HomeMy WebLinkAbout34-2117-004-27607 FEDERAL EMERGENCY MANAGEMENT AGENCY
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PROCESS#
NATIONAL FLOOD INSU'KANCE P~ROGRA ~1 ~g O.M.B. No. 3067-0077
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FOLIO# 34-2117-004-2760
ELEVATION C TIC T Expires December 31, 2005
C.O.R. 8.4' II
Important: Read the instrucfon§g 1 F~ 1
SECTION A - PROPERTY.
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For Insurance Company Use:
BUILDING OWNER'S NAME
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Policy Number
THE MALLANTS CORP.
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P O ROUTE AND 130 "NO.
Company NAIC Number
3890 NW 166TH STREET
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CITY
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ZIP CODE
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MIAMI
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PROPERTY DESCRIPTION (Lot and Block Numbers, I ax Parcel Number, Legal uescnption, etc.)
THE WEST 82.5 FEET OF THE NORTH 120 FEET OF TRACT 68 OF 'VENETIAN dXRbEI` S'REVISEb PLAT PB31 PG37 OF DADE COUNTY RECORDS
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a'Comments area if ne66ssary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM SOoRCE: El GPS (Type):
( - - or ❑ NAD 1927 [:1 NAD 1983 El USGS Quad Map El Other.
SECTION B - FLOOD INSURANCE RAT'EMAP, (FAM) INFORMATION
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i11~;t B3. STATE
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAMEI I
UNINCORPORATED-120635 MIAMI-DADE .III FLORIDA
B4. MAP AND PANEL
B5. SUFFIX
B7. FIRM PANEL
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B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEX DATE
EFFECTIVE, VISES [ATE
R. FLOOD N
(Zone A0, use depth of flooding)
12025 C 0080
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7117195
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~31~194' li
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1310. Indicate the source of the base I-lood Elevation (&t) data or ease nooa aeptn enterea in m. i! Ij „III 1
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Descnbe~:
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B1,, . Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 NAVD f 9 0 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protlec ed'Area 1(0 ,A)~ Yes ® No Designation Date
INFORMATION ($0RY4Y REQUIRED)
SECTION C - BUILDING ELEVATION
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C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under ConstructionN Finished Construction
* zl ~VIIi 1., V~ ~1 ~I l 1A 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, AR/A, AR/AE, AR/A1-A30, AR1, AH, AR/AO
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Complete Items C&-a- below according to the building diagram specified in Item C2. State the datum" us'1 If the datum is different from the datum used for the BFE in
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Section B, convert the datum to that used for the BFE. Show field measurements and datum conveion cacu~ation. Use the spaIce provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion/Comments NONE
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Elevation reference mark used N-422 Does the elevation reference mark used appear on the FIRMS ❑ Yes a'No
o a) Top of bottom floor (including basement or enclosure) 9 6r ft (m)I' ~ ~ 1. a
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o b) Top of next higher floor NIA. (m)
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o c) Bottom of lowest horizontal structural member (V zones only) NIA it (m) y Co p4-
to of slab 1 N~Aap 1i Jp1 1 .°o 0 O
o d Attached garage _ (E 0
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o e) Lowest elevation of machinery and/or equipment t II I11 " LU
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servicing the building (Describe in a Comments area) 9. ft m
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o f) Lowest adjacent (finished) grade (LAG) 8.~ tt.(m5 Pq z m
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o g) Highest adjacent (finished) grade (HAG) 9.~ ) N
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o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A i ;!1I
o i Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, A 1IT ~q1I t1 TIPICATIOIN I -
This certification is to be signed and sealed by a land surveyor, engineer, or architect laIt I r~ led by 7'w 6 certify elevation information.
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1 certify that the information in Sections A B and Con this certificate represents my 1,b,esf eforts touu1or.nterprgt the data avarlable.
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I understand that an false statement may be punishable by fine or imprisonment under U St Geode, Section 1001.
CERTIFIERS NAME : PABLO J. ALFONSO NOl " ICENSE NUMBER :'#5880
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TITLE PROFESSIONAL SURVEYOR AND MAPPER COMPANY NAME 'ROYAL POINT LAND SURVEYORS
ADDRESS CITY STATE ZIP CODE
6175 NW 153 STREET, S T MIAMI FL 33014
SIGNATURE DATE' TELEPHONE
9/2/04` T: 305-822-6062 * F: 305-827-9669
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FEMA Form 81-31, JUL 00 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
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