HomeMy WebLinkAbout34-2113-002-0425PROCESS# FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077
FOLIO# C.0.R. 30-2113-002-0425 ELEVATION CERTIFICATE l
.O.R 5.6' V Expires December 31, 2005
Important: Read the instructions on pages 1- 7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
GUZMAN HOMES, LLC
BUILDING STREETADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
40 NW 161 ST STREET
CITY STATE ZIP CODE
MIAMI FL 33169
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
THE WEST 1/2 OF LOT 610 OF "BISCAYNE GARDENS SECTION C" PB 40 PG 54 OF DADE COUNTY RECORDS
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 ❑ 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
UNINCORPORATED -120635
MIAMI-DADE
FLORIDA
B4. MAP AND PANEL
NUMBER
12025 C 0080
B5. SUFFIX
J
66. FIRM INDEX DATE
7/17/95
B7. FIRM PANEL
EFFECTIVEIREVISED DATE
3/2194
B8. FLOOD ZONE(S)
X
B9. BASE FLOOD ELEVATION(S)
(Zone A0, use depth of flooding)
N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation 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 Constructions ® 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, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3.-a-i 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 1929 Conversion/Comments NONE
Elevation reference mark used N-747 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (including basement or enclosure)
HAM
o b) Top of next higher floor
N/A. ft.(m)
~
a
o c) Bottom of lowest horizontal structural member (V zones only)
N/A. ft.(m)
0 0
o d) Attached garage (top of slab)
7.1 ft.(m)
01,
o e) Lowest elevation of machinery and/or equipment
W 6
servidng the building (Describe in a Comments area)
7.9 ft.(m)
o f) Lowest adjacent (finished) grade (LAG)
6.4 ft.(m)
z m
o g) Highest adjacent (finished) grade (HAG)
6.6 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
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
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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIERS NAME : PABLO J. ALFONSO LICENSE NUMBER: #5880
TITLE PROFESSIONAL SUR`!EYOP AND "MAPPER COMPANY NAME ROYAL POINT LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
6175 NW 153 STREET, SUITE 321 _ MIAMI FL 33014
SIGNATURE !r p DATE TELEPHONE
9/28/05 T: 305-822-6062' F: 305-827-9669
FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS