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Home My WebLink About34-2116-006-1780C.O.R. + 5.84' FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1.7. 0 31 D 2 ECTIONA-PROPERTY OWNER INFORMATION gD Ul (o'-606-17f20 ForlnsuranoeCnipanyUm BUILDING OWNER'S NAME I Policy Number COBO CONSTRUCTION BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Sk1g. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2990 NORTHWEST 159TI STREET CITY STATE ZIP CODE MIAMI FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PB46-75 LOT 8 BLOCK 20 OF: "FIRST ADDITION PINE TREE PARK"MIAMI-DADECO. FL. BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, d necessary.) RESIDENTIAL LATrrUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):, ( #e-##' or #####W IQ 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 MIAMI-DARE-120635 MIAMI-DADE COUNTY FL B4. MAP AND PANEL B7. FIRM PANEL 89. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX BB. FIRMINDEXDAT E EFFECTIVEREVISED DATE B8. FLOOD ZONE(S) (ZoneAO, use depth offlooding) 12025C-0090 J 7-17-1995 3-02-1994 nxn N/A 810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depfh entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1968 ❑ Other (Describe): B12. Is the buildinq located in a Coastal Gamer Resources System (CBRS) area or Otherwise Protected Area (OPAV ❑ Yes ®No Designation Date C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Cerfificate 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, VI N30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AP/AH, AR/AO 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 conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. DatumNGVD1929 Conversion/CommentsN/A NAME N-423 - Elevation reference mark used 7.52' Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basement or enclosure) 7.57ft.(m) v o b) Top of next higherfloor =A . _ft(m) - - = r 1 o c) Bottom of lowest horizontal structural member (V zones only) INCA. _ft.(m) o o d) Attached garage (top of slab) N/Aft.(m) B ; o e) Lowest elevation of machinery and/or equipment u ro _ / - servicing thebuilding (Describe in a Comments am) 7.40' ft.(m) of)Lowest adjacent (finished)grade (LAG) 6.00' ft.(m) ° v SM#5526 o g) Highest adjacent (finished) grade (HAG) 6.12' ft.(m) 0.6 - 0 3--s 005` rade N A J o h No. of permanent openings (flood vents) within 1 ft. above adjacent 9~ o i) Total area of all permanent openings (flood vents) in C3.h N/Asq. in. (sq. cm) SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the info rrAii in Se8 G'a P, 8. and C on this certificate represents my best efforts to interpret the data available. 1 understand that acv false statement may baDUnishable by fine or imprisonment under 18 U. S. Code. Section 1001. CERTIFIERS NAB F LICENSE NUMBER COMPANY NAME ARb%NDO_.J .-ALVAREZ 3RD_ - - PSM 5526 AFA & COMPANY, INC. TILE ' ADDRESS CITY STATE ZIPCODE PROFESSIONAL_ LAi b SURVEYOYtS' & MAPPERS 13050 SOUTHWEST 133RD COURTMLAMII FL 33186 Mn\IATI IOC MATC - TO, CounA1C FEMA Form 81-31, J nuary 2063 7 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A I For Insurance Company Use: I 2990 NORTHWEST 159' STREET CITY STATE ZIP CODE I Company NAIC Number MIAMI FL 33054 SECTION D- SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Cedificatefor (1) community official, (2) insurance agenUcompany, and (3) building owner. SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supposing information for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number-(Select the building diagram most similarto the building for which this certificate is being completed-see pages 6 and 7. fl no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, 6 available). E3. For Building Diagrams 68 with openings (see page 7), the next higherfloor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front offonn. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, If available), E5. ForZone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance vdth the oommuniys floodplain management ordinance? Yes ❑ No ❑ Unknown. The local official mustcertity this information in Section G. SECTION F -PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA4ssued or community- issued BFE) or ZoneAO must sign here. The statements inSedionsA,a,C,andEarecorrect tothebest ofmyknowfedge. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME STATE ZIP CODE SIGNATURE DATE TELEPHONE .E. ~y_ o n f l Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local officialwho is authorized by1fam or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Cedcate 'Coni5lete too appli S a item(s) and sign below. G;-[3 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, orarchifed who is authorized by state orlocm itiv to certify a vaf on'ofo haUon. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A immunity aria oompfEi'sS Section E for a building located in Zone A (without a FEMA4ssued or community-issued BFE) or Zone A0. G3. ❑'The following infonnatkin (Items G4 G9) is provided for community floodplain management purposes. G7. This permit has been issued for. ❑ New Construction ❑ Substanfial Improvement G6. Elevation of as-bulk lowest floor (including basement) of the building is: -t(m) Datum: - G9. BFEor(nZoneAO)depth of flooding at the buildingsite is: ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE r' w COMMUNITY NAME TELEPHONE SIGNATURE DATE ; COMMENTS Q Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions