HomeMy WebLinkAbout34-2117-004-0120FEDERAL EMERGENCY MANAGEMENT AGENCY
PROCESS# ~ -0 0 NATIONAL FLOOD INSURANCE PROGRAM
FOLIO# 30-2117-004-0120 O.M.B. No. 3067-0077
ELEVATION CERTIFICATE Expires July 31, 2002
C.O.R. = 7.7'
Important: Read the instructions on pages 1.7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NA E Policy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. r pany NAIC Number
15670 NW 41" AVENUE
CITY STATE ZIP CODE
MIAMI FL 33054
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
The S80-FT of the N240-FT of the E1/2, Tract 2'VENETIAN GARDENS SUB" Plat Book 31, Page 37, MIAMI-DADE COUNTY RECORDS
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
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 B2. COUNTY NAME B3. STATE
UNINCORPORATED AREAS - 120635 MIAMI - DADE FLORIDA
B4. MAP AND PANEL B5. SUFFIX B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S)
NUMBER B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE B8. FLOOD ZONE(S) (Zone A0, use depth of flooding)
12025 C 0090 1 7/17/95 3/2194 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 B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
112. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes C" No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
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, VI 430, V (with BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AH, AR/AO
Complete Items C3.-a- 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 Conversion/Comments
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑ Yes ❑ No
❑ a) Top of bottom floor (including basement or enclosure) 8 . 7 ft.(m)
❑ b) Top of next higher floor N/A . _A(m)
❑ c) Bottom of lowest horizontal structural member (V zones only) N/A . ft.(m) U) co fF r V
❑ d) Attached garage (top of slab) N/A ,
El e) Lowest elevation of machinery and/or equipment w
L ~
servicing the building (Describe in a Comments area) 8 9 ft.(m) E
El f) Lowest adjacent (finished) grade (LAG) 7 8 ft.(m) Z .2
❑ g) Highest adjacent (finished) grade (HAG) 6 . 7 ft.(m)
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
❑ i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATICN ; ,
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data aAb16.
/understand that any false statement maybe punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIERS NAME : PABLO J. ALFONSO LICENSE NUMBER:' #5880
TITLE: PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME : TOP GUN GROUP, INC.
ADDRESS CITY STATE ZIP CODE
291 E. 3EP STREET` . HIALEAH FL 33013
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SIGNATURE f DATE TELEPHONE
4/19/2002 305-822-6062
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EMA Form 81-31, JUL 0 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS