Flood Control - Elevation Certificate - 2042 Vizcaya Place - Vizcaya Sub - 4/17/2019
ELEVATION CERTIFICATE
. ~. DEPARTMENT OF HOMELAND SECURITY
~ . F;2deral Emergency Management Agency
National Flood Insurance Program Important: Read the instructions on pages 1-8.
SECTION A - PROPERTY INFORMATION
State
OMS No. 166?-?oo8
Expires February 28, 2009
For Insurance Company Use:
um r
,etc.
gl.O~1f:. J2.904l31/0/90
A4. Building Use (e.g., Residential, Non-Residential, Addition, A<:cessolY, etc.) 12 ~ I DBAI riA (..
A5. LatitudeILongitude: Lat Long. Horizontal Datum: D NAD 1927 D NAD 1983
A6. Attach at least 2 photographs of the building If the Certlficate Is being used to obtain flood Insurance.
A7. Building Diagram Number~ .
A8. For a building with a crawl space or enclosure{s); provide: A9. For 8 building with an attached garage, provide:
a) Square footage of aawI space or endosure(s) sq ft a) Square footage of attached garage SQ ft
b) No. of permanent flood openings in the crawl space or b) No. of permanent flood openings In the attached garage
endosure(s) walls within 1.0 foot above adjacent grade _ walls within 1.0 foot above adjacent grade
c) Total net area of flood openings In A8.b sq in c) Total net area of flood openings in A9.b SQ in
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B 1. NFIP Community Name & Community Number
€A6iLe
85. Suffix 86. FIRM Index
Date EffecllvelRevised Date
I(gOO ICt) r'5"4 1-1 I'!"": ...~ _a ,
,...~a./~, 1:".,....", __B./~.. 4J.'OO11
B10. Indicate the source of the Base Flood 8evation (BFE) data or bese flood depth entered in Item B9.
o FIS Profile 181 FIRM 0 Community Determined 0 Other (DescrIbe)
B11. Indicate elevation datum used for BFE In Item B9: 0 NGVD 1929 ~ NAVD 1988 0 Other (Desalbe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date 0 CBRS DOPA
Zone(s)
AS
DYes 18 No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Con.strucIIon Drawings. ' n Building Under Construction. iR1 Finished Construction
. A new Elevation Certificate will be required when construction of the buildlilg Is complete.
C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (wlth BFE), AR, ARIA, ARJAE, ARJA1-A30, ARlAH, ARJAO. Complete Items C2.a-g
below according to the building diagram specified In Item A7.
Benchmark Utilized ADA ('f)O",r"t MI'Id14M.4I1ilJ;t. NO.IZ9 Vertical Datum N A V D
Conversion/Comments
Check the measurement used.
a) Top of bottom floor (Including basement, crawl space, or endosure tIoor)
b) Top of the next higher floor
c) Bottom of the lowest honzontal structural member 01 Zones only)
d) Attached garage (top of $Iab)
e) Lowest elevation of machinery or equipment servidng the building
(Describe type of equipment in Comments)
f) Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
~'-17 ~ feet
24.28 .nl2lfeet
.-C]feet
....,..d] feet
Z ~, 7 ..3t2Wfeet
Zltt/" .~ feet
l~r7 .~feet
o meters (Puerto Rico only)
o meters (Puerto Rico only)
o meters (Puerto Rico only)
o meters (Puerto Rico only)
o meters (Puerto Rico only)
o meters (Puerto Rico only)
o meters (Puerto Rico only)
SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTlFICA nON
This certification Is to be signed and sealed by a land surveyor, engineer, or architect authortzed by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
/,JJQtjlKstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code. Section 1001.
~Check here if comments are provided on back of form.
Certifier's Name ~.<:>
MJ~/.U~5t.. .{;.". c.N~5'e~ r~O-'
TJ1!e mpany Name
paeSIO~-...t7 //;:'''',.C..f.:71.~g~rs.o.v LAAJO
Address City
c.;; ~;"I .s S'::hW1>l a ~ T. fr""'.A'.~ifi
19,nature /1 "j~ -?
'F'''/," ....tf""r. /< t.!.
Ucense Number
10 Pt.:J .61193
~arVs~ s. Iwl:!.
, tate d ' ZIP Code
#~n ="Z
See reverse side for continuation.
Replaces all previous editions
JRT ANT: In these spaces, copy the corresponding Infonnatlon from Section A.
.Jullding Street Address Qndudlng Apt., Unit, Suite and/or Bldg. No.) or P.O. Route and Box No.
~? "d.? Ai. ~/2 .
City State ZIP Code
5At;t..€ IDA/.!?
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation e8r1illcate for (1) community ofIIdal, (2) Insurance agent/company, and (3) building owner.
Comments
DC"f'AC/-i!;7;!J ~r~iO ::;-rQii:""'f ~~":"t......E" <J. ~iVINdt QUil€.re:e,S
tS,~~A~~ F',~g i!~08.b9 LIVllVd'2~A.O~4).Z'-l.1.6,9
7 Ih.O ~ d>
Ignatur~. "1 . ~ di' "'.Ji1 <II 0
/rl....A-'-< ,p" -t 17 APR.. ~OO, Check here if attachments
SECTION E - BUILDING EL ATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (without BFE), complete Items E1-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,
and C. For Items E1-E4, use natural grade, If avaUable. Check the measurement used. In Puerto Rico only, enter meters.
E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG).
a} Top of bottom floor (Indudlng basement, crawl space, or endosure) is _' _ 0 feet B meters B above or B below the HAG.
b) Top of bottom floor (induding basement, crawl space, or endosure) Is _' _ 0 feet meters above or below the LAG.
E2. For Building Diagrams 6-8 with permanent flood openings provided In Section A Items 8 and/or 9 (see pa...ie 8 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the buikling is _' _ 0 feet D meters D above or U below the HAG.
E3. Attached garage (top of slab) Is _' _ 0 feet D meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servldng the buDding Is _' _ U feet Dmeters 0 above or 0 below the HAG.
E5. 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? D Yes 0 No 0 Unknown. The local offidal must certify this Information In Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The properly owner or owner's autho.rized representative who completes SectIons A. B, and E for Zone A (without a FEMA-Issued or community-issued 8FE)
or Zone AO must sign here. The statements in Sections A, B, snd E al& correct to the best of my knowledge.
Properly Owner's or Owner's Authorized Representative's Name
Address
City
State
ZIP Code
Signature
Date
Telephone
Comments
o Check here If attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8, C (or E),
and G of this Elevation Cerlillcate. Complete the applicable ltem(s) and sign below. Check the measurement used in Items G8. and G9.
G1. 0 The information in Section C was taken from other. documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who
is authorized by law to certify elevation information. (Indicate the source and date of the elevation data In the Comments area below.)
G2. 0 A community offidal completed Section E for a building located In Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.
G3. D The follOWing Information (Items G4.-G9.) is provided for community floodplain management purposes.
G4. Permit Number G5. Date PermiUssued G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8. Elevation of as-built lowest floor (indudlng basement) of the building: . _feetO
G9. BFE or (in Zone AO) depth of flooding at the building site: . _feetO
o meters (PR) Datum
o meters (PR) Datum
Local Official's Name
Community Name
Title
Telephone
Signature
Date
Comments
FEMA Fo~ 81-31, February 2006
n Check here if attachments
Replaces all preVious edition