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Home My WebLink About34-2117-004-04505100 BUILDING OWNER'S NAME Alvaro Ospina; Annette Diepa FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 ELEVATION CERTIFICATE Expires December 31, 2005 Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION a For Insurance Company Use: Policy Number BUILDING STREET ADDRESS (Including Apt., Unit, Suite; and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 4102 N.W. 163 St. CITY STATE ZIP CODE Miami FL 33054 PROPERTY DESCRIPTION (Lot and.Block Numbers, Tax Parcel Number, Legal Description, etc.) Fnlin # AA-2117-f1nA-(1d5(1 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 ##.###f°) ® NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION ~ I B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Unincorporated 120635 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) 12025C 0080 1 7/17/1995 3/2/1994 X N/A b'I U. Inalcate the source of the base moon elevation (tr-t) aata or base Tlooa aeptn enterea in by. ❑ 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 located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date n/a 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 - seepages 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-V30, 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 1929 Conversion/Comments n/a Elevation reference mark used MCBM Does the elevation reference mark used a pearon the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 9.80ft.jO - o b) Top of next higher floor N.Aft.(m) ° s' o c) Bottom of lowest horizontal structural member (V zones only) N.Aft,(m) "w F ~a o d) Attached garage (top of slab) 9.15ft,(r w o e Lowest elevation of machine and/or e ui ment _ i - r~ rY q P a~ r servicing the building (Describe in a Comments area)~~ 9.76ft(r) ' aw,r ip _ o f) Lowest adjacent (finished) grade (LAG) 8.87ft.(#n) l o g) Highest adjacent (finished) grade (HAG) 9,16ft.o) I~!, ~ µ o h) No. of permanent openings (flood vents) within 1 ft, above adjacent grade NA II o i) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. cm) I n~i_ i rig SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATI N ~j € ~I~i ~ ~~I ~ ~qH i This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation info~miation. IIII, I~ . I certify that the information in Sections A, B, and Con this certificate represents my best efforts to interpret the data availabrle N I'; r' 113 , y y p y p merit under 18 U. S. Code, Section 1001. p.I I~ i II I understand that an false statement ma be unishable b fine or im rison LICENSE NUMBER # 6169 CERTIFIER S NAME: Otlalys C. Bello-lznaga ~,i, ~ ~,i w ~ , TITLE: Professional Surveyor and Mapper COMPANY NAME w~l ADDRESS CITY STATE ZIP CODE p a 12230 S.W.131StAvenue, Suite 201 _ Miami Florida I I ~ I~,,.~~ ~~33186 ~u;~, it i DATE TELEPHONE SIGNATURE 305 2~1:- L ~ II ~ c/ ( ~ P I ~w FEMA Form 81-31, January 2003 See reverse side for cont nuation. !1 Rephaces'all previous'e'd{7tions I III I I F III Ilpq~ - - 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 4102 NW 163 St. - CITY STATE ZIP CODE Company NAIL Number Miami FL 33054 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. L.. COMMENTS Crown of Road Elevation: 8.35' ❑ 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. E1. 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 (seepage 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] 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 REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS U Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized byla j or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this ElevationCertif~cate, Complete tie applicable item(s) and sign below. w s ~r 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 i~ local law io certify elevation inforrnaiion...(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community offcial completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3. ❑ Tl6 following info oration (Iterrrs G4-9) is provided for community floodplain management purposes. G4. PERMIT-NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issuedfor vu Construction F-1 Substantial Improvement ❑ Ne basement) of the building is: ft. (m) Datum: G8. Elevation of as-built low floor (iri6l6aingI G9. BFE or (in Zone AO) depth of flooding at the building site is: qrn) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachment s FEMA Form 81-31, JanuarY2003 Replaces all previous editions i ~I