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Home My WebLink About34-2117-004--0310FEDERAL EMERGENCY MANAGEMENT AGENCY Pr~cess No. Irdd31 X431 NATIONAL FLOOD INSURANCE PROGRAM Folio No.. 34-21174 Flo O.M.B. No. 3067-0077 Crown of Road = 7.75 Feet N.G.V.. ELEVATION CERTIFICATE Expires: December 31, 2005 Important: Read the instructions on pages 1 - 7. nl~ t J SECTION A - PROPERTY OWNER INFORMATION ar Insurance Company Use BUILDING OWNER'S NAME PolicyAlumi?er M & M DEVELOPERS, INC. BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIL Number 15930 N1t11.41sTAVENUE CITY STATE ZIP CODE MIAMI GARDENS FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) THE NORTH 80' OF THE SOUTH 280' OF THE EAST Y. OF TRACT 4, `REVISED PLAT OF VENETIAN GARDENS-, PB. 31-37, MIAMI-DADE COUNTY. BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( - or ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: N.A N/A SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP COMMUNITY NAME& COMMUNITY NUMBER B2. COUNTY NAME B3. STATE 120635 (UNINCORPORATED AREAS) Miami-Dade Fl. B4. MAP AND PANEL B5. SUFFIX 86. FIRM INDEX B7. FIRM PANEL B8. FLOOD B9. BASE FLOOD ELEVATION(S) NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO, use depth of flooding) 1202500080 J 7-17-95 3-2-94 `X' N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ED FIRM ❑ Community Determined ❑ Other (Describe): B11. Indicate the elevation datum used for the BFE in 69: 0 NGVD 1929 ❑ Ni 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: N/A 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 I (Si the building diagram most similar to the building for vA)idh 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, AR/A, AR/AE, AR/A1-A30, AR/AH, AR/AO Complete Items C3a-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 23. Cvi er5;c~niC eats NIA Elevation reference mark used 7.52' Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No ❑ a) Top of bottom floor (including basement or enclosure) 8.91 ft.(m) License IOIo. LS938; ❑ b) Top of next higher floor N/A. ft.(m) Date: y ,nom R _Ih ~ c) Bottom of lowest horizontal structural member (V zones only) N/A. ft.(m) o o 0-1 77 ❑ d) Attached garage (top of stab) N/A. ft..(m) - e) Lowest elevation of machinery and/or equipment m Sfgnatur0% ' servicing the building (Describe in Comments Area) 8. 83ft.(m) ❑ f) Lowest adjacent grade (LAG) 7.8 ft.(m) z - ❑ Highest adjacent grade HAG 8. Oft. m~ ' t=« ❑ h) No. of permanent openings (flood gents) within 1 ft. above adjacent grade N/A Qt i) Total area of all permanent openings (hood vents) in C3tt NIA sq. in. (sq c I ~i ~r a SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION _ IM This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to cetfifyy el v ion Informatioh!`'` certify that the information in Sections A, B, and C,on this certificate represents my best efforts to interpret the data available 1 understand that any false statement maybe punishable by fine or imprisonment under 18 U_ S. Code, Section ? _ b CERTIFIER'S NAME: JOSE SENAS LICENSE NUMBER: 5938 TITLE: PROFESSIONAL LAND SURVEYOR AND MAPPER COMPANY NAME: SUNSHINE UNITED CONSULTANTS, INC. a!J I! V - ADDRESS CITY STATE ZIPy~ CODE 7830 NW_ 17e TERRACE KAJAhAl PI SIGNATURE DATE TELEPHONE 10-19-04 (3051362-2749 1:v 15 -I k Iii - - FFNfA Fnrm R1 . 1 _larmni-v 9M.1 RFF PI=VFRSF lglnF FOR r.nNTIN:IATION RFPI ArIt§ A11) PRFk/101 IA Fh1TI0N.0 t 4 IMPORTANT: In these spaces, copy the corresponding informnation from Section A. For lns... Corripany Use BUILDING STREET ADDRESS (including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Poiic}i N tai 15930 NW. 41 'AVENUE CITY STATE ZIP CODE *Pa!1 y NAIC Number MIAMI GARDENS 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 ❑ 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 LOMB-F, Section G 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. 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) _ in.(cm) above the highest adjacent grade. 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 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 compietes Sections A, B, and E for Zone A (without a FEMA-issued or comm nity-issued BFE) or Zone A(? must sign here. , JA REPRESENTATIVE'S NAME PPROPEPTY OWNER'S OR OWNER' AUTHORIZED ST 32-0 HAgltl -Hoed /Uft) ADDRESS ^ \ CITY STATE ZIP CODE . 'ff /0 G' 'S~ZK SiGNATUR D WE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is a6tliarized by law or ordinance to administer the community's tloodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Ce: tifcaf+ Complete the applicable item(s) and sign below. G1. ❑ The information in Sedo was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by sWe orlbcal law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) w G2. El A dorf~munity`officia[ compfet6i Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ f6 fclloWing information (Items G4-G9) is provided for community floodplain management purposes. 04. PERMIT ~NUMSER N G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY • N 5~ ISSUED G7. This `permit has been j.;sued for: ❑ New construction ❑ Substantial Improvement luding basement) of the building is: Datum: G8. f= f {onon of as aunt lowest ldin levafi"`, Go. BFE of (in Zone AO) depth of flooding at the building site is: ft.(m) R Datum: .itw~bir :.iiu:-i:' { :s: t,I9 ,.,.q 'lli~. ;_I. • I LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS ❑ Check here if attachments FFMA Fnrm A1_11 Annitarv 70111 RFPi AnF!s Al I PRF\/ini m F=nITIMCI