The URL can be used to link to this page

Home My WebLink About34-2117-003-0955maCG %or c.24 ~ 7 frk-3 FEDERAL EMERGENCY MANAGEMENT AGENCY PROCES # C2oo?-1 NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 FOLIO # 30- 2.117 oQ3 OR S ELEVATION CERTIFICATE xpires December 31, 2005 CROWN OF aoAO 8.4 0 Ft NGVD Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION f' For Insurance Company Use. fteff V FI WME Policy Number I S D S I m t Unit Suite, and/or Bld. No. OR P.O. ROUTE AND BOX NO. Com n NAIC Number N~-T74~`g ourt g ) y i' CITY STATE ZIP CODE MIAMI FL' 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tau Parcel Number, Legal Description, etc.) LOT 51 BLK. 9, VENETIAN GARDENS ACRES, (4.4-81), Miami Dade County, FL, BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if, necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: ( #9 - - or ❑ NAD 1927 ❑ NAD 1983 :E: U GIPS (Type): ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE UNINCORPORATED MIAMI DADE FLORIDA B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 12025 C 0090 J 7/17/95 3/2/94 X N/A 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe):_ 1311. Indicate the elevation datum used for the BFE in B9:JaNGVD 1929 ❑ NAVD 1988 ❑ 1312 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (PEA)? SECTION C - BUILDING ELEVATION INFORMATION (SURVEY No Designation Date C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* URnished 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, AR/AE, AR/A1-A30, AR/AH, AR/A0. 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 ADDRESS CITY STATE ZIP CODE 8341 SUNSET DRIVE MIAMI FL. 33143 SIG T E DATE TELEPHONE SEPTEMBER 2412003 (305) 596-0888 FEMA Form 81-=31, January 2003 See, reverse side for continuation. Replaces all previous editions TITLE COMPANY NAME LAND SURVEYOR & MAPPER ATLANTIC SERVICES OF FLORIDA ,y ip dk,>. . c a ro. . 4. ,p. k- IMPORTANT: In these spaces, copy the corresponding information from Section A. For lnsurancCompanyyUse: ~ndudi BUILDING STREET ADDRESS ( ng Ap't;Unil: Su ite and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Ror' y iVumber x ' • CITY STATE ZIP CODE Company NAIL Numbe> SECTION D.; SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agendcompany, and (3) building owner. COMMENTS ❑ Check here if attachments 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 supporting information for a LOMA. or LOMR-F, Section .C must be completed. Building Diagram Number_(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.) 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,'+f available) E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor 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 of form: 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. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or own4s authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, Q and E are correct to'the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The fif local official R~ t who isauthonzed by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this. Elevation Certificate. Corr e is) and sign below~ G1. ❑ The in ormatio n Seection' Citwas taken from other documentation that has been signed and embossed b a licensed survea or, engineer, or architect who is authorized by state . by y eer, or architect who is authorized by state or local kkto elevation information. (l dicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official .compEted Section E for a building located in Zone A (without a FEMA4ssued or community4ssued'BFE) or Zone A0. G3. ❑ The following ~ Informal n (Items G4.-69) is ro 'ded for community floodPlain management purposes. p ~ • G4. PERMIT NUMBER 1J, 'G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED' G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: _ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE I FEMA Form 81-31, January 2003