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Home My WebLink About34-2116-001-0890a 3 FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 U IO: 6A . NATIONAL FLOOD-INSURANCE PROGRAM Expires December 31, 2005 ?aze%,- in 01(6 L12- (A ELEVATION CERTIFICATE 14 Important; Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use: BUILDING OWNER'S NAME Policy Number _ARTHUR MCCARTHY AND OLIVIA MCCARTHY 03-2356 BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number .15201 N.W. .32 AVE. CITY STATE ZIP CODE MIAMI FLORIDA 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOT 24, BLOCK 5, PB 52; AT.PAGE:.45 BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, ifnecessary.) 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 132. COUNTY NAME 83. STATE 120635 MIAMI-DADE FLORIDA B4. MAPAND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REMSED DATE B8. FLOOD ZONE(S) (ZoneAO, use depth of flooding) 1202500090 J 7/17/95 3/2/94 X . N/A B1 0. Indicate the source of the Base Flood Eletiration (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM _ ❑ Canmunity Determined ❑ Other (Desabey B11. Indicate the elevation datum used for the BFE in B9: [0 NGVD 1929 ❑ NAVD 1988 . ❑ Other (Demme): 1312. Is the building located in a Coastal Barrier Resources System (CBRS) area or OtherWse Protected Area (OPA)? _ ❑ Yes ® -No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevatons are based'on: ❑ Construction*Drawine ❑ Building Under Constructidxt* ® Finished Co *uction *A new Elevation Certificate will be required when construction of the building is canplete. C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages ti and 7. If no ¢agram . accurately represents the building, prafide a sketch orphotogaph.) C3_ Elevations - Zones Al-130, AE, AR A (with BFE), VE, V1 V30, V (with BFE), AR ARIA, ARIAE, ARIA1-30, ARIAH, ARIAO Complete Kerns C3.-a4 below accardng to the bung diagram specified in Item C2. State the datum used If the datum is different born the datum used for the BFE-in Section B, cornrert the datum to that used for the BFE Shod field measurements and datum convversion calculation. Use the gxre provided or the Comments area of Section D.or Section G, as appropriate, to document the datum conversion. Datum NGVD ConversioWComments Elevation reference marts used EM Does the elevation reference mark used appear on the FIRM? ® Yes ❑ .No a) Top of bottom floor (including basement or enclosure) 7.85 t(m) m b) Top of next higher floor N /A . ft(m} a c) Bottom of Wed horizontal structtxal.rrr (Vzones qtly) N/A . ft(m} " y 010 d) Attached garage (top of slab) N/A.. _Mm) E e) Lowest elevation of machinery and/or equipment m m servicing the budding (Describe in a Comments arm) N/A_. ft(m) E 0 Lowest acgacent (finished) grade (LAG) 4Q gy(m) z N g) Highest a*icent (finishes grade (HAG) 6-.8$ ft(m) ~ C h) No. of permanent openings (hood vents) within 1 ft above adfacentgrade ~A ,art 3-. Total area of all penmanent openings (flood vents) in C3.h N /A SQ. IN. (SQ. CM) jq. _ SECTION D -.SURVEYOR, ENGINEER; OR ARCHITECT CERTIFICATION ;j This certification is to be signed and sealed by a land surveyor, engineer; or architect authorized by law to certify elevation re formation. I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data aailatile. I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIERS NAME LICENSE NUMBER ADIS N. NUNEZ 5924 jTITLE COMPANY NAME „u - REGISTERED LAND SURVEYOR BLANCO SURVEYORS, INC.- ADDRESS CITY STATE. ZIP CODE I'p' SIGMA RE FEMA Form 8.1-31, January 2003 MIAMI BEACH FLORIDA DATE TELEPHONE 11/25/03 See reverse side for continuation. C)'-1GF1V Replaces all previous ed' ions ` IMPORTANT: In these spaces, copy the' corresponding information from Section A For Insurance company Use BUILDING STREET ADDRESS (Includr g Apt; Unit, Suite, ardor Bkb. No.) OR P.O. ROUTE Ate BOXN0. Policy Number 15201 N.W. 32 AVE.. CITY STATE ZIP CODE Company NAIC Number OPA LOCKA FLORIDA 33054 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVco npany, and (3) building owner. COMMENTS CROWN OF ROAD ELEVATION: 6.36' ON CENTERLINE ON CENTER OF ROAD BM# N-423 LOCATOR# 214.3 ELEV. 7.52' 0 Check here if attaccfTmhts SECTION E -BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A eMTIiOUT BFE) For Zone AO and ZoneA (wilhaut BFE),.cariplete Items E1 througI, E4. If the Elevation Certificate is intended for use as supporting hhTnafion fora LOMAor LOMR-F, Section C must be completed. El. Boiling Diagram Nurnber_(Select the b0ilfhg egram most similar. 10 the buikfing for whidi this a tificabe is being completed -see pages 6 and 7. If no diagram accuately represents-the buitdng, lxnk e a sketch or photograph.) E2. The iop of the bottom floor (includrig basement or enclosure) of the bung is _ t(m) _h(an) Q above or ❑ below(checc one) the highest adjacent grade. (Use natural Bade, if avail"). E3. For Buildng Diagrams 6-8 with openings (see page 7), the next NOw floor or elevated im (elevation b) of to building is - tt(m) _in.(cm) above the h'#est adjacent grade. Corrplete items C3:h and C3a on tat of form. E4. The top of the plafform of machinery ar dior ec*ment servicing the buidmg is - ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO oNy: If no flood depth number is available, is the top of the bottom floor elevated in accofcfance with the com muniVs Iloodplain management ordnance? ❑ Yes ❑ No ❑ Unknown. The" otiicial must ce W this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner orownees authbr¢ed representative who completes Sections A, B, C *T C3.h and C3.i only); and E forZone A (Wftut.a FEMA4mW orcomm issued BFE) or ZoneAO must sign here. 7hestde ne& in Sections A A C, a-dE are cdrredto the best ofmylvmkdT- PROPERTY OWNER'S OR OWNERS AUTHORIZED REPRESENTATIVES NAME ADDRESS CITY _ STATE Z1P CODE SIGNATURE DATE TELEPHONE COMMENTS Check here if attachments SECTION ,.G - COMMUNITY INFORMATION (OPTIONAL) Tne o oval who is authorized by law or ordnance to aclrunsterthe cormrunitysflooc lain managerrrent ordnance can complei3e. " ns A. B, C (or 4 and G of this EWation Ceti +be Cn- - the sppkable item(s) and sign below. . s Gt. The-infar idw in bection C was taken from other dx~ tint has been signed and embossed by a ficerrsed suveytx,engineer, or archilod who is authorized by state ce * elevgon infonrraaiion. (Indicate the some and date of the elevation data in the Carxnenfs area below) IoW t0 G2. ❑ Aoo ;tatty otfiaal completed Section E fora bung boated in Zone A (Wthouta FEMA4ssued or oo mwrri 4ssued BFE) or.ZoneAO. G3: ❑ ThefoNowing information (Itans G4-G9) is prrNi W for community tloocVan management purposes. it ~ a~r.. _ G4. PGW NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE CF UPANCY ISSUED G7. This permit 'has been issued fix:.[] NewCorduction ❑ SubstarAal Improvement. G8. Elevation of overbuilt lowest tbor (IndL ding baserroent) of the.buildng is: , . _ft(m) Datirn: G9. BFE or (n Zone AO) depth of floodng at the buildng srite is: . _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS FEMA Form 81-31, January 20 03 Replaces all previous editions