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Home My WebLink About34-2117-004-0350PROCESS # FEDERAL EMERGENCY MANAGEMENT AGENCY ~a O.M.B. No. 3067-0077 FOLIO #3l I/70C 03,5-® NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE ` H C O H.C.O.R. 7.94 ELEVATION / (CROWN Important: Read the instructions on pages 1 -7. 16645-1045 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number ELITE CONSTRUCTION & DEVELOPMENT BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 4130 SW 161 STREET CITY STATE ZIP CODE MIAMI FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) THE EAST 87.41 FEET OF THE N11 OFT OF TRACT 4. PB 31-37 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): c ##o or o> ❑ NAD 1927 F__] NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 31. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Unincorporated Areas 120635 MIAMI-DADE FL B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER EFFECTIVE/ REVISED DATE (Zone A0, use depth of flooding) 12025 00080 J JUL 17, 1995 MAR 2, 1994 X N/A B9u. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B1 1. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVID 1988 ❑ Other (Describe): B1 2. Is the building located in a Coastal Barrier Resources System (CBRS).area or Othewise 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, ARIA, AR/AE, AR/AI -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 N.G. V. D. Conversion/Comments Elevation reference mark used BM NO: N-423 Does the elevation reference mark used appear on the FIRM? ❑Yes W No a To of bottom floor (including basement or enclosure - - - - - - - - 9.07 b) Top of next higher floor - - - - - - - - - - - - - - - - - - - N/A ft-(m) a~ c Bottom of lowest horizontal structural member V zones only) -(m) ft-(M) ❑d)Attachedgarage(topofslab)------------------------------- N/A ft-(m) Ec wm 61 e) Lowest elevation of machinery and/or equipment, servicing the building (Describe in a Comments area) - - - - - - - - 8.76' ft (m)? "E c R1 f) Lowest adjacent (finished) grade (LAG) 8.20' ft-(m) a~ 21 g) Highest adjacent (fnished)grade (HAG)----------- 8.25' ft-(m)~ ❑ h No. of ermanent o enin s (flood vents) within 1 ft. above adjacent grade N/A i~ p p g Dec er 10 003 I) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) I~ I } JI, SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFI01 I N 014, ,i 1 0. This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized bye aw Itp (certify elevation information. / certify that the information in `Sections A, B, and C on this certificate represents my best efforts to in'rl 'ret the data available. understand that any false ;statement may be punishable by fine or imprisonment under 18 U.S. Co ti cue econ 1001 CERTIFIER'S NAME LICENSE NUMBER Mario Prats Jr. P.S.M. No 3332 .4 Af TITLE _ . , COMPANY NAME ~rofess - ional Surveyor & Mapper MA RIO PRATSJRAND ASSOCIATES, INC. ADDRESS CITY STATE ZIP CODE 300 S. W. 107th Avenue Suite # 214 Miami Florida 33174 SIGNA FEMA Form r dary 2003 DATE - TELEPHONE December 10, 2003 See reverse side for continuation. 305-551-6000 Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use:. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 4130 SW 161 STREET CITY SAE ZIP CODE Company NAIC Number MIAMI SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED ) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. COMMENTS here if attachments ❑ Check 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 El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. 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, if 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 community's 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 owner's 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, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ^ ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) r,. e to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation by l or The local official who ' the applicable item(s) and sign ~ Certificate. Complete pp below. G1. ❑ The information in-Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information (Indicate the source and date of the elevation data in the Comments area below.) G2. A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. s G4-G9) is provided for community floodplain management purposes. G3. ❑ The following information (Item G4. PERMIT NUMBER G5. DATE PERMIT ISSUED. G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED