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Home My WebLink About34-2113-002-0090C2cx~y IIb2~ FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 200' 12-23-04 . . . 6.1 2ELEVATION CERTIFICATE 30 all 3_ooa - ooG d Important Read the instructions on ages 1- 7.11 SECTION A - PROPERTY OWNER INFORMATION Fat Insurance Company Use BUILDING OWNER'S NAME Policy Number ANGEL DEVELOPMENT ORDER NO.0412-101 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 21 NW 159 ST CITY STATE ZIP CODE MIAMI FL 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 'W, BISCAYNE GARDENS SEC "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): ( fIg4R° - - or ❑ NAD 1927 ❑ NAD 1983 ® USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP CCMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE UNINCORPORATED, AREAS 120635 MIAMI-DADE FL B4. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM IBEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depih of flooding) 12025CO 80 J 7-17-95 3.2-04 AE 7.00 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Cor muniy Determined ❑ Other (Describe): 911. Indicate the elevation datum used for the BFE in B9: ® 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 ®No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on. ❑ Construction Drawings* ❑ Building Under Consiruction* ® Finished Cant uctiar *A new Elevation Certificate will be required when construction of the budding 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 All A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, ARIAE, ARIA1-A30, ARIAH, AR/AD Complete Items C3.-a4 below according to the budding diagram specified in Item C2. State the datum used. If the datum is di terent tram the data 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/Corrments Elevation reference mark used 2102 W Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) 8. 41 f4m) ❑ b) Top of next higher floor NIA. _tt(m) ❑ c) Bottom of lowest horizontal stnuctixal menthe (V zones only) WA . _j(m) N W ❑ d) Attached garage (lop of slab) Z. 4D W) 3106 ❑ e) Lowest elevation of machinery and/or equipment W servicing the building (Describe in a Co rments area) 8.36 tt(m) E ❑ 0 Lowest a*zent (finished) grade (LAG) 6.7 it(m) Z M 12-23-04 ❑ g) Highest adfacent (finished) grade (HAG) Z. 0.") N ❑ h) No. of permanent openings (flood vents) within 1 fit above adjacent grade N J ❑ ) Total area of all permanent openings (flood vents) in C3.h NIA 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, B, and C on this certificate represents my best efforts to interpret the data available. t understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME WALTER E. VENEGA LICENSE NLJIBER 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) : 227-0967 IMPORTANT: In these spaces, copy the corresponding information from Section A i=on Insuraice Coinparry use BUILDING STREET ADDRESS (IncILdng Apt., Unit, Suite, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. `pdkyNUAber 21 NW 159 ST CITY STATE ZIP CODE Gompary NAtC NuPbeE MIAMI FL 33054 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) instance agenticor npany, and (3) budding owner. 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 Zone A (m0out BFE), compete Iterns E1 through E4. If the Elevation Certificate is intended for use as supporting irnfamation for a LOMA or LOMR-F, Section C must be completed. E1. Building Diagram Number _(Select the braiding diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the budding, provide a sketch or photograph.) E2. The top of the bottom floor (ndudng bamornent or enclosure) of the building is _ ft(m) _in.(an) ❑ above or ❑ below (check one) the highest acljac:ent grade. (Use natural Bade, if available). E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the budding is _ t(m) _in.(crn) above the highest adlaoent grade. Complete iberrns C3.h and C3.i on front of form. E4. The top of the platform of machinery andlor eknaprnent servicing the bung is _ ft(m) _in.(am) ❑ above or ❑ below (check one) the highest adacent grade. (Use natural Bade, 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 tloodplain management orcnance? ❑ Yes ❑ No ❑ Unknown. The local official must notify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The p igaly outer or owner's authorized roue who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or comrnunk- issured BFE) or Zone AO must sign hero: 77?est&Wnenb in Sectors AS, C, andE are coaad to the best ofmy kmiWedge. PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATWS 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 =rwnunity/s tloocplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Cerlficate. 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 kersed surveyor, eroxw, or architect who is authorized by state or local lawto certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A commu* official completed Section E far a budding located in Zone A (without a FEMA issued or corrmnun ity4ssued BFE) or Zone A0. G3. ❑ The following irnfamnation (Items G4-G9) is provided fox corrrnunity tloocplan management purposes. G4. PERMIT NUMBER I G5. DATE PERMIT ISSUED I G6. DATE CERTIFICATE OF COMPUANCEKKCUPANCY 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: _ _t (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