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Home My WebLink About34-2109-004-0090CROWN ELEV. 9.80' FEDERAL EMERGENCY MANAGEMENT AGENCY 0.M.B. No. 3067-0077 PROC # C2003082471 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 FOLIO 3021090040090 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INi=UI2MA`t ION I l>,111 u1u►Ill„ t:l>tlyknly 1,61 BUILDING OWNER'S NAME r „l, v N,lKJOAQUIN FERNANDEZ BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number ;;2.7;60 NW 17 0 ST CITY MIAMI FL STATE ZIP CODE PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 7 and 8 BLOCK 2 PLAT BOOK 39 PAGE 83 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATiTUDEILONGITiJDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (iype): ( - - ##.W' or ##.##W# ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ® Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME UNINCORPORATED 1 2.0 6 3 5 MTAMT 1A. MAP AND PANEL W. FIRM PANEL NUMBER R5. SUFFIX 136. FIRM INDFX nATF-- Fi-rrc nvr,nrvl ,rn nA 11- 1202500080 J 7-17-95 3-2-94 E23. STATE PADS FTC iflIIASCrt(YX)FIT vArlON(;;) ~ 1111C1~kX~.'i~Vll'.) l.',v)'lAk),r.",Aytli.lA vvf~~l1 X NN / A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth einimbd in 139. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11, Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 612. Is the buildin located in a Coastal Bamer Resources S stem CBRS area or Otherwise Protected Area OPA ? ❑ Yes E No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" ® Finished Constructicn *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate is being completed - see papas 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 430, 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 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 NGVD Conversion/Comments N/A e e b a C L Elevation reference mark used M Does the elevation reference mark used appearon the FIRM? ❑ Yes ® No v a) Top of bottom floor (including basement or enclosure) 10 Sp ft-(m) M o b) Top of next higher floor 0e o c) Bottom of lowest horizontal struclurd me inbor (V zw('-, (xlly) ~~/~_Il(In) l I~ o d) Attached garage (top of slab) - ./&ft.(m) v o e) Lowest elevation of machinery and/or equipment W servicing the building (Describe in a Comments area) D.Dft.(m) r o f) Lowest adjacent (finished) grade (LAG) ~qD ft.(m) Z o g) Highest adjacent (finished) grade (HAG) f D. _ ft.(m) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade b-1 - A o i) Total area of JI permanent openings (flood vents) in C.h sq. in. (sq. an) 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:. ! certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by tine or imprisonment under 18 U.S. Code, Section 1001. _ CERTIFIERS NAME Arturo Toirac LICENSE NUMBED 3102 TITLE Professional Land Surveyors, COMPANY NAME Vizcaya Land Surveyors Inc. ADDRESS CITY STATE ZIP CODE 13217 SW 46 LN MIAMI FL 33175 SIGNATt~l~-- DATE TELEPHONE . ( . d 1 (305) 22MO60 PRrl/rA Fnrm R1-11 Ignllarv gnni Spp novArCP RirIR fns rnntinllatinn RPnlarrnC aII nrPVinim PrlitinnC IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number CITY MIAMI STATE ZIP CODE Company NAIL Number FL Scftft D -SURVEYOR, CNG-INCCR, OR ARCHITECT CERTIFIcooN CONTINIJ Copy both sides of this Elevation Ceitificate for (1) cox l lrnunity of fidal, (1} a lsur.1wx:. r';nt/u x III x if ly, of Id (J) i,ud, hn, r , M1 x n .r COMMENTS BM USED N-484 ELEV. 9.41 ' ❑ 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 LOMR-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 ft.(m) -in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). B. For Building Diagrams 649 with openings (see page 7), the next higher floor or olevated floor (elevation b) of the Wilding is ft-(m) in. (cm) ab. ove the highest adjacent gr;0e. Conlrkgo itotris C?.h ;.wd C3.i on front of fonn. E4. The top of the platform of machinery and/or equipment servicing the building is it.(n~l in.(cxn) ❑ ;ibovo nr 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? Yes ❑ No ❑ 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, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community- issued BFE) or Zone AO must sign here. ]Ire statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNEP,'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME AuUKtS.S CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) Theloc,-loffidafwhUisaulhorirrKlbylaworor(11rl;lwx)lo;y1minl'.1{fl lla)r, nrnnunily'r;111,0Ara:IinIII..xr:14 ra,ua,) r'tflimuit III i'rrild4'li1' r li,.1r, h II r I 1 .,IvI I • A Uw I I.•1 ,1,•.,, Certificate. Complete the applicable ilofl(s) and sign below. G1. ❑ The information in Section C was taken from other dcaimentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state '.or local taw to cert ~Iy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2._ ❑-A community official completed Section E for a building located in Zone A (without a FEMA4ssued or community-issued BFE) or Zone A0. G3. ❑ The following information (items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED Gs. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7, This permit has been issued for. ❑ New Construction ❑ Substantial improvement G8. Elevation of as-built lowest floor (including basement) of the building is: Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: ` ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE