HomeMy WebLinkAbout34-2117-004-1121, dupePROCESS # C-2002-112305 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL ~F~LOOD INSURANCE PROGRAM
FOLIO # 30-2117-004-1121 Expires December 31, 2005
H.C.O.R. 8.33' Elevation
ELEVATION CERTIFICATE
(crown of road)
Important: Read the instructions on pages I - 7.
SECTION A -PROPERTY OWNER INFORMATION Q ;:i##s z'a e;....
15875 1107
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BUILDING OWNER 's NAME
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ELITE CONSTRUCTION D
C .M .....:A:C:al:uir..... :
BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. ::::P:::;
4035 NW 165 ST
CITY STATE ZIP CODE
MIAMI FLORIDA
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A PORTION OF TRACT 7, VENETIAN GARDENS, PB 31-37
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 l" NAD 1983
L" USGS Quad Map "I Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 72. COUNTY NAME B3.STATE
Unincorporated Area 120635 Miami-Dade Florida
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
Jul 17, 1995
March 2, 1994
X
N/A
B1 0. Indicate the source of the Base Flood Elevation (aFL) data or lase tlooa depth entered in tiv.
u FIS Profile U FIRM H Community Determined "Other (Describe):
BI 1. Indicate the elevation datum used for the BFE in B9: u NGVD 1929 H NAVD 1988 H Other (Describe):
B12. Is the building located in a Coastal Barrier. Resources System (CBRS) area or Otherwise Protected'Area (OPA)? "Yes I y l No
Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: H Construction Drawings* l" Building Under Construction* u 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 B FE), VE, V1 430, V (with BFE), AR, AR/A, AR/AE, ARIA1 -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.
N.G.V.D.
Datum Conversion/Comments
Elevation reference mark used BM NO: 32-1 Does the elevation reference mark used appear on the FIRM? "Yes M No
U a) Top of bottom floor (including basement or enclosure) 9.51' ft•(m) 42
Ell b) Top of next higher floor (m)
N~...`.• ft. N r
❑ c) Bottom of lowest horizontal structural member (V zones only) N/A. ft.(m) o
❑ d) Attached garage (top of slab) N/A, ft.(m) e = -
❑ e) Lowest elevation of machinery and/or equipment
servicing the building 8.97' ft.(m) ; Z
❑ 0 Lowest adjacent (finished) grade (LAG) 8.71
ft.(m) N
❑ g) Highest adjacent (finished) grade (HAG) 8-_8 . ft.(m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
❑ i) Total area of all permanent openings (flood vents) in C3h N/A sq. in. (sq. cm) DA a 23, 2093,
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification 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,_ 13, and C on this certificate represents my best efforts to interpret the data available.
I understand that any`fialse statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NAM • Ma.nc Prats Jr. LICENSE NUMBER PSM *3332
TITLE ofessional Surveyor & Mapper COMPANY NAME MARIO PRATS JR. & ASSOCIATES, INC.
ADDRESS,, qo~ S.W. 107th Ave. Suite # 214 CITY Miami STATE Florida ZIP CODE 33174
SIGNATURE, DATE J TELEPHONE
une 23, 2003 305-551-6000
FEMA Form 91 -31 an ary 2003 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
?>"iiuri!panjr>se?;
information from Section A.
IMPORTANT: In these spaces, copy the corresponding
BUILDING STREET ADDRESS (including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
4035 NW 165 ST
t» < >
ZIP CODE 010N' - V NA* . 5.0'.
CITY STATE p....K.:::::::::
FLORIDA
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
LJ 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 E 1 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 UU fl.(m) " Uin.(cm) U above or U 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
UU ft.(m) "L_i #m) 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 in "ft(m) _in (cm) U above or below (check one) the
highest
is if available, available).
E5. For Zone AO only. no. flood Use depth natural number grade,
is the to of the bottom floor elevated in accordance with the community's
floodplain management ordinance? Yes [_J No U 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 q(items C3.h and C3.i only) and E for Zone A (without a
FEMA- issued or community- issued BFE) of 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
UCheck 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.u 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 thefCom rents area below.)
G2.u A community official mpleted Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO
G3. or community floodplain management purposes.
U The following information (items G4-G9) is provided f`
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/ OCCUPANCY
ISSUED.
'U 'uedfor: New Construction "Substantial Improvement
G7. This permit has been iss
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 OFFICIAUS NAME TITLE -
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
U Check here if attachments
FEMA Form 81-31 January 2003 REPLACES ALL PREVIOUS EDITIONS