3730-3780 NE 199 TERRHtUtKAL LMLKUtNUY MANAUIcALN l AUhNCY 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 I ForlreuranceCa panyUse:
TURN BERRY ASSOCIIATES
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, andror Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
3730-3780 NE 199 TERRACE BLDG -1 _.
CITY STATE ZIP GUUL
AVENTURA, MIAMI -DADE COUNTY FL 33180
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT -1-6, BLOCK -2 AVENTURA 147 ADDTION, 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
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: GPS (Type):_
or H#.ti#°) ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B7, NFIP COMMUNITY NAME& COMMUNITYNUMBER
62. COUNTY NAME
B3. STATE _I
120676 CITY OF AVENTURA
DADE
R-
B4. MAP AND PANEL
B5. SUFFIX
• e) Lowest elevation of machinery and/or equipment
B7. FIRM PANEL
servicing the building (Describe in a Comments area)
B9. BASE FLOOD ELEVATION(S)
MB
NUER
n6.6 ft .(m)
B6. FIRM INDEX DATE
EFFECTIVEiREVISED DATE
B8. FLOOD ZONES))
(Zone AO, use depth offlooding)
12025 C 0082
J
7 -17 -95
3-2 -94
AE
7.0
610. Indicate the source of the Base Flood Elevation (BFE) data or base Hood depm entered in b9.
❑ FIS Profile ® FIRM ❑ Community Determined
B11. Indicate the elevation datum used forthe BFE in B9: ® NGVD 1929
B12. Is
t:. rtil iF7::. �. r.-.•
C - BUILDING ELEVATION
❑ Other (Describe):
❑ NAVD 1988 ❑ Oti1er (Describe):
7R^I Area fOPAV 17 Yes M No De
C1. Building elevations are based on: ❑ Construction Drawings' ® Building Under Contraction` ❑ Finished Constructor
'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 N30, V (with BFE), AR, ARIA, ARIAE, ARIA1 -A30, ARIAH, ARIAD
Complete Items C3.-a4 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
Serton B, convert the datum to that used for the BFE. Show Held measurements and datum conversion calculation. Use the space provided or the Comments area of
Se bcn 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?
❑ a) Top ofbcdom floor (including basement orendosure)
7. 65ft.(m)
❑ b) Top at next higher floor
`18.87ft.(m)
❑ c) Bottom of lowest horizontal structural member (V zones only)
NIA._fl.(m)
❑ d) Attached garage (top of slab)
6. P.0)
• e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area)
N /A._fL(m)
• f) Lowest adjacent (finished) grade (LAG)
n6.6 ft .(m)
• g) Highest adjacent (finished) grade (HAG)
"6. 6 ft.(m)
• h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NIA
• i) Total area of all permanent openings (flood vents) in C3.h NIA sq. In. (sq. an)
■ E/
d
�d
m
aI
E m
E
z
J
SECTION D - SURVEYOR, ENGINEER, OR ARGHII LU I txK I I1-K AI IUN
R . L . S . # 4R 77
X r�
DATED 9 -4-
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.
, .111 1, , -" � i,.,.. oma r ma„ he „ r hahlA h, fine nr imnrisonment under 18 U.S. Code, Section 1001.
LICENSE NUMBER 4277
TITLE COMPANY NAME
REGISTERED LANDS R PENINSULA LAND SURVEYOR INC.
ADDRESS CITY STATE ZIP CODE
13113 NW 42 AVE OPA -LOCKA FL 331
SIGNATURE DATE TELEPHONE
94-01 (305)687 -9191
FEMA Form 1 -31, SEE RSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding information from Section A. ForinsumnceCompanyuse:
BUILDING STREETADDRESS (Including Apt, Ua Sufte, andlor Bklg. No.) OR P.O. ROUTE AND BOX NO. Policy Number
3730 -3780 NE 199TH TERRACE BLDG -1
CITY STATE ZIPCODE Company NAIL Number
AVENTURA FL 33180
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate fa (1) community official, (2) insurance agen/company, and (3) building owner.
COMMENTS
MDCBM= MIAMIDADE COUNTY BENCHMARK
PROPOSED ADJACENT GRADE ELEVATION
= BOTTOM OF PROPOSED SECOND FLOOR ELEVATION TAKEN AT WOOD DECK
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 _ ft (m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use
natural grade, 9 available).
E3. For Building Diagrams 68 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft.( m) —in (cm) above the highest adjacent
grade. Complete items C3.h and C3.i on from 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 community's floodplain management ordinance?
❑Yes ❑No ❑Unknown The local official must certify this information in Section G.
The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zane A (without a FEMA - issued or communfy-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct b the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORZED REPRESENTATIVE'S NAME
STATE ZIP CODE
SIGNATURE DATE TELEPHONE
Check here ttattachments
SECTION G - COMMUNITY
The local official who is authorized by law or ordinance to administer the oommunitys floodptin management ordinance can complete Sections A, B. C (o E), and G of this Elevation
Candidate. Complete the applicable item(s) and sign below.
Gt. ❑ 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. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or communityissued 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
GB. Elevation ofasbuiti 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: __it(m) Datum:_
LOCAL OFFICIAL'S NAME I I I Lr
COMMUNITY NAME TELEPHONE
araNIAT1 JPP DATE
Check here
FEMA Form 81 -31, JUL 00 REPLACES ALL PREVIOUS EDITIONS