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1516 Island BLVDU.S. DEPARTf¢ENT OF HOMELAND SECURITY Fedef al Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Read the instructions on pages 1 -8. OMB No. 1660 -0008 Expires February 28. 2009 SECTION A - PROPERTY INFORMATION For Insurance Company Use: Al. Building Owner's Name Mirzosharof Talibov Go Unid Talibov Policy Number Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. - i6 Island Boulevard City Aventura State FL ZIP Code 33160 -5016 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 9, VILLA FLORA at Williams Island; Portion of "WILLIAMS ISLAND THIRD AMENDED ", P.B. 143, PG. 24; Miami -Dade Records A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential A5. Latitude /Longitude: Lat. 25 °56'25.2" N Long. 080 °08'18.5" W 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 crawl space or enclosure(s), provide A9. For a building with an attached garage, provide: a) Square footage of crawl space or enclosure(s) sq ft a) Square footage of attached garage 486 sq It b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage enclosures) walls within 1.0 foot above adjacent grade walls within 1.0 foot above adjacent grade 4 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b 1491 sq in SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State City of Aventura & 120676 1 Miami -Dade Florida B4. Map /Panel Number B5. Suffix 66. FIRM Panel 68. Flood B9. Base Flood Elevations) (Zone tivefRevised Date Zone(s) AO, use base flood depth) 12025C0084 J 3/211994 AE 8 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) 611. Indicate elevation datum used for BFE in Item B9: ® 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 ®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/A1 -A30, AR/AH, AR/AO. Complete Items C2.a -g below according to the building diagram specified in Item AT Benchmark Utilized X 18 Vertical Datum NGVD 1929 Conversion /Comments Check the measurement used. a) Top of bottom floor (including basement, crawl space, or enclosure floor)- 9.0 ® feet ❑ meters (Puerto Rico only) b) Top of the next higher floor 23.0 ® 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) 7.4 ® feet ❑ meters (Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 8.2 ® feet ❑ meters (Puerto Rico only) (Describe type of equipment in Comments) f) Lowest adjacent (finished) grade (LAG) 7.4 ® feet ❑ meters (Puerto Rico only) g) Highest adjacent (finished) grade (HAG) 8.7 ® 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. Q I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. yrn/tdrly- diu�.�� ® Check here if comments are provided on back of form. Certifier's Name Daryl J. Hauser License Number LS6277 Title Project Surveyor Company Name CONSUL TECH SURVEYING & MAPPING, INC. Iress 3141 Commerce Parkway City Miramar State FL ZIP Code 33025 tyo'+) 4so1rsuU IMPPRTANT: 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. Policy Number 1516 Island Boulevard City Aventura State FL ZIP Code 33160 -5016 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION ;y both sides of this Elevation Certificate for (1) community official, (2) insurance agent/cempany, and (3) building owner. Comments C2. The benchmark utilitzed is National Geodetic Survey, (NGS), Station Designation X 18; PID: AC2373 and is located along NE 183 Street, 2' North of the centerline of West Dixie Highway and 44.1' West of the Railroad Tracks. Elevation: 6.29'. C2.e) The Lowest elevation of machinery or equipment servicing the building is an Air - Conditioner Pad. This residence contains an elevator pit with a bottom elevation of 6.6'. (Field Book 329B, Pages 38, 41-42; 329D, Pages 40, 51 -53, 63) uam Check here it 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 floor (including basement, crawl space, or enclosure) is —_ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6 -8 with permanent flood openings provided in Section A Items 8 and /or 9 (see page 8 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 owners 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 Owners or Owner's Authorized Representative's Name Tess City State 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. G1. ❑ 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 I G5. Date Permit Issued I 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: [I feet ❑ meters (PR) Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum Community Signature Date M Check here if attachments Building Photographs See Instructions for Item A6. Bldg. No.) or P.O. Route and Box No. ,,,t6 Island Boulevard Aventura State FL ZIP Gode 33160 -5016 Use: 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. Front of House: (Picture Taken on 11/19/2008) Building Photographs Continuation Paae Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 1516 Island Boulevard t,lty Aventura State FL ZIP Code 33160 -5016 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View "; and, if required, "Right Side View' and "Left Side View."