20900 Biscayne BLVDFEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Eaxp e. Deceom er 31
0 Expires 0. December 3l, 2005
FL
Goya .+calaMwrn. tic.) -_
Lots 1 Rhru 13 and 28 Nru 40 Bbdc K Ammarled plat of Flalande Park No. 6 Plat Book 17 Page 56 Mfrarti -Dade County
BUILDING USE (e.g.. Residential. Non- resMential, Addition, Aooassory. etc Lisa a Conxn�ts area, if nec�ssaly.)
Parktrhg Garage
LA7RUDFAONGITUDE (OPTpNU1L) HORIZONTAL DATUM: SOURCE: GPS (Types_
0 NA0 1927 0 NAD 1963 0 USGS Quell Map 0 Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFlPCDM1AlJNr1YNAM EI4CCMMLNRYNUMBER BLCOl1NfyNAME e3 STATE
Miami -Dade County - 120635 1 MiamkDade Fbri:b
h
1, Kr:r
810.
B6.FRM DEXDAM
07/1795
FISRtefie ®FlRM _.(6FE)daWorbasellood
❑
❑ Community Deta rn
811. Indicate the elevation datum used for the BFE it 89: ® NGVD 1929
EFFECTNEREVISED DATE Be. FLOOD Zo*P)
03M9+ I xxs�ded
❑ Other (Desoibe): _
0 NAVD 1988 ❑ Other
Nwre
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. fluid ng elevations are based on: ❑ Cmstruabon Drarmgs• U erskirg Under ConsWcbon` 0 Finished Calsbumon
`Anew Elevation Certficale will be required when contraction of the bulling is cornplele.
C2 Bulking Dagram Number -1 (Select the building diagram most similato the Wadding forwlhich this oarthicata is being cangeled -seepages 6 and 7. tno dagran
accurately reWeSahtS the butdrlg, pmvide a sketch or phao9�J
C3. SevaliOns -Zones Al AM, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AAA, ARIAE, AP4AI -A30, ARIAH, APJAO
Complete Items C3.a4 below according m the building diagram specified in flem C2 State the dabsn used tthedekarh is dillaerlt f om l he dAm usedfor tus BFE in
Section B, carved the datum to that used forbte BFE Show fiield rr easurarha is and denim conversion cWDJI& n. Use the space Wovided or the cam arts area of
Section D or Section G, as appmodate, to document the daban con anion.
Daum NGV029 CanvasionCarmerds W04 Dade County EMineednoCounN Deuatnerntt
Elevation reference mark used Does the deva rekerahce
mark used appear on the FIRM? 0 Yes (RNo
• a)TopofboRonhtoa(uh k&gbasementoradosure) 9. Zit
• b)Topofnadhighatba
10.2_ft
y
o c)80ltomdbwestha¢a sndcsxal mathba(VM soy)
• d) Attached garage (top of slab)
NIA.
• e)inwetteL- vabonofmwhn8F MibrW pneW
w
ser nong the bulling (Desoribe in a Comments area)
P.
0 0 Lowest 4acad (Rnlsthed) grade (LAG)
9.2 f1
m
0 9) Hghesl adjacent (finished) grade (FWG)
9. 6 R.
zE
9
0 h) No. dpermanent spa rgs (Rood vests) vMih n 10. above ad)acent grade
4
0 ) Total area daft permwe ht openings (flood wits) in C3.h 0 sq n (sq cm)
J
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to ced9y, elevation info
certify that the information in Sections A, B, and C on this certificate represents my best et/ods to interpret the dots avmbblia.
wmrwvr rWWL : brag A. With and Aasoiatias, Inr,
ADDRESS
1000 West McNab Road, Suite 20D cp Bearth SATE ZIP CODE
Fl. 33069
SIGNATURE ��i i i rL17F m r
Form 81 -31, January
See reverse side for continuation.
Replaces an previous editions
2
IMPORT;-.IT: In these spaces, copy the corresponding information from Section A. V For InswanceCanpanyUse:
CITY STATE ZIP CODE CartpanyN4lC NurMer ++
Afars FL .. I
SECTION D • SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) canmunity official. (2) insurance agenticornpany, and (3) taking owner.
C3e TOP OF BOTTOM OF ELEVATOR SHAFT
U Check here ff attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zane AO and Zone A (without BFE), complete Items E1 flvough E4. If the Devation Certificate is intended for use as supporting information for a LOMA or LOMRF,
Section C must be completed.
E1. Building Diagram Number jSeled the budding diagram most simtar to the building for which Ibis cerokake is berg completed- see pages 6 and 7. If no dagram accurately
represents the buldrmg, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the buidrg is _ It(m) _in.(cm) ❑ above or ❑ below (d wck one) the highest adacent grade. (Use
natural grade, I available).
E3. For Building Diagrams 68 with openings (seepage 7), the need higher floor or elevated floor (elevation b) of the buikNng is _ IL(m) _in.(am) above the highest a*=t
grade. Complete dens C3.h and C31 on front of form
E4. The top of the platform of machinery andlor equipment servicing the buldrg is _ fL(m) _n.(an) ❑ above or ❑ below (check ore) the highest at#acenl grade. (Use
natural grade, fl available).
E5. For ZoneAO o* ti no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's fioodplain management orfinarm?
❑ Yes []No ❑ Unknown. The bet offrtal must certify this iformation in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or awrWs authorized representative who completes Sections A. B, C (Items C3.h and C3.i only), and E for Zone A (wiUwut a FEMA49sred or crnmrnity-
issuedBFE)or Zone AOmistsignhere. The stalementsinSediorsAa. C, arid Eareconedlo thebedofmylmowledge.
PROPERTY OWNER'S OR OWNER'S AUTHONZED REPRESENTATIVES NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is aulhorfzed by law or ordnance to administer the commun Ws floodplan management ordnance can complete Sections A, 8, C (or E), and G of this Elevation
Certificate. Complete the applicable items) and sign below.
GL ❑ The information in Section C was taken tram other doom mialon that has been signed and embossed by a licensed surveyor, engineer, or arrlMed who is autwdzed by state
orlocal law tocerNydevatonInformation. (Indicate the souncia and deed the elevation data in the Commands area below)
G2. ❑ A community official oanpleled Section E bra building located n Zane A (without a FEMAmissued orc ommurity4ss id BFE) orZone AO.
G3. (:]The rollavirg information (Items G4-GB) is presided forcomrmnily floodplein managarent purposes.
G7. This pent has been issued for. ❑ New Construction ❑ Substantial Impfovennent
38. Elevation of as-built lowest floor (including basement) of the building is: — —it (m) Datum:
Gg. BFE or (in Zone AO) depth of flooding at the baking site is: —.—ft(m) Datum
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
❑ Check here if attachments
FEMA Form 81 -31, January 2003 Replaces all previous editions