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HomeMy WebLinkAbout34-2113-002-0090, dupe30 - at t 3 - OCO OOqZ C 200 I ► o -^00 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 Y.t-mrf 20014 - O :i~ a 4 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200E C. 0. R. 6.0 0 ELEVATION CERTIFICATE 12-23-04 St1nG Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use BUILDING OWNER'S NAME Policy Number ANGEL DEVELOPMENT ORDER NO.0412-102 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 11 NW 159 ST CITY STATE ZIP CODE MIAMI FL 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL "B", BISCAYNE GARDENS SECTION "C". SUB. PLATBOOK 40, PAGE 54 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 ##.#####t ❑ NAD 1927 ❑ NAD 1983 0 USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COL I NTY NAME I63. STATE UNINCORPORATED, AREAS 120635 MIAMI- DADE FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX 136. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding) 1202500 80 J 7-17-95 3.2-94 AE 7.00 B10. Indicate the sourced the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the devaton 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 Construction* ® Finished Construction *A new Elevation Certificate will be required when construction of the bui ding is complete. C2. Building Diagram Number I (Select the budding dagrarn 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, ARIA AR(AE, AR/Al-A30, AR/AH, ARIAO Complete Items C3: a-i below according In the budding dagam specified in Item C2. State the d altun 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 ConverslonlCorm enis Elevation reference mark used 2102 W Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No O a) Top of bottom floor (including basement or enclosue) 8. 41 ft(m) m U b) Top of next higher floor WA. _ft.(m) a U c) Bottom of lowest horizontal structural member (V zones only) WA. ft-(m) m w g U d) Attached garage (top of slab) _ 7. 62 ft(m) i E c U e) Lowest elevation of machinery and/or equipment w m servicing the budcling (Describe in a Comments area) 8.35 tt(m) E S U I Leanest adjacent (finishers) grade (LAG) 6.8 fL(m) z g2 U g) Highest adjacent (finishecj grade (HAG) Z. 0-M = N U h) No. of permanent openings (flood vents) within 1 k above ad)acent grade N U )Total area of all permanent openings (flood vents) In C3.h MA 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 certty elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement maybe punishable by fine or imprisonment under 18 US. Code, Section 1001. CERTIFIER'S NAME WALTER E. VENEGA LICENSE NUMBER 3106 TITLE PROFESSIONAL LAND SURVEYOR COMPANY NAME CARIBBEAN LAND SURVEYOR'S ADDRESS CITY STATE ZIP CODE 11865 SW 26TH STREET MIAMI FL 33175 SIGNATURE DATE TELEPHONE 12-23-04 (305) : 227-6967 IMPORTANT: In these spaces, copy the corresponding Information from Section A Fa ltrsurar parry Uw BUILDING STREET ADDRESS (Indudng Apt., Unit, Suite, ardor ft. No.) OR P.O. ROUTE AND BOX NO. Pofi~y Neidiber 11 NW 159 ST CITY STATE ZIP CODE Company NAIC Number MIAMI FL 33169 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both skies of this Elevation Certificate for (1) community official, (2) insurance agentibompany, and (3) budding diner. COMMENTS ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zoe A (without BFE), complete Items E1 thi ough E4. If the Elevation Certificate is ink far use as supporting infomialion fa a LOMA or LOMR-F, Section C mast be completed. E1. Building Diagram Nunber_(Select the building diagram mostsindar to the building for which this certificath is being completed-see pages 6 and 7. If no dagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (mludng basement or enclosure) of the buildng is _ 1t(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use rrahxal grade, 6 available). E3. 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.(an) above the highest e4acent grade. Canplete items C3.h and C3.i on front of form. E4. The top of the platform of machinery andror equipment servicing the buddirg is _ t(m) _in.(an) ❑ above or ❑ below (check are) the highest adjacent grade. (Use natural grade, I 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 commtniy's floodplain management ordnance? ❑ 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 Zane A (without a FEMA-issued or carrrwnity- issued BFE) or Zane AO must sign here. The statements in Sections A, 8, Q and E are coned to the best ofmykvdedge. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE 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 floodpfain management adihance can complete Sections A, B, C (a 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 doameMation that has been signed and embossed by a licensed suaveyor, engineer, or architect who is authorized by state or local lawto certify elevation infamation. (Indicate the source and date of the elevation data in the Comments area below.) G2. F1 A corrmdmity official completed Section E fa a buffing located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplair management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCEIOCCUPANCY ISSUED G7. This pera tt has been issued fix: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest Ioor (including basement) of the bulking is: _ _t(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the buildng site is: _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS