Flood Control - Elevation Certificate - 2042 N Vizcaya Way - Vizcaya Sub - 8/28/2009
Bu'lding Owner's Name
I:. r,
Building Street Address (induding Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
Z04Z N.
CilL
e-A~~E /OA~O 83~/(I.
Property Descrip(ion (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
t-err 17~ 8LOGK:. I 02G4YA Su~. 129048110190
Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) J2'ee:leA-rIDN - ~L
LatitudelLongitude: Lat. Long. Horizontal Datum: 0 NAD 1927 0 NAD 1983
Attach at least 2 Photograp?J building if the Certificate is being used to obtain flood insurance.
Building Diagram Number :4
For a building with a crawl spa or endosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace or endosure(s) sq It It>- a) Square footage of attached garage sq It
b) No. of permanent flood openings in the crawlspace or tJ b) No. of permanent flood openings in the attached garage
endosure(s) within 1.0 foot above adjacent grade _ ,.. 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
d) Engineered flood openings? DYes D No d) Engineered flood openings? 0 Yes 0 No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
A1.
State
A2.
A3.
A4.
A5.
A6.
A7.
A8.
OMS No. 1660-0008
Expires March 31, 2012
For Insurance Company Use:
Polley Number
Company NAIC Number
ZIP Code
sqin
B1. NFIP Community Name & Community Number
6A~'
'(,()()/~O I 4-
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
o FIS Profile ~ FIRM Community Determined D Other (Describe)
B11. Indicate elevation datum used for BFE in Item B9: 0 NGVD 1929 j8NAVD 1988 0 Other (Describe)
B12. Is the building located in a Coastal Bamer Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date 0 CBRS DOPA
84. Map/Panel Number
B5. Suffix
B6. FIRM Index
Date
B7. FIRM Panel
Effective/Revised Date
J.I
B8. Flood
Zone(s)
Ae-
B9. Base Flood Elevation(s) (Zone
AO, use base flood depth)
2(;,0 ~crs"'-
DYes
o No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings' 0 Building Under Construction' 181 Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, AR/AH, ARlAO. Complete Items C2.a-h
below according to the building diagram specified in Item A7. Use the sae datum as the BFE.
Benchmar1< Utilized A.lJA ~O"^,T ~ ~NL:'JrI""AJ2.k:..7Z!l Vertical Datum AlA V 0
Conversion/Comments
a)
b)
c)
d)
e)
Top of bottom floor (induding basement, crawlspace. or endosure floor)
Top ofthe next higher floor
Bottom of the lowest horizontal structural member (V Zones only)
Attached garage (top of slab)
Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments) /' J 0
Lowest adjacent (finished) grade next to building (LAG) ~ " V
Highest adjacent (finished) grade next to building (HAG) 00 f,
Lowest adjacent grade at lowest elevation of deck or stai ,ind ,,~
structural su ort
Check the measurement used.
o meters (Puerto Rico only)
o meters (Puerto Rico only)
D meters (Puerto Rico only)
D meters (Puerto Rico only)
D meters (Puerto Rico only)
D meters (Puerto Rico only)
o meters (Puerto Rico only)
o meters (Puerto Rico only)
o feet
o feet
D feet
f)
g)
h)
SECTION D . SURVEYOR, ENGI ER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation
information. I certify that the information on this Certificate represents my best efforts to interpret the data available.
I understand that any false statement may be puniShable by fine or imprisonment under 18 U.S. Code, Section 1001.
lE' Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
licensed land surveyor? DYes D No
ZIP Code
CClAA 1:,,__ Q1 "21 A.~r no
z.
Don.l.,,..or .,lIl"\rO,,,j,....llr o,..i+i""'....r
IMPORTANT: In these spaces, copy the corresponding infonnation from Section A.
Building Street Address (induding Apt., Unit Suite, and/or Bldg. No.) or P.O. Route and Box No.
20 e. AI, VI C "Ae::C
City State ZIP Code
e;
F or Insurance Company Use:
poUcy Number
Company NAIC Number
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenUcompany, and (3) building owner.
COnyTlents g ~
//\1 Qr.zOtJND POOL OO-rTt::}N( Poa~ tS"e:- -= &. ti>04. Z.3
-rDP ,t:ba~ ec... ZeD /3 , B I
Oo7'~6r L.owssr Al'lAcll/^,,6~"I &G:: Z"/Z./3
Sign Date
~ B {.)~.e 0 0 Check here if attachments
VATION 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 available. 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 (including basement, crawlspace, or enclosure) is _' _ Dfeet Dmeters Dabove or Dbelow the HAG.
b) Top of bottom floor (induding basement, crawlspace, or enclosure) is _' _ Oeet Dmeters Dabove or o below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in SectiQIlA Items 8 and/or 9 (see ~es 8-9 of Instructions), the next higher floor
(elevation C2.b in the diagrams) of the building is _' _ 0 feet U meters 0 above or U below the HAG.
E3. Attached garage (top of slab) is _' _ 0 feet 0 meters 0 above or 0 below the HAG.
E4. Top of platform of machinery and/or equipment servicing the building is _' _ 0 feet 0 meters 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? 0 Yes 0 No 0 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a FEMA-issued or community-issued BFE)
or Zone AO must sign here. The statements in Sections A, S, and E are correct to the best of my knowledge.
Prope Owner's or Owner's Authorized Representative's Name
, AJ
2. PAZ
Address City State ZIP Code
Z251 $. .:$UAAA~ Sr. e,C/~~ /PAI-(O B370~
Sigl)ij!lW ../ A J ~ ./ ~ Date /~ T1""hone
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com~r;F. PA./Oll. G~tS:VA710;J ~cAZ""I.c/~"'T6 OAf NlA/N 1Zc;S{06tV~e
TI
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, B, C (or E),
and G of this Elevation Certificate. Complete the applicable item(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 official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO.
G3. 0 The following information (Items G4-G9) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for: 0 New Construction D Substantial Improvement
G8. Elevation of as-built lowest floor (induding basement) of the building
G9. BFE or (in Zone AO) depth of flooding at the building site
G10. Community's design flood elevation
o feet
o feet
o feet
o meters (PR)
o meters (PR)
o meters (PR)
Datum
Datum
Datum
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
o Check here if attachments
FEMA Form 81-31, Mar 09
Replaces all previous editions