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Home My WebLink About34-2112-041-0060, dupeKWI:KAL LMtKUt_NGY MANAtitMtN1 AUt:NLT O.M.B. FLOOD INSURANCE PROGRAM . PROCESS NO. DNo. 3067-0077 ecember 31, FOLIO NO. jp~lta0'~~o 406 Expires December 31, 200E C.O.R. 9.781 R g ELEVATION CERTIFICATE Read the instructions on pages 1.7. SECTION A - PROPERTY OWNER INFORMATION For lnsurance cor pany use: BUILDING OWNER'S NAME Policy Number D.K. Development III, Inc. BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 224 NW 179th Street CITY STATE ZIP CODE Miami, FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 3B, Block 1 of "CLOVERLEAF GARDENS DUPLEXES", P.B. 157-39 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 ##.#r###~ ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMv1UNrrY NAME & COMMUNITY NUMBER 62. COUNTY NAME B3. STATE Unincorporated Miami )ade County 120635 MarnMade County FL B4. MAP AND PANEL NUMBER 120250 0080 B5. SUFFIX J B6. FIRM INDEX DATE 7/17/95 B7. FIRM PANEL EFFECTIVEiREVISED DATE 03102194 B8. FLOOD ZONE(S) X B9. BASE FLOOD ELEVATION(S) (Zone AO, use depth of flooding) _ 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 Otherwise Protected Area (OPA)? ❑ Yes 19 No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Constnxtion Drawings' ❑ Building Under Construction* ® Finished Constnxtion *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, ARIA, ARIAE, AR/A1-A30, ARIAH, ARIAO 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. Stow 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 Elevation reference mark used #2 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No o a) Top of bottom floor (including basement or enclosure) 10. 69 ft.(m) ca o b) Top of next higher floor WA. _ft.(m) a o c) Bottom of lowest horizontal structural member (V zones only) WA. o d) Attached garage (top of slab) N/A. _ft.(m) 00 9 o e) Lowest elevation of machinery and/or equipment w m servicing the building (Describe in a Comments area) 10.69 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 9.80 ft(m) z m o g) Highest adjacent (finished) grade (HAG) 9. 90 Ito) (U N o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA J o i) Total area of all permanent openings (flood vents) in C3.h WA 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 elevation information. I certify that the information in Sections A, 8, and C on this certificate represents my best efforts to interpret ata a ble. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, SectMW001. ffli W1 CERTIFIERS NAME JOSE F. LOPEZ ucmbki&NU a TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. NWMWQ we'riY~ lhw FOR SCAN 1Nmp f'~ SUBW ADDRESS CITY STATE ZIP CODE 7900 NW 155TH STREET, SUITE 104 MIAMI LAKES RE-SCANNED FL 33016 SIGNATURE DATE NNED 05115/03 RE-swiliurn FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPUKI AN I : In tnese spates, copy tote corresponaing informalton from Section A. For lns~ Cori" Use: BUILDING STREET ADDRESS (Indu ft Apt, Unit, Suile, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Nurrrber 224 NW 179TH STREET t CITY STATE ZIP CODE MIAMI FL CompartyNAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentkompany, and (3) building owner. COMMENTS HIGHEST CROWN OF ROAD ELEVATION IN FRONT OF PROPERTY: 9.78 FEET, NGVD ❑ 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 (seepage 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 senridng 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 oily), and E for Zone A (without a FEMA4ssued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY STATE SIGNATURE DATE TELEPHONE COMMENTS ❑ 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 Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect 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.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMAAssued or communityAssued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest 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 FEMA Form 81-31, January 2003 Replaces all previous editions