4038 Island BLVDFEDERAL EMERGENCY MANAGEMENT AGENCY
PROLES# I NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067 -0077
FOLIO # 30- C " % I Expires December 31, 2005
ELEVATION CERTIFICATE
CROWN OF ROAD Ft I J
Important; Read the instructions on pages 1 -7. /17VIH um -
SECTION A- PROPERTY OWNER INFORMATION Far lnsurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, ancUor Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
4038 ISLAND ESTATE DRIVE,
CITY STATE ZIP CODE
AVENTURA, FLORIDA 33160.
PROPERTY DESCRIPTION (Lot and Block Numbers, Tex Parcel Number, Legal Description, etc.)
LOT 14, BLOCK 2, PLAT BOOK 155, PAGE 3, MIAMI —DADE COUNTY, FLORIDA.
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, A necessary.)
( # #°- ##'- # #.#W' or
❑ NAD 1927 ® NAD 1983
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
IN Other: AUTOMATIC LEVEL
81. NRP COMMUNITY NAME€ COMMUNITY NUMBER 82. COUNTY NAME B3. STATE
AVENTURA 120635 MIAMI —DADE FLORIDA
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE FLOOD ELEVATIOl
NUMBER
B5. SUFFIX
86, FIRM INDEX DATE
EFFECTIVEIAEVISED DATE
B8. ROOD ZONE(S)
(Zone AO, use depth of flooding)
12025C -084
J
7117/1995
3/2/1994
"AE"
9,00
B10. Indicate the source of the Base Flood Elevation (BEE) data or base flood depth entered in 89.
❑FISProfile ®FIRM ❑ Community Determined ❑ Other (Describe):_
811. Indicate the elevation datum used for the BEE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): _
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or0thermse Protected Area (OPA)? ❑ Yes ®No Designafion Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based om ❑ Construction Drawings' ❑ Building Under Construction' 7N Finished Construction
'A new Elevation Certificate will be required when construction of the bUlcing is complete.
C2. Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7. It no diagram accurately
represents the building, provide a sketch or photograph)
C3. Elevations —Zones Al -A30, AE, AH, A (Wth BFE), VE, V1 430, V (with BFE), AR, ARl AWAE, ARW -A30, ARI ARAD
Complete Items C3. -a� below according to the building diagram spedfied in Item C2. State the datum used. If the datum is dPerent from the datum used for the BFE in Section B,
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.
DatUMNGVD Conversion/Comments
Elevat'.on reference mark used __Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
0 a) Top ofbolhom1oor including basement orenclosure) 971 fL(m)
G b) Top of next higner boor _It h
❑ c) Belem of Invest honiona'. s'vdW ral member '. zones on'y) N /A PLS 4312
v
d) Arr =shed dr ae lot of slat j 9 13 i! (m) E
w�
Cl e) Lowest elevation of machinery andorequioment
sery dng the bu tllld ;vy (Des,.^ be'in a Comments 2, ca) _ _k(m)
❑ 1, Lov, st adjacent (finished gr .,ce(LAG) 7 OD_y.(m) z
❑ g) Highest adjacent (finished) grace (HAG) 7 25 1t.(m) 8/24/2003
O h Nc. at permanent, openings (flood venls) mKin 1 It. above ad;a- N gr 'z
❑'i Total ar a of all permanent opening (food vent) in C2hsq. 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 taw to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforls to interpret the data available.
_ I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code Section 100i.
CERTIFIER'S NAME LICENSE NUMBER
ROLANDO ORTIZ 4312
TITLE COMPANY NAME
PRESIDENT GUNTER GROUP, INC.
ADDRESS CITY STATE ZIP CODE
F EMA Form 81 -31, January 2003 See reverse side for continuation_ Replaces all Replaces all pre'le'J$ editions
IMPORTANT: In these spaces, copy the correspondinq information from Section A. I For Insurance Company Use: I
CITY - STATE ZIP CODE I Company NAIC Number
AV1iVM, FLORIDA 33160.
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
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 Certificate is intended for use as supporting
information for a LOMA orLOMR -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 LJ_I ft.(m) U_Iin.(cm) I_I above or IJ 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
I_I_I ft.(m) I_j_Iin.(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
floodolain manaaement ordinance? I I Yes I I No I I Unknown. The local official must certify this information in Section G.
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.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
I —I 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 item(s) and sign below.
31. I -1 The information in Section C was taken lrom other documentation that has been signed and embossed by c 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. I_� A community official completed Section E for a building located in Znne A (without a FEMA- issued or community- issued BFE) or
Zone AO.
G3. The following information (Items G4 -G91 is provided for community floodplain management purposes.
ISSUED
G7. This permit has been issued for: 1_1 New Construction I_1 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: —ft. (m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
Check here if attachments
FEMA Form 81 -31, AUG 99 REPLACES ALL PREVIOUS EDITIONS