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HomeMy WebLinkAbout34-2101-005-0290_ c Zac~D Act 7~ FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM o.xf.~ =/~9.93~ ELEVATION CERTIFICATE Y V I -00s,o olo_ Innnn` tart- Rpnd tho ingtrnrtinnc nn nano-4c 1 .7 ZI O.M.B. No. 3067-0077 Expires July 31, 2002 98-0001172 SECTION A - PROPERTY OWNER INFORMATION ' BUILDING OWNER'S NAME NEDAL CARTER AND CARMEL CARTER BUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO. •320 NW 190 ST CITY STATE ZIP CODE -"T FL 33169 _ PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3 Block 3 of NORWOOD according to the plat thereof as recorded in Plat Book 55 at Page 62 of the public records of MIAMI-DADE Countv Florida. BUILDING USE (e.g. Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) 2csr~lc-~~-~tQ 1 LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS (Type): ( - - or 1_J NAD 1927 " NAD 1983 [_J USGS Quad Map 12U Other. NGVD 192 9 SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 31. NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. COUNTY NAME B3. STATE MIAMI DADE 120635 MIAMI-DADE FL 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 03/02/1994 07/17/1995 X 7.0 FT B10.Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 69. 1_1 FIS Profile 11 FIRM 1_1 Community Determined 1_1 Other (Describe): B11.Indicate the elevation datum used for the BFE in B9: x ] NGVD 1929 1_1 NAVD 1988 1_10ther (Describe): B12.ls the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? IJ Yes 64 No Desinnation Date: SECTION C - BUILDING ELEVATION INFORMATION C1. Building elevations are based on: 1_1 Construction Drawings* 1_1 Building Under Construction* ( X I Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number o (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, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1-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 Conversion/Comments Elevation reference mark used 5 Does the elevation reference mark used appear on the FIRM? x Yes No ❑ a) Top of bottom floor (including basement or enclosure) 11.19 ❑ b) Top of next higher floor n ft. ❑ c) Bottom of lowest horizontal structural member (V zones only) Y1 F3 _ ft. I. ❑ d) Attached garage (top of slab) N j ► ft. - ❑ e) Lowest elevation of machinery and/or equipment tso servicing the building 10.55 ft. ❑ f) Lowest adjacent grade (LAG) 10.17 ft ❑ g) Highest adjacent grade (HAG) 10.49 ft. 4 s G ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade - Y 1 M License Number, Embossed Seat, ❑ i) Total area of all permanent openings (flood vents) in C3h In 10 sq. ft. Signature, and Date 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 that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER John Ibarra 5204 TITLE COMPANY NAME Professional Land Surveyor NOVA SURVEYORS, INC. ADDRESS CITY STATE ZIP CODE 5582 N.W. 7TH S T UITE MIAMI FL 33126 SIGNATURE )JVA NY_A___ DATE TELEPHONE , JI7-5101 (305) 264-2660 6 FE MA Forrn 81-31, Al7(39 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS (1 PORTIANT: In these spaces, copy the corresponding Information from Section A. 98-0001172 OBUILDING STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NO. 3t0 NW 190 ST „ITY STATE ZIP CODE MIAMI FL 33169 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 C.O.R.= 9.93 NOTE= ALL NEW ADDITIONS WERE CONSIDERED TO DETE NE LOWEST FLOOR ELEVATIONS. I_J 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 E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMB-F, Section C must 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_1J ft. ~JJ in. 1_1 above or j below (check one) the highest adjacent grade. E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is I I I ft. L_IJ in. above the highest adjacent grade. E4. 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? I I Yes I I No I I 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 who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE) or Zone AO must sign here. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME NEDAL CARTER AND CARMEL CARTER ADDRESS CITY STATE ZIP CODE 320 NW 190 ST MIAMI FL 33169 SIGNATURE DATE TELEPHONE COMMENTS I_I 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. (J 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. JJ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3. The following information Items G4-G9 is provided for community flood lain management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OR COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: 1_1 New Construction L-1 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: ft. Datum: G9 BFE or (in ZONE AO) depth of flooding at the building site is: ft. Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE . COMMENTS IJ Check here if attachments FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS