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Home My WebLink About34-2113-002-0460C- 2 o o Z 0 4 15g ` 0 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.S. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 30 13 ~ ELEVATION CERTIFICATE Read the inshuctilm on pages 1- 7. SECTION A- PROPERTY OWNER INFORMATION 1 RI III I'Mr. OVVNFR'S NAME Policy Number SHEEL RAVAL & MAYURI RAVAL BUILDING STREET ADDRESS (Including Apt, Unk, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 46 NE 161 STREET NAIL CITY STATE ZIP CODE NORTH MIAMI FL 33162 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Dmaiption, etc.) BUILDING USE (e g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if neoessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type): or ❑ NAD 1927 p NAD 1983 0 USGS Quad Map 006W. SECTION E - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION UNINCORPORATEDNEA 12M5 84. MAP AND PALL B7. FI M PAWL 89. BASE FLOOD E1fVAT10N(S) M ACM W. affix B6. FIM4 WEX DATE EFFECTIVE D DATE B8. FLOOD 20E(4) (Zone A0, use deplh of tbodirg) 1202500083 J 7!17195 IV" AE 7 810, hndicate the source d the Base Flood Elevation (lam data or base hood depth BrAered in 89. ❑ FISRofile ® FIRM a Cmwu* De ed ❑ Other pescribe): 811. Indicate the elevation datum usW for the BFE in B9: ® NGVD 1929 p NAVD 19M 0 Other (Descnbe): 812. Is the building bcated'm a Coastal Bonier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Desolation D*e SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Buadirig elevations are based on: ❑ Con on Drawings• ❑ Building Under Consln,ction* ® Finished Conshiclion *A new Elevation Catificate will be required when construction d the building is complete. C2. Bung Diagram Nu rnbel ! (Select the building diagram most s milarto the building for which this certificate is being completed -see pages 6 and 7. K no dagram accurately represents the building provide a sketch or photograph.) C3. Elevation-Zones Al", AE, AH, A (wfth BFE), VIEV1-V30, V (wtih BFE), AR, ARIA, AR/AE, ARIA1-A30, ARIAH, ARIAO Complete Items C3 -a-1 below acnoording to the buldng diagram speafred in Item C2 Stab the datum used. If the datum is Merent from the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field men uiements and datum conversion calculation. Use the space provided or the Comments area of Section D orSedan G, as appopriate, rb docrmnen(the datum oonversion. Datum NGVD 1929 CowersioriCommerds_ Elevation relieretce mark used 2102 Does the elevation n#enence mark used appearon the FIRM? ❑ Yes ®No o a) Top of botteom floor (rrkaK ding baserrnerd or enclosure) 9. U LM o b) Top of neDd higher floor )L(m) o C) Bottom of lowest horizontal structural member (V zones only) N . A NM) o o d) Attached garage (top dslab) 8.3 ft(m) E o e) Lowest elevation of machinery and/or equipmernt W to servicing the building (Describe in a Comments area) 9.01IMM) £ 22 W o f) Lowest adjacent (finished) grade (LAG) 7.1 ft(m) Z.0 o g) Highest a4acent (fnistred) grade (HAG) Z. P.m N o h) No. of pemuarient openings (flood vents) within 1 fL above a*Mt grade 5 $ J o i) Total area d all Permanent openings (flood vents) in C3.h _WA 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 information in Sections A, A and C on this ceitificate represents my best efforts to interpret the data available. I understand that any false statement maybe punishable. by fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME WILLIAM MICHAEL CAW LICENSE NUMBER 5092 TITLEPRESIDENT COMPANY NAME ALL COUNTY SURVEYORS ADDRESS CITY STATE ZIP CODE 5950 W OAKLAND PARK BLVD #108 LAUDERHILL FL 33313 NUNATURE DATE TELEPHONE 1 A 6117105 %4-m-4747 FFMA From R1-31 Ianitavv 7n nA Sap rpvarca airln fnr mntirnsafinn Ranlar*s all nravirnme arritinnc IMPORTANT: In these spaces, copy the corresponding formation from Section A. BWDING STREET ADDRESS (kh kdV Apt., Unt Stile, ancdlor Bldg. No.) OR P.O. ROUTE AND BOX NO. CITY STATE ZIP CODE P* fif*ff SECTION D - SURVEYOR, ENGNEIA OR ARCHITECT COUMATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) corrrraruty ollicial, (2) insirance agerdleompary, and (3) butting ovvner. COMMENTS - J"#01-10857 BM =li 2102 ELEV- 5.77 PK MAIL & BRASS WASHER IN CONC SIDE WALK _ CENTERLINE ELEV OF RD = 7.0 FOLIO # 30-2113-002-0460 NE 159 ST 31'SOI:' CL & NE 2 AVE-54' W OF CL PERMIT # 2003-023-156 PROCESS # C2002045890 _ ❑ Check here ff attadhments SECTION E - BUILDING ELEVATION WORMATION (SURVEY NUT REOUREC FOR ZONE AO AND ZONE A MffHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. t the Edevabr*i ertficale is intended for use as supporfirig l► motion for a LOMA or LOMR-F, Sediah C must be completed. E1. Building Diagram Number (Select the bung diagon most similar to the building for which this omtkate is being completed - see pages 6 and 7. If no diagram accurately represents the bolding, provide a s1wich or photograph.) E2. The top d the bottom floor (including basement or enclosure) d the building is BM ft.(m) _in.(cm) [:]above or ❑ below (check one) the hest adlacent grade. (Use natlrat grade, If avaikable). E3. For Bulling Diagrams 6.8 with openir>gs (seepage 7), the next tigherflsoor or elevated floor (elev~ b) of the bul ft is _ t(m) _in.(an) above the NOW adjacent grade. Complete Items C3.h and C3.i at front dtorm. E4. The top d the plaattam d machinery axVior equipment servicing the building is _ t(m) in.(cm) ❑ above or ❑ below (dx do one) the higfhet ad)acerht grade. (Use n& M grade, If available). E5. For Zone AO only: t no flood depth number is available, is the trop of the bottom floorelevated in aocardmm with the eorirrnruty's toodpW management adulate? ❑ Yes ❑ No ❑ Unknown. The local dkial must oertfy this in1brrnatim in Sector G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized represerd*m who anoetes Sections A, 8, C (Items C3.h and C3.i oriy), and E for Zone A (without a FEMA-issued or commu*- issued BFE) or Zone AO must sign here. The statemerns in Seems A, a G andEare cared to ft best ofmy fa►omb* PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS n Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The to ita tsauthaW by law or ordinance to aM*isW the oornrnu *s floodpiain managerrlent ordmahoecan complete Sections A, B, C (or E), and G of this Elevation Celtfieale."C~ f, l iue le item(s) arid sign below. G1. ELIM irh~gmuft i) Section C was taken from otw dwxa taboh that has been signed and embossed by a licensed surveyor, engineer, or an;hitect who is a tatted by state of Ix TTaw~oer* devotion information. (kxficate the source and dated the elevation data in the Corr nw is area below.) G2. tj A commur ily official completed Section E for a btaldirg located in Zone A (witW a FEMA-Issued or oommunity4ssued BFE) or Zane A0. G3. Q~AwtlbmV infennatiah (items G4-G9) is provided for convhwnity fkhodplain management purposes. G7. This parrot has been issued for ❑ New Constnx#ion ❑ Substantial imprvmnent G8. Elevation of as-built lowest Am (including basemt) d the building is: _ ft (m) Datum: G9.8FE or (in Zone AO) depth of flooding at the building site is: i _t(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if dfadhments FFMA Fnn-n RI-M .lani,arv 9nn~ RRn1grac all nmwirn,a arntinnc