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Home My WebLink About34-2116-001-0450C 2 00,3 ~ (o7 FEDERAL EM GENCY ERGENCY MANAGEMENT A O.M.B. No. 3067-0077 PROCESS NATIONAL FLOOD INSURANCE PROGRAM FOLIO# 30-2116-001-0450 Expires December 31, 2005 ELEVATION CERTIFICATE H.C.O.R. 6.96' ELEVATION (CROWN OF ROAD) Important: Read the instructions on pages 1 - 7. 16289 SECTION A - PROPERTY OWNER INFORMATION For Insurance Company user BUILDING OWNER'S NAME Policy Number ELITE CONSTRUCTION & DEVELOPEMENT BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2970 NW 151 TERRACE CITY STATE ZIP CODE MIAMI FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 17, BLOCK 3, GUAVA GROVE ESTATES, PB 52-45 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: El GPS (Type): ##o - • or c ❑ NAD 1927 F-] NAD 1983 ❑ USGS Quad Map Other: SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 31. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Unincorporated Areas 120635 MIAMI-DADE FL B4. MAP AND PANEL B5. SUFFIX B6. FIRM INDEX DATE B7. FIRM PANEL B8. FLOOD ZONE(S) B9. BASE FLOOD ELEVATION(S) NUMBER EFFECTIVE/ REVISED DATE (Zone A0, use depth of flooding) 1202500090 J JUL 17, 1995 MAR 2, 1994 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base tlood depth entered in 139. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): 61 1. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVID 1988 ❑ Other (Describe): B1 2. Is the building located in a Coastal Barrier Resources System (CBRS) area or Othewise Protected Area (OPA)? ❑ Yes W No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) DATE C1. Building elevations are based on: ❑ Construction Drawings 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, V1 430, V (with BFE), AR, AR/A, AR/AE, AR/AI -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 N. G. V. D. Conversion/Comments Elevation reference mark used BM NO: H-371 Does the elevation reference mark used appear on the FIRM? ❑Yes W No a) Top of bottom floor (including basement or enclosure) - - - - - - - - - - - - - - - - b) Top of next higher floor c) Bottom of lowest horizontal structural member (V zones only)- - - - - - - - - - - - - ❑ d) Attached garage (top ofslab) e) Lowest elevation of machinery and/or equipment servicing the building Describe in a Comments area September 05, 2003 f) Lowest adjacent (finished)grade (LAG)-------------------------- 7,2' ft-(m) ~CO g) Highest adjacent (finished) grade (HAG)- - - - - - - - - - - - - - - - - - - - - - - - - 7,3' ft-(m) a U ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A J ❑ i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm) 7.69 ft-(m) N/A ft-(m) N/A ft-(m) o 0 N/A ft-(m) E W co L a~ 7.63' ft-(m) E Z CU 'A 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. / certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 1001 CERTIFIER'S NAME LICENSE NUMBER P.S.M. No 3332 ,arlo Prats Jr. TITLE , COMPANY NAME ofessional Surveyor & Mapper MARIO PRATSJR AND ASSOCIATES, INC. ZIP CODE ADDRESS ! - , CITY STATE ~06 S. W. 107th Avenue Suite # 214 Miami Florida 33174 SIGNATUR FEMA Form 81-3^ ~_2A03 TELEPHONE 305-551-6000 See reverse side for continuation. 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 Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number 2970 NW 151 TERRACE CITY STATE ZIP CODE ampany NAIU um er MIAMI F L 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 El through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. El. 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, if 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.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on 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 ❑ 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 FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge. PROPERTY OWNER'S OR OWNER'S 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 floodplain management ordinance can complete Sections A, B, C (or 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 documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued. BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT I G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED _ _ _ _ _ _ _ ft-(m) Datum: _ _ _ - _ - _ ft-(m) Datum: TITLE _ G7. This permit has been issued for:[-] New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: G9. BFE or (in Zone AO) depth of flooding at the building site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE TELEPHONE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions