19915 Biscayne BLVDU.S. DEPARMENT.OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT !AGENCY bMB N0. 1660 -0008
Nahonalli�loodlnsrirance Program Important: Read the instructions on pages 1 -9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and- Box-No. I Company NAIC Number:
19915 BISCAYNE BOULEVARD
City AVENTURA State FL ZIP Code 33180
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
TRACT A -12, AVENTURA TWELFTH ADDITION (146119)
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) NON - RESIDENTIAL - ADDITION
A5. Latitude /Longitude: Lat. 25 °57'38.9 "N Long. 80 °0840.2"N 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 1A
A8. 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 it
b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes E No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name &Community Number B2. County Name B3. State _
AVENTURA 120676 MIAMI -DADE FL
B4. Map /Panel Number B5. SufXB6. IRM I ndex Date B7. FIRM Panel B8. Flood B9. Base Flood Elevations) (Zone
12011 C 0134 L 9/11!09 Effective /Revised Date Zones) AO, use base flood depth)
9!11109 "AE" 7'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other /Source: _
B11. Indicate elevation datum used for BFE in Item B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other /Source: _
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No
Designation Date: N/A ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction*
E 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, AR/A, AR/AE, AR/A1 -A30, AR/AH, AR/AD. Complete Items C2.a -h
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
Benchmark Utilized: SEE COMMENTS Vertical Datum: NGVD1929
Indicate elevation datum used for the elevations in items a) through h) below. ® NGVD 1929 ® NAVD 1988 ❑
Other /Source:
Datum used for building elevations must be the same as that used for the BFE.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 7.67
E feet ❑ meters
b) Top of the next higher floor 7.75
❑ feet ❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only) NA
❑ feet ❑ meters
d) Attached garage (top of slab) N.A
❑ feet ❑ meters
e) Lowest elevation of machinery or equipment servicing the building 7.70
E feet ❑ meters
(Describe type of equipment and location in Comments)
0 Lowest adjacent (finished) grade next to building (LAG) 4.08
E feet ❑ meters
g) Highest adjacent (finished) grade next to building (HAG) 7.00
E feet ❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support NA
❑ 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. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
E Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
E Check here if attachments. licensed land surveyor? E Yes ❑ No Pc -. 7'
Certifier's Name SCOTT A. McLAUGHLIN License Number 5842.
Title VICE PRESIDENT Company Name McLAUGHLIN ENGINEERING COMPANY
Address 400 NEB AVENUE City FORT LAUDERDALE State FL ZIP Code 33301
Signature oO
(7/12)
4/6/15
Telephone 954.763.7611
See reverse side for continuation.
Replaces all previous editions.
LI_ V II IVIv V III .Vn. V, F_W_ a
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:
19915 BISCAYNE BOULEVARD
City AVENTURA State FL ZIP Code 33180 Company NAIC Number:
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 Al. OWNERS NAME PER THE MIAMI -DADE COUNTY PROPERTY APPRAISERS WEBSITE. A5. GPS
C2. REFERENCE BENCHMARK- MIAMI -DADE COUNTY BENCHMARK #E -224, ELEVATION = 7.86
C2. a) ADDITION ELEVATION b) EXISTING BUILDING ELEVATION c) FP &L PAD ELEVATION
Signature Jf„ /f� �,� Date 416!15
//r'€CTIOITE — 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
b) 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 sdrvicing 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
Address City State ZIP Code
Signature
Comments
Date
Telephone
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 items) 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.)
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 —G10) 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: ❑ feet ❑ meters
G9. BFE or (in Zone AO) depth of flooding at the building site: _ _ ❑ feet ❑ meters
G10. Community's design flood elevation: ❑ feet ❑ meters
Datum
Datum
Datum
Local Official's. Name - Title
Community- Name., _ Telephone
Signature - Date
Comments
❑ Check here if attachments.
FEMA Form 086 -0 -33 (7/12) Replaces all previous editions.
ELEwhi(YN-GERTIFICATE,,page 3
IMPORTANT: In these spaces, copy the
Building Photographs
See Instructions for Item A6.
information from Section A.
FOR INSURANCE COMPANY USE
.. Building StCAYNE BOULEVARD Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. I Policy Number:
City AVENTURA State FL ZIP Code 33180 1 Company NAIC Number:
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 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." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will ft on this page, use the Continuation Page.
PICTURES TAKEN 416/15
LEFT SIDE VIEW
FEMA Form 086 -0 -33 (7/12) Replaces all previous editions.
U.S. DEPARTMENT OF HOMELAND SECURITY FLOODPROOFING CERTIFICATE OMB No. 1660 -0008
FEDERAL EMERGENCY MANAGEMENT AGENCY FOR NON- RESIDENTIAL STRUCTURES Expiration Date: July 31, 2015
National Flood insurance Progmm
The floodproofng of non - residential buildings may be permitted as an alternative to elevating to or above the Base Flood Elevation;
however, a floodproofing design certification is required. This form is to be used for that certification. Floodproofing of a residential building
does not alter a community's floodplain management elevation requirements or affect the Insurance rating unless the community has been
issued an exception by FEMA to allow floodproofed residential basements. The permitting of a floodproofed residential basement requires a
separate certification specifying that the design complies with the local floodplain management ordinance.
BUILDING OWNER'S NAME
STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
OTHER DESCRIPTION (Lot and Bloch Numbers, etc.)
CITY
STATE
SECTION I - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the fnlliewln2 from the Droaer FIRM:
33!
ZIP CODE
COMMUNRY NUMBER
PANEL NUMBER
SUFFIX
DATE OF FIRM INDEX
FIRM ZONE
BASE FLOOD ELEVATION
1IA�Ca7CP
11 ?nWVC0134L
9It
(in AO Zones, Use Depth)
—t.
Indicate elevation datum used for Base Flood Elevation shown above: LM NGVD 1929 ❑ NAVO 1988 ❑ Other /Source:
SECTION II - FLOODPROOFING INFORMATION (By a Registered Professional Engineer or Architect)
Elevations are based on: BConstruction Drawings ❑ Building Under Construction
Construction
Floodproofing Design Elevation Information:
Building a floodproofed to an elevation ofJe–. feet (In Puerto Rico only:—. — meters). YJ NGVD 1929
(Elevation datum used must be the same as that used for the Base Flood Elevation.) Q'
Height of tioodproofing on the building above the lowest adjacent grade is -1 feet(InPuertoRicoonly:
-
For Unnumbered A Zones Only:
Highest 'adjacent (finished) grade next to the building (HAG) —. —feet (In Puerto Rico only:
YJ NGVD 1929 ❑ NAVD 1988 ❑ Other /Source:
❑NAVD1988 ❑Other /Source:
meters)
meters).
(NOTE: For insurance rating purposes, the building's floodproofed design elevation must beat least 1 foot above the Base Flood Elevation to receive rating credit. If the building
is floodproofed only to the Base Flood Elevation, then the building's insurance rating will result in a higher premium.)
SECTION III - CERTIFICATION (By a Registered Professional Engineer or Architect)
Non- Residentlal F000dproofed Construction Certification:
I certify that, based upon development and /or review of structural design, specifications, and plans for construction, the design and methods orconstruction
are in accordance with accepted standards ofpractece formeeting the following provisions:
The structure, together with attendant utilities and sanitary facilities, is watertight to the floodproofed design elevation indicated above, with
walls that are substantially impermeable to the passage of water.
All structural components are capable of resisting hydrostatic and hydrodynamic flood forces, incluf ingthe effects of buoyancy, and anticipated
debris impact forces.
f certify bathe information 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. Cade, Section 1001. °1%1,1111111
CERTIFIER'S NAME N \l l'_ ~' MBER(or Affix Seal)
TITLE' /� �• CO&NY NIC&
�r'c�'F- llSSsarFG� t�i��'.1/1�1�P�93 5+�
ADDRESS * CITY I ST iE ZIP CODE _
/�
zJ% y� STATE OF S: _ 71. 33/5
SIGNATURE / ° PDAj� \ PHONE
Copies should 2) Insurance agent /company, and 3) building owner.
FEMA Form 086 -0 -34 (Revised 7/12) •11 A IFILIWALL PREVIOUS EDITIONS F -056