19275 Mystic Pointe DRFEDERAL EMERGENCY MANAGEMENT AGENCY ELEVATION CERTIFICATE OMB No. 1660 -0008
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Program IMPORTANT: Follow the instructions on pages 1 -9. Expiration Date: July 31, 2015
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name BEIT YAACOV INC Policy Number:
and /or Bldg. No.) or RO. Route and Box No,
`'"y AVENTURA atate FL /IF code 33180
A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
TRACT A FAU OF "BEIT EDMONT J SAFRA SYNAGOGUE ", PB. 157, PG. 79, M /D.C.R,
A4.
A5.
A6.
A7.
A8.
Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) NON- RESIDENTIAL ADDITION
Latitude /Longitude: Lat. 95057117 "N Long. 60007'35 "Nl Horizontal Datum: ❑NAD 1927
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
Building Diagram Number tR
Z NAD 1983
For a building with a crawlspace or enclosure(s):
A9. For a building with an attached garage:
a) Square footage of crawlspace or enclosure(s) 0
sq it a)
Square footage of attached garage 0 sq ft
of No. of permanent flood openings in the crawlspace or 0
b)
Number of permanent flood openings in the attached garage
enclosure(s) within 1.0 foot above adjacent grade
B8. Flood Zone(s)
within 1.0 foot above adjacent grade O
c) Total net area of flood openings in A8.b 0
sq in c)
Total net area of flood openings in A9.b () sq in
d) Engineered flood openings? ❑ Yes ENO
d)
Engineered flood openings? ❑ Yes E No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
BS. NFIP Community Name & Community Number
B2. Counct�Y Name
B3. State
CITY OF AVENTURA 120676
MIAMI /DADE
FL
B4. Map /Panel Number B5. Suffix
B6. FIRM Index Date
87. FIRM Panel Effective/
B8. Flood Zone(s)
B9. Base Flood Elevations) (Zone
_ NIA
E feet
Revised Date
NIA .
A0, use base flood depth)
12086C 0' L
09/11/2009
09/11/2009
AE
7
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
❑ HIS Profile E FIRM ❑ Community Determined ❑ Other /Source:
B11. Indicate elevation datum used for ERE in Item 89: 9 NGVD 1929 ❑ NAVD 1988 ❑ Other /Source:
B32.Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (ORA)? ❑ Yes ENO
Designation Date: / / ❑ CBRS ❑ ORA
SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
CS. Building elevations are based on: ❑ Construction Drawings* E 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 BRIE), VE, Vl -V30, V (with ERE), AR, AR /A, AR /AE, AR /A1 -A30, AR /AH, AR /A0. Complete Items
C2.a -h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: Site Benchmark: Existing floor= 7.16' Vertical Datum: NGVD 1929
Indicate elevation datum used for the elevations in items a) through h) below. E NGVD 1929 ❑ NAVD 1988 ❑ Other /Source:
Datum used for building elevations must be the same as that used for the RFE
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
b) Top of the next higher floor
c) Bottom of the lowest horizontal structural member (V Zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
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. f certify that the information on this Certificate represents my best efforts to Interpret the data available.
f Understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
Z Check here if attachments. licensed land surveyor? E Yes ❑ No
FEMA Form 086 -0-33 (7/12) See reverse side for continuation.
vq, /!-;�
Replaces all previous editions.
Check the measurement used.
7 . 1
M feet
❑ meters
NIA,
Efeet
E] meters
NIA
® feet
❑ meters
_ NIA
E feet
❑ meters
NIA .
E feet
❑ meters
6 . 3
E feet
❑ meters
_ 6 6
E feet
❑ meters
NIA ,
❑ feet
❑ meters
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. f certify that the information on this Certificate represents my best efforts to Interpret the data available.
f Understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
❑x Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
Z Check here if attachments. licensed land surveyor? E Yes ❑ No
FEMA Form 086 -0-33 (7/12) See reverse side for continuation.
vq, /!-;�
Replaces all previous editions.
ELEVATION CERTIFICATE, page 2
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 BO. Route and Box No. - - Policy Number:
19275 MYSTIC POINTE DRIVE
City State ZIP Code Company NAIC Number:
AVENTURA FL 33180
SECTION D — SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
copy oom sides or mrs trevabon i-ertmcate for (1) community official, (2 i insurance agent /company, and (3) building owner.
Comments BENCHMARK USED: SITE BENCHMARK - EXISTING FINISHED FLOOR ELEVATION = 7.16'
LATITUDE AND LONGITUDE WAS OBTAINED BY OUR GPS STREET FINDER INSTALLED IN OUR TRUCKS AND
VERIFIED BY THE GOOGLE EARTH PROGRAM. FIELD SURVEY DATUM USED IS SAME AS DATUM USED FOR BFE IN
ITEM B9, NO CONVERSION NEEDED.
Signature 9 : a e (a Data 12/09/2013
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, crawispace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
Oil 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, 8, and E for Zone A (without a FEMA- issued or community-issued BFE) or
Zone AO must sign here. The statements in Sections A, S. and E are correct to the best of my knowledge.
Property Owner or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
wi nnients
❑ Check here if attachments.
SECTION G — COMMU14ITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the communitys 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 -G10. In Puerto Rico only, enter meters.
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.)
02. ❑ A community official completed Section E for a building located in Zone A (without a FEMMssued or community - issued BFE) or Zone AD.
G3. ❑ The following information (Items G4 -G9) is provided for community floodplain management purposes.
64. Permit Number G5. Date Permit issued G6. Date Certificate Of Compliance /OCCUpancv Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor ( including basement) of the building:
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Community's design flood elevation:
Local Official's Name Title
community Name - Telephone
FEMA Form 086 -0-33 (7/12)
❑ feet ❑ meters Datum
11 feet ❑meters Datum
❑ feet ❑ meters Datum
❑ Check here if attachments.