Loading...
FEMA-EC150128U.S. DEPARTMENT OF HOMELAND SECURITY ELEVAT'IOER 1 (FICA I E FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008 Alation l Flood his, rance Prograin Important: Read the instructions on pages 1-9, SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Toll Brothers Policy Number:'' A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAICNumber: 487 Legacy Court City Coppell State Tx ZIP Code 75019 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 14R, Block A, Amending Plat Carter Addition, Ph.3, Doc.No. 201400161595 Dallas County Texas. A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, ekc.) Residential A5. Latitude/Longitude: Lat. 32.572202 Long. 96.585107 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number lb A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ® No SECTION B -FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name &Community Number 82. County Name 6 1310. Indicate the source of the Base Flood Elevation ( BFE) data or base flood 3. State City of Coppell-480170 ® FIRM ❑ Community Determined Dallas Tx used for BFE in Item 139: ❑ NGVD 1929 B4. Map/Panel Number 48113CO155 B12. Is the building located B5. Suffix K B6. FIRM Index Date 7-7-14 B7. FIRM Panel EffectivelRevised Date 9-15-2014 B8. Flood Zone(s) X -AE B9, Base Flood Elevation(s) (Zone AO, use base flood depth) 470.50 SECTION C -BUILDING ELEVATION BFE) data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: Bl 1. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No Designation Date: ❑ CBRS ❑ OPA INFORMATION (SURVEY REQUIRED) Cl, Building elevations are based on: ❑ Construction Drawings* Z 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, V1 -V30, V (with BFE), AR, AR/A, ARIAE, AR/A1-A30, AR/AH, AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: See notes Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher Boor c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) 475.88 h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support Check the measurement used. 476.81 ®feet ❑meters ❑ feet 1`1 meters Elfeet Elmeters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certif+cation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. t understand that any fatso statement may be punishable by fine or imprisonment under f8 U.S. Code, Section 90Df. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? ❑ Yes ® No Certifier's Name Roland Rodriguez License Number 4987 Title R.P.LS. Company Name Dowdy Land Surv Address Blvd. #310 City Fort Worth eyors Inc. State Tx ZIP Code 76120 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions ❑feet ❑meters Elfeet Elmeters SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certif+cation is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. t understand that any fatso statement may be punishable by fine or imprisonment under f8 U.S. Code, Section 90Df. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? ❑ Yes ® No Certifier's Name Roland Rodriguez License Number 4987 Title R.P.LS. Company Name Dowdy Land Surv Address Blvd. #310 City Fort Worth eyors Inc. State Tx ZIP Code 76120 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions ELEVATION CERTIFICATE, page 2 IMI'UK I AN 1: in these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 487 Legacv Court ZIP Code 75019 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 Benchmark dCit use: y of Coppell Monument# 14. Aluminum marker set in the North side of an inlet on the west side of Moore Road in front of Barbara Austing Elementary School, Approximately 73 feet North of Pheasant Lane. Elevation: 506.48 feet. Please see Letter of Map Revision Case No.13-06-3463P Dated 9-15-2014 Signature Date 1-28-2015 SECTION 17-131111 DIN ELEVATION 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 ❑ feet E1 meters El above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet El meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is El feet ❑ meters El above or El below the HAG. E3. Attached garage (top of slab) is ❑ feet El meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑ feet El meters El above or ❑ 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? C1 Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F — PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or ownees 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. B, 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 ❑ Check here if attachments. SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by lawor 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—G10, In Puerto Rico only, enter meters. G1. El 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. E]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. E] The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6, Date Cert ificate Of Compliance/Occupancy Issued G7. This permit has been issued for; ❑New Construction El Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: El feet ❑meters Local Official's Name Community Name Title Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7112) Replaces all previous editions. Datum G9. BFE or (in Zone AO) depth of flooding at the building site; El feet El meters Datum G10. Community's design flood elevation; El feet ❑ meters Datum Local Official's Name Community Name Title Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7112) Replaces all previous editions.