FEMA-EC141111U.S.Dffr''ITMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE
rEDEFaALEMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
lVatiou d Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
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 NAIC Number:
492 ILegacy Court
City Coppell State Tx ZIP Code 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 115R, Block A, Amending Plat Carter Addition, Ph.3, Doc.No. 201400161595 Dallas County Texas.
A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude, Lat. 32.95611 Long, 96.98004 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 B2. County Name B3. State
City of Coppell-480170 Dallas Tx
B4. Vap/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
481 13CO155
K
7-7-14
Effective/Revised Date
Zone(s)
AO, use base flood depth)
9-15-2014
X -AE
470.50
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source-
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (CPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
01. 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. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), 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: 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:
E7atum 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 floor
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)
I) Lowest adjacent (finished) grade next to building (LAG)
g) Highest adjacent (finished) grade next to building (HAG)
N) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
Check the measurement used.
477.50 ® feet
❑ meters
❑ feet
❑ meters
❑ feet
❑ meters
❑ feet
❑ meters
❑ feet
❑ meters
❑ feet ❑ meters
476.30 ® feet ❑ meters
❑ feet ❑ meters
SECTION D - SURVEYOR, ENGINEER, 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. t 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.
❑ 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
Cert ifer's Name Roland Rodriguez License Number 4987
Title R.P.L.S. Company Name Dowdy Land Surveyors Inc.
Address 68 an a tanNvd. #310 City Fort Worth State Tx ZIP Code 76120
Sign alure Date 11-11-2014 Telephone 817-429-9898
ROLAtND RODRI GUEZ
...........oso.... ..... a..1-
.0� 4987 e
. Cl
FEMAPorm 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
I_FV.AT!ON CERTIFICATE, page 2
IMPORT ANT: 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:
492 Legacy Court
City Coppeli State Tx ZIP Code 75019 Company NAIC Number:
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 used: City of Coppeil 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. 1 3-06-3463P Dated 9-15-2014
Signature Date 11-11-2014
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 is intended to support a LOMA or LOMB -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 ❑ meters ❑ above or ❑ below the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ 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 ❑ feet ❑ meters ❑ 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? ❑ 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 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, B, and E are correct to the best of my knowledge.
Property Owners or Owner's Authorized Representative's Name
Address — City Statek C3
Code
Signature Date Telephone
Comments
❑ Check here if attachments.
SECTION G — COMMUNITY INFORMATION (OPTIONAL)
'he 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
if 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.
31. ❑ 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.)
32. ❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or Zone AO.
33. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes.
G4. Permit Number
G5. Date Permit Issued
G6. Date Certificate Of Compliance/Occupancy Issued
37. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement
38. Elevation of as -built lowest floor (including basement) of the building: ❑ feet ❑ meters Datum
39. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum
310. Community's design flood elevation: ❑ feet ❑ meters Datum
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
Check here if attachments.
'EMA Form 086-0-33 (7/12) Replaces all previous editions.
ELc`:ATION CERTIFICATE, page 3 Building Photographs
See Instructions for Item A6.
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:
492 Legacy Court
City Coppell State Tx ZIP Code 75019 Company NAIC Number:
If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions
for Item A6. Identify all photographs with date taken; "Front Views' and "Rear View"; and, if required, "Right Side View" and "Left Side
View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as
indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page.
FEMA Form 086-0-33 (7112) Replaces all previous editions.