HomeMy WebLinkAbout34-2112-041-0270~011~4`tN$ L; IS
ZOCSjS T F~ERAL EMERGEINC`C MANAGE E.Ni AGEENC11.
3uo 30 1 ia041 p2"Z U N1 , :NA!- FLOOD INSURANCE PRCGZAM C. B..Nc. 3 7-0o,-r
~.-ir•es July 31, 2002
.o.R.. 10.20' E-L=VATION C1= 11FICA E
trnxrrsn~ Read tr's~ IrtsL'uc:fotts cct aacas 1 - 7.. • Amer•ftl~d by A[DC-0'~St- OC'. 1499
S=-C7CN A - PROPERTY OWNER INFORMA T ICN ' For Irsurarca C-cr arry L.'--.a:
f Pc,~Cy Ntt:zDet -
3U1t~~ING CWNE.RS MWE ! ~u { W
BUILDING S 7-mEr, ADDRESS~J(.ln=)d"~ig A;r. Unr~Sw, ar4c B4;,. Nc-) OR P.O. ROU i c.WD 8= NO. I Ca: ary N.vC Nr,: xr i
460 NW 179 Street 9H96
r Miami SAFl.
?RCPE.ir'r DESCRIFIION (I= and Blocc Nt_^r.^c~, Ta ; Pzr=::i Nun w, Legal Desatpoon, a--)
SOT' -14 B - 11T.-OCK 1 - 12T.FJCR _ GARDENS DUPLEX - PB 157 -PAGE 39
.t.4G liSr (e.g.. Rasioerrcal Nay-rasiaesrrs Aac AcsacY, ems, Use Cocs>nsenu sec::aa ff neCSSary.)
BUIL_0
LkriTUDEA.ONG-MME (OPTIONAL) HORIZONTAL DAiULL SOURCE: ❑ GPS (Type).
( - ~ -#Ktf or n$At*91 ❑ NAD 1927 ❑ NAD 1983. ❑ USGS Quid Map ❑ Cther.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
I Bt. NFIP CJMMUNtrY NAME b
34. MAP AND PANE:. B5. SUFFIX B6- FIR-1A INDEX W. FRRtd PANEL Ba. FL000 B9. BASE FLOOD ELEVATION(S)
1202T I OR080 J 7 / 17x95 r- 3/2/94 CTzVzRC- ~r I . ~%~5): I (Zane AOe depth of flooding)
310. Indicate the sours of the Base Fiood Eeva6on (BF-=) data or base good depth entered in B9.
❑ FIS Prnfr7e [t FIRM • ❑ Comm. LTAy Determined ❑ Other (Describe):
311. In6cate the elevation datum used for the BF= in B9: I NGVO 1529 ❑ NAV0 1988 ❑ Other (Describe):
312 is the building located in a Coastal Barrier Resccz--- -System (CBRS) area er Otherwise Prsteded Area (OPA)? ❑ Yes ❑ No
Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) f
Ct. Building elevations are based on: ❑ Gait''-`.: n Drawings' ❑ Building Under C=truc5on' :a Finished C-onstructon
'A new Elevation Certificota Will be required where mnstruc ion of the building is complete- .
CZ Builcing Diagram Numbed (Select the buMmg diagram rxst aimilarto the building ferwiNch this certficate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph-)
C3. _ievations - Z^,nes Al-A3a, AE, AH, A. (with oF=), VE, V1 430, V (with BF7, AR, ARIA, AFJAF_ AR/A4i -A3Q, ARIAH, ARlAO
Complete fte^ s C3a4 beicw ac=rding to the Ix-'Zdeng diagram spe--;zed in Item C2- State the dasr.cm used. If the datum is dr,"erent f the
da zi, used for the BFc in Sec icn B, convert t,1e datum to that used for the BF` Show field measure penis and datum conversion
calculation. Use the space provided or the C: mrnents area of Sec icn 0 or Sedien G, as appropriate, to document the datum canversion.
Datum NGVD Cnversicn/Conments -
E.revation 'ieferenco mark used4360 Does the elevation reference rr%ark used appear on the FIRM? K$Yes ❑ No
Q a) Top of bo=, floor (ndudmg basement cc endcsure)
11..10 t(m)
Q b) Top of next higher floor
fL(m)
e
12 c) Botom of lcwest he.^.-bntai stru~l M.a^--ber (V zones cnly) N/A . _IL(m)
o
Q d) Atiached garage (top of slab)
_t(m)
c
Q e) L„^wezt elevation cif maehlneryar'-Vor -uicmert
`-a 0 a
servicing the buildmg
11x0&-, (m)
Q I Lcwest ad)acant, grade (LAG)
10.30 ft(m)
a
Q g) Highest adocerd grade (HAG)
10.70 t(in)
E
Q h) No. of pecrrm)em epenirrgs (flood vents) v,rfthh, 1 It abcveadfaceM grade N/A
'
Q ) Total area of all perrnwent ope^ir 93 (,food vents) in C3h
_sq. in. (sq. en) VA
SECTION D -SURV=YCR, EINGIN ER, ORARCHiTECi CEPMFICA TION
7 us td---adcn is to be s~gned And sealed by a :and surveyor, engineer, or ar--rite- a==--ed by Law to cer'sfy ekwatcn ir,- 4-a--c n.
I ceryfy that the irfrnrradon ar Sect rrs 8, and C cn this certficars repmser= rry best etforcr to Prrerprst ttre dam available.
I r.T,derztand diet anv (afse ssterrrent tray be =Ti: rable by 7ne crirrodz nment under 18 U.S. Code. SacScn 1007.
CZ-K11Fi `R S NAM_ ED LICENSE NUM-5aR
46 3
u:cv---OY ` ' N'~`~ IDIIARDO ENSENAT SURVEYING ]--NC.
ACORESS 830 ,►YW// Ste ~(1 _4 Cri-y ,,_a_,' STL3
trees
SiC-NATr1R-• AXAP CAS 11/11/02 +-=~'c (305)885-2810
IMPORTANT: In these spaces, cocy the ccr: asponding information from Section A.
SUlt-LING SIRE-=T ACORESS (Inc:; cing Apt.. Ua;t, _uite. anclor Slog, No,) OR P.O. ROUTE AND BOX NO.
460 NW 179 Street .
I CITY
STATE
CODE
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Fcr Insurance C nCany Use:
PClicy ,Vumt+.er
Ccr,,pany,VAIC Nun ` 1
iN,IFn,
-1Nr uu11 sues or cnis ctevauon 1-erricate ter (t) ccnlmunity official, (Z) insurance agenbcompany, and (3) building owner.
~ClNTS N_350
ELEV: 9.81
LOCATED AT NW 1 Chec
SECTION E - BUILDING ELEVATION iNFOPMAT10N (SURVEY NOT REQUIRED) FOR ZONE AO ANO~ ONE Ahe I~ if attachm2n;;
=or Zone AO and Zone A (without 8FE), complete Items Et through E4. If the Elevation Certificate is intended for use as s pp rt ng Br c1
nformation for a LOMA or LOMB-F, Section C must be completed.
I .Building Diagram Number -(Select the building diagram most similar to the 5uilding for which this certificate is being completed - sae
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
:2. The top of the bottom floor (including basement or endosui•e) of the building is _ ft.(m) _in.(cm) ❑ above or ❑ below (check one)
the highest adjacent grade. ,
:3. 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.
.4. 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
floodolain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY C1wtuGO rnn -
1-1 - 11-1 --l Ir,ItvG~'-CM1,rttrAIIUN
i he property owner or owner's authorized representative who completes Sections A, B. and E for Zone A (without a FE.MA-issued or
:Ommunity-issued 8FE) or Zone AO must sign here.
,ROPE
RTY OWNER'S OR OWNER'S AUTHORIZED REPREScNTAT iVE'S NA,b1E `
,OORESS CITY
STATE ZtP COOS
II 'IGNATURE .
GATE TELEPHONE
OMMENTS
SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if a,ac merits
local official who is authorized by law or ordinance
ca administer the community's floedplain management ordinance can complete
Ztions A, 8, C (or E), and G-of this Elevation Certificate. Complete the applicable item(s) and sign below.
❑ The information ire-Sect!oy C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who-is authorized oy state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area be!ow.)
❑ A community official completed-Section ` for a building located i{>•Zone A (without a FENtA-issued or community-issued EF=) cr
Zone A0,
❑ T'ne following information (Items G4-Gg) is provided for community floodplain management purposes.
ocn, 11.1.
• ""~O 1'~IVIpCC~ I V-~• . VM I C :'=rt1~1, l 15SUE0 - Go. DATE CERTIFICATE OF-COMPUr1NCc~000Uf=.:NCY
I ISSUED
This permit has been issued for ❑ New Construction ❑ Sucs.antral Improvement
Elevation of as-built lowest floor (including basement) of the building is:, ' -d ft.(m) Datum: N. G. V. D.
8Fc or (in Zone AO) depth of rlooding at the building site is: _ ft.(m) Datum:
:AL OFFIC AL'S NA,tiE Ti T LE
~IVtUNiTY NAME TEL EP.HONE
VAiURE
OATE
i~IE:V T S
I Ch°Ck h2re if at:cchrr.ants