The URL can be used to link to this page

Home My WebLink About34-2116-003-0320C.O.R.-+ 8.51, NATIONAL FLOOD INSURANCE PROGRAM ELEVATION CERTIFICATE Iportant: Read the instructions on pages 1.7. O.M.B. No. 3067-0077 Expires December 31, 2005 e - zot~fn31 For Insurance Corypany Use: BUILDING OWNER'S NAME I Policy Number I COBO CONSTRUCTION BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 2880 NORTHWEST 164TH STREET CITY STATE ZIP CODE MIAMI FL 33169 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PB 53-55 LOT 8 BLOCK 3 OF: "GOLDEN HIGHLAND ESTATES" MIAMI-DARE CO. FL. BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):- ( or ® NAD 1927 ❑ NAD 1983 - ❑ USGS Quad Map ❑ Other. SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 81. NFIP COMMUNITY NAME& COMMUNITY NUMBER B2. CO1JN1Y NAME B3. STATE MIAMI-DARE-120635 MIAMI-DARE COUNTY FL B4. MAPAND PANEL B7. FIRM PANEL 69. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVER2EVISED DATE B8. FLOOD ZONE(S) (ZaheAQ 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 food depth entered in B9. ❑ FIS Profile ® FIRM ❑ Commurfay Determined ❑ Other (Describe): B11. Indicate the elevation datum used forthe 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 C1. Building elevations are based on: ❑ Construction DraWngs* ❑ Building Under ConsWction* ® Finished Constructon *A new Elevation Certificate will be required when constnhdion of the building is complete. C2. Building Diagram Number I (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, ARIA, ARIAE, ARIAI-A30, AR/AH, AR/AO Complete Items C3.ai below according to the building diagram specified in Item C2. State the datum used. If the datum is ddferert from the datum used for the BFE in Section B,conventhedatum tothat used fortheBFE.Show field measurements anddatum conversion calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion. DatumNGVD1929 ConversioNCommentsN/A NAME N-445 Elevation reference made used 8.36' Does the elevation reference mark used appear on the FIRM? ❑ Yes ®No o a)Topofbottom floor(inducngbasementorenclosure) 10.55ft.(m) Y- o Iijopofne#higherflcor Nft.(m) ° v"• " o c) Bottom of lowest horizontal structural member (V zones only) N/A. o d) Attached garage (top of slab) N/Aft.(m) $ f~r# - o e) Lavest ele vation of machinery andlor equiprnent r-~- servidng the building (Desc be in a Comments area) 10.50 ft(m) of)Lowestadjacent(finished)grade(LAG) 65ft(m) Z5326" o g)Highestadjacent(finished)grede(HAG) 45ft.(m)2005= ` o h No. of rnanent ) pe openings (flood vents) within 1 ft. above adjacent gradeN/A o i) Total area dull permanent openings (flood vents) in C3.h N/A sq. in. (sq Sm) - ' _ - :SECTION D- SURVEYOR, ENGINEER, ORARCHRECT CERTIFICATION This cefificatiolh fs to be signsd acid 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 re'fts'enfs my best efforts to interpret the data available. CERTIFIERS NAME LICENSE NUMBER COMPANY NAME Al&+ NDO F.'r'.IY,VARiZ 3AD PSM 5526 AFA & COMPANY, INC. ADDRESS CITY STATE ZJPCODE PROFESSIOANt LAND SURVEYORS & MAPPERS 13050 SOUTHWEST 133'` COURTMIAbII FL 33186 SIGNAT DATE TELEPHONE 2003 See reverse side for continuation. Replaces all IMPORTANT: In these spaces, copy the corresponding information from Section A ForlnsuranceCompany use: 2880 STREET NO. uir STATE ZIP CODE Company NAIC Number MIAMI FL 33169 CERTIFICA Copy both sides of this Elevation Certificate for (1) community official, (2) insumrlce'age'nUcompany, and (3) building owner. SECTION E - FORZONE Check here For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use an 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 forwhich this oerfificate is being completed -seepages 6 and 7, Kno 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.(om) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 68 with openings (see page.7),the next higher floor or elevated floor (elevation b)ofthebuilding is _ft.(m)_in.(an)above thehighest 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 cemmunlys 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 FEMA4ssued or community- issued BFE) or Zone A0 must sign here. The statements in Sectons A, B, G 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 ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administerthe conmunlys floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable-,fteMffl and sign below. G1. ❑ The infoimation in SectionC was takeri from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state orlocatiavrt5certifyelevatianirdorriallk (Indicate the source and date of the elevation data in the Comments area below) G2. ❑ A comrqunity officid-complAa Section E for a building located in Zone A (without a FEMA~ssued or community4ssued BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. n,.,,,,.~,.,o~ I G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement f.-- G& Elevation ofas-built lowestfloor(including basement) ofthebuilding is: __tt.(m) DAum:_ G9.BFEor (inZone AO)depth offioodngatthebuilding site is: IL(m) Datum:. LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Forth 81-31, January 2003 Replaces all previous editions