HomeMy WebLinkAbout34-2115-006-0440PROCESS#
FEDERAL EMERGENCY MANAGEMENT AGENCY L ado 4os'- t4 ov 1
NATIONAL FLOOD INSURANCE PROGRAM 101 O. M. B. No. 3067-0077
FOLIO# 34-2115-006-0440 ELEVATION CERTIFICATE Expires December 31, 2005
C.O.R. 8.7'
Important: Read the instructions on pages 1- 7.
E' SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
OWNERS BUILDING NAME Policy Number
I''
DAVID HOFI NN
BUILDING STRttTADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
1737 NW 153RD STREET
CITY STATE ZIP CODE
MIAMI t FL 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 20 BLOCK 3 OF "RAINBOW PARK" PB 44 PG 21 OF DADE COUNTY RECORDS
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):
( - - or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
l SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
iiB1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
UNINCORPORATE6-120635 MIAMI-DADE FLORIDA
B4. MAP AND PANEL
B5. SUFFIX
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of fl)oding)
12025 C 0090
J
7/17195
3094
X
N/A
B10. Indicate the soui`ce of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building l located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date
SECTION C BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
u I
- I
C1. Building elevation's' are based on: E] Construction Drawings* ❑ Building Under Construction* ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram' _ Number 1S ( el g diagram' li .l g for which this certificate is be~ ~ ling completed se . - see pa~ gps 6 6 " and 7 I1 7. no p9 the bulldin mmost slmlr to the bulidin1~w diagram, accurate) re resents the building, provide a sketch or v ' n -Zones Al A30 AE AH A with BFE VE V1430 V with BFE AR ARIA. AR/AF, ARIA I-A,su, AR/AH, AR/AO
Complete Items C3.-a4 below according to the building diagram speaed in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Ill tit
Section B, convert the datumto 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 " l
o a) Top of bottom floor (including basement or enclosure) K AM o b) Top of next higher floor N/A. ft.(m) a
o c) Bottom of lowest horizontal structural member (V zones only) NIA. ft.(m) o , 05
o d) Attached garage (top of slab) N/A. ft.(m)
W co
I and/or equipment
o e Lowest elevation of machinerv and/or equipment
servicing .the building (Descnbe in a Comments area) 9 7 ft (m)
I~I
E (Z
E ~
) grade (LAG) 8_8 ft.~m) z
o f) Lowesiajacent (finished go
o g) Highest adjacent (finished) grade (HAG) bb ft.(m)
within 1 ft above adjacent grade N/A
o h No. of permanent openings (flood vents)
91'rz,n; I'~I@3w iy iwa=ra i I''III ~
o i) Total area of all permanent openings (f~ood'vents) In C3 h tJIA In (sq cm)ill II III IIIh IIII''ll~
ii d'f i8li iilElll'llii it"t' lu'1 a ei'n41 i Is3kdltm iii i - III
St:t;I1UN U -;bUKn.Ty ; M If ttKIlt~K°KCHITECT CERTIFICATION
This certification is to be signed and" iseaYeld by !8' land surveyor,~etlglneeir"iarchltect aui Iorized by law to certify elevation information.
I certify that the information in Sections b, and C on phis cert►ficate ntsU bes efforts to interpret the data available.
113 I mm i! , ,i'~
I understand that any false statem6lWmr, y be punishable by in6 or impnson~ne t under 18 U. S. Code, Section 1001.
CERTIFIERS NAME : PABLO J ALFONSO LICENSE NUMBER : #5880
III, ~3 II - ' ,~N I 11 i., III. I. III III
TITLE PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME ROYAL POINT LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
,Rr
6175 NW 153 ST ET, I 1 MIAMI FL 33014
SIGNATURE c DATE TELEPHONE
4/15/05 T: 305-822-6062 F: 305-827-9669
FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS