18405-18411 NE 28 CTU.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -8.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name
A 3uilding Street Address (including Apt.. Unit, Suite. and/or Bldg. No.) or P.O. Route and Box No,
1840518411N.E. 2810 Court (Bldg. No. 9)
City State ZIP Code
OMB No, 1660 -0008
Exoires February 28. 2009
For Insurance Company Use
Policy Number
Company NAIC Number
ra rropeny uescnpuon (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 5558 Block 1 "MERCO @ AVENTURA" P.B. 166 Pq. 58. Miami -Dade Flonda. Folio No: 28- 2203 -00-0284
A4, Building Use (e.g., Residential, Non - Residential, Addition. Accessory, etc.) Residential
A5. Latitude /Longitude: Lat. 2$°56'45.5" Long. $0 °08'39.1" Horizontal Datum: NAD 1927 O 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 crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide.
at Square footage of crawl space or enclosure(s) N/A. sq ft a) Square footage of attached garage N/A sq It
W No, of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade WA . walls within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.1b N/A sq it 0) Total net area of flood openings in A9 .1b N/A sq ft
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name &Community Number
132. County Name
B3. State
Aventura, City of
Miami -Dade
FL
84. Map /Panel Number
B5. Suffix
6 6. FIRM Index
B7. FIRM Panel
B8. Flood
69. Base Flood Elevation(s) (Zone
WA
px feet
Date
Effective /Revised Date
Zones)
AO, use base flood depth)
12025CO094
J
07 -17 -95
03-02 -94
AE
8
01u. Inalcate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other (Describe) -
B71. Indicate elevation datum used for BFE in Item B9: ❑x 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 ❑x No
Designation Date ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. .Iding 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, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -g
below according to the building diagram specified in Item AT
Benchmark Utilized Miaml-Dade County BM X -18 Elev.: 6.29 Vertical Datum NGVD 1929
Conversion /Comments
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.
I 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.
�.oniner s -ame License Number
Edwin J. Fernandez PSM 5676
Title Company Name
19 N
Si re
09 -18 -2007 (305) 477 -6472
FEMA Farm 81 -31, February 2006 See reverse side for continuation.
Replaces all previous editions
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure Floor)
9.70
O feet
❑ meters (Puerto Rico only)
b) Top of the next higher floor
10.20
O feet
❑ meters (Puerto Rico only)
C) Bottom of the lowest horizontal structural member (V Zones only)
WA
px feet
❑ meters (Puerto Rico only)
d) Attached garage (top of slab)
8.90
Z feet
❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building
N/A
O feet
❑ meters (Puerto Roo only)
(Describe type of equipment in Comments)
0 Lowest adjacent (finished) grade (LAG)
8.5
O feet
❑ meters (Puerto Rico only)
g) Highest adjacent (finished) grade (HAG)
8.4
F feet
❑ meters (Puerto Rico only)
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.
I 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.
�.oniner s -ame License Number
Edwin J. Fernandez PSM 5676
Title Company Name
19 N
Si re
09 -18 -2007 (305) 477 -6472
FEMA Farm 81 -31, February 2006 See reverse side for continuation.
Replaces all previous editions