2757 NE 184 WAY`U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0008
Federal Emergency Management Agency I Expires March 31. 2012
National Flood Insurance Program Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use:
Al. Building Owner's Name
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number
2757 N.E. 184th Way
B1. NFIP Community Name & Community Number
City State ZIP Code
B3. State
I
Aventura, City of
Aventura Florida 33160
FL
A3.
Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 2 Block 1 "MERCO AT AVENTURN' P B 166 Pg. 58 MiamFDade County FL. Folio No.: 28- 2203-082 -0020
Benchmark Utilized MiamfDade BM No.: X -18 Elev.: 6.29
A4.
Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential
66. FIRM Index
Date
A5.
Latitude /Longitude: Lat. 25 °56'47.7" Long. - 80 °08'37A' Horizontal Datum: NAD 1927 ❑
NAD 1983 O
A6.
Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
09 -11 -09
AT
Building Diagram Number 1a
8
A8.
For a building with a crawl space or enclosure(s), provide: A9. For a building with an attached garage, provide:
10.22
M feet
a) Square footage of crawl space or enclosure(s) N/A sq ft a) Square footage of attached garage
324 sq ft
NIA
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
❑ meters (Puerto Rico only)
enclosure(s) walls within 1.0 foot above adjacent grade NIA walls within 1.0 foot above adjacent grade
N/A
O feet
c) Total net area of flood openings in A8.b NIA sq in c) Total net area of flood openings in A9.b
N/A sq in
9.02
d) Engineered flood openings? O Yes O No d) Engineered flood openings? ❑ Yes O No
El meters (Puerto Rico only)
(Describe type of equipment in Comments)
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
I
Aventura, City of
Miami -Dade
FL
C2. Elevations -Zones Al -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 MiamfDade BM No.: X -18 Elev.: 6.29
B4. Map /Panel Number
B5. Suffix
66. FIRM Index
Date
B7. FIRM Panel
Effective /Revised Date
B8. Flood
Zone(s)
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
1208600134
L
09 -11 -09
09 -11 -09
AE
8
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile El FIRM ❑ Community Determined ❑ Other (Describe)
B11. Indicate elevation datum used for BFE in Item 139: 0 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 0 No
Designation Date WA ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings*
❑ Building Under Construction*
El 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, 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 MiamfDade BM No.: X -18 Elev.: 6.29
Vertical Datum N.G.V.D.
1929
Conversion /Comments N/A
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure floor)
9.61
El feet
❑ meters (Puerto Rico only)
b) Top of the next higher floor
10.22
M feet
❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only)
NIA
M feet
❑ meters (Puerto Rico only)
d) Attached garage (top of slab)
8.80
O feet
❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building
9.02
0 feet
El meters (Puerto Rico only)
(Describe type of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG)
8.6
0 feet
❑ meters (Puerto Rica only)
g) Highest adjacent (finished) grade (HAG)
9.0
O feet
❑ meters (Puerto Rico only)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
NIA
O feet
❑ meters (Puerto Rico only)
structural su000rt
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. /certify that the information on this Certificate represents my best efforts to interpret the data available.
l understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided
by a licensed land surveyor? 0 Yes ❑ Nc
Certifier's Name License Number -
Signature Date ieiepnone
0407 -2010 (305) 477 -6472
FEMA Form 81 -31, January 2003
See reverse side for continuation.
Replaces all previous editions
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 P.O. Route and Box No. Policy Number
2757 N.E. 184th Way
City State ZIP Code Company NAIC Number
Aventura Florida 33160
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments
Highest Crown of Road Elev.: ( N.E. 185 STREET) 6.65 ft. (m)
Project Number 02B170 A/C Slab Elev :902ft (m)
Letter of Map Amendme Letter of Map Revision (LOMR -F) ❑ issued by Federal Emergency Management Agency (FEMA)
Letter Date: No.: bk:
Signature Date
04-07 -2010 ❑ Check here if attachments
SE ION E - LEVATION 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 ❑x feet ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawl space, or enclosure) is 0 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 _ 0 feet ❑ meters ❑ above or ❑ below the HAG.
E3. Attached garage (top of slab) is 0 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 Owner's or Owner's Authorized Representative's Name
Address 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.
G5. Date Permit Issued
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: 0 feet ❑ meters (PR)
G9. BFE or (in Zone AO) depth of flooding at the building site: 0 feet ❑ meters (PR)
Of Compliance/Occupancy Issued
Datum
Datum
G10. Community's design flood elevation ❑feet ❑ meters (PR) Datum
Local Official's Name Title
Name - - Telephone
Signature Date
Comments
❑ Check here if attachments
FEMA Form 81 -31, February 2006 Replaces all previous editions
Building Photographs
See Instructions for Item A6.
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
City State ZIP Code I Company NAlC Number
Aventura Florida 33160
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 View — Taken 04 -07 -2010
Rear View — Taken 04 -07 -2010
Building Photographs
Cnntinuation Pane
For Insurance Company Use:
Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number
2757 N.E. 184th Way
City State ZIP Code Company NAIL Number
Aventura Florida 33160
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.
Side 1 View —Taken 04 -07 -2010
Side 2 View— Taken 04 -07 -2010