04-991-004FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077.
' • . 0 5 NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2G06 Y
C.O.R.
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1- 7.
SECTION A - PROPERTY PWNER INFORMATION For Insurance Company Use:
EVIENNE INVESTMENT, INCORPORATED
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and /or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
5825 SOUTHWEST 73"• STREET
CITY STATE ZIP CODE.. .
MIAMI FL' 33143
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
PB 3-198 LOTS 20, 21, AND 22 OF: 'WA. LARKINGS SUBDIVISION" MIAMI -DADE COUNTY, FLORIDA.
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary)
RESIDENTIAL
LATITUDEILONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: L1 GPS (Type):
( W -*#' -4Ml .athy or ##.##### 0 NAD 1927 ❑ NAD 1.923 ❑ USGS Quad Map ❑ Other.
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
• • FIR COMMUNITY NAME & COMMUW Y NUMBER 12. COUNTY NAME B3. STATE
bIUMI -0ADE -1208• • • • • • • • MIAMI -DADE COUNTY FL
•
• • 477 L.; ndicate the sejMe of the Ilse Flocgl Elevation (dFE) data or base flood depth entered in B9.
` • ❑ FIS Prole, . • 0 E LRJI^ ❑ Community Determined ❑ Other (Describe):
• : •71 'Y,Indicate tho abvtion datum used fu the BFE in 159; 0 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the buld:rg,'c4ed in a Coastal terrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date
' v _ REQUIRED)
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY RE - IR
• � ED)
` GC1. Euildin av:,tions are based on: - Construction Drawings* Building Under .
� - • g " • " �" g ❑ g er Construction* ❑Finished Construction
• • • 4 new Elev ition certificate will be, x required when construction of the building is complete.
• C,2, Building pin„ �jii
m Dumber 1(Select tie building diagram most similar to the building for which this certificate is being completed -seepages 6 and 7. If no diagram
lccurately represents the bd_h9, jo!ovide a sketch or photograph.)
`C3. Elevations - Zones Al -A30, AE, AH, A (with IFE), VE, V1 430, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, AR/AH, AR/AO
Complete Items C3. -a-i below according to the building diagram spedfied in Item C2. State the datum used, if the datum is different from the datum used for the BFE in
Section 5, 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 4005E Conversion /Comments N/A NAME -H -058 #AZ#2
Elevation reference mark used 8.53 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (inducting basement or enclosure) 12. 47 ft.(m)
IV
o b) Top of next higher floor NIA . ^ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft.(m) N o
o d) Attached garage (top of slab) N /A. ,,,_ft.(m) E 2-
o e) Lowest elevation of machinery and/or equipment w LD
servicing the building (Describe in a Comments area) N/A. _ft.(m) E0
o f) Lowest adjacent (finished) grade (LAG) 11 , 00 Nnn) Z' -'�
o g) Highest adjacent (finished) grade (HAG) 11, 60 ft.(m) � _ . - • • • .
o h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
o i) Total area of all permanent openings (flood vents) In C3.h N/A sq. in. (sq. cm)
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICAT) ".:. ;,. , jlb- 01616 i
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevatj " f8rmation, : ;;�
I certify that the information c ?iahs,A,'.11, and C on this certificate represents my bast efforts to interpret the data IV,, , ,;',STI,T E OF
I understand that an fithi tetrimy unrshabie by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS `+ �� ' , ► ' •" �'
CERTIFIES NAMEA Qf'WARR - - r LICENSE NUMBER . • �,,. • • Tnti
TITLE PROFESM 'LrA n RV . RS----'- -" — - COMPANY - NAME -AF - &COMPANY,INC: - -" - -- -
ADDRESS ' +�+ • .o- '. "` CITY STATE ZIP CODE
13050 SOUAi 3346.09 MIAMI FL 33186
SIGNATURE -T - ,�~ DATE TELEPHONE
R r' •' 6 -21 -2004 OFFICE 305.234.0588 FAX 305.234.0423
w
FEMA Fermi -31, January 2003 See reverse side for continuation. Replaces all previous editions
,
34. MAR AN%, AUEL
..... ;
17, FIRM PANEL
39. BASE FLOOD ELEVATION(S)
•
• • NURgER • •
15. SUFFIX
16. FIRM INDEX DATE
EFFECTIVEIREVISED DATE
18. FLOOD ZONE(S)
(Zone A0, use depth of flooding) )
•
• 12025C-0216
J •
7 -17- 1995
3- 02 -1"4
"X"
NIA
•
• • 477 L.; ndicate the sejMe of the Ilse Flocgl Elevation (dFE) data or base flood depth entered in B9.
` • ❑ FIS Prole, . • 0 E LRJI^ ❑ Community Determined ❑ Other (Describe):
• : •71 'Y,Indicate tho abvtion datum used fu the BFE in 159; 0 NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe):
B12. Is the buld:rg,'c4ed in a Coastal terrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date
' v _ REQUIRED)
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY RE - IR
• � ED)
` GC1. Euildin av:,tions are based on: - Construction Drawings* Building Under .
� - • g " • " �" g ❑ g er Construction* ❑Finished Construction
• • • 4 new Elev ition certificate will be, x required when construction of the building is complete.
• C,2, Building pin„ �jii
m Dumber 1(Select tie building diagram most similar to the building for which this certificate is being completed -seepages 6 and 7. If no diagram
lccurately represents the bd_h9, jo!ovide a sketch or photograph.)
`C3. Elevations - Zones Al -A30, AE, AH, A (with IFE), VE, V1 430, V (with BFE), AR, ARIA, AR/AE, AR/Al -A30, AR/AH, AR/AO
Complete Items C3. -a-i below according to the building diagram spedfied in Item C2. State the datum used, if the datum is different from the datum used for the BFE in
Section 5, 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 4005E Conversion /Comments N/A NAME -H -058 #AZ#2
Elevation reference mark used 8.53 Does the elevation reference mark used appear on the FIRM? ❑ Yes ® No
o a) Top of bottom floor (inducting basement or enclosure) 12. 47 ft.(m)
IV
o b) Top of next higher floor NIA . ^ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) N/A. _ft.(m) N o
o d) Attached garage (top of slab) N /A. ,,,_ft.(m) E 2-
o e) Lowest elevation of machinery and/or equipment w LD
servicing the building (Describe in a Comments area) N/A. _ft.(m) E0
o f) Lowest adjacent (finished) grade (LAG) 11 , 00 Nnn) Z' -'�
o g) Highest adjacent (finished) grade (HAG) 11, 60 ft.(m) � _ . - • • • .
o h) No, of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
o i) Total area of all permanent openings (flood vents) In C3.h N/A sq. in. (sq. cm)
SECTION D -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICAT) ".:. ;,. , jlb- 01616 i
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevatj " f8rmation, : ;;�
I certify that the information c ?iahs,A,'.11, and C on this certificate represents my bast efforts to interpret the data IV,, , ,;',STI,T E OF
I understand that an fithi tetrimy unrshabie by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIERS `+ �� ' , ► ' •" �'
CERTIFIES NAMEA Qf'WARR - - r LICENSE NUMBER . • �,,. • • Tnti
TITLE PROFESM 'LrA n RV . RS----'- -" — - COMPANY - NAME -AF - &COMPANY,INC: - -" - -- -
ADDRESS ' +�+ • .o- '. "` CITY STATE ZIP CODE
13050 SOUAi 3346.09 MIAMI FL 33186
SIGNATURE -T - ,�~ DATE TELEPHONE
R r' •' 6 -21 -2004 OFFICE 305.234.0588 FAX 305.234.0423
w
FEMA Fermi -31, January 2003 See reverse side for continuation. Replaces all previous editions
,