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3333 NE 188 STU.S. DEPARTMENT OF; HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: At Building Owner's Name Policy Number _ City of Aventura 2. Budding Street Address including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 3333 N.E. 188t� Street City State ZIP Code Aventura FL 33180 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Portion of S.3, T. 52S., R.42E. A4. Building Use (e.g., Residential, Non- Resiiettial, Addition, Accessory, etc.) School addition AS. Latitude /Longitude: Lat. * Long._ *25056'59.9 "N. Horizontal Datum: ❑ NAD 1927 $) NAD 1983 A8. Attach at least 2 photographs of the building If the Certificate Is being used to obtain flood insurance, **80008'09.5"W. AT Building Diagram Number t A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq It a) Square footage of attached garage NL sq ft b) No. of permanent flood openings in the crawlspace or b) No of permanent flood openings in the attached garage enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA- c) Total net area of flood openings in A8.1b N A sq in c) Total net area of flood openings in A9.b N-LL- , sq in E) d) Engineered flood openings? Yes IN No d) Engineered flood openings? ❑Yes O] No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION LB, NFIP Comrnunity Name 8 Community Number 82. County Name B3. State City of Aventura 120676 Dade Florida B4. Map /Panel Number B6. FIRM Index 87. FIRM Panel 88. Flood 89 Base Flood Elevalicn(s) (Zone 1208600142 FSu—fhx Date Effective /Revised Date Zone(s) AO, use base flood depth) 4 /11 /na Jan 29 1993 AE 9 j o iv. moicate me source of the base -Idea Elevation (BFE) data or base flood depth entered in Item 69. ❑ FIS Profile LI FIRM ❑ Community Determined ❑ Other (Describe) _ Btt. Indicate elevation datum used for BFE in Item 69: ® NGVD 1929 ❑ NAVD 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 ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl . Building elevations are based on ❑ Construction Drawings' ❑ Building Under Construction' r�j Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, VI V30, V (with BFE), AR, AR /A, ARIAE, AR /At -A30, ARIAH, AR /AC. Complete Items C2a -h below according to the building diagram specified in Item A7. Use the same datum as the BFE. Benchmark UtilizedN460derticalDatum NGVD 1929 Conversion /Comments Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 9 . 0 E3 feet ❑ meters (Puerto Rico only) b) Top or the next higher floor 2 1 .n 22 feet ❑ meters (Puerto Rico only) C) Bottom of the lowest horizontal structural member (V Zones only) N JJA ❑ feet Cl meters (Puerto Rico only) d) Attached garage (top of slab) N/A _ ❑ feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building N f A ❑feet ❑meters (Puerto Rico only) (Describe type of equipment and location In Comments) 8 3 0 Lowest adjacent (finished) grade next to building (LAG) _ _ n feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade next to building (HAG) 8 8 n feet ❑ meters (Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs, including 8 . 3 ❑ feet ❑ meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certiricalion is to be signed and sealed by a land surveyor, engineer, or architect auulorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand bat any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 700E ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? CR Yes ❑ No C, -`,fier's Name License Number Bruce N. Carter 2963 T, - Company Name President Carter & Assoc., Inc. Address City State ZIP Code 405 S.E. 6 Ave. Delray Beach FL 33483 Signs Date Telephone July 21, 2009 (561)265 -1910 Bruce N. Carter P.S.M. #2963 July 21, 2009 IMPORTANT: In these spaces, copy the corresponding Information from Section A. 1 For Insurance Company Use. Building treet Address (including Apt ., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Polic ,.r- 9 ( 9 9 . City State ZIP Code I Company NAIC Number SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner. ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1 -E5. If the Certificate is intended to support a LOMA or LOMR -F request, complete Sections A, B, and C. For Items E1 -E4, use natural grade, If available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is —_ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -9 with permanent flood openings provided in Section A Items 8 and /or 9 (see pages 8 -9 of Instructions), the next higher floor (elevation C2 .b in the diagrams) of the building is _ _ ❑ feet Cl meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only' If no flood depth number is available, is the lop 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 completes Sections A, 8, and E for Zone A (without a FEMA- issued or community- issued BFE) or Zone AO must sign here. The statements In Sections A, 8, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Dale 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 noodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used In Items G8 and G9. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by 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 FEMA- Issued or community- issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. Ga. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued GT This permit has been Issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: _ _ ❑ feet ❑ meters (PR) Datum _ G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum _ G10. Community's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments Building Photographs See Instructions for Item A6. 'wilding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 3333 N.E. 188th Street Uity Aventura State FL ZIP Code 33180 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken, "Front View" and "Rear View ", and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. S ,t . Siv,C�F �. .Ft G vim•,�c'N f- U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program FLOODPROOFING CERTIFICATE FOR NON RESIDENTIAL STRUCTURES O.M.B. N0. 1660 -OOD8 Expires March 31, 2012 The floodproofing of non - residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNER'S NAME City of Aventura STREET ADDRESS (Including Apt., Unt, Suite, and /or Bldg. Number) OR PO. ROUTE AND BOX NUMBER3333 N.E. 188th Street OTHER DESCRIPTION (Lot and Block Numbers, etc) Portion of S.3, T. 52S., R.42E. EN CITY STATE ZIP CODE Aventura FL 33180 SECTION I FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMENITY NUMBER PANEL NJMBER SUFFIX OAT E OF FIRM INDEX FIRM ZONE BASE !L000 ELEVATION 120676 1208600142 L 09/11/09 AE I0 AO Zones, Use OF"') s SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) F000dproofing Design Elevation Information: Building is floodproofed to an elevation of .. .0: .0 ........................... feet NGVD. (Elevation datum used must be the same as that on the FIRM.) Height of floodproofing on the building above the lowest adjacent grade is .. . � .... .. .............. ......... I... feet. (NOTE: For insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III CERTIFICATION (By Registered Professional Engineer or Architect) Non - Residential Flootlproofed Construction Certification: I certify that, based upon development and /or review of structural design, specifications, and plans for construction, the design and methods of construc- tion are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary foci /hies, s watertight to the floodproofed design elevation Indicated above, with walls that are substantially impermeable to the passage of water. All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. I certify that the information on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Cr de, Section 1001. CERTIFIER '5 NAME LICENSE NUMBER (or AILS Seal) Mark Johnson, P.E> FL. PE # 51983 TITLE COMPANY NAME President Johnson Structural Group, Inc. ADDRESS - CITY STAfE ZIP CODE 951 Yamato Road, Suite 205 Boca Raton FL 33431 GNATUhE _- DATE PHONE � SI 07/27/09 561- 982 -8999 Copies should be made of this Cerbhcate for: 1) community official, 2) Insurance agent /company, and 3) building owner. =EMA Form 81 ,5. Mar 09 Replaces all previous emt O's F- 056 :3/091 U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program FLOODPROOFING CERTIFICATE FOR NON- RESIDENTIAL STRUCTURES O.M.B. NO. 1660 -0008 Expires March 31, 2012 The floodproofing of non - residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation; however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building does not alter a community's floodplain management elevation requirements or affect the insurance rating unless the community has been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. ma T3 3 F a tun- i BUILDING OWNER NAME � t Id City of Aventura '� , ;' ,'_ iFw L;1„'1'R +';I{ L`@ if STREET ADDRESS (including APL, Unit, Suite, and /m Bldg. Numbe,) OR PC. ROUTE AID BOX NUMBER 3333 N.E. 188th Street a �-OTHER DESCRIPTION ;Lot and Bock Nullifiers, etc }, E Portion of S.3, T. 52S., R.42E. CITY STATE ZIP CODE Aventura FL 33180 SECTION I FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM: COMMUfu'SV RUNyER PANEL NUMBER SUFEIF DATE OF FIRM INDEX FIRM ZONE BASE FLOOD ELEVATION Ou AO Zwes- Use Duptll) 120676 112086IC0142�L 09/11/09 AE 9 SECTION II FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Building is floodproofed to an elevation of ..1.0 :0....__ ................... feet NGVD. (Elevation datum used must be the same as that on the FIRM-) Height of floodproofing on the building above the lowest adjacent grade is . �: � ... ............................... feet. (NOTE: For insurance rating purposes, the building's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.) SECTION III CERTIFICATION (By Registered Professional Engineer or Architect) Non - Residential Floodproofed Construction Certification: I certify that, based upon development and /or review of structural design, specifications, and plans for construction, the design and methods of construc- tion are in accordance with accepted standards of practice for meeting the following provisions: The structure, together with attendant utilities and sanitary facilities, s watertight to the floodproofed design elevation indicated above, with walls that are substantially impermeable to the passage of water All structural components are capable of resistmg hydrostatic and Hydrodynamic flood forces, including the effects of buoyancy, and anticipated debris impact forces. I certify that the information 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 (or Alta Seal) Mark Johnson, P.E> FL. PE # 51983 TITLE COMPANY NAME President Johnson Structural Group, Inc. ADDREBS CITY STATE ZIP CODE 951 Yamato Road, Suite 205 Boca Raton FL 33431 SIGNATURE DATE PHONE 07127109 561- 982 -8999 Copies should be made of this Certificate For. 1) community offic al, 2) Insurance agent /company, and 3) building owner. FEMA Form 81 -65, Mar 09 Replaces all prtmpus No baps F 356 (3/09)