HomeMy WebLinkAbout2651 SW 51 St I-tUtKAL tMtKULNUY MANAULMtNI AUtNL Y O.M.B. No. 3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Expires December 31,2005
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insurance Company Use:
NG OWNE 'S T1 N Policy Number
Boho ^
B DING �ET A S(in ding t.,U Suite, r o).OJR P.O.ROUTE AND BOX NO. Company NAIC Number
CI on
I` � (""'STATE 3 33 IZ P�ODE
PROPERTY I `DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) ( p(
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 ##. ) ❑ NAD 1927 ❑NAD 1983 ❑USGS Quad Map ❑Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
FOPFIP C T lY NAME U ITY NU 62.COUNTY NAME 83.STATE
f'► BRONARD FLORIDA
B4.MAP AN L 87.FIRM PANEL B9.BASE FLOODELEVAT(N(S)
IN B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE 88,FL NE(S) (Zone AO use th of flood ing)
F 1007 8/18192
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):_
B11.Indicate the elevation datum used for the BFE in 89:®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 Designation Date_ _
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.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,V1430,V(with BFE),AR,ARIA,ARAE,AR/A1-A30,ARIAH,ARAO
Complete Items C3.-@4 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
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.
Datum NGVD 1929 Conversion/ ents
Elevation reference mark used oes the elevation reference mark used ap o FIRM? Yes No
► a)Top of bottom floor(including basement or enclosure) � ft.m) ❑
► b)Top of next higher floor
► c)Bottom of lowest horizontal structural member(V zones only) 00
► d)Attached garage(top of slab) A-ft•(m) E
► e)Lowest elevation of machinery and/or equipment
servicing the building(Describe in a Comments area) C1_• (m) ! Lf
0, f)Lamest adjacent(finished)grade(LAG) Z fL(m) N U) STATE 0 FLORIDA
► g)Highest adjacent(finished)grade(HAG) �- (m) P.S.M. N0. 5101
! h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade 0
► i)Total area of ail permanent openings(flood vents)in C3.h 0 sq.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 law to certify elevation information.
1 certify that the information in Sections A, B,and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code,Section 1001. _
CERTIFIERS NAME MIGUEL ESPINOSA LICENSE NUMBER 5101
TITLE PROFESSIONAL SURVEYOR&MAPPER COMPANY NAME MIGUEL ESPINOSA LAND SURVEYING,INC.
ADDRESS CITY STATE ZIP CODE
6494 S.W.2 STREET MIAMI FL 33155
SIGNAT DATE TELEPHONE
(305)740-3319
FEM Fo 81-31,January 2003 See reverse side for continuation. Replaces all previous editions