HomeMy WebLinkAbout34-2113-002-1260PROCESS4C2004099484
F(?)<,M# -10-2113-002-1260
C.O.R. 10.38
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
O.M.B. No, 3067-0077
Expires December 31, 2005
7//
knpodant Read to ka udions on Pago 1.7. b MDC-DERM Oct, 1999
SECTION A- PROPERTY OWNER INFORMATION _ Forlm arxeComp" use:
BUILDING OWNER'S NAME Policy Number
MARGALIE WILLIAMS
BUILDING STREET ADDRESS (Including ApL, Uni, Suke, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
32 N.E. 164" STREET (GARAGE ON REAR OF LOT)
CITY STATE ZIP CODE
MIAMI FL
'PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
EAST 32 FEET OF LOT 724 AND WEST 57:09 FEET OF LOT 725, P8 40 PG 54
BUILDING USE (e.g., Residendal, Non-residential, Addi ion, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):
( #f - - ##.W or ##.#N##O) ❑ NAD 1927 ® NAD 1983 ❑ USGS Quad Map ❑ Other
SECTION B - FLOOD INSURANCE RATE MAP (FIf" INFORMATION
1 l~N('~ORPORATEDAREA 120p5 MUSTY u~ER I M82 COLM UUM D" NAME I W. STATE I
Ex MWAND PANEL.
137. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B5. SUFFIX
B6. FIRM INDEX DATE
EF FECTNBMMSED DATE
B8. FLOOD ZONE(S)
(ZoneAO, use depth of koc4)
12025=
1
7-1796
3-294
X
NIA
B10. Indcale thesum of the Base FloodEle+ration WE) data abaseflooddepih entered in B9.
❑ FIS Ptolile ® FIRM ❑ Carrrmtrrty DeWrni ted ❑ Odw ((ksarbey
B11. Indicate the elevation daburn used fortheBFE in B9: X NGVD 1929 ❑ NAVD 1988 ❑ Odwpesabe):
B12 Is the bcafed in a CoasWftierResotxces Syslern CBRS armor OthenAise Pt bcledAt+ea (OP A)? ❑ Yes X No 2EtgTDdq
MC71ON C - BUILDING ELEVATION INFORMATION (SURVEY( REQUIRED)
C1. BuildngebAAors are based on: Con* d m Daw;W Buting UnderCom ucW X Ff&WCo shdon
*AnewElevabon Certificate w9 be tared when construction ofthebuidmg is wMlele,
C2. Buffing Diagram N iTtw , (Selec;tthebreldng c~agarnrr>ostsim~arfOlhebudcir~g forwift ft net a isb ft camptefed-seepeges6 and7. If no dq m
aocurat~ely represertft btsldng, prarfdea skit orphofograptr )
C3. ElewaSorrs-Zones Al4 0, AE, AK A(%M BFE), VE, V1 VW,V (wilh 9:4 AR ARIA,ARME, AR/A14 0,AWAH, AR/AO
Complete Iferns C3 -M bdowaoootdV fothebu0ng dagrarnspecliied in them C2. State theddm used ff thedgu n o dber tlnom thed9n used forfie BFE in
Section B, =wertihe datunfDthatusedforfhe BFF- Showftdd mem nementsand dda caaersionc*uldd m. UsethesimpvAded orthe Cam entseree of
Section D or Section G, as appropriate, lo ftmentthe dahm a xweisbri.
Datum NIGVD CmwAxVQxm"
Elevation referanoe mark used N-7M Does fie elevation refer+errce mark used appear on ft FIRM? ❑ Yes ® No
o a) Top ofboftn floor (including basaner orendosune)
11.0311(m)
o b) Top of next t#alloor
NIA ft(m)
o c) Botban of bAMdhor~oMsthrctrral member (Vmmonfy)
NA. ft(m)
o d}Atimwgarage (bpofslab)
NYA it(m)
ED
o e) L:awestelevdon ofmaduwy arxft eqapneot
w
serwa g thebuildng (Desarbe in a Commnts aneaK PAD
NIAft(m)
o t) Lowest a* cet t (firiWwo grade (LAG)
t
t
d
HAG
Hi
h
fl
d
105 ft(m)
10
7 ft
z N
o g)
es
ac anen
x4 gra
e (
)
g
{
r
.
(m)
o h) Nlo. ofpam nentgxx* gs (tbodverds) within 1 ft aboma*cent
grade wA
o ) ToW anew ofai pwmv?ntopertirx,Is &Wvenls) m C3.h wAsq. in. (sq. an) x
SECTION D -SURVEYOR, ENGINEEIt CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to cerfify elevation information.
I cer#iiy that the Information In Sections A, A and C on ft cerfficate rr seats my best efl'bits to krtrpret the data kaIW4e.
I understand that any false statement may be punfshabie by fine or fmptxsowent under 18 U.S. Code, Seaton 1001.
CERTIFERB NAME ALBERTO VARA LICENSE NUMBER 43105
TITLE
VICE-PRESIDENT COMPANY NAME AMERICAN SERVICES OF MIAMI
ADDRESS CITY STATE ZIP CODE
2450 S.W.1311h AVE., SUITE 217 MIAMI FL 33175
SIGNATURE DATE TELEPHONE
--~~i~.•~ 7-15-04 (305664963
IMPORTANT: In these spaces, copy the comesponcling information from Section A For lns=r= Canary use: -
E3l1 LDL -'G STREET ADDRESS (Irclu 4 Apt., Una, Suite, ardor Bldg. No.) OR P.O. ROUTE AND Box NO. Policy Number
32 N.E. 1641, STREET
CRY MIAMI STATE FL ZIP Company NAIC Number
Copy both sides of ft Elevation Cerifficate for (1) communigr o iaal, (2) insLrarce ager>fJcotrpany, and (3) hdft owner.
COMMENTS
THIS ELEVATION CERTIFICATE IS ONLY FOR THE GARAGE LOCATED ON THE REAR SIDE OF THE SLRECT PROPERTY
THERE IS NOTAC ORAC PAD ON SAID STRUCTURE
❑ Check here I abd nests
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A ({MTHOUT BFE)
ForZoneAO andZaneA (withoutBFE), carrpleth Iterr>SE1 through E4. ffthe Elevation CeCate sk*Wded fOruse asppoft irarrrationfora LOMAarLOIuR-F,
Section C must becampleled.
E1. Bunting Diagam Nunber_(Sek dd*Wdcbng dragam mostsarrlarb the buldmg forw kh thiscer a sbehgconplebed-see pages 6 and7. Ifno dagarn aoaratelyy
rents the bulft pvAde a sketch orpholug-aph )
E2. The top of the bdbmfloor (r AxIi ng basement orenclae) ofthebuil ft is _,ft.(m)-in(c m) p above or p below (&a* one) the hoestadiacerntgade. (Use
m t d Bade, Iavaisble).
E3. For M ft Diagram 6.8 with openings (see page 7), the necthigheribaorelevateclim (dearationb) dthebntildrng is _ tt(m),_cm) abovethe highestadcent
gads. Complete netts Mh and as on to tot bm.
E4 The by ofthepW m ofnmft ery ar draregUprnentsevdV the bultg is _ft(m)~kn.{an) ❑ aboveor ❑ bdow(dnedk one) the hVwda*wdgrade. (Use
natural Bade, ff available).
ES FarZorsAO only: Nno flood depth nwtwis available, sthetop of the bottom floorelet*d in accardarnoe with thecomim Wsfbod#ah managem mdadsance?
p Yes ❑ No p Unknown. The local o1cial nx steertifyths dornnation h Section G.
SECTION F- PROPERTY OWNER (OR OWNER'S REP TATIVE) CERTIFICATION
The properly ownerorowner's author¢ednexesentativewhocon fetes SectionsA, B, C (!terns C3.h and C3.i or y), and E fbrZoneA NlhxAa FEMA-ssuedorcarmun*
issued WE) orZane AO mustsign here Thestafww*!nSedbsA, Q C, acrdEarecartedtothebestolmykvdedgs
PROPERTY OVV ER'S OR OVVIEITS AUTHORIZED REPRESENTATM NAME
ADDRESS CITY STATE ZECODE
SIGNATUFE DATE TELEPHONE
COMMENTS
❑ Check here Iatiac rwU
SECTION G • COMMUNITY INFORMATION (OPM14L)
The local aikW W o isaut atmdbysworardnanoeto adrdrislertheoommWsfloo n managementordinanceca ncanpleteSecliamA, B, C (orE), xd G offtElsid n
Ca ftah Complete the applicable fiern(s) andsign below
G1. p The irrtx nation in Section C Ymtaken from other doc mwtdon that has been signed andernbossedby a bmsedwveyer, erq~w, oraddectwho is autinofizedbystds
or kxal iawto ce * elevation ird4mation. On** the soueeand date of the elevation dab in the Comments anes below)
G2. ❑ Acom u* offiaalcompleted Secion E forabW ft located in Zone A Wthouta FEMA4ssmedorcomai niVissuedBFE) orZone AO.
G3. p Thefobwing infom dm {Iberrs G4-W) s prvjdedforwmmu* Aooc~bn mmagementpuposes.
G4. PERW NUMBER G6. DATE PERMIT ISSIUD G6. DATE CERTMATE CF ANCY ISSUED
G7. This pemthasbeen Wiedtor p Newcor>5tru ft ❑ subshantial tirnprovernent
G8. Elevation ofas4x ik wstfloar(ndudnngbam" dthebuldng is: . 1ktrn) Datum:
G9. BFE or {enZbr*AO) depth oftioodeng atthe binding site is: _ it(m) Datum:
LOCAL OFFICIALZ NAIL TITLE
COMMUNRY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
M f`. w* f,m if s%ftm+imPnfc