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Home My WebLink About34-2115-004-1130C . O . R . + 6.80f FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 "NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005 ELEVATION CERTIFICATE _ 2 004- 0 90 Z2, Imp' octant: Read the instructions on pages 1- 7. r ~SE CTION A -PROPERTY OWNER INFORMATION' For Insurance Cornparty Use: BUILDING OWNER'S NAME Policy Number COBO CONSTRUCTION BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 15635 NORTHWEST 26TH AVENUE CITY STATE ZIP CODE MIAMI FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PB 50-20 LOT 30 BLOCK 33 OF: "BUNCHE PARK" MIAMI-DADECO . E%. 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 MIAMI-DADE-120635 MIAMI-DARE COUNTY IFL 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 7-17-1995 3-02-1994 "X" N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood deptn entered in 1:19. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 69: ® 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 Drawinge ❑ 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, VI 430, V (with BFE), AR, ARIA, ARIAE, AR/Al A30, ARAH, ARIAO 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 1929 ConversionlComments N/A NAME N- 42 3 LOC. 2143 Elevation reference mark used 8.58 1 oes the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a) Top of bottom floor (including basement or enclosure) 8.12 (m) o b) Top1of next higherfloor N7Aftlm} Q III I ,I~, kn o c) Bottom of lowest horizontal structural member (V zones only) . ft.(m) o - o d) Attached garage (top of slab) N/Aft.(m) w ' o e) Lowest elevation of machinery and/or equipment tl' servicing the building (Describe in a Comments area NI I_12.(m) ill II o f) Lowest adjacent (finished) grade (LAG) 6 5(m) i~lh -n PSNf 52 - CJ 0 I 4 I g) -22 ~0 - ~ J~ m) 0 ) ?.00 Highest adjacent (finished) 9icicle (HAG ~ III; ~ _ IU ~o h) No. of permanent openings (flood vents) within 1 ft. above adjacent graded /A III ;I II ~~'I p r r H.. R~ ~I~J11h11 II ICI II I I~ & a - o i) Total area of all permanent openings (flood vents) in h N/A in ~sq. crri) I I' ' ~ 1'rI I~N1 -~SECTION D - ~NONE% OR ARCHITECT C: ItT'IPICAT gi l! 1 ~y k by a l sy6'ehinearcitect authorized byaw{o ceriy elevation information ll' Ii This certifcRI is to'he si nea`and sealed b and a I certify th9t fha reformation ►n Sections A, 8, and C on this cerfiftcale re~ertifs my best efforts 61 ner~~~t the data avatlatile. i 1 undersfand fhaf any falsz?~t4ment mabe punishable by'rine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS% NAME LICENSE NUMBER COMPANY NAME ARMA 4]DO F. '27. _3RD - PSM 5526 AFAR & ~ COMPANSi I14C w.n . , hg I r 5; I I ADDRESS CITY STATE ZiP CODE TITLE I PROFESSIO i~I,AIND' St YORS & MAPPERS 13050 SOUTHWEST 133 COURT" ML~ FL kl 3,3186 SIGNATURE DATE TELEPHONE X11_- j V~-LL-LVV~ Vrri~.~ .w~.~~~.vwv rran .w.r.~.~:...:~..r ~ III i, . ~~Ig~ I II~u hIII FEMA Form 81-31, January "2003 See reverse side for continuation. iii Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or B11g. No.) OR P.O. ROUTE AND BOX NO. Policy Number 15635 NORTHWEST 26TH AVENUE CITY, STATE ZIP CODE Company NAIC Number MIAMI FL 33054 SECTION D -,SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building 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 (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, E3. For Building Diagrams 6-8 with openings (see per 7), the next higher floor or elevated floor (elevation b I of the building is .Om . in. (cm)above the hi ' hest -'ft adjacent grade. Complete items C3.h and C3.ion front of form. E4. The top of the platform of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) ❑ 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 El 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 Sedtions A, B, Q and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME R 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 floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the apOicabie item(s) and sign below. . [j I G1. The infcvrnation in Sect ion Cwa s`~ iakeen from m other documentation that has been signed . _ . and embos sed b y ~ a . licen censed surveyor., enm geer, or architect who is _ authonzed by state or loci law-to cer6fv elevation information. (Indicate the source and date of the ele atiovn data in the Comments area below. G2. E3 A community official 6mpleted Section E for a building located in Zone A (without a FEMA-issued or co ) F mmunifAssued BFE) orZoneAO. G3. ❑ The following it iformatio i (Items G44" provided for community floodplain management purposes. i G4.PERMri,NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED al ~ ~I I I ~ G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement j~ _ G8. Elevation of as-ouilt lowest floor (including basement) of the building is: 20) "I Datum': k s 9. BFE or (in Zone AO) depth of floodin9 9 site is ft.(m) ry` .Datum: r at the buildin LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE, ` SIGNATURE DATE - , -LL u COMMENTS q; I I u7, I ~ A ji ❑ Check here i attachments FEMA Form 81-31, January 2003 epla i s all previou~ 1 editions