HomeMy WebLinkAbout34-2115-006-0750, dupePROCESS# 1~ 670 311 FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
Expires December 31, 2005
COLIO# 3.9' 5-oos-o7so ELEVATION CERTIFICATE
.O.R. 8.9'
Important: Read the instructions on pages 1- 7. V
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
DYMOND INVESTMENTS INC.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
1724 NW 152ND TERRACE
CITY STATE ZIP CODE
MIAMI FL 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 4 BLOCK 5 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: ❑ GIPS (Type):
( - or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
UNINCORPORATED -120635 MIAMI-DADE FLORIDA
B4. MAP AND PANEL
B5. SUFFIX
B7. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVE/REVISED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of flooding)
12025C 0090
J
7117/95
3/2/94
X
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base tlood depth entered in By.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in 139: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building 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)
C1. Building elevations are based on: ❑ 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 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, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.-a-i 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 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 -a-~
Elevation reference mark used H-371 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (including basement or enclosure)
o b) Top of next higher floor ft.(m)
a
o c) Bottom of lowest horizontal structural member (V zones only) ft.(m) N
00
o d) Attached garage (top of slab) N/A._ft.(m) 10 110
lJJ CU
E
o e) Lowest elevation of machinery and/or equipment
servicing the building Describe in a Comments area 9.7 ft. m
o f) Lowest adjacent (finished) grade (LAG) 9.6 ft.(m) z .2)
o g) Highest adjacent (finished) grade (HAG) 9_8 ft .(m)
C r2
•h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
J A! 4r. a i
o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) ~il.~~I' lit ~~~1111~
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ;l l l~ll!~ I~'I~ lu ! !
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation inf6emation
/ certify that the informatior /r Sections A, B and C on this certificate represents my best efforts to interpret the data available. it III'
l understand that any false state'n,nt may be punishable by fine orimprisonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NAME . PABLO J ALFO'N'S0 LICENSE NUMBER #5880 Iky'° '
_fTITLE PROFESSIONAL SURVEYVKAfJD MAPPER COMPANY NAME ROYAL POINT LAND SURVEYORS
ADDRESS CITY STATE ZIP CODS
6f7 W'1 TR T, !f MIAMI FL 33014
SIGN A. T R - DATE TELEPHONE
1/5/04 T: 305-822-6F: 366-827-9669
't3J6b-0N II " li II
FEMA Form 81 31; JUL!09 - SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PRtVibuS EDYl`IONS
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