HomeMy WebLinkAbout34-2117-004-1130ti Y
PROCESS #e,t10ey ~e a®4,'
FOLIO # 9,0~',~~'~
R. 7.68' H. C. 0. Elevation
(crown of road)
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM I!"``" Expires July 31, 2002
ELEVATION CERTIFICATE ~Important: Read the instructions on pages I - 7.
134Y0- 104 1 SECTION A - PROPERTY OWNER INFORMATION Foy fnsurance Cotnpay Use
BUILDING OWNER'S NAME Polley Number
ELITt "CONSTRUCTION & DEVELOPMENT - .
A..
BUILD,ING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. mpagy um er
15701 'NW 41 AVENUE
CITYpMi,, STATE ZIP CODE
MIAMI FLORIDA 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
The South 6u UU' 11 or west I v/ 4 s 11 or I racy I Z, Kt YOW r/3 ► yr vt►vt ► ►fuv oAnut►V.3 ro ► -3
BUILt71NG USE(e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
RES/bENTIAL
LATif'ODE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE:" GPS (Type):
( or NAD 1927 "NAD 1983 " USGS Quad Map "Other:
Ab'I SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME 83.STATE
Unincorporated Area 120635 Miami-Dade Florida
B4.-MAP AND PANEL
SUFFIX
B5
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
Iii. NUMBER
.
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone A0, use depth of flooding)
1202500090
J
Jul 17, 1995
March 2, 1994
X
N/A
B1 0. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in by.
" FIS Profile U FIRM "Community Determined Other (Describe):
BI 1. Indicate the elevation datum used for the BFE in 139: uNGVD 1929 "NAVD 1988 "Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected'Area (OPA)? "Yes U No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on:" Construction Drawinge "Building Under Construction* U Finished Construction
A n'ew Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number I (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. Elf Vations - 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
il1o~ it
Cmplete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
ttiie datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
fl1
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
"I N. C. V. D.
datum Conversion/Comments
'~SI
EI~evation reference mark used DC BM No 8-32-1 Does the elevation reference mark used appear on the FIRM? L-JYes I v I No
a) Top of bottom floor (including basement or enclosure) 8. 64' ft.(m)
❑ b) Top of next higher floor N/A, ft. (m)
c) Bottom of lowest horizontal structural member (V zones only) N/A. ft. (m) -00
11d) Attached garage (top of slab) N/A ft.(m) E
e) Lowest elevation of machinery and/or equipment m
-"servicing the building 8. 60' ft. (M) E elo,
m
❑ f) Lowest adjacent grade (LAG) 7. 80' ft.(m) m
l~ g) Highest adjacent grade (HAG) 7. 85'___ 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) ;i DATE - - June 21, 2002
SECTION om- 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 infarrhation in Sections A, B, and C on this certificate represents my best efforts 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'3 NAME Mario Prats Jr. LICENSE NUMBER PSM # 3332
TITLE Professional Surveyor & Mapper COMPANY NAME
J MARIO PRATSJR. & ASSOCIATES, INC.
1H
.ADOR,E CITY STATE ZIP CODE
ail 300 S. W. 107th Ave. Suite # 214 Miami Florida 33174
SIGN DATE TELEPHONE
June 21, 2002 305-551-6000
FE For , JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
~ a