2770-2790 NE 187 STU.S .bEPARTMENTOF HOMELAND SECURITY ELEVATION CERTIFICATE I 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 Fn�t[uraflc,,pnpUae uy }'
Al. Building Owner's Name Gilazo Development Group
A2. Building Street Address (Including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. phi pQ1
2770 - 2790 NE 187 Street $ =1 , ^lir IM "''V
City Aventura State FL ZIP Code 33180
A3. Property Descripflon (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Tract "B" of Gilda Tract, First Addition, Plat Book 130, Page 49, Miami -Dade County Records
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Non - Residential
A5. Latitude/Longitude: Lat.. N25 °56'53' Long. W80 "08'41 "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 1
A8. For a building with a craWspace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crdwlspace or enclosure(s) 0 sq ft a) Square footage of attached garage 0 sq ft
b) No. of permanent flood openings In the erawlspaoe or b) No. of permanent flood openings in the attached garage
enclosure(s)within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B10. 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) _
Bl1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _
B12. Is the building located in a Coastal Barter 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' ® Finished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, AR/AH, ARIAO. Complete Items C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized _Verfical Datum NGVD 1929
Conversion/Comments
Check the measurement used.
a)
B1. NFIP Community Name & Community Number
B2. County Name
❑ meters (Puerto Rico only)
B3. State
Top of the next higher floor
City of Aventura 120676
Dade
❑ meters (Puerto Rico only)
Florida
Bottom of the lowest horizontal structural member (V Zones only)
NIA:
❑ feet
❑ meters (Puerto Rico only)
d)
Attached garage (top of slab)
B4. Map/Panel Number
B5. Suffix
136. FIRM Index
e)
B7. FIRM Panel
B8. Flood
❑ feet
B9. Base Flood Elevation(s) (Zone
12086C 0134
L
Date
Effective/Revised Date
Zone(s)
6.0
AO, use base flood depth)
❑ meters (Puerto Rico only)
g)
Highest adjacent (finished) grade next to building (HAG)
9/11109
® feet
9/11109
AE
Lowest adjacent grade at lowest elevation of deck or stairs, including
7
B10. 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) _
Bl1. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _
B12. Is the building located in a Coastal Barter 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' ® Finished Construction
•A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones At -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, AR/AH, ARIAO. Complete Items C2.a -h
below according to the building diagram specified in Item A7. Use the same datum as the BFE.
Benchmark Utilized _Verfical Datum NGVD 1929
Conversion/Comments
Check the measurement used.
a)
Top of bottom floor (including basement, crawlspace, or enclosure floor) 6.5
® feet
❑ meters (Puerto Rico only)
b)
Top of the next higher floor
WA:
❑ feet
❑ meters (Puerto Rico only)
c)
Bottom of the lowest horizontal structural member (V Zones only)
NIA:
❑ feet
❑ 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/A.-
❑ feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location In Comments)
f)
Lowest adjacent (finished) grade next to building (LAG)
6.0
® feet
❑ meters (Puerto Rico only)
g)
Highest adjacent (finished) grade next to building (HAG)
6.4
® feet
❑ meters (Puerto Rico only)
h)
Lowest adjacent grade at lowest elevation of deck or stairs, including
WA.-
❑ feet
❑ meters (Puerto Rico only)
structural support
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 on this Certificate represents my best efforts to interpret the data available.1
understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.0
Check here if comments are provided on back of forth. Were latitude and longitude in Section A provided by a
licensed land surveyor? ® Yes ❑ No
Certifier's Name John T. Doogan License Number 4409
Title Professional Land Surveyor Company Name Avirorn & Associates, Inc.
FEMA Form 81 -31, Mar 09
See reverse side
taE,E
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. I Policy Number
2770 - 2790 NE 187th Street
City AventuraState FL ZIP Code 33180 1 Company NAIL Number
SECTION D -
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agemkompany, and (3) building owner.
Comments LatitudeAonghude from googleearth .cam
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete hems El -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, it available. Check the measurement used. In Puerto Rico only, enter meters.
Et. 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 ❑ 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 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 Owner's Authorized Representative's Name
City State ZIP Code
Telephone
��ritbli[�Ed�IL1",[11ZI Ica laM* -77,_dJFAI :IN]�1Is]ifd_�
he local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B. G (or E),
id G of this Elevation Certificate. Complete the applicable Rem(s) and sign below. Check the measurement used in Items G8 and G9.
1. ❑ 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.)
2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA - issued or community - issued BFE) or Zone AO.
3. ❑ The following Information (Items G4-G9) Is provided for community floodplain management purposes.
G4. Permit Number
7. This permit has been issued for ❑ New Construction ❑ Substantial Improvement
8. Elevation of as -buiit lowest floor (including basement) of the building:_._ ❑ feet ❑ meters (PR) Datum
9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters (PR) Datum
10. Community's design flood elevation _ _ ❑ feet ❑ meters (PR) Datum
-ocal Official's Name
'ommunhy Name
Check here If attachments
=MA Form 811, Mar 09 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
For Insurance Company Use:
Budding Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number
2770 - 2790 NE 187th Street
City Ave aura State FL ZIP Code 33160 Company NAIL 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, K required, "Right
Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page,
following.
F: ont View 1/25!10
Rear View 1125110