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Home My WebLink About34-2109-009-3280CZ no zo 8 e 6 /0 j FEDERAL EMERGENCY MANAGEMENT AGENCY y h0 M:B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002 r° ((\1 ELEVATION CERTIFICATE ~V W"[' Important: Read the instructions on pages 1 - 7. G-27658 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Irene Walker BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL' Number 17300 N.W. 32nd Avenue CITY STATE ZIP CODE Miami FL 33056 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) III~III ,.I ,II IIII d ~ illi , ),I '11... h INIi LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type ( - or ® NAD 1927 ❑ NAD 1983 ® USGS Qd"'.8 IVlapl ❑ Other: ~IIIII~III~~III 11I 4 sllll~l1 l+ll~~ iihl: SECTION B III!' 1 , - -FLOOD INSURANCE RATE MAP (FIRM) INFORMATI ..~IjlI IlllI11111l,ili ills rP81. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME 63 STATUE L 12i=85 City of Miami Miami-Dade FL ~ i;lillfu III?I .cl ~ lilt al I:V II! E34. MAP AND PANEL 135. SUFFIX B6. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9113ASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) ii "4111I~ Gone AO, use depth of flooding) 0080 1 7/17/95 3/2/94 AE I II'C' 7.0 B1 O. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Liu. ❑ FIS Profile ®FIRM El Community Determined El Other (Describe): ,I B11. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 [_1 NAVD 1988 El Other (Describey IlIi liibUil Ili "II Yes ® No 1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area 6' El Designation Date ( I Rlyy SECTION C - BUILDING ELEVATION INFORMATION SURVEY REQU R 9'11II 1 I'lll:l~ ill ll~l C1- *A new Building Elelevations are evation Certificate will be ❑ re Construction Dont gruction of t ❑ Building UndConstruction* Frnislied' Construction required when building comPlete - ~,ilJ~ll ~ IIh C2_ Building Diagram Number 1 (Select the building diagram most similar to the building for which this cer kate is being completed - see III Ill it '1 II,~I~I'~I~~ III 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) pages I'I '11 ~-1~.~ ~ I~i III C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 30, AR/AH, AR/AO ',~IIIII~~ Sl~l I ~ IIII I 1 f IIVii Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used ~f the, datum is different from IlllIfl F Il'lllllil the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measir~merts and datum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate,` to do it 6nt the datum conversion. Ir Datum 1929 Conversion/Comments n/a ill 11 Iil~ 1li~~~ il. .;z. Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ~a ~14 ❑ a) Top of bottom floor (including basement or enclosure) 8. 50 ft. (m) CIS a a+ ax < ❑ b) Top of next higher floor n/a . _ft.(m) I~I o a) ❑ c) Bottom of lowest horizontal structural member (V zones only) n/a . _ft. (m) En 1~ ❑ d) Attached garage (top of slab) n/a. _ft.(m) w CIS ❑ e) Lowest elevation of machinery and/or equipment servicing the building n/a . _ft.(m) _ Wp- ❑ f) Lowest adjacent grade (LAG) 7.. 2ft.(m) -0 ❑ g) Highest adjacent grade (HAG) 7.7ft.(m) dilllilll~,` v a~ II ~ Her II ul i X. ❑ h No. of permanent openings (flood vents) within 1 ft. above adjacent grade n/a ❑ i) Total area of all permanent openings (flood vents) in C3h n/a sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICAt0"AI II 'I li€I I "IIII I,I sill I II'I ~I~ I ~ ~ . l` This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law t ''ll e h iiyI'll11"1 ei4evation information. ,IIAll interp the bslto available. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to µ i /understand that any false statement maybe punishable by fine or imprisonment under 18 U. S. Code, lillllil~i Sectrou, l~l.~,~nlilulu~'II!)1. 1 CERTIFIER'S NAME Odalys C. Bello-Iznaga LICENSE NUMBER 61.,69 TITLE Professional Surveyor & Mapper COMPANY NAME First Financial SurveyoYs, Inc. LB# 6387 ADDRESS CITY STATE ZIP CODE 8500 SW 92nd Street. Suit B-204 Miami F 33156 SIGNATURE DATE TELEPHONE uii I 5/16/02 3 -271-3655 CII III 1. 'I pl; Ii III r.-~rul - - -~FEMA Form 81-31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION RE PLACE'S ALL PREVIOUS EDITIONS IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 17300 N.W. 32nd Avenue CITY STATE ZIP CODE M iami FL 33056 For Insurance Company Use_ Policy Number Company NAIC Number 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. CO MMENTS CROWN OF ROAD ELEV=7.32 feet ❑ 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 _ ft.(m) _in.(cm) ❑ above or ❑ 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 ft. (m) _in.(cm) 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? ❑ 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, 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 AD DRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS El 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 sect q!r.s k, B, C (or E),-and G of this Elevation Certificate. Complete the applicable item(s) and sign below. 61. ] The information ir-Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, 4 - `v engin6er, ornrcoitect 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.) AGAp❑ A community_offici-ai completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or y Z0n"e A0. 03- ❑_The following information (Items G4-G9) is provided for community floodplain management purposes. ~ ~ V'~ J, ..'vc min- . G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7: This permit has been issued for: ❑ New Construction ❑ Substantial Improvement p , `-`tion ofryas-built lowe G8. Eleva' st floor including basement) of the building is: -ft. (m) 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 SIGNATURE DATE COMMENTS ❑ Check here if attachments a FEMA Form 81-31, AUG 99 REPLACES ALL PREVIOUS EDITIONS