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HomeMy WebLinkAbout34-1135-009-0320FOLIOS1 # 3 © -1135 C.O.R. 6. 16 feet FEDERAL. EMERGENCY KANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE Important: Read the instructions on pages 1 - 7. 4 h. 7 SECTION A - PROPERTY OWNER INFORMATION Forlnsurance Company Use ; BUILDING OWNER'S NAME Policy Number Maureen Marks-Williams BUILDING STREET- ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company`NAtC.Number'. 1130 NW 200th. Street CITY STATE ZIP CODE Miami Fl. 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 8,Block 34,Sierra Mirada Fourth Addition,P.B. 72,Pg. 55,Dade County,Florida.- BUTLDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Residential LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 1J GPS (Type): ( - - or ##.#####t°) 1_1 NAD 1927 L_I NAD 1983 11 USGS Quad Map L-1 Other SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER 62. COUNTY NAME B3. STATE Unin. Miami-Dade 120635 Dade F1. 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 07/17/95 03/02/94 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. Ji FiS Profile ~ I FIRM I I Community Determined J1 Other (Describe): 811. Indicate the elevation datum used for the BFE in B9: r-I NGVD 1929 JJ NAVD 1988 1_1 Other (Describe): B12. 1s the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes JA I No Designation Date: N/A SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: I_IConstruction Drawings" 1_1Building Under Construction' J IFinished 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 BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3.a-i below according to the building diagram specified in Item C2. State the datum used. If the d_.atuM. 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 Conversion/Comments Elevation reference mark used DCBM Does the elevation reference mark used appear on the FIRM? I-I Yes EJ No ❑ a) Top of bottom floor (inciuding basement or enclosure) 7 . 98 ft.(m) w ❑ b) Top of next higher floor N/A - ft.(m) ❑ c) Bottom of lowest horizontal structural member (V zones only) N/A _ ft. (m) o 0 ❑ d) Attached garage (top of slab) (A/C NIA Unit _ ft-(M) E u, ❑ e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area.) 7. 01 ft-(m) O f) Lowest adjacent (finished) grade (LAG) 6. 6 ft. (m) Z ❑ g) Highest adjacent (finished) grade (HAG) 6 . 8 ft. (m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade _ 0 ❑ i) Total area of all permanent openings (flood vents) in C3.h 0 sq. in. (sq. cm) Flo o D. Alonso,P.S. Surveyor No. 359 of Florida 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. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. I understand teat any ialse statement may be punishable by fine or imprisonment under 98 U.S. Code, Section 9009. CERTIFIER'S NAME LICENSE NUMBER azara D. Alonso 3590. TITLE (PSM) UUMNANY NAML Professiqlix 'Survevor and Mapper UNITEC SURVEYING AND MAPPING,INC. ADDRESS t) 1 167th. Street # F-15 CITY Miami STATE F1. ZIP CODE 33015 SIGNATURE .I DATE :March 24,2006 TELEPHONE (305)512-4940 . FEMA Form 814 *Vanuary 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, ar•d/or Bldg. No.) OR P.O. ROUTE AND BCY. NO 1.110 NW 200th. Street CITY Miami STATE F1. ZIP CODE 3.316 For Insurance Company Use: PolicyNumber. Company WAI&.N,u!-nber SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance ageni/ccmpany, and (3) building owner. COMMENTS Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BEE) For Zone AO and Zone A (without BFE), complete Items E1. through E5. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C mus be completed. E1. 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 1-1-_1 f. (m) in. (cm) 1-1 above or 1-1 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 1-1-1 ft. (m) 1_1_1in. (cm) above the highest adjacent grade. Complete Items C3.h anc C3J on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is ft. (m) in. (cm) 1_1 above or 1_1 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? 1 1 Yes 1 No 1 1 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 whc completes Sections A, B, C (Items {;3.1- and C3.i only), and E for Zone A (without a FEMA-issued or community-issued BEE) cr Zone AO must sign here. The statemerts in Sections A, B, C, and E are correci to the best of my knowledge. - PROPERTY OWNER'S OP, OWNER'S AUTHORIZED REPRESENTATIVE'S NAME Lazaro D. Alonso ADDRESS _ CITY STATE ZIP CODE 615- 167th. Street # F-15 Miami Fl. 33015 SIGNATURE jiriv DATE•March 24,2006 TELEPHONE (305) 512-4940 COMMENTS Check here if 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. 1-I 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 Jaw to certify elevation information. (I-idicate the source and date of the elevation data in the Comments area below.) G2. 1-1 A community official completed Section E for a building located in Zone A (without a FEMA--issued or community-issued BEE) or Zone AO. G3. The following information (li.ems G4-G9) is provided for community floodplain management purposes. I I G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: 1_1 New Construction 1_1 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: _ G9. BEE or (in Zone AO) depth of flooding at the building site is: -ft. (m) Datum: _ft. (m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ] Check here It attachme~t~ =EMA Form 81-31, January 2003 Replaces all previous editions