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Home My WebLink About34-2117-004-0980FEDERAL EMERGENCY MANAGEMENT AGENCY Process No. C;W-04 ~9 248 NATIONAL FLOOD INSURANCE PROGRAM Folio >No.:34-2117-00470980 O.M.S. No. 3067-0077 cr6w. n of Roach = 8.26 FQet N,,G.V.D. ELEVATION CERTIFICATE Expires: December 31, 2005 Important: Mead 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 16215 NW. 41 AVENUE CITY STATE ZIP CODE MIAMI FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) THE SOUTH 60' OF THE NORTH 240' OF THE WEST Y2 OF TRACT 10, "REVISED PLAT OF VENETIAN GARDENS", PB. 31-37, MIAMI-DADE CO. FL. 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 ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: N_A N/A SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION' 61. NFIP COMMUNITY NAME & COMMUNITY NUMBER 132. COUNTY NAME B3. STATE 120635 (UNINCORPORATED AREAS) Miami-Dade Fl. B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 1202500080 J 7-17-95 3-2-94 "X" N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile [0 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 - 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, V1430, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/AO Complete Items C3a-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 NGVD 29. Conversion/Comments NIA Elevation reference mark used 7.52' Does the elevation reference mark used appear on the FIRM? ❑ Yes No a a) Top of bottom floor (including basement or enclosure) 9.37 ft-(m) m Licer#e No. LS938 ❑ b) Top of next higher floor NIA. ft.(m) ❑ c Bottom of lowest horizontal structural member V zones only) NIA. ___-ft. m t V ❑ d) Attached garage (top of slab) N/A. _ft.(m) e e ` ❑ e Lowest elevation of machine and/ore ui ment W = r ± .s } rY q p m Sigatur servicing the building (Describe in Comments Area) 9.53 ft.(m) E- ❑ f) Lowest adjacent grade (LAG) 8. 1 ft.(m) r; 8. 6 ft. (m) ❑ g) Highest adjacent grade (HAG)' ❑ 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 CERTIFicAT6NV 'ae~av~von . This certification is to be signed and sealed by ~land n surveyor, engineer, gcate rer,resents m archct authorized by lw~ hest efforts to /nteto~ ~~e ~l fy information 1 certify that the information in Sections A, B, a ailalile. rjnrlerstand that anv false statement may be Aunishable by fine or imprisonment under 18 U. S. Code,"Secbon 601. r CERTIFIER'S NAME: JOSE ,SENAS LICENSE NUMBER: 5838' TITLE: PROFESSIONAL LAND SURVEYOR AND MAPPER COMPANY NAME: SUNSHINE UNITED CONSULTANTS, INC. i ADDRESS CITY STATE ZIP CODE m ' ERRACE MIAMI FL 33015 7830 W 174 SIGNATURE DATE TELEPHONE FFMA Fnr 9_'11 _lan►iaru 9nn*i SFF RF\tFRSF :zinF FOR C OMTINI IATIC)N RFPI A(' F-, At I PR;FVIr)I1s FnITICINS 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 16215 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 r r 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 LOMB-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. 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) ❑ above or ❑ below (check one) the highest adjacent grade,. (Use natural grade, if available). EE-5. 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 Q 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 40 must sign here. PROPERTY OWNER'S OR OWN 'S AUTHORIZED REPRESENTATIV 'S NAME ADDRESS CI STATE ZIP CODE 71,-30104( 7 -5 a SIGNATUR~ ATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) _ he local official who is authorized fly 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. Complete the applicable item(s) and sign below. C-1. ❑ The information in Section C wa: tak: ti from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or Iota! iavv to Certify elevation information. (indicate the source and date of the elevation data in the Comments area below.) G2. El A community 6f#ic1al complete Sectlor E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The followlxag in ormation (Ite'-s G -Gla is provided for community floodplain management purposes. G4. PERMIT NUMF3ER„ -~35. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY i' ISSUED G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built 16west floor (including basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flrooding at the building site is: fL(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments F1=MA Fnrm 81_521 .lamiarv 7nn'R RFPI AC'.FS At I PR1=V101 iS IMITIONS