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Home My WebLink About34-2117-001-0041tltUtNCY NIANAC~tMtN I;At~kN(a PrOC2 S S# ''C2 O O 2 O 2 51 4 7, i'tUtKAL tM' w M. B No 3067 0077 .LL $URANCE PROGRAM Folio 3021170010041 NATIONAL FLOOD INt Expires J u~y 31, 2002 C. 0. R. = 8.2 ELEVATION CERTIFICATE Important: Read the instructions on pages 1- 7. SECTION A - PROPERTY OWNER INFORMATION For Irr-mace Company. Use: BUILDING OWNER'S NAME Policy Number Miami-Dade County Solid Waste Management BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAICNumber 16300 N.W. 42 Ave. CITY STATE ZIP CODE Miami-Dade County FI 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Portions of Tract 23 & 24, Plat 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 (Trash & Recycling Center) 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 61. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE Unincorporated 120635 Miami Dade Florida B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding) 1202500080 1 7-17-95 3-0294 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Descnbe): B11. Indicate the elevation datum used for the BFE in 139: ® 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, V1 430, V (with BFE), AR, ARIA, AR/AE, ARIA1-A30, ARIAH, ARIAO Complete Items C3.-a4 below aooading 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- Section D or Section G, as appropriate, to document the datum conversion. Datum NGVD-29 Conversion/Comments N Elevation reference mark used MDGBM Does the elevation reference mark used appear on the FIRM? ❑ yes ®No ❑ a) Top of bottom floor (including basement or enclosure) 8.5 t(m) R L. S 4 2.7 7 ❑ b) Top of next higher floor NIA. ft.(m) - ❑ c) Bottom of lowest horizontal structural member (V zones only) N/A. t(m) 00 ❑ d) Attached garage (top of slab) NIA. _t(m) a~ El e) Lowest elevation of machinery and/or equipment W servicing the building (Describe in a Comments area) N/A. ft.(m) El f} Lowest adjacent (finished) grade (LAG) 7. 9 ft(m) ❑ g) Highest adjacent (finished) grade (HAG) 8. 2 ft.(m) - ' - 0 ; - 0 2 ❑ . h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NIA . ❑ r Total area of all permanent openings (flood vents) in C3.h WA sq. in. (sq. cm) - - I' SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ! s ! EFI tile, I o This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation info ati n l certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. y a I 3 III /understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code Section 1001. GUEZ LICENSE NUMBER 4217 f I CERTIFIERS NAME NESTOR G R07 ) d TITLE COMPANY NAME REGISTERED //D S OR PENINSULA LAND SURVEYOR, INC. ADDRESS CITY STATE ZIP CODE 13113 NW AVE OPA-LOCKA FL 33054 SIGNATURE DATE TELEPHONE 8-02-02 (305) 687-9191 i FEMA Form 81- 1 0 EVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS ~I IMPORTANT:` In these spaces;'00y'ft 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. Poky Number 16300 N.W. 42 Ave. CITY STATE ZIP CODE Company NAIC Number Miami-Dade County 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 MDC-BM = Miami-Dade County Bench Mark ❑ 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 endosure) 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$ with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cxm) above the highest adjacent grade. Complete Ram C3.h and C3.i on front of form. E4. 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 authdnzed by law ar ordinance to administer the community's floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete die ap~icable-iife ails) acid sign below. G1. ❑ The inf : 'or in Section C was taken from other documentation that has been signed and embossed bya licensed surveyor, engineer, or architect who is authorized by state or ~xal ia.~v to citify elevation infomation. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A axnmunity 6 ial completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone A0. G3. ❑ The foilowing information (Items 6469) is provided for community floodplain management purposes. 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 G8. Elevation of as-built lowest floor (inducting basement) of the building is: ft.(m) Datum: G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FEMA Form 81-31, JUL 00 REPLACES ALL PREVIOUS EDITIONS