HomeMy WebLinkAbout34-2115-005-1100PROCESS# NMI` ) FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
FOLIO# 34-2115-005-1100 I O.M.B. No. 3067-0077
ELEVATION CERTIFICATE Expires December 31, 2005
C.O.R. 6.6'
Important: Read the instructions on pages 1- 7.
SECTION A- PROPERTY OWNER INFORMATION Fo tnsurance CompanyUse:
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
2023 N1W 152AD TERRACE
CITY STATE ZIP CODE
MIAMI FL 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 22 BLOCK 6 OF "FIRST ADDITION TO MAGNOLIA SUBDIVISION" PB 44 PG 16 OF DADE COUNTY RECORDS
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc, Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):-
( or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B7. NFIP COMMUNITY NAME& COMMUNITY NUMBER
B2. COUNTY NAME
B3. STATE
UNINCORPORATED-120635
MIAMI-DADE
FLORIDA
B4.MAPANDPANEL
B5. SUFFIX
_ ' - - BTFIRMPANEC
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE EFFECTIVEiREMSEDDATE
B8.FLOODZONE(S)
(ZoneAO, use depth of Wing)
12025 C 0090
J
7/17195 3?/94
X
WA
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):
811. Indicate the elevation datum used forthe BFE in 69: 0 NGVD 1929 ❑ NAVD 1968 ❑ Other (Describe): _
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Dale
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building UnderConstnrc6an* ® 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 certificate is being completed -see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations -Zones At-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, ARIAE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.-a4 below according to the building diagram spedfied 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 NGVD 1929 Conversion/Comments NONE _
Elevation reference mark used B-65-1 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No : < -
o a)Topofbottomfloor(includingbasementorenclosure) 9.8f4m)
o b To of next higher floor WA. ft(m)
" - '
o c) Bottom of lowest horizontal structural member (V zones only) N/A. ft.(m) o o
o d) Attached garage (top of slab) NIA,
_ft.(m) g'
o e) Lowest elevation of machinery and/or equipment
servicing the build g (Describe in a Common s area) 9.2 P,.(m) E y
o f) Lowest adjacent (finished) grade (LAG) 8.9 ft.(m) Z.2 : -
o g) Highest adjacent (finished) grade (HAG) 9.0fL(m)Syp
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA I =
o i) Total area of all 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 archifect'authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate repro I sen)s my best efforts to interpret the data available.
CERTIFIER'S NAME : PABLO J. ALFONSO- LICENSE NUMBER: #5880 NIH I! I,I lia -
TITLE PROFESSIONAL SURVEYOR AND MAPPER
ADDRESS _ CITY STATE ZIP CODE
6175 NW 153 STREET. SUITE 321 r MIAMI FL 33014
110/05
T: 305822-6062 R 305-827-9669
00