Loading...
HomeMy WebLinkAbout34-2117-004-0997-0,114 7 FEDERAL NATIONAL EMERGENF FLOOD Y MANAGEMENT AGENCY FOLIO#: 302117004099 rt IN ' kANCE PROGRAM ~t ~ tk LEVA E~C~1N TIFICATE C.O.R.: 8. 34 'FT . r ~1111 ~a 0111I'i'III Im ortant Rea 6' instructions on pages 1 -7. 4 =x'005947 SECTION`.A - Ph , 4 y„ - OPtI2lY„fthltR INFORMATION O.M.B. No. 3067-Cb77 Expires December 31, 2005 II! For Insurance Company User N' 'S~ NAME Policy Number '-'JOSEbPH G WR BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) C ~R P.O. ROUTE AND BOX NO. Company NAIC Number 15900 NW 40 CT CITY STATE ZIP CODE MIAMI FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot Block of REVISED PLAT OF VENETIAN GARDENS according to the plat thereof as recorded in Plat Book 31 at Page 37 of `the public records of MIAMI-DADE County, Florida. BUILLDING USE (e.g. Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: I I GPS (Type): ( - - or I I NAD 1927 1 1 NAD 1 q83 1-I USGS Quad Map 12 I Other. NGVD 192 9 it Ilullp II I SECTION B - FLOOD INSURANCt''kATP- MAP (FIRM) INFORMATION H B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER MIAMI DADE 120635 B2. COUNTY NAME B3. STATE MIAMI-DADE FL B4. MAP AND PANEL 65. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIV8/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 1202500090 J 07/17/1995 03/02/1994 X N/A 1310 Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. I FIS Profile I X I FIRM I I Community Determined I I Other (Describe): 1§11 Indicate the elevation datum used for the BFE in B9: IX I NGVD 1929 1 1 NAVD 1988 1 (Other (Describe): B12_s the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Designation Date: p i ~ kMATION (SURVEY REQUIRED) SECTION C BUILDING ELEVATION WFlO ' ~ ~Buildinq Under Construction* I X (Finished Construction C1 Buildinq elevatio ns are based on: I I Construction Drawings 4A new Elevation Certificate will be required when construction of the building is complete. C2. nuildinq Diagram Number 1 (Select the building diagram most similar to the buildinq for which this certificate is being completed -see "pages 6 and 7. If no diaqram accurately represents the buildinq, provide a sketch or photoqraph.) C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1430, V (with 3 E), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO w 'Complete Items C3.a-i below accordinq to the buildinq diaqram 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 Lased for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area of Section or Section G, as appropriate, to document the datum conversion. 'Datum NGVD 1929 Conversion/Comments N/A Elevation reference mark used 6 Does the elevation reference mark used appear on the FIRM? IXI Yes 1,_1 No E3 a) Top of bottom floor (including basement or enclosure) 10.00 ft.(m) 13 b) Top of next higher floor N/A ft.(m) c) Bottom of lowest horizontal structural member (V zones only) N/A ft.(m) d) Attached qaraqe (top of slab) N/A ft.(m) e) Lowest elevation of machinery and/or equipment I !III II I 2 servicing the building (Describe in a Comments area.) 8.3 ft.(m) f) Lowest adiacent (finished) qrade (LAG) 8.17 ft.(m) q) Hiqhest adjacent (finished) qrade (HAG) 8.57 ft.(m) U h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NSA License Number, Embossed Seal, 0 Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) Siqnature, and Date SECTION D -SURVEYOR, ENGINEER ARCHITECT CERTIFICATION , OR l~'l hitect authorized by law to certify elevation information. IoW Iw ! This certificationis t be signed and sealed by a land surveyor,, enginee arc ~I n1 A a:nd Con this certicate``' I' e . y l c that r~ rma , terpret the -data av fy the infoqq ~ t~on in SGc tio _s ~ts°rhy bes) efforts o ►nailable~ ; 100 nl understand that any false statement may be punishable by fine or imprisori'm6nf under-1 a U.S. Code, Section CERTIFIER'S NAME LICENSE NUMBER _ John Ibarra 5204 TITLE COMPANY NAME Professional Land Surveyor NOVA SURVEYORS, INC. 55 SIG (;III : il,,. FEM, ~II :SS CITY STATE ZIP CODE N.W. 7TH S E SUITE 202 MIAMI FL 33126 DATE TELEPHONE 05/11/2004 A (305)264-2660 Form 81-31,JIA 2003 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS Yes ~ X ~ No e' IMPORTAN r: In these spaces, copv the corresponding information from Section A. 4-0005947 For Insurance Company User BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P;O. ROUTE AND BOX NO. Policy Number 15900 NW 40 CT 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 SECTION C3(E) LOWEST ELEVATION OF MACHINERY IS THE A/C PAD I_I 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 I I ( ft.(m) ( 1 ( in.(cm) I I above or I I 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 I I I ft.(m) I I I in.(cm) above the highest adjacent grade. Complete Items C3.h and C3.i on front of form. E4. 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? I I Yes I I No I I Unknown. The local official must certify this information in Section 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 JOSEPH YEATER ADDRESS CITY STATE ZIP CODE 15900 NW 40 CT MIAMI _ FL 33054 SIGNATURE DATE TELEPHONE COMMENTS I_J Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized 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. Complete the applicable item(s) and sign below. G1. I I 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. I I A community official completed Section E for a building located in Zone A (without a FEMA-issued or community=issued BFE) or Zone AO. 33. I I The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: I I New Construction I I 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