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Home My WebLink About34-2117-004-1012FEDERAL EMERGENCY MANAGEMENT AGENCY PROCES NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067-0077 Expires December 31, 2005 FOLIO # 30- ELEVATION CERTIFICATE CROWN OF ROAD 7.88 Ft NGVD Important: Read the instructions on pages 1- 7. 1;31(9 ORDER NO. 6922 SECTION A-PROPERTY OWNER INFORMATION ,For lhsIn'nc'e Company §e:1 BUILDING OWNER'S NAME Policy Number ELITE CONSTRUCTION & DEVELOPMENT, INC. BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR _P.O. ROUTE.AND BOX NO. Company NAIG Number 16025 NW 41st :Avenue CITY STATE. 33054E FL. Miami PROPERTY DESCRIPTION (Lot and Block Numbers; Tax Parcel Number, Legal Description,;etc.) . S 80' N 264.93' H]. 2i Tract 11, REVISED PLAT OF VENETIAN GARDENS, (31 370., Miammi Dade County, BUILDING USE{e.`g., Residential, Non-residential,. Addition, Accessory, etc. Use a Comments area, ff necessary.) LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( W - - 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 120635 MIAMI DADE FLORIDA B4. MAP AND PANEL 87. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVEIREVISED DATE B8. FLOOD ZONE(S). (Zone AO, use depth of footling) 12025 C 0080 J 7/17/95 3/2/94 X N/A :810. Indicate the source of the Base Rood Elevation (BFE) data or base flood depth entered in 89. ❑ FIS Profile UFIRM ❑ Community Determined ❑ Other (Describe): 1311. Indicate the elevation datum used for the BFE in B9X@ NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): 612 Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes fR 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. N no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations -Zones Al-A30, AE, AH, A (with BFE), VE, V1 N30, V (with BFE), AR, ARIA, AR/AE, AR/A1-A30, AR/AH, ARIAO 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 NGVEConversion/Comments Elevation reference mark used332-11oes the elevation reference mark used appear on the FIRM? ❑ Yes P No ❑ a) Top of bottom floor (including basement or enclosure) 910 ---ft.(m) ❑ b) Top of next higher floor 1_.._ft.(m) V ❑ c) Bottom of lowest horizontal structural member (V zones only) 1g_. ~ft.(m) 00 ❑ d) Attached garage (top of slab) NIA, -ft-(m) ❑ e) Lowest elevation of machinery and/or equipment W Ca L. - I NO ki servicing the building (Describe in a Comments area) A/C 9_.Q. • ift.(m) ❑ f) Lowest adjacent (finished) grade (LAG) 8~ rft (m) z ❑ g) Highest adjacent (finished) grade (HAG) 8_.Z_. _,ft.(m) ❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade y,(A ❑ i) Total area of all permanent openings (flood vents) in C3.hN/AA sq. in. (sq. cm) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and 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 represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S., Code, Section 1001. CERTIFIER'S NAME LICENSE NUMBER NARCISO J. RAMIREZ 2779 TITLE COMPANY NAME LAND SURVEYOR & MAPPER ATLANTIC SERVICES OF FLORIDA ADDRESS CITY STATE ZIP CODE 8 1 SUNSET DRIVE MIAMI FL. 33143 URE DATE TELEPHONE - MARCH 21 2004, (305) 596-OSRA FL. FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from-Section A. For Insurance CompanTUse:.. BUILDING STREET ADDRESS (Including Apt, Unit Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Porq. Number.- ' CITY STATE ZIP CODE Company NAIL Numt 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 D 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.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6.8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft(m) T 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.(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 community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The loco 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 C3h and C3.i only), and E for Zone A (without a FEMA4ssued or community- issued BFE) or Zone AO must sign here. The statements in Sections A, A Q and E are correct to'fhe 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 authorized by law or 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 applicable item(s) and sign below. G1. ❑ The information 'in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state or focal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community` official completed Section E for a building located in Zone A (without a FEMA4ssued or community-issued' BFE) or Zone A0. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. x 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 (38. Elevation of as-built lowest floor (including 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 =EMA Form 81-31, January 2003