HomeMy WebLinkAbout34-2117-004-1170PROCESS# C-2001015180
FOLIO# 30-2117-004-1170
C.O.R. = 8.0'
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION I Forlnsuranoe Company Use:
BUILDING OWNER'S NAME runy ivuiI;~,
SYNERGISMO CORP.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
15660 NW 40 CT
CITY STATE ZIP CODE
MIAMI FL 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
N80FT OF S320FT OF E1/2 OF TRA 3"VENETIAN GRDNS REV" PB31 PG 37 MIAMI-DADE COUNTY PUBLIC RECORDS
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):
( or #t#.#W#) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
B2. COUNTY NAME
B3. STATE
UNINCORPORATED AREAS 120635
MIAMI-DADE
FLORIDA
B4. MAP AND PANEL
B5. SUFFIX
67. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
B8. FLOOD ZONE(S)
(Zone AO, use depth of flooding)
1202500090
J
7117/95
3/2194
X
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® 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_
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 I (Select the building diagram most similar to the building forwhich 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, VI 430, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.-a4 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 1929 Conversion/Comments NONE
Elevation reference mark used 6 Does the elevation reference mark used appear on the FIRM? ® Yes ❑ No
o a) Top of bottom floor (including basement or enclosure)
8.7 ft.(m)
o b) Top of next higherfloor
N/A. ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only)
N/A. ft.(m)
00
o d) Attached garage (top of slab)
N/A._ft.(m)
w c
o e) Lowest elevation of machinery and/or equipment
U
servicing the building (Describe in a Comments area)
8.7 ft.(m)
R
E cu
o f) Lowest adjacent (finished) grade (LAG)
7.8 ft.(m)
Z.2)
o g) Highest adjacent (finished) grade (HAG)
8_0 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
I I.
1 9,
o i) Total area of all permanent openings (flood vents) in C3.h N/A sq in (j. cn , ~ll~~~ r Ie
SECTION D -
This certification is to be signed and sealed by a land surveyor, engin'e"e~rw'br' 6hitect authorized by law to certify elevation information.
~u nu
best efforts to interpret the data available.
I certify that the information in Sections A, B, and C on this certificate re res 9 my;
I understand that any false statement may be punishable by fine or imprnsoninunt under 18 U S. Code Section 1001.
CERTIFIERS NAME : PABLO J. ALFONSO'' P, I LICENSE NUMBER: #5880
_r
TITLE PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME ROYAL POINT LAND SURVEYORS, INC.
ADDRESS CITY STATE ZIP CODE
6175 NW 15~,STAEETJIIy4103 MIAMI FL 33014
SIGN E s/ DATE I tLtrhUNt
5/28103 T: 305-822-6062 F: 305-827-9669
FEMA Form 81-31, J L 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EUl I IUNS