmuniy official, (2) insurance agenttompany, and (3) building owner. COMMENTS ❑ Check here tf attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A "MiOUT 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 cornpieted. E1. Building Diagram Number _(Select the building diagram most similar tD the building b which this certificate is being canpleted - see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.) E2. The lop of the botlom floor (including basement or enclosure) of the bulking is _ ft(m) _in.(am) ❑ above or ❑ 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 budding is _ ft(m) _in.(c m) above the highest adacent grade. Complete items C3.h and C3J on front of form. E4. The top of the platform of machinery ancYor equipment senricing the budding is _ ft(m) _in.(crn) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if 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 community's floodplain management ordinance? ❑ 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 C3J only), and E for Zone A (without a FEMA-issued or corrmunily- ssued BFE) or Zone AO must sky here. The statements in Sections A, B, Q and E are correct to the best ofmy krawfedge 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 corn munilys floodplain management ordnance can comps Sections A, B, C (or 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 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 building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3. ❑ The fbbAng information (Items G4-G9) is provided for co mmunky tloodplain management purposes. OF COMPUANCEK)CCUPANCY ISSUED G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (inducing basement) of the building s: _t(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the braking site s: - ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS