04-991-006FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067 -0077
• NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
C.0 o. R.' 0 5 ELEVATION CERTIFICATE
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Important Read the Instructions Qn s a 1.7.
• • •rye _ _ SECTION A- PROPERTY OWNER INFORMATION For insuranaComponyUm.
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EVIENNE INVESTMENT, INCORPORATED �MVIBUY rvumr
BUILDING STREET ADDRESS (including Apt., Unit, Suite, and /or Bldg. No.) OR R.O. ROUTE AND BOX NO. Company NAIL Number
5195 SOUTHWEST 73 STREET
CITY STATE ZIP CODE
MIAMI FL 33143
PROPERTY DESCRIPTION (Lot and (lock Numbers. Tax Parcel Number, Legal Description, etc.)
PB 3-119 LOTS 20, 21, AND 22 OF: '1/V.A. LARKINGS SUBDIVISION" MIAMI -DADE COUNTY, FLORIDA.
BUILDING USE (e.g., Residential, Non - residential, Addition, Accessory, etc. Use a Comments area, if necessary,}
RESIDENTIAL
or 040###1 ##1 ®NAD 1 �J27 ❑ NAb 1 �Ji3
SECTION 5 - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
11, NFT COMMUNITY NAME i COMMUNITY NUMBER 12. COUNTY NAME 13. STATE
MIAMI - DADE - 120635 MIAMI -DADS COUNTY I FL
❑ Other.
4. MAP AND PANEL 157, FIRM PANEL 11 BASE FLOOD R6
NUMBER 15. SUFFIX III6. FIRM INDEX DATE EFFECTIVE/REVISED DATE 9s. FLOOD ZONE(S) (Zone AO, use depth of
• 12025C-0276 J 7- 17 -11M 3 -02 -1"4 'X" NIA
• BIG.lndicate the source of the Base Flood Elevation (BFE) data or base food depth entered in 19.
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