3918 Island Estates DRFED CRAL EMERGENCY
NATIONAL FLOOD INSURANCE PROC,"M.:
ELEVATION CERTIFICATE
0_h1.B. b:o. 3067 -0077
Expires July 31, 2002
Important: Read the instructions on pa 1'0s 1 - 7.
SECTION A- PROPERTY OWNER INFORMATION For Insurance Company Use
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, andlor Eldg. No.) OR P.O. ROUTE AND BOY. NO Company NAIC Number
3918 Island Estates Drive I J
CITY STATE ZIP CODs
,rlvPntnra Florida 33160
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 4 Block 2 Plat Book 155 Page 3 Dade County, Florida_
BUILDING USE (e a , Residential, Non - residential, Addition, Accessory, etc. Use Comments section if necessary.)
SINGLE FAMILY HOME.
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: LI GPS (Type).
(##'- ##- ##.## ' or ###V### °) LI NAD 1927 IXI NAD 1983 I_IUSGSOuao Map 12L1 Other: AUTOMATIC LEVEL.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER
B2, COUNTY NAME
B3. STATE
120635
Miami —Dade
FLORIDA.
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
B7. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATIONS)
NUMBER
• e) Lowest elevation of machinery and /or equipment
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
I
0084
J
3 -2 -1994
7 -17 -1995
AE
9.00
610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
1 -1 FIS Profile 1 XI FIRM iJ Community Determined J Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: III NGVD 1929 J NAVD 1986 L1 Other (Describe):
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_I Yes 1X) No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 1JConstruction Drawings' 1JBuilding Under Construction' I.X1Finished Constmction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number I (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.)
C3. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1430, V (with BFE), AR, ARIA, AR/AE, AR/A1 -A30, AR/AH, AR /AO
Complete Items C3@-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section 8, convert the datum to that used for the BFE. Show field 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.
Datum N . G . V . D . Conversion /Comments
Elevation reference mark used Does the elevation reference mark used appe
O a) Top of bottom floor (including basement or enclosure)
R .$-1- R.(m)
v
O b) Top of next higher floor
9 .83— ft.(m)
a
• c) Bottom of lowest horizontal structural member N zones only)
• d) Attached garage (top of slab)
8 .8.3_ ft.(m)
B a
• e) Lowest elevation of machinery and /or equipment
w �`
servicing the building
ft. (m)
• D Lowest adjacent grade (LAG)
7 .00- ft.(m)
2.0
❑ g) Highest adjacent grade (HAG)
7 .29 R.(m)
�N
8
0 h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
❑ i) Total area of all permanent openings (flood vents) in C3h
sq. 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 anv false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
FEMA Form 81 -31, AUG 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use
BUILDING STREET ADDRESS (Including Apt , Unit, Suite, andror Bldg. No ) OR P.O. ROUTE AND BOX NO Policy Number
3918 Island Estates Drive
CITY p•entura FlSTATE 331617 CODE 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.
1 -1 Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOl 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 Certificate is intended for use as supporting
information fora LOMA or LOMB -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 bottom floor (including basement or enclosure) of the building is LI -1 ft (m) LLlin.(cm) LI above or 1_1 below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6 -8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
LI -1 ft (m) ILLIin.(cm) above the highest adjacent grade.
E4. For 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? 1_1 Yes 1_1 No 1_1 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.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
SIGNATURE DATE TELEPHONE
Check here if attachments
SECTION G - COMMUNITY
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 item(s) and sign below.
G1. 1_1 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. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. LI 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. LI The following information (Items G4 -G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE /OCCUPANCY
ISSUED
G7. This permit has been issued for: Ll New Construction Ll Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _ ft.(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ IL(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
1_1 Check here if attachments
FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS FDITIONQ