The URL can be used to link to this page

Home My WebLink About34-2117-004-0890Process No.~2oo~yj9¢2S 1 FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM Folio No. 30-2117-004-0890 O.M.B. No. 3067-0077 Crown of Load = 8.19 Feet N.G.V.D. ELEVATION CERTIFICATE Expires: December 31, 2005 Important: Read the instructions on pages 1 - 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number M & M DEVELOPERS, INC. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 16155 NW. 41 AVENUE CITY STATE ZIP CODE MIAMI FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PORTION OF TRACT 10, -REVISED PLAT OF VENETIAN GARDENS', PB. 31-37, MIAMI-DADE COUNTY RECORDS. BUILDING USE (e-g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( - or ##.###W) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. N_A N/A SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME B3. STATE 120635 (UNINCORPORATED AREAS) Miami-Dade FL B4. MAP AND PANEL B5. SUFFIX . FIRM INDEX B7. FIRM PANEL 88. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER f7 DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone A0, use depth of flooding) 1202500080 J . 7-17-95 3-2-94 'X" N/A 1310. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 89. ❑ F1S Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B1 1. 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 - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations - Zones AI-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 C3a4 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 29. Conversion/Comments WA Elevation reference mark used 7.52' Does the elevation reference mark used appear on the FIRM? Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) 9. 24 ft(m) License No. LS 5938 ❑ b) Top of next higher floor N/A. -ft(m) y gate: ❑ c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft (m) ❑ d) Attached garage (top of slab) N/A. _ft.(m) v t ❑ e) Lowest elevation of machinery and/or equipment W AQ _ _ - - i Sig tur servicing the building (Describe in Comments Area) 9.03 ft.(m) E ate, y ❑ f) Lowest adjacent grade (LAG) 7. g ft.(m) Z CI g) Highest adjacent grade (HAG) 8. 2 ft(m) w ❑ h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NIA ❑ i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION I nis cerntlcatlon is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information, certify that the information in Sections A, 8, and C on this Certificate represents my best effbits to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U_ S. Code, Section 1001. CERTIFIER'S NAME: JOSE SENAS LICENSE NUMBER: 5938 TITLE: PROFESSIONAL LAND SURVEYOR AND MAPPER COMPANY NAME: SUNSHINE UNITED CONSULTANTS, INC. ADDRESS CITY STATE ZIP CODE FFMA FnrmJ,l-R1 .1am+arv 9nn3 RFF RFVFRRF RInF MR CONTMII IATInN RFPI Ar FR At 1 PRFV10(1R FnITInNiR 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 16155 NW. 41 AVENUE CITY STATE ZIP CODE Company NAIC 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. 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 El through E4. >f the Elevation Cer6f+cate is intended for use as supporting information fir 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 _ fL(m) in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. 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. E4. The top of the platform of machinery and/or equipment servicing the building is _ft.(m)_in.(cm) [I 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 0 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, and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME o LA. k- 53 E L o G ADDRESS TY STATE ZIP CODE 112 y / 6/t4104 -11Q /.I.5d6 - t3G6 :1 Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to adrrdnister the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign 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 FEMA4ssued or community4ssued BFE) or Zone AO. G3. ❑ The following information (items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED tG6.UDADTE CERTIFICATE OF COMPLIANCE/OCCUPANCY G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS Check here if attachments FFMA Fnrm Al-*A1 .laniiarv 7nn~ RFPI Ar FC Al I PRFVlr71 IR Fn1TIr1N1R