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HomeMy WebLinkAbout34-2115-004-0530-w. FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM REV ATION CERTIFICATE 4 Miss— ortant: o Read the instructi ' a y0 ges 1 p - 7. ns on pa SECTION A - PROPERTY OWNER INFORMATION ".K BUILDING OWNER'S NAME L yl,'I I sMCMILLAN 01-758 S`°.JILDING ` STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 15635'NW. 27TH AVE._ O.M.B. No. 3067-0077 Expires July 31, 2002 or Insurance Company Use Policy Number . Company NAIL Number III Ctw FLORIDASTATE 33054 ZIP CODE R- =R( ^ Y DESCRIPTION (Lo't and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUIL.,K USE (e.g., Residential, N ~ ccesso `,'etc C : Use omments section if Non-residential, Addition, A ry necessaryRES DENTIAL tI ,I 'LAT•ITUL)E/LONGITUDE OPTIONAL HORIZONTAL DATUM: _ SOURCE: L_i GPS (Type): b 0 or 0.0 ) NAD 1927 ( I NAD 1983 LI USGS Quad Map Other j lr t I : 11~ I ~hl.l~l , I~'Ilil~ 1 " z ~SE~~~CTIO~I~~B~- FLOOD INSUIRA TE MAP (FIRM INFORMATIO~I llto it I 4 II. ~ - b 'NFIP COMMUNITY NAME & COMMUNITY NUMBER ~ I I I I B2. COUNTY NAME B3. STATE "''120635 !!,(111, ffl, MIAMI-DADE FLORIDA 310. Indicate the source of the Base Fiood iEI I_I FIS Profile IX I;FIA I~ II I- B19. Indicate the elevation datum used for il i B12. Is the building'located in a 'oastal a in IIS;: Designation Date: 3 C1. Building elevations are based'on *A new Elevation Certificate will be 'II IIp2. Building Diagram Number 1 pages 6 and 7. If no diagram 'accu II ."C3. I° ovations Zones Al-A30, AE,IAI~ Complete Items C3a-i below alccoll' '`ie datum used for the BFE in SeA .alculation. Use the space provide ilatum NGVD Conversion 13:1 I I' elevation reference mark used B .11111 C❑ a) Top of bottom. floor (including ❑ b) Top of next higher fl6li ~I ❑ c) Bottom of lowest honzontal s (III 11 Iii I IIU e Ion Or se flood depth entered in (sly®olll(rll I II~~I.11I E datine~ Other Describl 9. _I G~om u~,ity beterm I_I (Describe): 29 NAVD -1988 I 1 Other Des I 31, iInl I139: XNGVD T19 I-I I_I (De's ~Ila.,_jlll _II -I~I s~~ ,I1,lln;1 - ac er oes©urces Sysiem (CBRS) area or Otherwise Protected Area (OPA)? I_I Yes I_I No f~~llrl 1 la 1!113 . rl'il, I I Ixh I 'r„- it ~ ELEVATION' ~ LNGi INFORMATION (SURVEY REQUIRED) I onstibl on Drawings*I' ! IjBuilding Under Construction* Ix (Finished Construction. lil~~t!i~IllM9111 ! I required when consfructio3n 01 the building is complete. 131 ~~Ilk ~311,~1 yi JII , ' similar to the building .e uIiinnn~ he tliaI 1 ,1, ,II I lea IIti gramImos g for which this certificate is being completed - see FiJ9 faly 1 ul i' I (III , - II - - - " - - - rateis t - t sentthe buildin ro photograph.). y re p ~ 1 g, p vide a sketch or i: I `r A With ,ullith llr'u 1 6~ 13; ft~/~' VE V-V301 V with BFE) AR ARlA Ak/AE, AR/A1-A30, AR/All AR/AO ng o the building diagraspecified in Item C2. State the datum used. If the datum is diff rent from lion 'B, ~1~I .l I' I convert the datum to that used for the BFE. Show field measurements and' datum conversion fI6lection D or Section G, as appropriate, to document the datum conversion I %Comments I~1 I" IVIICH~r MARK Does the elevation reference mark (used appear on the FIRM.?, . IX .I Yes I_I No • lip r, ❑ d) Attached garage (top l slab) ❑ e) Lowest elevation of inachmery lar servicing the building'llll C3 f) Lowest adjacent grace ~ AG) ❑ g) Highest adjacent g 'lde (HAG) II ❑ h) No. of permanent op4Ierl i (Wool: ❑ i Total area of all ermane' lo '16 ) p ant nir III I ~ II 11!'I-' II This certification is to be Sig 1 certify that the information ~~I1rl understand that any false CERTIFIER'S NAME ADIS TITLE Went or enclosure) Ill l'' !w . l ~ ~l~ 9 .1 ft.(m) 6 ~I II II N (m) ; d~~o ~z a ll I III'. I I I I I111i~ i~ al member N zone snly) N /.A tt.(m) h l f; Y - 013 ~ or equipment k , W"l0 sill II II ul 1 N / On) A z - r II { IllIllil~i~ E i~ ~I'~ li~I ~ . E tin III 7 . } ft•(m) L ll s, / 1 ents with rn 1 ft. ab ove jacent grade N/A J i I ~11dlI~IR`I''iI li61i~''' I I ven s in C3 ) ' I' i l I I ~~I I i h N/A sq. in. (sq:~cm) - - oo~@ ^ti, ! il lI I i I 1~J i _1 rV.. t II I I I i~ l i i il ~ i ~I ~ VET R OR, EN II INS Ir l ta j „1 0 R, OR ARCHITECT- CERT IFICATION l a r_..r ltl Iln I Itnq l 131 ~ I~ II II,I rya and ;~i~vever, :e~ngl : II 6'111 ~ !4 iiC I lW l gII II g e h iti 1 ~ I er, or architect authorized bylaw to certify elevation information. t r on t is cert ca !ull III:'II 1 Ali VIII 11 IIJ eurns sabre by fin or ~I presents my best effor s to interpret the data available. , npnsonment under 18 U. S~. Code, Section '1001. N. NUNEZ Ik I"' 'I 'I I III 'FRE'D 1,ANii " S IRV .Y10R j II I1 ~ I 3 SIiORE DR . ` MfAj LICENSE NUMBER c OMPANY NAM F13LANCO SURVEYORS INC. SIGNATURE DATE TE 5/2/01 FEMA Form 83- AUG - - r 99 I- - 11 SEE REVERSE SIDE FOR CONTINUATION I { I 3~w MAP P AND AND PANEL i. NUMBER I~ 0090 L 65 . SUFFIX J 6, FIRM INDEX EX DATE /1/95 ! EFFB7 FIRM PANEL ECTIV REVISED DATE /17/95 B8. FLOOD ZONE(S) X B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) /A I,HA _1.114 t I .EPHONE (305) 865-1200 REPLACES.ALL PREVIOUS EDITION' FF IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 15635 N.W. 27TH AVE..."' CITY' STATE ZIP CO. E Co-n> __ny°NAIC Number MIAMI FLORIDA 33054 1 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS CROWN OF ROAD ELEVATION: 7.46' BmJ B-37 LOCATOR# 2133 W ELEV. 10.08' G Check here if aftachril Ills SECTION E - BUILDING FORMATION SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A ELEVATION, IN ~ ( ) (WITHOUT BFE) or Zone AO and Zone A (without BFE), corrtil5iete -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 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 L_1_1 ft.(m) L-L-lin.(cm) L_) above or L_I tielo~ r II (check one) the highest adjacent grade. -i' E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I_L-1 ft.(m) L_L_Iin.(cm) above the highest adjacent grade. E4. 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 i„ floodplain management ordinance? 1 Yes L_J No 1_1 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, and E for Zone A (without a FEMA-issued or+ community-issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE MENTS Check here if SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. 1_1 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. 1_1 A community of icial cor+ pleted Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. E _I The following-information, (items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER: y u G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This aerrnit has been issued for: L_J New Construction L_J 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 COMMENTS Check here if attachments -.MA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS