HomeMy WebLinkAbout34-2117-004-1370PROCESS # C-2002-104082 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
FOLIO # 30-2117-004-1370 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
H.C.O.R. 8.85' Elevation ELEVATION CERTIFICATE
(crown of road) Important: Read the instructions on pages I -7.
SECTION A - PROPERTY OWNER INFORMATION 9IilESAGGQti#tiu*
15876-1089 SC;
BUILDING OWNER'S NAME >Pi11..cNmas
ELITE CONSTRUCTION & DEVELOPMENT
BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
15630 NW 39th. PLACE
CITY STATE LIP couh
MIAMI FLORIDA 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
A PORTION OF TRACT 15. 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 "NAD 1983
" USES Quad Map "Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME b COMMUNITY NUMBER B2. COUNTY NAME B3.STATE
Unincorporated Area 120635 Miami-Dade Florida
B4. MAP AND PANEL
SUFFIX
B5
Be. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
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 B9.
"FIS Profile / FIRM "Community Determined "Other (Describe):
BI 1. 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 1,%/l No
Designation Date,
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
are based on: Construction Drawings' Building Under Construction' 1 /1 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.
Datum N.G. V.D. Conversion/Comments
Elevation reference mark used BM NO. B-32-1 Does the elevation reference mark used appear on the FIRM? I Yes IVINo
0 a) Top of bottom floor (including basement or enclosure)
9.73'
ft.(m)
"o
❑ b) Top of next higher floor
N/A,
ft.(m)
rn
"
❑ c) Bottom of lowest horizontal structural member (V zones only)
N/A.
ft.(m)
o
❑ d) Attached garage (top of slab)
W'
ft.(m)
® e) Lowest elevation of machinery and/or equipment
'9 a
o IF
servicing the building
9.61'
ft.(m)
; as
0 f) Lowest adjacent (finished) grade (LAG)
_
8.8 .
ft.(m)
$ b5
g) Highest adjacent (finished) grade (HAG)
8. g'
ft (m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent'grade NSA
❑ 1) Total area of all permanent openings (flood vents) in C3h
N/A sq. In. (sq. cm)
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, B, and C on this certificate represents my best efforts to interpret the data available.
ers n h, Ise staternent may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIE~SMaria Prais Jr. LICENSE NUMBER PSM # 3332
TITLE /.11 / , , fiofessional Surveyor & Mapper COMPANY NAME MARIO PRATS JR. & ASSOCIATES, INC.
ADD i 00 S.W, 107th Ave. Suite # 214 CITY Miami STATE Florida ZIP CODE 33174
SIG AT - DATE TELEPHONE
June 25, 2003 305-551-6000
FEMA Form 81-31-,January 2003 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (including Apt., Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. FAR rtumrrs>
15630 NW 39th. PLACE
:::Gain `ail°:N>.Lum#er<€<<»i;<»<;i:
CITY STATE ZIP CODE ...::;;;:.P :
54
.
KIIAW FLORIDA 330
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
U 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 LOMB-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) U"in.(cm) U above or "below
(check one) the highest adjacent grade ( Use Natural Grade N 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
ft.(m) "L i .(cm) 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 adjacent grade. (Use natural grade, if available).
E5. 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 " Unknown. The local official must certify this information in Section G.
OWNER'S REP
The property owner or owner's authorized representative who completes Sections A %q(items C3.h and C3.1 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
"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." 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." A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO.
G3." The following information (items G4-G9) is provided for community floodplain management purposes.
04. PERMIT NUMBER G5. DATE PERMIT ISSUED ISSUED E CERTIFICATE OF COMPLIANCE/ OCCUPANCY
G7. This permit has been Issued for:" New Construction "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 OFFICIAUS NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here If attachments
FEMA Form 81-31 January 2003 REPLACES ALL PREVIOUS EDITIONS