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Home My WebLink About34-2114-001-02501501 U'W 154 5k f 2005- Oz- 3'1G'g tvwa ~ ~0- Z6L~~ OC> 1 - OZ5C7 C-zoo4 - iqC 44J' Elite FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Read the instructions on pages 1 -7. Inc. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number 1501 N.W. 154 Street CITY STATE ZIP CODE Opa Locka FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 6, Block 2, RAINBOW GARDENS, PB43, PG 55 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, 9 necessary.) ( - - or ##.#ff###) 0 NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME& COMMUNITY NUMBER - B2.000NTY NAME B3. STATE Unincorporated 120635 Miami-Dade Florida 64. MAP AND PANEL - B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVERREVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding) 12025C 0090 J 7117/1995 312/1994 X N/A 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 (Describe): 611. Indicate the elevation datum used for the BFE in B9: N NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _ BI 2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date n/a SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* N Finished Construction A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this cert ficate is being completed -see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, AR/AH, ARIAO _ Complete Items C3.-ami below according to the building diagram specified in Item C2. State the datum used. If the datum is different 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 Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum 1929 Conversion/Comments nla - - - Elevation reference mark used MCBM Does the elevation reference mark used appear ontheFIRM? ❑Yes NNo ' a)Topof bottom floor (including basementor enclosure) 8.61ft.W - - - b) Top of next higher floor N.Afif(m) c) Bottom of lowest honzontalstructural member (Vzones only) N.Aft.(m) oe r - ch Attached garage (top of slab) N.Aft.(m) E R lz ~OJ - _ - e) Lowest elevation of machinery and/or equipment ! < n servicing he building (Describe in a Comments area) }IK ~Ca 7.98ft.(&) s - zm 0 Lowest adjacent (finished) grade (LAG) 7.30ft.0) - - - % g) Highest adjacent (finished) grade (HAG) 7.50ft.(th) h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA i) Toil area of all permanent openings (flood vents) in C3.h NA 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, 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. CERTIFIERS NAME: Cdalys C. Bello-lznaga LICENSE NUMBER # 6169 12230 S.W.131st Avenue, Suite 201 SIGNATURE FEMA Form 81-31, January 2003 (305) 251-9606 See reverse side for 96ntiffuation. Replaces all previous editions O.M.B. No. 3067-0077 M Expires December 31, 2005 Uorporauon Miami Florida 33186 IMPORTANT: In these spaces, copy the corresponding information from Section A. I ForlnswanceCompany use: 1501 N.W. 154 Street CITY STATE ZIP CODE I Company NAIC Number Opa Locka FL 33142 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(t) community official, (2) insurance agent4company, and (3) building owner. Crown of Road Elevation: 7.03' 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 Et 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 building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _fl.(m) in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade, (Use natural grade, if available). E3. For Building Diagrams 68 with openings (seepage 71.the next higher floor or elevated floor (elevation b) of the building is _ft.(m) _in.(an) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) in.(cm) ❑ 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 communi y 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 owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAissued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best ofmyknowfedge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE . TELEPHONE COMMENTS Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local ffic a who is aiiUlorized by law of ordinance to administer the community's ffoodplain management ordinance can complete Sections A, B, C (or E), and G of this ElevationCeffifcate. Coin`rletethe applicableitem(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 codify elevation infohnation;'(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official'comp'eOe Sefiorr E for a building located in Zone A (without a FEMA-issued orcommun ly4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. I I G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: __ft.(m) Datum:_ G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions