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HomeMy WebLinkAbout34-2115-006-0290race) 4 FEDERALEMERGE NCY MANAGEMENT AGENCY O.M.B. N=3067-0077 NATIONAL FLOOD INSURANCE PROGRAM / C . 0 . R . 8. 0 6 f t Expires D05-26-06 ELEVATION CERTIFICATE Impoftmt: Read the instructions on Rages 1- 7. 34 - 2-1 l ,5''-©d,6 -oZ96 SECTION A - PROPERTY OWNER INFORMATION For nsut C'o rparry Use:" BUILDING OWNER'S NAME Polki Nurnber GLORIA BROWN ORDER NO.0605-111 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg- No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 1724 NW 154" ST CITY STATE ZIP CODE OPA LOCKA FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 4, BLOCK 3, RAINBOW PARK SUB. PLAT BOOK 44, PAGE 21 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( ##-##'-##.W or 11#.xI ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMNLJNFTY NAME & COMMUNITY NLR>gBER 132. COl KFY NAME B3. STATE UNINCORPORATE?, AREAS 120635 MIAMI- FADE FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE 88. FLOOD ZONE(S) (Zone AO, use depth off oodng) 1202500 90 1 7-17-95 3-2-94 X WA Est u. indicate the source of f e vase Hood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 El NAVD 1988 El Other (Describe): B12. Is the budding bcathd in a Coastal Barrier 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 orr ❑ Construction Drawings* ❑ Building Under Consfnxtiion* ® Finished Construction *A new Elevation Certificate vA be required when construction of the budding is complete. C2. Building Diagram Number 1(Select the bukling diagram most similar to the bu7dirng for which this certificates being completed- see pages 6 and 7. if no diagram accurately represents the building, p wide a sketch or photograph.) C3. Elevations - Zones Al AM, AE, AH, A (with BFE), VE, V11/30, V (mM BFE), AR, ARIA, ARIAE, AR/A1-A30, AR/AH, ARIAO Complete Item C3 -a-4 below according to the budding diagram specified in It~ m C2. State the datum used If the datum is ditfeenttan the datum used for the BFE in Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calcul9m. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD ConversionlCo mnents Elevation reiI rence mark used DC Does the elevation reference mark used appear of the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 9. 01 t(m) o b) Top of next higher floor NIA - _ft(m) a o c) Bottom of bwest horzontal structural member (V zones only) NA. _R{m} o 0 o d) Attached garage (top of slab) N/A _it(m) o e) Lowest elevation of machinery ancft equiprnent W M 6 316-6 servicing the budding (Describe in a Comments area) 8.24 ft#n) E o D LmPest a*cent (finished) grade (LAG) 8.1 ft. (m) z m 05-26-06 rn o g) Highesta*cent(finished) grade (HAG) 8. Z14171) o h) No. of permanent openings (flood vents) within 1 t above agacent gaclO N o ) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq an) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the #ftmahon in Sections A, B, and C on riffs certrfxate repreisents my best efforts to mterpret the data avadable I understand M& any false statement maybe punishable by fine or imprisonment under 18 U.S. Co* Section 1001. CERTFIER'S RAW WALTER E. VENEGA LICENSE NUMBER 3106 TITLE PROFESSIONAL LAND St I:ZVEYOR COMPANY NAME CARIBBEAN LAND SURVEYORS ADDRESS CITY STATE ZIP CODE 11865 SW26TH STREET BID 1-13 MIAMI FL 33175 SIGNATl1RE DATE TELEPHONE _ 05-26-06 (305) : 727-6967 IMPORTANT: In these spaces, copy the corresponding information from Seddon A Fmirir uwceCornpai BUILDING STREET ADDRESS Ordudng Apt., Uni, Suite, andlor Bldg. No.) OR P.O. RCUTE AND BOX NO. = Poky i inner 1724 NW 154TH ST , CITY STATE ZIP CODE Camel RNCNumbv OPA LOCKA FL 33054 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agendcorrpany, and (3) building owner. COMMENTS SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REWIRED) FOR ZONE AO AND ZONE A Check here if attachrents For ZoneAO and Zone A (without BFE), complete Items E1 ttnmugh E4. If the Elevation Cetif sate 0, intended for use as supporting infamation for a LOMA or LOMB-F, Section C must be completed. E1. Biking Diagram Number_(Select the building din most similar to the building for which this certificate is being completed -seepages 6 and 7. If no diagram accurately represents the buildng, provide a 4&h or photog-aph-) E2. The top of the bottom floor (including basement or enclosure) of the btkTing is - _ ft(m) -rot(or) ❑ above or ❑ below (check ate) the fto est agacent grade. (Use natural grade, if available). j E3. For Building Diagrams 6-8 with openings (see page 7), the next f#ff floor or elevated floor (elevation b) of the bung is _ ft(m) _in*m) above the highest adjacent Bade. Complete items C3.h and C3J on front of form. E4. The top of the platfomm of machinery and/or equipment savi;ing the bung is _ ft(m) _in.(am) ❑ above or ❑ below (check one) the tnighnest ac jaoent grade. (Use natural grade, if available). E5. For Zane AO only: If no flood depth nurimer is available, is the top of the bottom floor elevated in accordance with the conrmurniy's tkiodplain management ordnance? ❑ Yes ❑ No DUnknowan. The local official mustcertify this irtfomnation in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized repesen ative who completes Sections A, B, C (liens h and C3.i only and E for Zane A (wetinuta FEMAissued or dxtmmnnity- issuedBFE)orZoneAOmurstsigrthere 7hestatemer&inSedlasA,AC,amidEarecwvdtothebestofmykvAkdge PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY I STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here 9 attachments SECTION G - The local official who is authorized by law or ordnance to administer the carmmunity's fk odolain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. ComnpkAB the applicable item(s) and sign below. G1. ❑ The information in Section C vm taken from other docunerdation that has been signed and wed by a licensed surveyor, engineer, or architect who is aufhori~ed by state a locallawto certify elevation information. (nd cote the source and date of the elevation data in the Comments area below.) G2. ❑ A communihr official completed Section E for a building located in Zone A (without a FEMA-issued or communfly4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floocfplain management purposes. G7. This permit has been issued for: ❑ New Construction ❑ Substantial kn1owernent G8. Elevabm Of as-f A lowest fkar (nduding basement) of the Wiling s: - _iL(m) Datum G9. BFE or (m Zone AO) depth of loocing at the building site s: - _ ft(mn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS