HomeMy WebLinkAbout34-2110-006-0110PROCESS# C2001 1 1 5285
FOLIO# 30-2110-008-0110
C.O.R.= 9.0'
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1- 7.
O.M.B. No. 3067-0077
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
SAMUEL LOWE Jr. and W/ SHERY L.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number N
16905 NW 25'" COURT
CITY STATE ZIP CODE
MIAMI FL 33056
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 3, BLOCK 11 OF WESTWOOD MANOR ESTATES 1"ADDITION, PB 62, PG 74 MIAMI DADE COUNTY RECORDS
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
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
IININr.nRPnRATFnARFA 120635 MIAMI-DADS FLORIDA
B4. MAP AND PANEL
B5. SUFFIX
87. FIRM PANEL
B9. BASE FLOOD ELEVATION 6)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVE/REVISED DATE
B8. FLOOD ZONE(S)
(Zone A0, use depth of flooding)
12025 C 0080
1
7117195
312/94
X
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in 1:3a.
❑ 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 Constriction' ® Finished Constriction
'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 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, ARIA, AR/AE, AR/Al A30, ARIAH, AR/AO
Complete Items C3. -a4 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 1929 Conversion/Comments NONE
Elevation reference mark used N-484 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (induding basement or enclosure)
10, 4 ft.(m)
o b) Top of next higher floor
N/A . _ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only)
N/A . _ft.(m)
o d) Attached garage (top of slab)
_N/A. _ft.(m)
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describeln a Curnmen s area)
WA, _ft.(m)
o f) Lowest adjacent (finished) grade (LAG)
9.0 ft.O)
o g) Highest adjacent (finished) grade (HAG)
9. 5A(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
o i) Total area of all permanent openings (flood vents) in C3.h NIA sq. in. (sq. cm)
(D
U)
a~
00
~
E
Wco
L w
E~
Z
U
i ~
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.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001.
CERTIFIER'S NAME : PABLO J. ALFONSO LICENSE NUMBER : 185880
TITLE: PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME : TOP GUN LAND SURVEYORS, INC.
ADDRESS 291E. 381h $FRE H ALEAH FL 33013
SIGNAyt1RE,~ . ~ DATE TELENHUNt
4/23/03 _ 305$22062 305-827-9669
FEMA Form 81-31,
SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIUNS