19950 E Country Club DrCITY STATE ZIP CODE
Aventura FL 33180
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Portion of Tract B-B, AVENTURA EIGHTH ADDITION, Plat Book 136, Page 37, Miami -Dade County, Florida.
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, a necessary.)
Residential
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: CPS (Type):_
##.##' or ##. #1#ltfkN °) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Aventura- 120676 ruTamiDade I FL
NUMBER 85. SUFFIX B6. FIRM INDEX DATE EFFECTIVE82EVISED DATE BB. FLOOD ZONE(S) (Zone AO, use depth
12025C I J I 3294 711, 1 AE (El 7)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Bamer Resources System (CBRS) area or Otherwise Protected Area (ORA)? ❑ Yes ® No Designation Date_
Cl. 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. If no diagram accurately
represents the building, provide a sketch or photograph.)
C3. Elevations— Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AFVAE, AR/Al -A30, AR/AH, AR/AO
Complete Items C3.ai 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 Conversion/Comments
Elevation reference mark used DCBM 460 Does the elevation reference mark used appear on the FIRM? ❑ Yes
FEDERAL EMERGENCY MANAGEMENT AGENCY
O.M.B. No. 3067 -0077
v
• b) Top ofned higher floor 20.6ft.
NATIONAL FLOOD INSURANCE PROGRAM
Expires December 31, 2005
o
• d) Attached garage (top of slab) 8. Oft.
ELEVATION CERTIFICATE
• e) Lowest elevation of machinery andlorequipment
servicing the building (Describe in a Comments area) 8.O ft.
a =
Important: Read the instructions on pages 1.7.
06- 2002-007
SECTION A- PROPERTY OWNER INFORMATION
• h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0
For Insurance Company Use:
12
BUILDING OWNER'S NAME
Policy Number
"G" Site Limited Partnership - Garage
BUILDING STREET ADDRESS (Including Apt.,
Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
Company NAIC Number
19950 E. Country Club Drive
CITY STATE ZIP CODE
Aventura FL 33180
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Portion of Tract B-B, AVENTURA EIGHTH ADDITION, Plat Book 136, Page 37, Miami -Dade County, Florida.
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, a necessary.)
Residential
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: CPS (Type):_
##.##' or ##. #1#ltfkN °) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Aventura- 120676 ruTamiDade I FL
NUMBER 85. SUFFIX B6. FIRM INDEX DATE EFFECTIVE82EVISED DATE BB. FLOOD ZONE(S) (Zone AO, use depth
12025C I J I 3294 711, 1 AE (El 7)
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the building located in a Coastal Bamer Resources System (CBRS) area or Otherwise Protected Area (ORA)? ❑ Yes ® No Designation Date_
Cl. 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. If no diagram accurately
represents the building, provide a sketch or photograph.)
C3. Elevations— Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AFVAE, AR/Al -A30, AR/AH, AR/AO
Complete Items C3.ai 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 Conversion/Comments
Elevation reference mark used DCBM 460 Does the elevation reference mark used appear on the FIRM? ❑ Yes
ONO
• a) Top of bottom floor (indudingbasementorenclosure) 8. Oft.
v
• b) Top ofned higher floor 20.6ft.
• c) Bottom of lowest horizontal structural member (V zones only) WA. ft.
o
• d) Attached garage (top of slab) 8. Oft.
w I
• e) Lowest elevation of machinery andlorequipment
servicing the building (Describe in a Comments area) 8.O ft.
a =
• f) Lowest adjacent (finished) grade (LAG) 7. 9 ft•
• g) Highest adjacent (finished) grade (HAG) 9. 61t.
8
• h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 0
o i) Total area of all permanent openings (flood vents) in C3.h 0-sq. in.
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 orimprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME Daniel C. Fortin, PSM LICENSE NUMBER 2853
TITLEVice President COMPANY NAME Fortin, Leavy, Skiles, Inc.
180
Noah Miami Beach
Lm-
FL 33162
(305) 6534493
FEMA Form 81 -31, January 2003 See reverse side for continuation. Replaces all previous
IMPORTANT- In these spaces. coov the corresoondlna information from Section A. _ I For Insurance CorrWyUse:
CITY STATE ZIP CODE I Corpery NAIL Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agentloompany, 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 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 cerfiflcate is being completed –see pages 6 and 7. If no dagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or endosure) of the building is _ ft.(m) _in.(cm) ❑ above or E] below (check one) the highest adjacent grade. (Use
natural grade, 4 available).
E3. For Building Diagrams 68 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 adacent
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 oommunitys floodplain management ordinance?
❑ Yes ❑ No ❑ Unknown. The local official must certify, this information in Section G.
OWNER
The property owner or owners adhodzed representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA issued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, B. C, and E are coned to the best ofmy knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
Check
SECTION
The local offidal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sectors A, B, C (or E), and G of this Elevation
Certfiate. Complete the appGable item(s) and sign below.
G1. Q The infomretion in Selion 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 local law to cer fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2. ❑ A community official completed Sedan E for a building located in Zone A (without a FEMA - issued or communityissued BFE) or Zone A0.
G3. ❑ The folloWng information (Items G4 -39) is provided for community floodplam management purposes.
G7. This permit has been issued for: ❑ New Constmdion ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (inducing basement) of the building is: — _f .(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
TURE
FEMA Form 81 -31, January 2003
if attachments
Replaces all previous editions