19025 Biscayne Blvd4 j
FF RAL EMERGENCY MANAGEMENT AGE.
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
O.M.B. No. 3067 -0077
Expires July 31, 2002
20000207 Dwg. 2000D -031 Important: Read the instructions on a es 1-7.
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
James Pannas et al
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. I Company NAIC Number
19025 Biscavne Boulevard
CITY STATE ZIP CODE
Aventura Florida 33180
PROPERTY DESCRIF ON ((Lo and Bloppk Numbers, Tax Parcel Number, Legal Description, etc.)
Portion of NEE, NW , SW — Section 3 -52 -42
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.)
Non — residential — Commercial
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type):
( ##° - ##'- ##.##" or ##.##iFa# °) 1_I NAD 1927 1 -1 NAD 1983 Ll USGS Quad Map 1_I Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
B2. COUNTY NAME
B3. STATE
Aventura & 120676
Miami -Dade I
Florida
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
NUMBER
DATE
EFFECTIVEIREVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
12025C0084
J
7 -17 -95
March 2, 1994
AE
EL. 7
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
u FIS Profile l FIRM lJ Community Determined 1_l Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: 1.11 NGVD 1929 lJ NAVD 1988 1_1 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? lJ Yes 1XJ No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: lJConstruction Drawings* IX_lBuilding Under Construction* lJFinished 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 430, V (with BFE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR /AO
Complete Items C3a -i 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 Does the elevation reference mark used appear on the FIRM? 1J Yes L_l No
❑ a) Top of bottom floor (including basement or enclosure) 7 . 4 ft.(m) v
• b) Top of next higher floor N/A _ ft.(m) a
• c) Bottom of lowest horizontal structural member (V zones only) _ ft.(m) o a
❑ d) Attached garage (top of slab) N/A _ ft.(m) E
❑ e) Lowest elevation of machinery and/or equipment w ,
servicing the building N/A_ft.(m E
❑ f) Lowest adjacent grade (LAG) 6 7 ft.( ) iN Daniel C. Fortin, PSM
❑ g) Highest adjacent grade (HAG) 6 . J ft.(m) 2 LS 2853
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade 8
❑ i) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm) Date: 3 -2 -2000
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 anv false statement maybe Dunishable by fine or imprisonment under 18 U. S. Code, Section 1001.
18$ NE/J68 Street I North Miami Beach Florida 33162
FEMA Form 81 -31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these soaces. coov tt
from
NIV
For Insurance
I I
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, 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 Et 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 certificate is being completed –
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1-1-1 ft.(m) LLL lin.(cm) 1_1 above or U below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
LLI ft.(m) I— Llin.(cm) above the highest adjacent grade.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
Yes I I No I I Unknown. The local official must certify this information in
SECTION F -
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.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
JJ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the communitys 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.
G1. 1_1 The information in Section 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 certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. 1_1 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. 1_1 The following information (Items G4 -G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: " New Construction 1_1 Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ IL(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
Check here if attachments
FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS