3802-3852 NE 199 TERR1tUtKAL tMtKUI =Nt:Y MANAUhMtNI AUhNL;Y O.M.B. No. 3067 -0077
NATIONAL FLOOD INSURANCE PROGRAM Expires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1.7.
SECTION A- PROPERTY OWNER INFORMATION Forlrsurance'Conamny Use:
TURN BERRY ASSOCIIATES
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company.NAIC Number
3802 -3852 NE 199'" TERRACE BLDG -2
CITY STATE ZIP CODE
AVENTURA, MIAMI -DADE COUNTY FL 33180
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT -1-Q BLOCK -2 AVENTURA 14' ADDITION, PB -157, PG -31, MIAMI DADE COUNTY RECORDS
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type):_
( ##° -## - ##,W or ##.####N) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other,
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
81.1 81. NFIPE & COMMUNITY NUMBER
62. COUNTY NAIVE
B3. STATE
120676 CITY OF AVENTURA
DACE
FL
B4. MAP AND PANEL
85, SUFFIX
❑ c) Bottom of lowest horizontal structural member (V zones only)
B7. FIRM PANEL
" o
B9. BASE FLOOD ELEVATIONS)
NUMBER
E E
B6. FIRM INDEX DATE
EFFECTIVEREMSED DATE
B8. FLOOD ZONES)
(Zone AO, usedeplhoffoouing)
12025 C 0082
J
7 -17 -95
3-2 -94
AE
7.0
610. Indicate the source of the Base Flood Elevafion (BFE) data or base flood depth entered in B9.
❑ FIS Profile N FIRM ❑ Community Determined ❑ Other (Desc ibe):
311. Indicate the elevation datum used for the BFE in B9: E NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the buildina located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes N No Designation Date_
SECTION C - BUILDING
Cl. Building elevations are based on: ❑ Constucfion Drawings" E Building Under Construction" ❑ Finished Construction
'A new Elevation Certificate will be required when construction of the building 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. If no diagram
accurately represents the building, provide a sketch or photograph.)
C3. Elevations —Zones Al -A30, AE, AH, A (with BFE), VE, V1 430, V (with BFE), AR, ANA, ANAE, AR/A1 -A30, ARtAH, ARIAO
Complete Items C3: ei 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 calculation. Use the space provided orthe Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD -29 Conversion /Comments
Elevation reference mark used MDCBM Does the elevation reference mark used appear on the FIRM? ❑ Yes E No
WWANT NAMr
❑ a) Top of bottom floor (including basement or enclosure)
REGISTERED LANDS OR
PENINSULA LAND SURVEYOR, INC.
❑ b) Top of next higherfloor
'18.00)
m
❑ c) Bottom of lowest horizontal structural member (V zones only)
WA . _ft.(m)
" o
❑ d) Attache] garage (lop of slab)
6. 8 ft(m)
E E
❑ e) Lowest elevation of machinery and/or equipment
W
v a
servicing the building (Describe in a Garments area)
WA. _ft.(m)
E
• I) Lowest adjacent (finished) grade (LAG)
" 6.6 ft(m)
Z.0
v
• g) Highest adjacent (finished) grade (HAG)
*'6 6 ft.(m)
p
• h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade WA
D i) Told area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. an)
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 any false statement may be punishable by fine or imprisonment under 18 U S Code Section 1001
CERTIFIERS NAME
NFSTQR r R6 DRIC1IF7 LICENSE NUMBER 42T7
4277
TITLE
WWANT NAMr
REGISTERED LANDS OR
PENINSULA LAND SURVEYOR, INC.
ADDRESS
CITY
STATE ZIP CODE
13113 NW 42 A
OPA LOCKA
FL 33180
SIGNATURE
DATE
TELEPHONE
9 -0 -01
(305Y387 -9191
FEMA Form fit -31, J
SEEJ911fVERSE 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, andbr Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Nurnber
3802 -3852 NE 199TH TERRACE BLDG -2
CITY STATE LP CODE Comi Number
AVENTURA FL 33183
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenticompany, and (3) building owner.
MDCBM=MIAMI DADE COUNTY BENCHMARK
"= PROPOSED ADJACENT GRADE ELEVATION
'= BOTTOM OF PROPOSED SECOND FLOOR ELEVATION TAKEN AT WOOD DECK
if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WRHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporfing 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 forwhich this certificate is being completed -seepages 6 and 7. If no diagram accurately
represents the building, provide a sketch or photograph.)
F2. The top of the bottom floor (including basement or enclosure) of the buildng is _fl.(m)_in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade ,(Use
natural grade, if available).
E3. For Building Diagrams 68 with openings (seepage 7), the next higher flooro elevated floor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3J on front of form.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the ommunitys floodplain management ordinance?
I-1 Yes n No i Unknown. The local official must certify this information in Section G.
F- PROPERTY
The property owner or owne's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMAassued or corny unity-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are owed to the hest of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIPCODE
SIGNATURE DATE
Check
COMMUNITY
The local utficiat 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
Certficale. Complete the applicable items) and sign below.
G1. ❑ 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 in 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 FEMAissued or cc rununilyissued BFE) or Zone A0.
G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
G8.FJevationofas-built lowest floor (including basement) of the building is: __fl.(m) Datum:_
G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ fl.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
f 1 Check here if attachments
FEMA Form 81 -31, JUL 00 REPLACES ALL PREVIOUS