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HomeMy WebLinkAbout34-2109-015-164064q f © S FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD-INSURANCE PROGRAM , r ~ ~ ELEVATION CERTIFICATE 2*:,Q'24()E 10 IS 4,4 .Important Read the rnstruc4ons on pages 1-7 . O.M.B. No. 3067-0077 Expires December 31, 2005 SECTION A -PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number CONSTANCE HOPKINS 03-2247 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or `Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 3421 N.W. 18.2 ST. CITY STATE ZIP CODE OPA LOCKA FLORIDA 33056 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 202 BLOCK 6, PB 70', AT PAGE 62 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONG(TUDE (OPTIONAL) HORIZONTAL DATUM:. SOURCE: 0 GPS {Type): ( #f~ - Rif- Wifffi ` or ❑ NAD 1927 0 NAD 1983. ❑ USGS Quad Map` ❑ other SECTION B - FLOOD INSURANCE RATE'MAP (FIRM) INFORMATION B1. NFIP COMM, NITY NAME & COMMUNITY NUMBER BZ COUNTY NAME B3. STATE 1 120635 I MIAMI-DADE I FLORIDA 1 B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX 136. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (Zone AO, use depth of flooding) 1202500080 J 7/17/95 3/2/94 AE 7.00' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile FIRM ❑ Community Determined ❑ Other (Describe): B11. indicate the elevation datum used for the BFE in B9: @ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or Othm ise Protected Area (OPA)? ❑ Yes ®-No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based'on: ❑ C braWngs' ❑ Building Under Construction' ® Finished Corstrudbn *Anew Elevation Certificate WN be required when consbtion of the bunting is complete. C2. Building DI Number 1(Select the bung diagram most similar to the building for which thiscertiticate is being completed - seepages fi and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Bevations-Zones Al400, AE, AK A (with BFE), VE, V1 V3o, V (with BFE), AR AR(A, ARIAE, ARIAII A30, AWAH, ARIAO Complete Items C3.-a4 below accorcling to the building diagram specified in Item C2. State the datum used If the datum is different from the datum used for the BFEin Section B, convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use the space presided or the Corments area of Section D.or Section G, as appropriate, to document the .datum conversion. Datum NGVD Conversion coo menu Elevation reference mark used BM. Does the elevation reference mark used appear on the FIRM? ® Yes ❑ No a) Top of bottom floor (including basement or enclosure) 8.7 7 fL(m) b) Top of next higher floor N /A A(m) c) Bottom of thwes#horizontal struchxat.member (Vzones only) N/A it (m} m« a o d) Attached garage {top of slab) N / A'ft (m} .010 _ e) Lmest elevation of machinery wdor equipment W 0 :.Cr swmng the building (Describe in a Comments area) 7.9.9 t(in) E f) Lowest a4acent oirished) Bade. (LAG) 7.04 1(m) 9) Flighest Aacent (finished) grade (HAG) it{m) 7 : 74 h) No_ of permanent openings: oood vents) within 1 ft, above e4went grade ELA - t!NI 11/11/03 Total area a al permanent openings (flood vents) in C3.1; N /A SQ . IN . ( SQ . CM) SECTION D -.SURVEYOR, ENGINEER- OR ARCHITECT This certification is to be signed and sealed by a land surveyor, engineer; or architect author¢ed.by law to certify elevation information jig 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. . 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER „t. . ADIS N. NUNEZ 5924 _ TITLE COMPANY NAME REGISTERED LAND SURVEYOR BLANCO SURVEYORS. INC.- ADDRESS, CITY STATE ZIP CODE FEMA Form 8.1-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the_cofresponding information from Seefion A. For Insurance Compary Use: BUILDING STREET ADDRESS (lrdudng Apt.; Unit, Suite, and/or BIdJ. No.) OR P.O. ROUTE AND BOXNO. Policy. Number 3421 N.W..182ND ST. CITY STATE ZIP CODE Comparry NAIC Number OPA-LOCKA FLORIDA ..33056 SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of ft Elevafion Certificate for (1) community official, (2) insurance agentk anpany, and (3) building owner. COMMENTS CROWN OF ROAD ELEVATION: 7.03' ON CENTERLINE ON CENTER OF ROAD' BM# N-728 LOCATOR# 2141 ELEV. 8.34' El(heck here I attachments SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and ZoneA (withoutBM,.cartplete items E1 trot gt E4. If to Elevation Certificate is intended for use assupporfing informafion fora LOMA or LOMR-F, Section C must be ca npleted E1. Building Diagran Nrrnber_(Select the bciking diagram most smr7ar b the bUlding for which this certificate is being completed -seepages 6'and 7. If no diagam accurately - represenfsthe building, praurde a sketch or photograph.) E2. The thP of tie bottom floor (including basement or ertdosure) of the bunking is _ ft#P _in (cm above or El below (check one) the higtestatacentgrade. (Use naW grade, Iavailable). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated lleoor (elevation b) of the bung is _ ft(m) -in.(an) above the Highest aciacent " grade. C mpiete items C3:h and C3.i on tontt of form. E4. The lop of tie platfam of machineryartdlor-eq xrterttsetvicingthe buidxtg is _R(m)h (cm) ❑ above or 0 below(chedc one) the higtesta*centgade. (Use natural grade, favailable). ES. For Zone AO orthr: 9 no flood depth hurt x r is available, is the flop of tie bottom floor elevated in aaoort# m with the communiVs Ao#bin managmwA ordrence? El Yes ❑ No 0 Unknomt. The local official must ca* tt>+s'ktf mafion in Section G. SECTION F. PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The prioperty owner or owners adhorized represerrlative who caYipletes $ecfionsA, B, C (Items C3.h and C3.i only)- and E for ZoneA (wtfttout.a FEMA4=jed orcommMilY issued BFE) or Zone AO must sign here` The stdemer& in Secf= A B, C, and E are caned to Me test ofmy kmkdge~ PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS E) Check here if attftlents SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is auf omed law or ordnance to adT insterthecormuns floodplain management ordinance can by rly' complete Sectors A, B, C (or E), and 'G of this Ele<-Jort Certificate. Con plete the apple item S) and sign below. Gi. 0 The infnmtafion in Section C Ym taken tan otherdoourn station that has been signed and embossed by a rwsedmveyor, ertgneer, orart:titectwt who is authorized by state or local lawto certify elevation utfiomiation. (Indicate the source and date of the e6afion data in the Comments area befowT} G2 .F Acormunity official completed Section E fora building located in Zone A (4thouta FEMA4ssued or m mmunity4ssued'BFE) orZowAO. G3: ❑ The Mowing information (items G4-0) is provided for=rmundy tloocolah management Wposes G4. PERMIT NUMBER -1 Cf. DATE PERMIT ISSUED : I G6. G7. This pemnit has been issued for:.[] New Con*jc5on p subsfmtial knpnorvement G8. Elevation of as-buitt lov est Poor (including baseme Q of the.bulding is : _fl(m) Datum: G9. BFE or (in Zone AO) depth ofkoding at the baking stie is: _ ft(ni) Datum: LOCAL OFFICIALS NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS :Y FEMA Form 81-31, January 2003 Replaces all previous editions