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HomeMy WebLinkAbout34-2109-001-0010FINAL ELEVATION CERTIFICATE This certificate shall be submitted for compliance of 11c3-3f 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 toObe pt o ided by contractor, property owner or agent.) Folio # _ 3 OZ-_' - - - _(NOT ACCEPTED wrrHOUT FOLIO) Address 17950 NW 27 Ave. , Mi ami . F PROCESS /0: C 1 ©$gP63 Permit cl ",DIO 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. Portion of Tr 32, Sec. 9-52-41 - Subdivision Name MIAMI GARDENS Lot. Blk PB 2 PG 96 Community.# Suffix Panel # Date of FIRM FIRM Zone Base Flood 120635 J 0080 3/2/94 % Ft. NGVD Using FEMA's Elevation Certificate instructions, indicate diagram found on Pages 5 and 6 that best describes the subject building's reference level 1 LOWEST FLOOR ELEVATION (Top Reference level) 9.55 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).. 9.18 FT. N. G. V. D. A/C COMPRESSOR (Provide top elevation of supporting structure) on roof 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 September 18, 1996 Phone I!: (305) 836-1822 Certifier's Certifier's Name : JOSE F. LOPEZ, P.L.S. (Print) Signature Certificate >Y 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