6130 SW 63 ST_GREEN ELEVATION ELEVATION CERTIFICATE O.M.B. No. 3067-0077
' FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement.This form is used only to pro-
vide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to determine
the proper insurance premium rate, and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).You are not
required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form.
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
STREET ADDRESS(Including Apt.,Unit,Suite and/or Bldg.Number)OR P.O.ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
6130 SW 63RD STREET.
OTHER DESCRIPTION(Lot and Block Numbers,etc.)
LOTS 16, 17 AND 18 , BLK, 2 "PINES SUBDIVISION" PB 13 , PG, 2
CITY STATE ZIP CODE
SOUTH MIAMI
SECTION B FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
Provide the following from the proper FIRM (See Instructions):
1.COMMUNITY NUMBER 2.PANEL NUMBER 3.SUFFIX 4.DATE OF FIRM INDEX 5.FIRM ZONE 6.BASt FLOOD ELEVATION '
(in AO Zones,use depth)
120658 0276 J 7=17-95 r "X'' . N/A
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations(BFE): M NGVD'29 U Other(describe on back)
8. For Zones A or V,where no BFE is provided on the FIRM, and the community has established a_BFE for this building site, indicate
the community's BFE:I I IN A IJ feet NGVD (or other FIRM datum—see Section B, item 1)
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level_L_ .
2(a). FIRM Zones Al-A30,AE,AH,and A(with BFE). The top of the reference level floor from the selected diagram is at an elevation
of I I I a 11 A91 feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1-V30, VE, and V(with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of 1 1 1 IN AIJ feet NGVD (or other FIRM datum—see Section B, Item 7).
(c). FIRM Zone A(without BFE). The floor used as the reference level from the selected diagram is LVL feet above❑ or
below❑ (check one) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is LY'.L feet above❑ or below❑(check
one)the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor(reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown '
3. Indicate the elevation datum system used in determining the above reference level elevations:W NGVD'29 ❑ Other(describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM (see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes 1XI No (See Instructions on Page 4) COUNTY BENCH SYSTEM
5.The reference level elevation is based on: X❑ actual construction ❑ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post-construction Elevation Certificate
will be required once construction is complete.)
6.The elevation of the lowest grade immediately adjacent to the building is:I I I II I q.0 feet NGVD(or other FIRM datum-see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is not the"lowest floor"as defined in the community's floodplain management ordinance,the-elevation of the building's"lowest
floor"as defined by the ordinance is: I I I I NX.kJ feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement N/A
FEMA Form 81-31,MAR 97 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
c
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30,AE,AH,A(with BFE),V1—V30,VE, and V(with BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a property owner,or an
owner's representative may also sign the certification.
Reference levei diagrams 6, 7 and 8 - Distinguishing Features—if the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size, location of servicing equipment, area use,wall openings, or unfinished area Feature(s),then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
1 certify that the information in Sections 8 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.
CERTIFIER'S NAME LICENSE NUMBER(or Affix Seal)
PIERRE E. CALVET PROFESSIONAL LAND SURVEYOR #3369
TITLE COMPANY NAME
ASSN' T VICE PRESIDENT SCHWEBKE-SHISKIN & ASSOCIATES, INC.
ADDRESS CITY STATE ZIP
11941 S 144 STRE MIAMI FLORIDA 33186
SIGNATURE DATE PHONE
2-18-98 305 233-9210
Copies should be made,df tthis )ertificate for:1)community official,2)insurance agent/company,and 3)building owner.
COMMENTS: l e.<'. Y
rr
e. e
<•"<<G .fie+�� _ •��•�r�`�� � ..
ON WITH ON PILES,
SLAB BASEMENT PIERS,OR COLUMNS a
A V A , A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL REFERENCE
LEVEL FLOOD LEVEL
ELEVATION
T'
BASE ......_.'..,.._' j.'_ BASE
"' "' ADJACENT ?: REFERENCE FLOOD
FLOOD ELEVATION
ELEVATION REFERENCE ADJACENT GRADE LEVEL
LEVEL GRACE
.:?ADJACENT::
GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
LOG OF APPROVED INSPECTIONS TO COMPLY WITH SFBC 307.2
PERMIT* 1a390 ADDRESS; /3 c ) S W 63 Z7r,
A/E• STU.�10 Q /? ONTRACTOR
TYPE OF INSPECTION: FOUNDATION
COMMENTS:
APPROVED DATE: S 1Q.0-� /*17
TYPE OF INSPECTION: FORCING
COMMENTS:
APPROVED B DATE: QPR t L !�22
TYPE OF INSPECTION: R TRUSS, BRACING AND SHEATHING
COMMENTS:
APPROVED BY: DATE: °2 7
TYPE OF INSPEC ON: OWS AND DOORS
COMMENTS: "
APPROVED BY: DATE:
TYPE OF INSPECfI-ON: AS-BbIfT
COMMENTS:
APPROVED BY: DATE:
TYPE OF INSPECTION: 6THER [SPECIFY]
COMMENTS:
APPROVED B DATE: ZY APAx. �-7
TYPE OF INSPE TION: OT [SPECIFY]
COMMENTS:
APPROVED BY: DATE:
rA
(051PVDICO
architects inc. 17 February, 1998
Chief Building Inspector
South Miami Building and Zoning Department
South Miami, Florida
re:
6130 S.W. 63rd Street
South Miami, Florida
As the Architect of record for the above listed project, I
hereby attest that to the best of my knowledge, belief and
professional judgment, the structural and envelope
components of the new house are in compliance with the
approved plans and Other approved permit documents.
To the best of my knowledge, belief and professional
judgment the approved permit plans represent the as-built
condition of the structure and envelope components of the
addition.
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�:. Wynnemer
'.resident, Studio Architects Inc.
5879 Sunset Dr., quite 2
South Miami, FL 33143
305 667 3806
PURDY'
SOIL COMPACTION SERVICE
Serving Dade and Broward `knce 1955
POST OFFICE ^Uj 680357 Miamiiorida-`33168-0357
TELEPHONES (DADE) 947-6677 (BROWARD)"523-1579
STATE OF FLORIDA
PEST CONTROL LICENSE
NUMBER 1752
THE BUILDING DEPARTMENT
CITY OF.9 i/777/
COUNTY:adFf},��
STATE OF FLORIDA
PREMIBES TREATED WITH 7120,///�
LO 2 �,BLOCK o2 ,
SUBDIVISION
BUILDING NO. ,PROJECT NAME
JOB ADDRESS_ //tea � _sT2FT
BUILDING PERMIT NO. � j
BUILDER/CONTRACTOR,&,� j7_rgT , `,, irJ„ a� � �
ADDRE88
f
TO WHOM IT MAY CONCERN:
A pre-slab treatment for the prevention of SUBTERRANEAN TERMITES
was given to the above premises on�
according to the standards of THE NATIONAL PEST CONTROL ASSOCI-
ATION, And meets the requirements of T.!-1E SOUTH FLORIDA BUILDING
CODS, SECTION 2913.5.
Ha yi )Wades, President
Purdy oil License No.1752
Authorized Agent
KEEP OUT TERMITES`
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