21200 Point PLPROCESS # FEDERAL EMERGENCY MANAGEMENT AGENCY
FOLIO J NATIONAL FLOOD INSURANCE PROGRAM
C.O.R. 5.5 ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A- PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
Coscan Atlantic I, LLC
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO
21200 Point Place
CITY STATE
Aventura FL
O.M.B. No. 3067 -0077
Expires December 31, 2005
ZJP CODE
33180
For 4sraance Company Use:
Company NAIC Number
of Tract "A ",.The Point at- the'Waterways, P.B. 145, Pg. 25, D.C.R.
., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
Kesicientia-L
LATFUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type}_ _
( #9 - ## - ##.##' or ##.#Fi! #illi) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other. _
SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMJNITY NAME & CDNMUNITY NUMBER
62 COUNTY NAME
a) Top of bottom floor (includin§ basement or enclosure)
B3 STATE
City of Aventura 120676
Miami -Dade
16. Oft (m)
FL
c) Bottom of lowest horizontal structural member (V zones only)
_ft(m)
" m
m
ov
d) Attached garage (top of slab)
MAP AND PANEL
E
e) Lowest elevation of machinery and/or equipment
B7. FRMPANEL
servicing the build ng (Describe in a Comments area)
B9. BASE FLOOD ELEVATION(S)
FB4,
NUNBER
B6, SUFFIX
B6. FIRM INDEX DATE
EFFECTNEhtEVISED DATE
B8. FLOOD ZONES)
(ZpreAO, use depth of tbodng)
12 025C0082
J
7/17/95
3/2/94
AE
6.0'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe): _
B11. Indicate the elevation datum used for the BFE in 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 X] No Designation Date_
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Buildng elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction` ® Finished Construction
_ A new Elevation Ced ficate will be required when construction of the building is complete.
CZ Building Diagram Numberl (Select the building diagram most similarto the building for which this certificate is being completed -seepages 6 and 7. ff no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ARIA, AR/AE, AR/A1 -A30, AR/AH, AR/AO
Complete Items C3: a i below according to the building diagram specified in hem CZ State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert the datum to that used forthe BFE. Show fidd measurements and datum conversion calculation. Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
DatumNGVD- onversion/CorSgments N/A
Elevation reference mark used��a�Does the elevation reference mark used appear on the FIRM? ❑ Yes
® No
a) Top of bottom floor (includin§ basement or enclosure)
6 .Q_fL(m)
m
b) Top of ned higher floor
16. Oft (m)
v
c) Bottom of lowest horizontal structural member (V zones only)
_ft(m)
" m
m
ov
d) Attached garage (top of slab)
5 .0 ft(m)
E
e) Lowest elevation of machinery and/or equipment
m m
servicing the build ng (Describe in a Comments area)
1_6_.0 1(m) (See
Sec . D) E m
f) Lowest adjacent (finished) grade (LAG)
5
g) Highest adjacent (finished) grade (HAG)
13 .6 fL(m)
m
h) No. of permanent openings (flood vents) within 1 ft. above adjacent
gradeN / AA
i) Totai area of all permanent openings (flood vents) in C3.h _�IL&q. in. (sq. cm)
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 in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine orimprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME - LICENSE NUMBER
Henry Grier Edmunds LS 3323
TITLE COMPANY NAME
Vice President Leiter, Perez & Associates, Inc.
,ADDRESS CITY STATE ZIP CODE
160 NW 176 Street #403 M ami FT, 1,1169
SIGNATURE / _ DATE TELEPHONE
2/19/04 305- 652 -5133
CC-'A G-- 11.R1 boner, lnN' C.......,.n ri,in l...,.nnfim,efinn oonhneo all n.uuw,e a ifi n
IMPORTANT: In these spaces, copy the corresponding informabon from Section A. For Insurance Company use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suft Bldg. No.) OR P.O. ROUTE AND BOX NO. Poky Number
21200 Point Place
CITY STATE ZIP CODE Company NAIC Number
Aventura FL 33180
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
C3.) Elevation reference markll;Miami -Dade County Benchmark Number N -664,
Elev.=-v7.16 feet (N.G.V.D. 1929)
C3.e) Lowest elevation of servicing equipmentll: machinery on next
highest - floor slab at +16.0 feetf ❑ Check here if' attachments
SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
- For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Cerfificate is intended for use as supporting Information for a LOMA or LOMR -F,
Section C must be completed.
E1. Building Diagram Number - (Select the building diagram most similar to the building for which this certificate is being completed -see pages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
E2. The top of the botiomfleor (including basement or enclosure) of the building is _ fL(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (seepage 7), the ne)d higherflooror elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) abovethe highest adjacent
grade. Complete items C3.h and 03.1 on front of form.
E4. The top of the platform of machinery and/or equipment servicing the building is _ft(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, If available).
E5. For Zone AO only: If noflood 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, C (Items C3.h and C3.1 only), and E for Zone A (without a FEMAAssued or community-
issued BFE) orZone AO must sign here. Thestatemant in Sections A, B, C, and E are correct to the best ofmy knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
A
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
❑ Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local offidal who cos authorized by law or ordinance to adrdnister the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of This Eevahon
Certificate. Complete the applicable fiem(s) and sign below.
G1. ❑ The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indcate 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 Ail.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement
G8. Elevation of as -built lowestfloor (Including basement) of the building is: tt(m) DaWm _
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
❑ Check here if attachments
FEMA Form 81 -31, January 2003 P.N,a� .n