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3131 NE 188 STa Federal Emergency Management Agency National Flood Insurance Program Al. Building EXDlres February 28. 2009 Important: Read the instructions on pages 1 -8. ;.a e'A SECTION A -PROPERTY INFORMATION I" For Insurance Comnanviuse -, _A ,TAMIAMI TRAIL NORTH NAPLES A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. 11d1,pn.M}4(f"�C,t,abe "• ";' 3131 NE 188 e STREET - City AVENTURA State FL ZIP Code 33180 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) PARCEL 1 THRU 4 SOUTH 1/2 SECTION 3 T -52S, R -42E �- - -` S A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. _ Long. _ Horizontal DaJunS^ ® NAD 1927 [� NAD A6, Attach at least? ^r «e budding if the Certificate is being used to obtain flood insurance. //' A8. For a building with a crawl space or enclosure(s), prov a) Square footage of crawl space or enclosure(s) b) No. of permanent flood openings in the crawl space or enclosures) walls within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b A9. For a buildin ith an attached garage, provide: sq ft a) Square otage of attached garage sq b) No. of Vermanent flood openings in the attached garage walls ithin 1.0 foot above adjacent grade in c) Total et area of flood openings in A9.b _ sc SECTION B - FLOOD INSUWCE RATE MAP (FIRM) INFORMATION Bt. NFIP- Community Name& Community Number -� 2. County Name B3. State CITY OF- AVENTURAX- 120676"'----------- --"� MIAMI DADE COUNTY FLORIDA B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Floo 69. Base F levation(s) (Zone Date Effective /Revised Date Zone(s). AO, use base flood depth) 1202500084. MARCH 2, 1994 AE 8.0' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe) _ Bl 1. Indicate elevation datum used for BFE in Item B9: ID 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 []No Designation Date _ ❑ CBRS ❑ OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction" ® 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), VIE, V1 -V30, V (with BFE), AR, AR/A, 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 DC BM: E -216 Vertical Datum NGVD 1929 Conversion /Comments a) Top of bottom floor (including basement, crawl space, or enclosure floor) - b) Top of the next higher floor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment in Comments) 0 Lowest adjacent (finished) grade (LAG) g) Highest adjacent (finished) grade (HAG) Check the measurement used. 6.8 ® feet ❑ meters (Puerto Rico only) 26.5 ® feet ❑ meters (Puerto Rico only) _ _ ❑ feet ❑ meters (Puerto Rico only) ❑ feet ❑ meters (Puerto Rico only) 0.9 ® feet ❑ meters (Puerto Rico only) 4.6 ® feet ❑ meters (Puerto Rico only) _ _ ❑ feet ❑ meters (Puerto Rico only) 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. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Certifiels Name DARRYL J. HAUSER License Number 6277 Title PROFESSIONAL SURVEYOR AND MAPPER Company Name CONSUL -TECH Address 3141 COMMERCE PARKWAY City MIRAMAR State FL ZIP Code 33025 PLACE SEAL HERE FEMA Form 81 -31, February 2006 See reverse side for continuation. Replaces all previous editions Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I !Policy Number 3131 NE 188TH STREET City AVENTURA State FL ZIP Code 33180 1 Company NAlC 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 PK NAIL AND BRASS WASHER IN CONCRETE SIDEWALK E -216 ELEVATION= 6.03; 53' SOUTH OF CIL NE 190 ST 54' EAST OF CIL NE 29 AVE, LOWEST ELEV =0.9' LOCATED ON BOTTOM OF WEST ELEVATOR PIT. Check here if attachments SECTION E - 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, crawl space, or enclosure) is ._ ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ 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 — ❑ 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 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 owner's 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. T,he statements in Sections A, B, and E are correct to the best of my knowledge. or Owners 14uthofized Representative's Name Comments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is aut oriz d 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 Ce ficat . Complete the applicable item(s) and sign below. Check the measurement used in Items G8. and G9. G1. ❑ The information in a tion C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by lavkpb 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. 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 (PR) Datum _ G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum _ Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments - FEIvIA Form 81 -31, February 2006 Replaces all previous editions r- __ - - ___ ___ - - ___