3911 Island Estate DRi 'PROCES #
i
FOLIO # 30-
I— CROW N OF ROAD
BUILDING OWNER'S NAME
1?5Q01T .4 02 — D(o(G�'
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM O.M.B. No. 3067 -0077
Expires December 31, 2005
ELEVATION CERTIFICATE
Ft NGVD Important: Read the instructions on pages 1 -7,
SECTION A - PROPERTY OWNER INFORMATION
Forlrxswar�Compary Use:. -.
Policy Number
BUILDING STREET ADDRESS ( Includin Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. I _CompanyNAIC Number ,I
3911 ISLAND ESTATES DRIVE,
CITY STATE ZIP CODE
AVENTURA FLORIDA 33160.
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Descnption, etc.)
LOT 6, BLOCK 1. "ISLAND ESTATES ". PLAT BOOK 155. PAGE 3. MIAMI —DADE FLORIDA.
( Or - ##' - # #.##' or
Use a Comments area,
❑ NAD 1927 ® NAD 1983
L
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
19 Otter. A_UTQ ATIC LEVEL
61. NAP COMMUNITY NAME 6 COMMUNITY NUMBER B2.000NYNAME
83, STATE
AVENTURA 120635 MIAMI —DADE
FLORIDA
B4. MAP AND PANEL
B7. FIRM PANEL
B9. BASE 8000 ELEVATION(S)
NUMBER
B5. SUFFIX 86 FIRM INDEX DATE
EF= ECTVDAEVISED DATE
BB. FLOOD ZONE(,'
oding)
12025C -0084
J 7/17/1995
3/2/1994
"AE"
9.00
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe):_
811. Indicate the elevation datum used for the BFE in 139: ® NGVD 1929 ❑ NAVD 1968 ❑ Other (Describe): _
812 Is the building located in a Coastal Barrier Resources System (CBRS) area or C hetivise Protected Area (ORA)? ❑ Yes ® No Designation Date
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Buildng elevations are based on: ❑ Construction Drawings' ❑ Buiiding Under Construction' Rnished Construction
'A new Elevafion Cerliticam will be required when construction of the bulding is complete.
_�. Building Diagram Number_I(Seled the building diagram most sinilarto 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 (vdth BFE), VE, V1 -V30, V (with BFE), AR, AR/A, AR/AE, AFVAI -A30, AFVAH, AR/AO
Complete Items C3. -ai below according to the building diagram specified in Item C2 Slate the datum used. If the datum is different 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 caloulabon. Use the space provided or the Comments area of Section D or Section
G, as appropriate, to document the datum conversion.
DalumxcvDCo ersiodCommenls_ "D/H LOCATED N. BRIDGE & N. C/L ISLAND DRIVE FLE.: 11.48 FEET.
Elevation reference mark used ' =Does the elevation reference mark used appear on the FIRM? ❑ Yes [ No
• a) Top of bottom floor (Including basement or enclosure) 9 D In) v
• b) Top of next higher floor 20.8-(m)
9
• c) Bottom of lowest horizontal structural member (V zones only) N�A _fl.(n) ^'
UO
• d) Aracned garage pep of alab) 9 33t (n) E
O e) Lowest elevation of machinery and'or equipment servicing the buildng (Describe in a Comments area) 9. -,t.ln) —
O f) Lowest adaoent (finished) grade (LAG) 7.OQt.(m) z'
O g) Highest adjacent (finished) grade {NAG)
7 . 25 .(7)
O h) No. of permanent openings (flood veils) within 1 ft. above adjacent grade N/A
❑ !)Total area of all permanent openings (flood vents) in C3.h /Asq. in. (sq. cm)
PLS 431 /Z —'
4/14/2004
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 cenify 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 any false statement may be ounishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS NAME LICENSE NUMBER
ROLANDO ORTIZ 4312
_TITLE COMPANYNAME
IESIDENT GUNTER GROUP, INC.
ADDRESS CITY STATE ZIP CODE
FEMA Form 81-S1, January 2003 See reverse side for continuation_ P,eplaces 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, andlor Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
3911 ISLAND ESTATES DRIVE
CITY STATE ZIP CODE I 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.
I_1 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 or LOMR -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 LLI fl.(m) I I lin.(cm) LJ above or Ll 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 ft.(m) I I lin.(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? I Yes 1_1 No LJ 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
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
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.
Gt. LI 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 stale or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. —I A ccmmunity official completed Section E for a buildina located in Zone A (without a FEMA- issued or community - issued BFE) or
Zone AO.
G3. —I The following information (Items G4 -G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: I_1 New Construction I_I 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