3029 NE 188 ST (2)U.S. DEPARTMENT OF HOMELAND SECURITY
Fedett� Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -8.
OMB No. 1660 -0008
Expires February 28r 2009
0 &2-300 SECTION A - PROPERTY INFORMATION I For Insurance Company Use:
.Al. Building Owners Name Policy Number
,2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No.
3029 N. E. 188 Street
City State ZIP Code
Aventura FL 33180
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Portion of Section 3 -52 -42 (folio # 28- 2203 - 0000 -161), Miami -Dade County, Florida.
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude /Longitude: Lat. 25 °56'59.0" Long. 80 °08'25.6" Horizontal Datum: ❑ NAD 1927 ® MAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s), provide A9. For a building with an attached garage, provide,:
a) Square footage of crawl space or enclosure(s) 0 sq ft a) Square footage of attached garage sq ft
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings in the attached garage
enclosure(s) walls within 1.0 foot above adjacent grade O walls within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b _40- sq in c) Total net area of flood openings in A9.1b 0 sq in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
B2. County Name
B3. State
Aventura - 120676
1 Miami -Dade
FL
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index
67. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
7.10
I@ feet
Date
Effective /Revised Date
Zone(s)
AO, use base flood depth)
1202500084
J
7/17/95
3/02/94
AE
8
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 39: ® 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
r.. Designation Date _ ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. 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), VE, V1430, V (with BFE), AR, ARIA, 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 DCBM #N460 Vertical Datum NGVD 1929
Conversion /Comments None
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.
6.6
® feet
❑ meters (Puerto Rico only)
9.1
® feet
❑ meters (Puerto Rico only)
N /A._
❑ feet
❑ meters (Puerto Rico only)
6.6
® feet
❑ meters (Puerto Rico only)
7.10
I@ feet
❑ meters (Puerto Rico only)
6.4 ® feet ❑ meters (Puerto Rico only)
9.0 ® 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 elei
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I 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.
Fortin,
Company Name Fortin,
Date 12126106
- Daniel C. Fortin, PSM _-
Floridaa Reg. No. LS2853;
FEMA Form 81 -31, February 2006 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 (inducting Apt., Unit, Suite, and /or Bldg. No.) or P.O. Route and Box No. Policy Number
3029 N.E. 188 Street
City Aventura State FL ZIP Code 33180 Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
ropy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
comments C2 � asjsally a parking garage with tenant storage, one service court and a very small foyer (30 sq.
living area b yl eleydition of 8.0'. See attached drawing.
no
® 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. The statements in Sections A, 8, and E are correct to the best of my knowledge.
--"Iroperty Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ 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. Check the measurement used in Items G8. and G9.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to 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 G5. Date Permit Issued 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: 0 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
)mments
❑ Check here if attachments
FEMA Form 81 -31, February 2006 Replaces all previous editions
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