Loading...
HomeMy WebLinkAbout34-2112-041-0070PROCESS NO. a z002 a mil 1-tUtKAL tMtKUIl MANHUtMt:NI AUt:NVY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200r FOLIO NO. $Q.7f124(4100 70 C.O.R. 9.791 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A- PROPERTY OWNER INFORMATION >=aCflmpanytlse: 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 NAIIC Numi 234 NW 179th Street CITY STATE ZIP CODE Miami, FL PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4B, 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): ( - - ##.#N' 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 UninooWated Miamil County 120635 Miami-Dade county FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of floodki 120250 0080 J 7/17)95 03102194 X - bi u. Indicate the source of the t3ase Hood Lievauon (Bt-t) data or base now depth entered in 139. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes R No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* 0 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-V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, 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 Conversion/Comments` Elevation reference mark used #2 Does the elevation reference mark used appear on the FIRM? ❑ Yes Z No o a) Top of bottom floor (including basement or enclosure) 10. 66 ft.(m) Top of next higher floor WA. _ftm o . j (j 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) Y P o e) Lowest elevation of machinery and/or equipment servicing the building Describe in a Comments area) 10. ft. m 9 ( ) ( ) uil III nl,li; ° o f) Lowest adjacent (finished) grade (LAG) 9.80 ft:(m) z Ip~~ I~~~ o g) Highest adjacent (finished) grade (HAG) 9. 90 fL(m) r I E I, 71 o h No. of permanent openings (flood vents) within 1 ft. above adjacent grade WA IC ~I 57i5 03 #3086 o i) Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. cm) F~ !I III ~ I~ ! ' li I' SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION 1!1~I ~ This certification is to be signed and sealed by a land surveyor engineer or architect authorized by law to certify elevation ►nfoWationt ! h , , I~~~, Iill'~I I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 9 11 41 I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001 Pp ! Ij r~ I CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER #3086 i ~ H V TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & ASSOCIATES; INC. I' llhwl III' '~I III I E. ADDRESS CITY STATE ZIP CODE i I !I 7900 NW 155TH STREET, SUITE 104, MIAMI LAKES FL 33016 SIGNATURE DATE TELEPHONE t 05/15/03 (305) 828-2725 6'1 it 1 1111. FEMA Form 81-31, January 2003 See reverse side for continuation. " Replaces' all previduspe,ditions IMI-UK I wv i : in these spaces, copy the corresponamg mrormaucin from section a h« tie, BUILDING STREET ADDRESS (Inducting Apt, Una, SA, and/or Bldg. No.) OR P.O. ROUTE AND BOX No. 234 NW 179TH STREET Nub MP CITY STATE ZIP CODE Company NAIL Number MIAMI FL SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agen9company, and (3) building owner. COMMENTS HIGHEST CROWN OF ROAD ELEVATION IN FRONT OF PROPERTY: 9.79 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 C3J 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 FEMA4ssued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are coned 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 i ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The lo<al official ,iho is authorized by I'aw?v ordnance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. complete t is applicable i6i(s)`86il sign below. - aid a G1. ❑ The information in Section C was 1ak~r from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local I~aw to~certrfy elevation informal (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A commurnfij 0&4 completed tk8n E for a building located in Zone A (without a FEMA4ssued or community-issued BFE) or Zone A0. G3. ❑ The followong ir,nformation (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER 'II I [G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED t 13 II I I' 11011411 tai IIII~IIiI I I,IIIi it iI II114~illl1wl I i, Isu It&l,IIii I~ G8. Elevationlof as ll -Hest floor uudm basementtlf the L-J Ouusianuai irnproverr~en[ - u (nc g ) o building is: _ft.(m) Datum: CLd v' ~I II ('I lli~~ SIP p{ E or Gi (m ' Zone ;40) depth of flooding at the building site is _ ft.(m) Datum: i FEMA Form 81-'31, January ❑ Check here if attachments Replaces all previous editions