HomeMy WebLinkAbout34-2115-005-1105PROCESS# U'00-~WOI FEDERALEMERGENCYMANAGEMENTAGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
FOLIO# C.O.R. 834.5-' 2115-005-1105 ELEVATION CERTIFICATE Expires December 31, 2005
.O.R
Important: Read the instructions on pages 1.7.
SECTION A- PROPERTY OWNER INFORMATION For Insurance Company Use
ANN COCKING
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number
2011 NW 152 TERRACE
CITY STATE ZIP CODE
MIAMI FL 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 23 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, Nnecessary.)
RESIDENTIAL
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):-
( #p°-##-##.##" or ##.#aY###~ ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
82. COUNTY NAME
B3. STATE
UNINCORPORATED-120635
MIAMIDADE
FLORIDA
B4.MAPANDPANEL - B5. SUFFIX
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRMINDEXDATE
EFFECTIVE/REVISED DATE
138. FLOOD ZONE(S) (Zone AO, use depth offlooft
12025 C 0090 J
7/1755
3294
X WA
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describel
B11. Indicate the elevation datum used forthe BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Banter Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ®No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building UnderConstmctioe ® 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 Al-A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, ARIAE, ARM-A30, AR/AH, ARIAO
Complete Items C3: a4 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 cenvemlon 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) Top of bottom floor (including basement or enclosure) 9.3ft.(m) v
o b) Top of next higher floor WA. ft (m) o c) Bottom of lowest horizontal structural member (V zones only) WA. ft.(m) o o' ^
o d) Attached garage (top of slab) WA._ft.(m)
o e) Lowest elevation of machinery andforequipment
servicing the building (Describe in a Comments area) 9a ft (n1) E
o f) Lowest adjacent (finished) grade (LAG) 8.6 ft (m) z p
og)Highest adjacent (finished)grade (HAG) 8_8fi.(m)
o h) No. of permanent openings (flood vents) within 1 ft, above adjacent grade WA _ - •
J
o 1) Total area of all permanent openings (flood vents) in C3.h NP q, in. (sq cm)
r is r
SECTION D. SURVEYOR, ENGINEER. OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by ,a land suNbybr, enginee 'dr architecf authorized bylaw to certify elevation information.
I certify that the information ip °acbons A,.B an9 on'this certificate represents my'best efforts to interpret the data avarlabie:
I understand that any false sfdte ,art maybe purls l by fine or' t nsonmeunder 18 U.S. Code Section' 1001 f
CERTIFIER'SNAME: PABLOJ.A,FONSO e1 fi 1i LICENSE NUMBER: #58{80
_ --n-~ RJ 1. i ~i ~~i'I`II of
TITLE PROFESSION.ALSURVEYORANDMAPPER-- COMPANY NAME ROYAL POINT LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
6175 NW 153 STREET 8UITE 321f ' MIAMI FL 33014
1117105
T: 305-822.6062 " F: 305827-9669
FEMA Form 81-31, JUL'00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL
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