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Home My WebLink About34-2117-004-3080CR0.WN=8.63' O.M.B. No. 3067-0077 FEDERAL EMERGENCY MANAGEMENT AGENCY G 20 03 714S NATIONAL. FLOOD INSURANCE PROGRAM Expires December 31, 2005 3^2 f ao~~°S° ELEVATION CERTIFICATE . Impoftnt Read the instructlcuts on pages 1- 7. SECTION A- PROPERTY OWNER INFORMATION t Cornparrrt se BUILDING OWNER'S NAME Pol Nuiilber EMILIO PADILLA BUILDING STREET ADDRESS (Including Apt., Unit, Sufte, andlbr Bldg. No.) OR P.O. ROUTE AND B(JXNO. Cornparty NatC Number 15850 N W. 370'. PLACE CITY STATE ZIP CODE OPA-LOCKA FL 33054 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) THE NORTH 100' OF THEE 1/2 OF TRACT 78 OF REVISED PLAT OF VENETIAN GARDENS PB31 PAGE 37, MIAMI DADE COUNTY BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, W necessary.) RESIDENCIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( - - or ##.###i#) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: SECTION B - FLOOD INSURANCE RATE MAP (11`I1"INFORMATION B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE DADE COUNTY UNINCORPORATED 120635 MIAMI-DARE FL B4. MAP AND PANEL 137. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6. FIRM INDEXDATE EFFECTIVEREVISED DATE B8. FLOOD ZONE(S) (Zone AO, use depth of flooding) 12025C0090J J 7/17195 312194 X NIA B10. Indicate the source of the Base Flood Elevation (BFE) data or base hood can entered m Bu. ❑ AS Profile ® FIRM ❑ Cammun>ity Determined [Q Other (Describe): B 11. Indicate the elevation dahm used for the BFE in 139: 0 NGVD 1929 El: NAVD 1988 ❑ Odw (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes R No Designation Date SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 01. Building elevations are based on. ❑ Conshrlion Drawnge ❑ Building Under Connsthuctlon* Frni&WCons t uctim *A new Elevation Certificate W1 be nequreed when construction of the bung is complete. C2. Building Diagram Number 1(Sekd the buicfing diagram most similar La the built for whicth this certificate is being completed - see pages 6 and 7. If no diagram =umt* represents the buking, pwide a sketrrh or photograph) C3. Elevations - Zones AI-A30, AE, AH, A (with BFE), VE, V1 V30, V (with BFE), AR ARIA, ARIAE, ARIAl -A30, ARIAH, ARIAO Complete Items C3.-aA below aooaft to the buikfing diagram spedfied in Item C2. State the datum used If the datum is different from the diatom used for the BFE in Section 8, convert the datum to Mused for ft BFE. Show field measurenvnts and datum conversion c alaMon. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document: the datum corn►ersion. Datum NGVD 1929 Conversion/Comments; WA Elevation reference mark used DCBM Does the elevation ret rence mark used appear on the FIRM? ❑ Yes No ` o a) Top of bottom floor (including basement or enclosure) 9. 74 fL(m) o b) Top of next higher floe NIA. k(m) o c) Bottom of lowest horizontal structural member (if zones only) WA. _A(m) o d) Attached garage (flop of slab) NIA ft(m) ~L o e) Lowest elevation of mach" andlbr equ nest servicing ft bukk-q (Describe in a Comments area) 9. 7 t") B o f) Lowest adjacent (finished) grade (LAG) 8.50 fI.(m) z N o g) Highest adjacent (finished) grade (HAG) 9. Lo ft(M) ~ o h) No. of permanent openings (flood vents) wffhin, l f. above a* wt grade WA ~ ~II o ) Total area of all permanent openings (flood vas) in MA hYA sq. in. (ad} an) sill I 1' Ill 11 i1illill t l I SECTION D - SURVEYOR, ENGINEER, ORARCHITECT CERTIFICATION Ill'lllll,j li t This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to berti elevation rnforma#r~n. certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data avaifable. /understand that any false statement maybe punishable by fine or impnswmment under 18 U.S. Code, Section 1001. CERTIFIERS NAME. ANIANOJ. LICENSE WABER 5106-: TITLE RVEYOR AND MAPPER; COMPANY NAME RESS CITY STATE ZIP CODE 210 S.W. 12-~ MIAMI FL 33183 SIGMA DATE TELEPHONE 10-29-2004 305,995-2824 IMPORTANT: In these spaces, copy the corresponding informatron from Section A. Far trsura e CorripaTy Use BUILDING STREET ADDRESS (including Apt., Unit, Suite, andlor Bldg. No.) OR P.J. ROUTE AND BOX NO- Padigy 'dumber 15650 N.W. 37th. PLACE CITY STATE ZIP CODE Company NAIC Numtjer UPA-tOCKA EL 33454 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) ca mun'ily official, (2) insurance agentlcanparry, and (3) building owner. COMMENTS REFERENCE BENCH MARK: DADE COUNTY BENCH MARK NO. N-423, ELEVATION=7.63 NGVD 1929 ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A "TROUT 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 C must be completed. E1. Building Diagram Number 1(Select the building dogram most similar to the building for which this cerfikate is being completed -seepages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (indicting basement or enclosure) of the building is 0 IL(m) _Trn.(cm) ® above or ❑ below (deck one) the highest adacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) -in.(crm) above the highest adjacent grade. Complete items C3.h and C3.i on front dform. E4. The trop of the platform of machinery andror eft servicing the building is 0 fL(m) 4in.(cm) ® above or ❑ below (dwk 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 ccmmunity's floocplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify ft inf nation 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 FEMA4ssued or community- issued BFE) or Zone AO must sign here. The statemergs in Sections A, 8, C, and E are correct to the hest ofmy edge PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments 4 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or bidinance.to ad minister the ccm muniVs floodplain management ordnance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G 1. ❑ The information in Section C was taken from other documentation that has been std and embossed by a licensed surveyor, engineer, or archiliod who is authomed by state or local law-to certify elevation infim-mabon. (Indicate the scnoe and date of the elevation data in the Carm£ wts; area below.) G2. ❑ A community official canpleted Section E for a building located in Zone A a FEMA d or co mmurdy4ssuel BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodpWn management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6_ DATE ISSUED G7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: _tt (m} Datum: G9. BFE or (in Zone AO) depth of flooding at t e building site is: _ ft(M) _ Datum: f LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE - SIGNATURE DATE COMMENTS ❑ Check here if attachments