HomeMy WebLinkAbout34-2117-004-3830FINAL ELEVATION CERTIFICATE
This certificate shall be submitted for compliance of 1lc3-3f to DERM Flood Plain Management Program to remove FINAL COMPLETION
HOLD
This certificate will not be accepted if all items are not completed
PROPERTY INFORMATION
(The following information to be provided by contractor, property owner or agent.)
Folio # 3 0 -~2 00 / -`,-38-3QNOT ACCEPTED WITHOUT FOLIO) p
Address 3721 NW 165 St., Miami, Fl. PROCESS Permit
XX New Construction Addition, Reconstruction or combination
I certify that the above information represents my best effort to interpret the data required. I understand that any work undertaken prior to
obtain a certificate of completion. or occupancy will be at the PERMIT HOLDER'S RISK. The County will review the elevation data
submitted. Deficiencies detected by such review shall be corrected by the permit holder immediately and prior to further progressive work
being permitted to proceed. Failure to submit the elevation survey or certificate or failure to make said corrections required hereby shall be
cause to issue a stop work order for the project.
Name: Date:
(print)
Phone #
(signature)
ELEVATION CERTIFICATE
This certificate is not valid if any items are altered or not completed. W 75' of E 152.23' of S 1/2 of TR 85
Subdivision Name REV. PLAT OF VENETIAN GARDENS Lot Blk PB 31 PG 37
Community #
Panel #
Date of FIRM
FIRM Zone
Base Flood
120635
nn
0080
July 17, 1995
X
Ft. NGVD
Using FEMA's Elevation Certificate instructions, indicate diagram found on Pages 5 and 6 that best describes the subject buiiding's reference
level 1
LOWEST FLOOR ELEVATION (Top Reference level)
9.80
FT.
N . G . V . D .
LOWEST ADJACENT GRADE ELEVATION
9.20
FT.
N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION
N/A
FT.
N.G.V.D.
ELEVATION OF HIGHEST CROWN OF ROAD (Fronting Property)..
8.85
FT.
N. G. V. D.
A/C COMPRESSOR (Provide top elevation of supporting structure)
9.50
FT.
N . G . V . D .
I hereby certify that the information on this certificate is true and correct to the best of my knowledge and belief.
Date June 22, 1999 '
Certifier's Name : JOSE F. LOPEZ, P. S.K.
Phone (305) 836-1822 (Print)
Certifier's Signature'
Certificate # 3086 PLS
This form has been approved by The Federal Emergency Management Agency (FEMA) and may be used for flood insurance purposes-
Rev. May 31, 1995/ELEVCERT.195