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Home My WebLink About34-2117-001-0010, dupeFolio # 3021170010010 1-tUtKAL tMtKUhNUY MANAUhMtN I AUhNGY Process # o .0.1 NATIONAL FLOOD INSURANCE PROGRAM f C . O . R . = 7.55 O.M.B. No. 3067-0077 ELEVATION ON CERTIFICATE xpires 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 Florida Memorial College BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC' Number 15800 N.W. 42`d Ave. CITY STATE ZIP CODE Miami, Miami-Dade County FI 33054 FKUrtK l Y UtSGKIF I IUN (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) A Portion of Tracts 53 & 73 of "Miami Gardens", Plat Book 2, Page 96, Miami-Dade County Public Records BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) Accessory LATITUDEILONGITUDE (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 62. COUNTY NAME B3. STATE Unincorporated Miami-Dade 120635 Miami-Dade Florida B4. MAP AND A14EC S FIRM PANEL - - - B9. BASE FLOOD ELEVATION(S) NUMBER UFFIX 136. FIRM INDEX DATE EFFECTIVEIRDASED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 1202500090 J 7-17-95 3-02-94 X NIA 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 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: ❑ Constnaction 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, VI 430, V (with BFE), AR, ARIA, AR/AE, ARW-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 N Elevation reference mark used MDCBM Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No,. T.: : S 77 o a) Top of bottom floor (including basement or enclosure) * 5. 9ft.(m) R, L f o b) Top of next higher floor 9.3 ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) h L. Aft-(m) 00 ; o d) Attached garage (top of slab) N. A ft.(m) E o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) 9.3 ft.(m) k, - o f) Lowest adjacent (finished) grade (LAG) 5.1 ft.(m) z' CO) o g) Highest adjacent (finished) grade (HAG) 7. 6 ft.(m)~ { . °g ~ y . o 17-04 o x h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A n _ Pic i) Total area of all permanent openings (flood vents in C3.h N/A sqin (cm) sq t I SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed an; by d sealed by a land surveyor; engineef,'er'architectauthorized b law to certify elevation in(ormafion l I certify that the information in Sections A, 8, and C on this ce Xcate represents my best efforts to interpret the data available. understand that any false statement shay be punishable b v fine or imprisonment under 18 U. S. Code, Section 1001. CERTIFIERS NAME : NESTOR G. R0 1 " i-- - ' f EZ LICENSE NUMBER: 4277 TITLE REGISTERED LAND R 0 COMPANY NAME PENINSULA LAND SURVEYOR, INC. ADDRESS CITY STATE ZIP CODE 13113 NW 42 AVEN OPA-LOCKA FL 33054 SIGNATURE DATE TELEPHONE ` 5-17-04 305-687-9191 FEMA Form 8131, January 2003 / I ( §Wreverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 15800 N.W. 42ndAve. For Insurance Company Use: Porky Number CITY STATE ZIP CODE Company NAIC Numb Miami, Miami-Dade County FI 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 MDCBM = Miami-Dade County Benchmark * Item C3a) = Lowest Floor at Sitting Auditorium Area * Item C3e) = Electriic Meter Room ❑ 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.(c m) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 %Mth opa^ings (see page 7), the ne~d higher floor or elevated, floor (elevatim- 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.(c m) ❑ 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 . yi ❑ Check here if attachments { SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is autr. xi by laweor 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 t licable t ear(s) and sign below. G1. ❑ The information in Section was tG en from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or Ixai)aw to certry elevatioi inf=4on. (Indicate thee source and date of the elevation data in the Comments area below,) G2. iJ A communit) official completed .action E for a building located in ZorieA (without a FEMA {sued orcommunity-issued BFE) or Zone A0: G3 The blowing information (>;em~s 609) is provided for oommunityffoodplain management purposes`. .i Liu G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7 This permit has been issued for. ❑ New Construction ❑ Substantial Improvement ~ (induing basement) of the building is: ft.(m) Datum: G8Ellevatlon ~of as-built lowest floor ~ G9. BFE or (mZone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS El Check here if attachments FEMA Form 81-31, January 2003 Replaces all previous editions