3205 NE 188 STU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
Federal Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name
City of Aventura
Q. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.C. Route and Box No.
3205 N.E.188th Street
A3.
on of S.3, T. 5
Tax
OMB No. 1660 -6008
Expires March 31, 2012
For Insurance Companv Use:
A4. Building Use (e.g., Residential, Non -Res d�ntial, Addition, Accessory, etc.) SCh001 Addition
A5. Latitude /Longitude: Lat. _ Long. _ *25057'00.6"N. - Horizontal Datum: ❑ NAD 1927 to NAD 1983
A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood Insurance. * 8 0 0 0 8 ' 1 4 . 5 rr W .
A7. Building Diagram Number 1
A8. For a building with a crawlspace or enclosure(s): N/A A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) soft a) Square footage of attached garage NNJA 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 N/A within 1.0 foot above adjacent grade N A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b /A sq in
d) Engineered flood openings? ❑ Yes EX No d) Engineered flood openings? ❑ Yes? No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bt. NFIP Community Name & Community Number
82. County Name
B3. State
City of Aventura 120676
Dade
Florida
B4. Map /Panel Number
B5. Suffix
B6. FIRM Index
87. FIRM Panel
B8. Flood
B9 Base Flood Elevation(s) (Zone
12086CO142
L
Date
Effective /Revised Date
Zone(s)
AO, use base flood depth)
❑ feet
❑ meters (Puerto Rico only)
9/11/09
Jan. 29, 1993
AE
8
B iu. inoicate the source or the Base Hood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile f] FIRM ❑ Community Determined ❑ Other (Describe) _
B11. Indicate elevation datum used for BFE in Item B9: t3R NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ID No
Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' C 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, V1430, V (with BFE), AR, ARIA, AR/AE, AR /A1 -A30, AR/AH, AR /AO. Complete Items C2.8-h
below according to the building diagram specified In Item A7. Use the same datum as the BFE.
Benchmark Utilized N460Vertical Datum NGVD 1929
Conversion/Comments
Check the measurement used.
a)
Top of bottom floor (including basement, crawlspace, or enclosure floor)
9. 02
n feet
❑ meters (Puerto Rico only)
b)
Top of the next higher floor
23 .00
n feet
❑ meters (Puerto Rico only)
C)
Bottom of the lowest horizontal structural member (V Zones only)
N /A
❑ feet
❑ meters (Puerto Rico only)
d)
Attached garage (top of slab)
— /._
❑ feet
❑ meters (Puerto Rico only)
e)
Lowest elevation of machinery or equipment servicing the building
—hU-A—
❑ feet
❑ meters (Puerto Rico only)
(Describe type of equipment and location in Comments)
0
Lowest adjacent (finished) grade next to building (LAG)
7 8
$J feet
❑ meters (Puerto Rico only)
g)
Highest adjacent (finished) grade next to building (HAG)
8.7
M feet
❑ meters (Puerto Rico only)
h)
Lowest adjacent grade at lowest elevation of deck or stairs, including
8. 4
❑ 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. 1 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 orimprisonment under 16 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? $j Yes ❑ No
O'�fier's Name License Number
Bruce N. Carter
Tiue Company Name 2963
President Bruce Carter & Assoc., Inc.
405 S E. ' A\e. "'Delray Beach °` °" FL 33483
Signature _ Ju D 21 �
ate 2009 Telephone
Y r (561)265 -1910
Bruce N. Carter
P.S.M. #2963
July 21, 2009
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company,Usei
Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number
City State
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.
Signature " °" fl 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 Boor (including basement, crawlspace, or enclosure) Is .` _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom Boor (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 Boor
(elevation C2.b In the diagrams) of the building is _ _ ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is ❑ feel ❑ 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 AUlnonZee nepresemauve b name
Address City Stale ZIP Code
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.
Gt. ❑ 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 G5. Date Permit Issued G6. Date Certificate Of Compliance /Occupancy Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (Including basement) of the building: T _ ❑ 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
Community Name - Telephone
Comments
M r k, v ,.,,... ,r ..w....r....,...,,.
Building Photographs
See Instructions for Item A6.
Bing Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. !,Policy Number,
_ 3205 N.E. 188th Street
City State ZIP Code I Company NAIc Numbw
Aventura Florida 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.
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