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19001 Biscayne BlvdJARED JEWLERS U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008 Federal Emergency Management Agency I Expires March 31, 2012 National Flood Insurance Program Important: Read the instructions on pages 1 -9. SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owners Name JARED JEWLERS AT THE COVE Policy Number A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Company NAIC Number 19001 BISCAYNE BLVD City AVENTURA State FL ZIP Code 33180 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PORTION OF NEt /4 OF NW1 14 OF SW114 OF SEC. 3- 52-42; MIAMI -DADE COUNTY; FOLIO No. 28- 2203 - 000-0111 A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) NON - RESIDENTIAL A5. LatitudelLongitude: Lat. 25 °57'4.50 "N Long. 80° 8'45.09'W Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or encosure(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 N/A sq it 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 N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.1b WA sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name c) Bottom of the lowest horizontal structural member N Zones only) 83. State AVENTURA 120676 MIAMI -DADE e) Lowest elevation of machinery or equipment servicing the building FLORIDA B4. Map /Panel Number B5. Suffix B6. FIRM Index 67. FIRM Panel -B-8- 6.5 B9. Base Flood Elevation(s) (Zone N. LA Date Effective /Revised Date Zone(s) AO, use base flood depth) 12086 C 0134 L 09/11/2009 09/11/2009 AE 7.0' 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ 811. Indicate elevation datum used for BFE in Item 89: ® 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 N/A ❑ CBRS ❑ OPA 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. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -h below according to the building diagram specified in Item AT Use the same datum as the BFE. Benchmark Utilized E -226 Vertical Datum NGVD 1929 Conversion /Comments N/A Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.50 b) Top of the next higher floor NJA c) Bottom of the lowest horizontal structural member N Zones only) N./A d) Attached garage (top of slab) N./A e) Lowest elevation of machinery or equipment servicing the building N- LA (Describe type of equipment and location in Comments) ❑ meters (Puerto Rico only) f) Lowest adjacent (finished) grade next to building (LAG) 6.3 g) Highest adjacent (finished) grade next to building (HAG) 6.5 h) Lowest adjacent grade at lowest elevation of deck or stairs, including N. LA ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ® feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION j This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. t 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. Code, Section 1001. Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No Certfier s Name NARCISO J. RAMIREZ License Number 2779 FLORIDA City MIAMI FEMA Form 81 -31, Mar 09 k / See reverse side for continuation. Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 19001 BISCAYNE BLVD City AVENTURA State FL ZIP Code 33180 Company NAIC Number 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 C.O.R. ELEV. = 6.65' (NOR ;H BOUND) ; A5. THE LONGITUD & LATITUDE WAS OBTAINED BY GOOGLE EARTH; SECTION It - BUILDING ELEVATION INF9(RMA -WN (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 Et -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. Et. Provide elevation information for Use 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 ❑ meters ❑ above or ❑ below the HAG. E1 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 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 completes Sections A, B, 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, and E are correct to the best of my knowledge. Property Owner's or Owners Authorized Representative's Name Address Signature Date 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 floodplain 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. G4. Permit Number I G5. Date Permit Issued I G6. Date G7. 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 Local Official's Name Name ❑ feet ❑ meters (PR) Datum Title Telephone Date Check here if attachments FEMA Form 81 -31, Mar 09 Replaces all previous editions Us. DEPARTMENT OF HOMELAND SECURITY FLOODPROOFING CERTIFICATE aM.e.NO. is6oenos FEDERAL EMEsurrm, YMANAGEMENT AGENCY FOR NON - RESIDENTIAL STRUCTURES Fxpkes m231,2O12 T'eticai Tlaoe I:aumrw� Program i 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 bas been issued an exception by FEMA to allow floodproofed residential basements. The permitting of a flootlproofed residential basement requires a separate certification specifying that the design complies with the local floodplain management ordinance. BUILDING OWNERS NAME tura LLC STREET ADDRESS 01clin ing Apt., Unit. Suite. and:or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER OTHER DESCRIPTION (Let and Block Numhers, Inc.) FOR INSURANCE COMPANY USE POLICY NUMBER COMPANY NAIC NUMBER CITY STATE ZIP CODE Aventura FL 33180 SECTION t -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Prow•de the folbwrig rmm the proper FIRM: COS111aNRY 0eFl8ER PN {flttllV.BEI( Sunni 0.GEOF f;nM R:DEx FI RU ?ONE BASE FIGOD ELE'raiia'! 120676 0 134 L, 9/11/09 AE fIAO 7 SECTION 11- FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect) Floodproofing Design Elevation Information: Buildings floodproofed to an elevation of .... 9. ..... .3_3. ....... ....... feet NGVD, (Elevation datum used must be the same as that on the FIRM.) Height of 0oodproofing on the building above the lowest adjacent grade is ----- 1 .1.5 .................... feet (NOTE: For insurance rating purposes, the bugding's floodproofed design elevation must be at least one foot above the Base Flood Elevation to receive rating credit. If the building is flootlproofed ordyto the Base Flood Elevation, then fhe building's insurance rating will result in a higher premium.) SECTION III- CERTIFICATION (By a Registered Professional Engineer or Architect) Non - Residential Floodproofied construction Certification: I certify that, based upon development and /or re view ItStructural design, speeft(carlons, and plans forconstri cdon, the design and methods of contraction are in accordance with accepted standards of practice formeedng the following provisions The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated done, with walls that are substantially impermeable to the passage of grater. 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 me information on this certificate represents my best efforts to interpret the data available, I understand that any false Statement may be punishabfe by Are orimpdspnment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME LICENSE I4UMBM (or Aft Real) NicC /Jf-if%5 ) • • ZAtAKi AiZ�46G TIRE COMPANYNAME 4R44tir<'T JENCEN AAGN)M::(_-zURr_- ADDRESS CITY - -� STATE Z CODE SlGrATURE / DATE PHONE ' L;T es mould be me" of this Certifcate for: 1) community official, 2) Insurance agent /company, and 3) building owner. FEW Fc:m S: 65. bf A 09 REPLACES ALL PREVIOUS EDITIONS F 056!3/09) Building Photographs Continuation Paoe For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number 19001 BISCAYNE BLVD City AVENTURA State FL ZIP Code 33180 Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken, "Front View" and "Rear View "; and, if required, 'Right Side View" and "Left Side View." SOUTH VIEW AUGUST 15, 2012 Building Photographs See Instructions for Item A6. For Insurance Company Use: Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number 19001 BISCAYNE BLVD City AVENTURA State FL ZIP Code 33180 Company NAIC Number 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. NORTH VIEW AUGUST 15, 2012 Building Photographs Continuation Page Building Address 19001 Biscayne Aventura, FL. 33180 WEST VIEW AUGUST 15, 2012 Building Photographs Continuation Page Building Address 19001 Biscayne Aventura, FL. 33180 EAST VIEW AUGUST 15, 2012