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HomeMy WebLinkAbout34-2110-001-0690PROCESS#2004020533 FEDERAL EMERGENCY MANAGEMENT AGENCY p No. 3067-0077 FOLIO# 3421100010690 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200e CL ELEVATION= 9.16 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Zevi Auto, LLC. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 1810 N.W. 183" Street CITY STATE ZIP CODE Miami FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lots 1, 2 and a portion of lot 4 Block 3, "SUNNY ISLES ISLAND", Plat Book 44 Page 69 Dade County Records BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Non-residential- Office Complex LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( - - or ❑ 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 B3. STATE Dade County Incorporated Areas 120635 Miami Dade County Florida B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 1202500080 J 7-17-1995 3-2-1994 X NONE B10. Indicate the source of the Base Flood Elevation (Bi-E) data or base Hood deptn enterea in by. ❑ 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 Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 1(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.) 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 NIA Conversion/Comments NIA NGVD 1929 Elevation reference mark used Dade. Co. BM Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No }f o a To of bottom floor (including basement or enclosure) 9.46 ft .(m) - o b) Top of next higher floor NIA. _ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) NIA. _ft.(m) oG~' ~t~ ,i I I o d) Attached garage (top of slab) None. _A(m) r o e) Lowest elevation of machinery and/or equipment . servicing the building (Describe in a Comments area) 9.38 ft.(m) Top of Lift Station Slab •f) Lowest adjacent (finished) grade (LAG) 8.8 _ft.(m) Z i75 , o g) Highest adjacent (finished) grade (HAG) 9.4 ft.(m) V) o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade None J k o i) Total area of all permanent openings (flood vents) in C3.h None sq. in. (sq. cm) 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 elevatio' 16` 6~rmation i I 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 j Gregory J. Clements LICENSE NUMBS 79 TITLE Professional Surveyor and Mapper COMPANY NAME Calvin, Giordano & Assolciates N Ilil~II~II If ADDREkr 1800 Ee 600 SIGN AFEM orm 81-3f, Ja ary 03 CITY' STATE I! ZIP CODE lJ1 Fort Lauderdale 33316 TE'L'EPHONE DATE 60, 3-03-05 (954)'glI11Jhl "I - d111~1~ ii See reverse side for continuation. kil:, Repla6es°all previous e'diti ns ~i Ali II I ~ ~ I' i!, I 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, Policy Number CITY STATE ZIP CODE 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. COMMENTS ❑ 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). 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. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use 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. The statements in Sections A, B, Q and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments 00 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is auth nz d by law or or inaUce to, administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicdole item(s) anr+.sf gn 6ehw. G1. ❑ The information in Se6bon C was tak~,fromother documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevaticni'inforriat dh. (1hdi6bte the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completedSecsiQn E fora building located in Zone A (without a FEMA-issued or community4ssued BFE) or Zone A0. G3. ❑ The following inform tin (Items M-G91 is provided for community floodplain management purposes. 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 G8. Elevation of as-built lowest floor (including basement)0ofthe 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 Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions SIGNATURE DATE