6041 SW 66 ST_GREEN ELEVATION BLDG Process# FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077
FOLIO# NATIONAL FLOOD INSURANCE PROGRAM Expires December 31, 2005
Crown of RBad 11.23 FT NVGD ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION For Insuranoe Company use:
BUILDING OWNER'S NAME r Policy Number
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
(-6041-SW 6P-Street-A
CITY STATE ZIP CODE
Miami FL
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
Lot 1 Blk.1 "Marshall Williamson Subdivision":
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,d necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( ##°-##I-##.##" or ##.#####) ❑NAD 1927 ❑NAD 1983 ❑1 Quad Map ❑Other:
N/A
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME B3.STATE
UN-INCORPORATED AREAS 120658 MIAMI-DADE FLORIDA
B4.MAP AND PANEL B7.FIRM PANEL B9.BASE FLOOD ELEVATION(S)
NUMBER B5.SUFFIX B6.FIRM INDEX DATE EFFECTIVEIREVISED DATE B8.FLOOD ZONE(S) (Zone A0,use depth of flooding)
120658-0276 J 7-17-95 3-2-94 "X" N/A
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 B9:®NGVD 1929 ❑NAVD 1988 ❑Other(Describe):
812.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,AR/AE,ARIA1-A30,AR/AH,AR/AO
Complete Items C3.-a-i 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 Conversion/Comments COUNTY BENCH MARK SYSTEM *SEE COMMENTS
Elevation reference mark used * Does the elevation reference mark used appear on the FIRM? [:]Yes ®No
• a)Top of bottom floor(including basement or enclosure) 12.08 ft.(m)
• b)Top of next higher floor N/A ft.(m) Cn
• c)Bottom of lowest horizontal structural member(V zones only) N/A ft.(m) y
• d)Attached garage(top of slab) N/A ft.(m) w
• e)Lowest elevation of machinery and/or equipment MARK STEVE JOHNSON
servicing the building(Describeina Comments area) 12.03 ft.(m) VICE PRESIDENT
o f)Lowest adjacent(finished)grade(LAG) 11.2 ft.(m) Z. PLS#4775
o g)Highest adjacent(finished)grade(HAG) 11.5 ft.(m) DATE: 03-03-2004
o h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade NIA
c, o i)Total area of all permanent openings(flood vents)in C3.h N/A sq.in.(sq.cm)
r n ; SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION
This,der�fic iQra+s sigp6d.and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.
I cew. !fhat't�r f6rm'dtio rri 5e ct*ons A,B,and C on this certificate represents my best efforts to interpret the data available.
III s fat any f �teterhent maybe punishable by fine or imprisonment under 18 U.S. Code,Section 1001.
M,x ..• : t
LICENSE NUMBER
4775
LE j COMPANY NAME
S1DEtT `�* SCHWEBKE•SHISKIN&ASSOCIATES,INC.rKAJ
_.
CITY STATE . ZIP CODE
MIAMI FLORIDA 33186
SIG A , ' DATE TELEPHONE
03-03-2004 305-233-9210
FEMA Form 81-31,January 2003 See reverse side for continuation. Replaces all previous editions
IMPORTANT: In these spaces,copy the corresponding information from Section A. - —
6041 SW 661h Street For Insurance Company Use)
Policy Number
CITY ,
MIAMI STATE ZIP CODE Company NAIC Number
FL. '
SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED)
Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner.
COMMENTS
if a
SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE(CITHOUTrBFE)ttachments
For Zone AO and Zone A(without BFE),complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed.
E1.Building Diagram Number_(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.)
E2.The top of the bottom floor(including basement or enclosure)of the building is —ft.(m)—in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,if available).
E3.For Building Diagrams 6-8 with openings(seepage 7),the next higher floor or elevated floor(elevation b)of the building is —ft.(m)_in.(crn)above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4.The top of the platform of machinery and/or equipment servicing the building is _ft.(m)—in.(cm)❑above or ❑below(check one)the highest adjacent grade. (Use
natural grade,9 available).
E5.For Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
❑Yes ❑No ❑Unknown. The local official must certifv this information in Section G.
SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION
The property owner or owners authorized representative who completes Sections A,B,C(Items C3.h and C3.i only),and E for Zone A(Without a FEMA-issued or community-
issued BFE)or Zone AO must sign here. The statements in Sections A,8,Q and E are correct to the best of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE
TELEPHONE
COMMENTS
SECTION G-COMMUNITY INFORMATION(OPTIONAL) E]Check here if attachments
The local official who is,authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation
Certificate. Complete the applicable item(s)and sign below.
G1.❑The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,engineer,or architect who is authorized by state or
local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2.❑A community official completed Section E for a building located in Zone A(without a FEMA4ssued or communityAssued BFE)or Zone AO.
G3. The following information(Items G4-G9)is provided for community floodplain management purposes.
G4.PERMIT NUMBER G5. DATE PERMfr ISSUED G6.DATE CE FICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7.This permit has been issued for:❑New Construction ❑Substantial Improvement
G8.Elevation of as-built lowest floor(including basement)of the building is:
G9.BFE or(in Zone AO)depth of flooding at the building site is: —=—ft.(m) Datum:-
-_•—ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
FEMA Form 81-31,January 2003
Replaces all previous editions
ENERGY PERFORMANCE LEVEL (EPL)
DISPLAY CARD
ESTIMATED ENERGY PERFORMANCE SCORE'S = 85.3
The higher the score,the more efficient the home.
HABITAT FOR HUMANITY OF GREATER MIAMI INC., , SOUTH MIAMI, FL,
1. New construction or a)dsting New — 12. Cooling systems
2. Single family or multi-family Single family — a. Central Unit Cap:23.0 kBtu/hr _
3. Number of units,if multi-family 1 _ SEER: 12.00 _
4. Number of Bedrooms 3 _ b.N/A _
5. Is this a worst case? Yes
6. Conditioned floor area(W) 1092 fF c. N/A
7. Class area&type —
a. Clear-single pane 148.0 ft2 — 13. Heating systems
b.Clear-double pane 0.0 fF — a. Electric Strip Cap: 19.7 kBtu/hr _
c. Tint/other SHGC-single pane 0.0 W _ COP:1.00
d.Tint/other SHGC-double pane 0.0 ft' b.N/A _
8. Floor types
a. Slab-On-Grade Edge Insulation R=0.0, 137.0(p)R — c. N/A _
b.N/A
c. N/A 14. Hot water systems
9. Wall types _ a. Electric Resistance Cap:40.0 galluns _
a. Concrete,Int Insul,Exierior R=4.2,908.0 ft2 _ EF:0.93
b.N/A _ b.N/A _
c. N/A
d.N/A _ c. Conservation credits _
e. N/A (HR-Heat recovery,Solar
10. Ceiling types — DHP-Dedicated heat pump)
a. Under Attic R=30.0, 1190.0 ft' _ 15. HVAC credits _
b.N/A CF-Ceiling— ( g fan,CV-Cross ventilation,
C. N/A HF-Whole house fan,
1 I. Ducts _ PT-Programmable Thermostat,
a. Sup:Unc. Ret:Con. AH:Interior Sup.R=6.0,20.0 ft _ W-C-Multizone cooling,
b.N/A MZH-Multizone heating)
I certify that this home has complied with the Florida Energy Efficiency Code For Building
Construction through the above energy saving features which will be installed(or exceeded) QgBE s
in this home before final inspection. Otherwise,a new EPL Display Card will be completed �+0 -?3 0,p
based on installed Code compliant q , t
ap
Builder Signature: / Date:
Address of New Home: / c / 5.W L,G� a� City/FL Zip: S, A4,e /0 FL. 33 114-3 c�WE A
�v
*NOTE.• The home's estimated energy performance score is only available through the FLARES computer program.
This is not a Building Energy Rating: If your score is 80 or greater(or 86 for a US EPA/DOE Energy&cP designation),
your home may qualify for energy efficiency mortgage(EEM incentives ifyou obtain a Florida Energy Gauge Rating.
Contact the Energy Gauge Hotline at 3211638-1492 or seethe Energy Gauge web site at www.fsec.ucfedu for
information and a list of certified Raters.For information about Florida's Energy Efficiency Code For Building Construction,
contact the Department of Community Affairs at 8501487-1824.
EnergyGauge®(Version:FL.RCPB v3.22)
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