FEMA-EC170825U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insurance Program
OMB No. 1660-0008
Expiration Date: November 30, 2018
ELEVATION CERTIFICATE
Important: Follow the instructions on pages 1-9.
Copy all pages of this Elevation Certificate and all attachments for (1)
community official, (2) insurance aQ_ent/comr)anv, and (3) building owner.
SECTION A —PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name Policy Number:
MIHIR KARSHAN & SHEFALI PATEL
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg -m- No.) or P.O. Route and
Box No. Company MAIC Number:
611 DEFOREST COURT
City State ZIP Code
COPPELL Texas 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 4, Deforest Court, Tax id#1 8.001260000040000
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude., Lat.32.98474121 Long. -96.96376038 Horizontal Datum: NAD 1927 ZX 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 1A
It
A8. For a building with a crawlspace or enclosure(s):
a) Square footage of crawlspace or enclosure(s) sq ft
b) Number of permanent flood openings in the crawlspace or enclosur(s) within 1.0 foot above adjacent grade
C) Total net area of flood openings in A8.b sq in
d) Engineered flood openings? D Yes ❑ No
A9. For a building with an attached garage:
a) Square footage of attached garage, sq ft
b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade
c) Total net area of flood openings in A9.b sq in
d) Engineered flood openings? Yes ❑ No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Community Name & Community Number 62. County Name 63. State
480170 CITY OF COPPELL DAL LASTexas
64. Map/Panel B5. Suffix 66. FIRM Index 67. FIRM Panel B8. Flood 69. Base Flood Elevation(s)
Number Date Effective/ Zone(s) (Zone AO, use Base Flood Depth)
Revised Date
4811300 155 K 07-w07-2014 07-07-2014 AE 453
610. Indicate the source of the Base Flood Elevation (13FE) data or base flood depth entered 1'n Item 139:
❑ FIS Profile FIRM Community Determined Other/Source:
1311, Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 X NAVD 1988 Oth r/So f%e%:
B'12. Is the building located in a Coastal Barrier Resources System CBRS area or Otherwise Protected Area (OPA)? E] Yes I 1 Na
Designation Date: ❑ CBRS ❑ OPA
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6
ELEVATION CERTIFICATE OMB No. 1660=t0008
Expiration Date: November 30, 2018
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
611. DEFOREST COURT
City State ZIP Code Company NAIC Number
COPPELL Texas 75019
illillillillillllllllIiij
SECTION C —BUILDING ELEVATION INFORMATION (,SURVEY REQUIRED)
C1. Building elevations are based on: ❑Construct'on D rawings* X Building Under Construction` ❑Finished Construction
''A new Elevation Certificate will be required when construction of the buildingis complete.
C2. Elevations —Zones Al—A30, AE, AH, A (with B IF E), VE , V1—V30, V (with B F E AR, AR/A, AR/AE, 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: City of Coppell Monument No. 9 Vertical Datum. NAVD 190000
Indicate elevation datum used for the elevations in items a) through h) below.
❑ NGVD 1929 21 NAVD 1988 Other/Source:
Datum used for building elevations must be the same as that -used for the BIFE,
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 455.751 x feet meters
b) Top of the next higher floofeet
c) Bottom of the lowest horizontal structural member (V Zones only) feet meters
d) Attached garage (top of slab ) El feet meters
e) Lowest elevation of machinery or equipment servicing the building feet meters
(Describe type of equipment and location in Comments) D
❑
f) Lowest adjacent (finished) grade next to building (LAG) 454.25 ❑x feet meters
g) Highest adjacent (finished) grade next to building (HAG) 455.54 0 feet meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
structural support feet meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, o r architect authorized by law to certify elevation information.
/certify that the information on this Certificate represents my best efforts to interpret the data available. /understand that any false
statement maybe punishable by fine or imprisonment under 18 U.S. Code, Section 100 1.
Were latitude and longitude in Section A provided by a licensed I andsurve
ylr? ❑Yes ❑ No E:1 Check here if attachments.
Certifier's Name License Number
Brian Rhodes 5962
Title
Registered Professional Land Surveyor 4P� G�STFR'
Company Name
Rhodes Surveying Inc.
BRUIN S. RHODES
Address ""' """""" "
'
4 596
1529 East I-30, Ste,. 106 �j `Qt�?:�
City State ZIP Code
Garland Texas 75043 �.� SUR`� p
Signature Date Telephone Ext.
08-25-2017 (972) 475-8940
Copy all pages of this Elevation Certificate and all attachments for (1) community official, (2) insurance agenVcompany, and (3) building owner.
Comments (including type of equipment and location, per C2(e), if applicable)
FEMA Form 086m.,0-33 (7/15) Replaces all previous editions. Form Page 2 of 6
ELEVATION CERTIFICATE OMB Na. 1660-0008
Expiration Date: November 30, 2018
IMPORTANT: I n these spaces, copy the corresponding information from Section A.-
FOR INSURANCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
61' DEFOREST COURT
City State ZIP Code Company NAIC Number
COPPELL Texas 75019
SECTION E — BUILDING 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 isintended to support a LOMA or LOMRmF request,
complete Sections A, Band 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 []meters above or below the HAG.
b) Top of bottom floor (including basement,
crawlspace, or enclosure) is feet M ftol %m7 above or E:1 below the LAG.
E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages '!-2 of Instructions),
the next higher floor (elevation C2. b i n
the diagrams) of the building is feet mete rs above or below the HAG.
E3. Attached garage (top of slab) is feet meters above or below the HAG,
E4. Top of platform of machinery and/or equipment
servicing the building is feet meters 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? I Yes � No ❑ Unknown. The 1131C11l 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, 6, 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 or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6
ELEVATION CERTIFICATE
BUILDING PHOTOGRAPHS
See Instructions for Item A6.
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r t MA f=orm Ub6=Om33 (7/15) Replaces all previous editions. Form Paae 6 of 6