HomeMy WebLinkAbout34-2109-002-3780FINAL-7LEVATION CERTIFICATE -L2 l~
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This certificate shall be submitted form compliance of I Ic3-3f 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 30 - *Zl(J I/ - 002- - 3 78QNOT ACCEPTED WITHOUT FOLIO #
6700, ?
Address: 17221 N.W. 31 Ave., Miami, FL 33056 Process Permit
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.
Subdivision Name MYRTLE GROVE
Lot 12 Blk 17 PB 53 Pg 90
Community #
120635
Suffix
J
Panel #
0080
Date of FIRM
7 -17 -9-S-
Mia 01
FIRM Zone
X
Base Flood
N/A 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) 7,91
FT. N.G.V.D.
LOWEST ADJACENT GRADE ELEVATION • • • . 7.8
FT. N.G.V.D.
GARAGE OR STORAGE FLOOR ELEVATION • • • • • • • • • • • • • . • • • • • • • • • • • N/A
FT. N.G.V.D.
ELEVATION OR HIGHEST CROWN OF ROAD (Fronting Property) 7,57
FT. N.G.V.D.
A/C COMPRESSOR . • (Provide top elevation of supporting structure) N/A
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: 7/7/99
Certifier's Name: NELSON MOJARENA
Phone (305) 278-2494 (Print)
(Certifier's) Signature: nyalc
Certificate # 5504 PLS
This form has been approved by The Federal Emergency Management Agency (FEMA) and may be used for flood insurance purposes
Rev. Jan. 27, 1995/ELEVCERT.195