21355 E Dixie HWYFEDERAL. EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
I� ELEVATION CERTIFICATE
03 -1204 2099D -186 ImneMane Read the inshmflonsonoaaesl -7.
O.M.B. No. 3067 -0077
Expires December 31, 2005
BUILDING STREET ADDRESS pnduding Apt. UrASuIIA 8nd1br8W9•NO- )ORP.U.MUUIt: MW twxr+�. f rwv,w�•W,•�
21365 East Dbde Hwy Units 100 through 118
CITY STATE ZIP CODE
Avenihn FL 33180
PROPERTY DESCRIPTION (Lot and Bbdc Number, Tax Parcel Number, Legal Desatption, etc)
portion of Bbdm 33,34 & 35, HALL AW)ALE PARK, Plat Boots 12, Page 37, Mme County, Florida
BUILDING USE (e g., Residential, Non- realdentlal, Addition, Accessary, air. Use a Comments area, if necessary.)
Office Building
LATITUDEJLUNUII UUC tUr• r mUI ] -- — -
( #AP _ #Ar . ##,#r or ##•� ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Averasa - 120676 I A+ de I Florida
B4. MAP AND PANEL B7. FRM PANEL B9. BASE ROOD EU
NUMBER S& SUFFIX BS. FR INDEXDATE EFFECDVEREVISEDDATE TU�F�LOODFZONE�(Bj)� �AO,usede
12025011852 J 07117H5 03D2FJ4
B10. Indicate tone source dthe Base Flood Elevation (BFE) data or base flood depth entered In E19.
❑ FISPrdlls N FIRM ❑ Community Determined ❑ other (Oesalbe):-
El1. Indcate the elevation datum used for to BFE In BB: N NGVD 19M ❑ NAVD 1988 El Other pesrnbe).—
B72 is the blddina located In a Coastal Barden Resources System (CBRS) area o Otherwise Area (OPA)? ❑ Yes N No Designation Date_
SECTION C - BUILDING ELEVATION INFOHMAnvN (suKVCT Kcuurrccul
CI. Building devatbns are based ON ❑ CasinucBm Dra*ge ❑ Building Under'CmshudW N Finished Camtrudial
A new Devon Certificate will be required wton oonsbuclon of the building is complete.
C2 Building DtaJrern Number 1(Select the building diagram most simlartothe bolding fawttiCh tl1e CerMbae is bring completed -see pages 6 and 7. t no diagram accurately
represents the Isdlding, provide a sketch or photograph.)
C3. Elevations -Zones Al -A30, AE, AH, A (wlh BFE), VE, V1 --V39, V (wlh BFE), AR AR A, AWAE, ARfA1-A90, AWAH, ARfAO
Complete ItemsC3. a• Ib& maxordingto the building diagram specf iedin item C2 State the datum used .IFthadaturn dflerent6ontheddumusedfatheBFEinSaba
B, covet the dahsnto tuft used for the BFE Show Odd measurenraft and datum conversion cdcul m. Use tfne space provided a the Comments amof Section Da
Section G, as appmpdate, to document the datum conversion.
Datum NO CamversioJCommenb— Elev. 9.71
eevalon reference mark used BDC M #X20 Does to elevation rice mark used appear on the FIRW D Yes N No
• a) Top dbdtorn floor (Including basement orenclosure)
R. Qft
• b)Topdnedhgghe Aw
Nane._I.
• c)BoltondbNo thotmta ducturalmal >o(Vmrmenly)
N& R
o d) Attached garage (top of slab)
—ft
ru
• a) Lvxestelevatmof machinery ardforequipmernt
swvdV the aft (Describe In a Comments area)
11. p ft
• f) LmW adacsnt ftIshed) grade (LAG)
10.3 ft
$ v
• g) I-li9heat a4 (fnWv ) grade (I-vtG)
S Ill.
.
o h) No. d permanent operdrgs( tlood vents) Within 1 it. above a#centgrade NIA
o l) ToW ama d dl pennamott opadrgs (kod vane) h C3.h NfAsq.In.
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by gaw to certify elevation information.
1 certify that the information in Sections A, A and C on this certificate repressMs my best of cis to interpret the date available.
4n It rd. Iz mn ,, lnni
TITLEYxe President COMPANY NAME Fa6n, Leavy, Sidles, Inc
SPATE ZIP2
� 1. � 2 CITY
North Miami Beach FL 33162
FEMA Form 81-31, January 2003 See reverse side for continuation. Replaces all previous editions