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HomeMy WebLinkAbout34-2112-041-0090PROCESS NO. C X10)2 FOLIO NO. 3c:~ 11 ;0 g106; ;t0 C.O.R. 9.85' ttUtKAL hMtKt hNUY MANAUhMtN 1 AUhNUY NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION BUILDING OWNER'S NAME D. K. Development III, Inc. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 240 NW 179th Street CITY STATE Miami, FL O.M.B. No. 3067-0077 Expires December 31, 200; Fa nsliranoe Gampany Use. YIIIWYIIirlbrrl~r~r Porky Nurrtber Company. NAIL Number ZIP CODE II :K I Y Ut:bURIN I ION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 5A, 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): ( - - ##.#E#" or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Unincorporated Miami-Dade County 120635 Mian*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 flooding) 12025C 0080 J 7/17195 03102194 X _ o , v. n IUIWLC u iC buui W ui u iC Ddbu riwu GfrvdUUn kDrc) ud[d ur udse now oepn entered in tsv. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 139: ® 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 I9 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, ARIA, 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 0 No o a) Top of bottom floor (including basement or enclosure) 10. 80 ft.(m) , _ t; 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 o o d) Attached garage (top of slab) WA. _ft.(m) . o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 10.80 ft.(m) o f) Lowest adjacent (finished) grade (LAG) 9.80 fL(m) z +l 14 o g) Highest adjacent (finished) grade (HAG) 9. 90 ft.(m) s permanent openings (flood vents) within 1 ft. above adjacent grade WA - 1 /03 ! 086 o h No. of , o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ~~!p,i' III This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation inf6rrflati6A. 1 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. P , i! CERTIFIERS NAME JOSE F. LOPEZ LICENSE NUMBER #3086' I' 9 Ids i~ !d ~ TITLE LAND SURVEYOR & MAPPER COMPANY NAME J. F. LOPEZ & ASSOCIATES, ING ADDRESS CITY STATE ZIP CODE 7900 NW 155TH STREET, SUITE 104 MIAMI LAKES FL „ ; 33016 SIGNATURE DATE TELEPHONE 05/15103 (305) 828-725; FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions ail I IMPORTANT: In these spaces, copy the corresponding information from Section A For lnsur m Conk en uk BUILDING STREET ADDRESS (Including Apt, Unit, Sure, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. POLy Nuff ber 240 NW 179TH STREET CITY STATE ZIP CODE Carpany NAIC Number MIAMI FL SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentlcompany, and (3) building owner. COMMENTS HIGHEST CROWN OF ROAD ELEVATION IN FRONT OF PROPERTY: 9.85 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 servicing the building is _ ft.(m) _in.(=) ❑ 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 ❑ Check here if attachments - 1 SECTION G - COMMUNITY INFORMATION (OPTIONAL) - The local official who is authorized`by lawn ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Comp ,e the apo!icable iri(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 S lion E for a building located in Zone A (without a FEMA4ssued or community-issued BFE) or Zone A0. G3. ❑ The following information (Items 34-G9~ is provided for community floodplain management purposes. G4. PERMIT NUMBER A V 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) of the building is: 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