13-452-068U. S .DEPARTtviENTOF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660 -0008,
Federal Emergency Management Agency Expires March 31, 2012
National Flood Insurance Program Important: Read the instructions on pages 1 -9.
SECTION A - PROPERTY INFORMATION For Insurance Company Use
Al. Building Owner's Name PolrcyNber,
Luis Rodriguez um
A2. Building Street Address (including Apt., Unit, Suite, and /or Bldg. N0.) or P.O. Route and Box No. Company iVAIC Number ;^
6420 SW 63rd. Terrace
City_
South Miami Sm? ZIP3TTi43
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 2,Block 16,Twin Lakes Manor Subdivision,P.B. 57,Pg. 82,Miami -Dade County,Florida.-
A4. Building Use (e.g., Residential, Non - Residential, Addition, Accessory, etc.) Residential
A5. Latitude /Longitude: Lat. 25.71171 N Long. 80.29838 W Horizontal Datum: [] NAD 1.927 ®NAb 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance
A7. Building Diagram Number 1A ,
A8. For a building with a crawlspace or enclosure(s):
A9. For a building with an attached garage:
0 i
a) Square footage of crawlspace or enclosure(s) ' sq ft a) Square footage of attached garage 305 s ft
b) No. of permanent flood openings in the crawlspace or q
p - b) No. of permanent flood. openings in the attach�d garage
enclosure(s) within 1.0 foot above adjacent grade 0 within 1.0 foot above adjacent grade
c) Total net area of flood openings in A8.b - 0 sq in c) Total net area of flood openings in A9.b ___U_ sq in
d) Engineered flood openings? Yes 0 N d) Engineered flood openings? Yes ®No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2, County Name 83. State
South Miami 120658 Miami -Dade Fl.
B4. Map /Panel Number B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone li
1208600458 L bate Effective /Revised Date Zone(s) AO, use base flood depth)
09/1X/09 09/11/09 AH
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9,
Q FIS Profile ®FIRM Community Determined E] Other (Describe)
Indicate elevation datum used for BFE in Item B9: Q NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe) _
Is the building locatep a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date N /t1 n CBRS [_1 OPA - .
1311.
B12.
0 Yes C�12 No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings* I ❑ Building Under Construction*, ® Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations -Zones Al -A30, AE, AH, A (with BFE), VE, Vi -V30, V (v✓ith BFE), AR, AR /A, AR/AE, AR /A1 -A30, AR /AH, AR /AO. Complete Items C2.a -h
below according to the building diagram specified in Item AT Use the same datum as the BFE.
Benchmark Utilized DCBM Vertical Datum NGVD 1929
Conversion /Comments N A
a) T
Top of bottom floor (including basement, crawlspace; or enclosure floor) 9
Check the measurement used.
b) T
Top of the next higher floor N
NIA ._® feet ❑
❑ meters (Puerto Rico only)
C) B
Bottom of the lowest horizontal structural member (V Zones only) N
N�.� XQ feet ❑
❑meters (Puerto Rico only)
e) L
Lowest elevation of machinery or equipment servicing the building 9
8 . 92 ® feet: ❑
❑ meters (Puerto Rico only)
f) L
Lowest adjacent (finished) grade next to building (LAG) 8
8 6 ® feet [
[] meters (Puerto Rico only)
g) H
Highest adjacent (finished) grade next to building (HAG) �
8 feet [
[] meters (Puerto Rico only)
h) L
Lowest adjacent grade at lowest elevation of deck or stairs, including N
NIA feet m
meters (Puerto Rico only)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION �w
This certification is to be signed and seated by a land surveyor, engineer, or architect authorized by law to certify elevation
inf r t'
ron. certify that the mforma5or, on this Certificate represents my best efforts to interpret the data available.
/understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
_ licensed land surveyor? UYes ❑ No
Ce rfier's Nam
Lazaro b. Alonso Licetipe Number 3590
--__ _
Tou _
'r61essional Su
61875 NW 167th.
veyor and M pperyNamUNITEC MAPPING AND SURVEYING, INC.
City Statd ZIP Cc
Street # H -5 Miami VTL 3A15
EMA P&m' 813 JJMar 09
10,2011 (305)512 -4940
See reverse side for c,ontinuation.
Replaces all previous editions