3350 NE 190 STFEDERAL EMERGENCY MANAGEMENT AGENCY O.M. B. No. 3067 -0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Read the instructions on Daces 1- 7.
SECTION A- PROPERTY OWNER INFORMATION i Fa aumnceComparylJse i
Trakl3azAssUdates,inc
BUILDING STREETADDRESS (Inducting Apt, Unk Sure, anclor Bldg. No.) OR P.O. ROUTE AND BOXNO. Compv*NAIC.Nui'ber
3350 NE 190 Street YachtClub
,. __. ..
CRY STATE ZIP CODE -
Aventura FL 33180
PROPERTY DESCRIPTION (Lotard Block Number, Tax Parcel Number. Legal Desavion, eE.)
Trad'R', MARPIADEL REY REVISED, PlatBookl44, Page 89, Manu -0ade Counly, Florida.
BUILDING USE (eg., Residential. Norwesidential,Addition, Accessory, at, Use Commenis section ifnecesay.)
Noo-resid w
LATITUDFAONGIfUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):_
( #0- ##'-##.#!P o �H A #*) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Odw_
SECTION B- FLOOD INSURANCE RATE MAP (FLRMI INFORMATION
Bt.NFIPCOWA MTYNAME &COMMUNITYNUMBER
62.COU NAME
B3 STATE
Avenhxa & 120676
NiamDade
Fonda
B4.MAPANDPANEL
B5. SUFFIX
B6. FIRM INDEX DATE -
BTFIRMPANEL
BB.FLOODZCNE(S)
89. BASE FLOOD ELEVATION(S)
NUMBER
7117195
EFFECTNEIREVISEDDATE
AE
VaeAO,usedepBroffoodig)
Ev 12025CM
J
37194
1
8.0
B10. Indicate the source of the Base Flood Elevation (BFE) data abase flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ OBIO(Descrbe): _
B11. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _
B12. Is the bolding located in aCoastal Banter Resources System (CBRS) area or OBnerMse Protected Area (0PA)? ❑ Yes ®No Designat on Dale
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings' - ❑ Building Undo ConsI ucW Z Finished Consbuft
'Anew Elevation Certificate vAll be requiredwhen construction of the building is compete.
C2. Building Diagram Number! (Select he building diagram most similar to the building forwhich this certificate is being completed- see pages 6 and 7. Kno diagram
accurately represents the building, providea sketch or photograph.)
C3. Elevations –Zones Al -A30, AE, AH, A (vith BFE), VE, V1 -V30, V (vAth BFE), AR, ARIA, AR/AE AR/A1 -A30, AR/AH, AP/A0
Complete Items C3a4 below according to the building dagrarn specified in Item C2. State the datum used. lithe datum is different from the datum used for tie BFE in
Section B, convert the datum to that used for he BFE. Show field measurements and claim conversioncala !anon. UsethespacepvvidedortheComane tsdrea(yf
Section D or Section G. as appropriate, to document the datum conversion.
Datum_ ConversoniCCornrnera
Elevation reference mark used _Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
oa) Top of bottom floor (including basement orendosure) 9.1ft(g}
d
• b) Top ct nend hgherff= 21. t itprA a
• c) Bottom of lowest horizontal structural member (Vzonesonly) n±a. —ftgn) go
• d) Attached garage (top of slab) none. _ft.(uo E °
• e) l ahest elevation of mxhinery ands equipment w
servicing the building 9.Ofl(� Daniel C. Fortin, PSM
• f) Lowest adacent grade MG) 5.9L(nrA dN LS 2853
og) Highest a4acent grade (HAG) 20.2W u1y 16, 2002
• h) No. of permanent openings (flood vets) within i ft above adacent grade _
• ) Total area of all permanent openings (food vents) in C3h _sq. in. (sq. cm)
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 or imprisonment under 18 U.S. Code Section 1001.
CERTIFIERS NAME Daniel C. Fortin. PSM LICENSE NUMBER LS 2853
180NE168SIreet CITY NNorhWmiBeadn STATE FL ZIPCODE 33162
DATE 7116102 TELEPHONE 305&53-0493
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides dthis Beval on Certificatefor(1) community official, (2) insurance agenUcanpany, and (3) buffing ow. rw..
Check here ill' attachments
SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FORZONE A0 ANDZONE A (WITHOUT li
For Zone AO and ZoneA (without BFE), complete Items El through E4. ffMe Elevation Certificate fs d ended Cause as suppo fi gWwnathn fore LOMAaLOMR -F,
Sertcn Cmust be oampfeted.
El. Building Diagram Number_(Selectthe building diagram most similar to the building brwhich 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 endosure) of the 4'uldng is _1(m) _in. crn) ❑ above or ❑ below (check one) the highest aiiacentgrade.
E3. For BuldingDiagram 68 with openings (seepage 7), the ne)dhgherfloorordevated floor (elevation b)of the building is _ t( m)_tik.(an) above thehighestadfacent
gam•
E4. For Zone AO only: I no flood depth number is available, is the top of the bottom floor elevated in accordance with the cemmunitys floodpUn marta terdnance?
❑ Yes []No ❑ Unknown. The local official must kartihr this Information in Section G.
SECTION F - PROPERTYOWNER (OR OWNER'S REPRESENTATfM CERTIFICATION
The property owner or owrefs authorized representative who oompletes Sections A, B, and E for Zone A (without a FEMA4ssued or arnmun ty- issued BFE) or Zone AO must
sign here.
PROPERTY OWNER'S OROWNER'S ALITHORIZED REPRESENTATIVE'S NAME
❑ Check here I attachments
�✓ SECTION G • COMMUNITY INFORMATION (OPTIONAL)
The local official w holes authorized by law or ordinance to administer the oommunlys floodplain management ordnance can complete Sections A, B, C (or E), and G of this Bevation
Cedifrate Comolete the applicabe items) and sign below.
G1. ❑ The iniormation in Sion C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or arddtedwho is authorized by
state or local law tocerity elevation information. (Indicate the source and dale of the elevation data in the Comments area below)
G2. ❑ A community o vial eor pleted Section E for a building located in Zone A (without a FEMA-issued orcommunlyassued BFE) or ZcneAO.
G3. ❑ The following informal in (Ilems G4.G9) is provided for oommrnilyfloodpign management purposes.
G7. This pemtit has been issuedlibc ❑ New Construct on ❑ Substanflal Improvement
G8. Elevation of asbuillovrestflocr(uhdudng basement) of the boiling is: _ _ft.(m) Datum
G9. BFE or (in Zone AO) depth ofiloodmgat the building she is: _._ftjm} Datum:_
LOCALOFFICLALSNAME TFLE
OOhWUNITY NANE TELEPHONE
❑ Check here (attachments
FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIOI