FEMA-EC150216 (2)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
Nenional blood /nsurancc Program Important: Read the instructions on pages 14. Pynornfonn rIntne 11 1111 '411
A1. Building Owner's Name David Weekley Homes, L.P.
SECTION A — PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number:
844 Prescott Lane
City Coppell State Tx ZIP Code 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 11, Block A of Belmont Landing
A4.
61,
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.)
Residential
63. State
Coppell 480170
feet
Dallas
Tx
A5,
Latitude/Longitude: Lat, 32.951 Long. -96.960 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 1B
E
K
A8.
For a building with a crawlspace or enclosure(s):
A9. For a building with an attached garage:
AO, use base flood depth)
a) Square footage of crawlspace or enclosure(s) N/A sq ft
a)
Square footage of attached garage 428 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 gradeN/A
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
NFIP Community Name &Community
610. Indicate the source
Number
B2. County Name
63. State
Coppell 480170
feet
Dallas
Tx
[I
feet
B4. Map/Panel Number65.
meters
Suffix
B6, FIRM Index Date
B7. FIRM Panel
B8, Flood
B9. Base Flood Elevation(s) (Zone
48113CO155
E
K
7/7/2014
Effective/Revised Date
Zone(s)
AO, use base flood depth)
12/12/2014
X
N/A
of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69.
❑ FIS Profile ❑ FIRM ❑ Community Determined ® Other/Source: LOMR-APP 15-06-0173P
1311. 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 (OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C —BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
EJ Construction Drawings* ®Building Under Construction* El Finish
C1. Building elevations are based on:
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: Coppell Monument 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.
Check the measurement used.
a) Top of bottom floor (including basement, crawlspace, or enclosure floor)
455.28 ®feet
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)
f) Lowest adjacent (finished) grade next to building (LAG) 454.05 ®feet El meters
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
❑
meters
❑
feet
❑meters
[I
feet
El
meters
❑
feet
El
meters
El
feet
El
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. I certify that the information on this Certificate represents my best efforts to interpret the data available. P<, 4_ Qj r;; �
I understand that any false statement maybe punishable by fine or imprisonment under 18 U. S. Code, Section 1001. !,7 v
El Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �` 5•*��t
El Check here if attachments. licensed land surveyor? ® Yes El No
Certifier's Name Chad Sledge
Title RPLS
License Number 5733
Company Name Roome Land Surveying, Inc.
0 City Plano
Address 2000 Ave G Suite 81
Signature
Date 2/16/2015
State Tx ZIP Code 75074
Telephone 972-423-4372
CHAD SLEDGE
*. *:9..5733**P:
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
❑
feet
❑meters
❑
feet
Elmeters
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. I certify that the information on this Certificate represents my best efforts to interpret the data available. P<, 4_ Qj r;; �
I understand that any false statement maybe punishable by fine or imprisonment under 18 U. S. Code, Section 1001. !,7 v
El Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a �` 5•*��t
El Check here if attachments. licensed land surveyor? ® Yes El No
Certifier's Name Chad Sledge
Title RPLS
License Number 5733
Company Name Roome Land Surveying, Inc.
0 City Plano
Address 2000 Ave G Suite 81
Signature
Date 2/16/2015
State Tx ZIP Code 75074
Telephone 972-423-4372
CHAD SLEDGE
*. *:9..5733**P:
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
Irl= " � ► s
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No.
844 Prescott Lane
ZIP Code 75019
al MMM a LN •& •' Z • ••
1, 11111 1
Copy both sides of this Elevation. owner.
Signature
Date
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 171 feet ED meters El above or L_) 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 Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
Comments
❑ Check herd, if attachr�le ts.
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; G (or E), and GG
of this Elevation Certificate. Complete the applicable item(s)
and sign below. Check the measurement used in Items G8 -G10. in Puerto RiFo only, enter meters.
G1. ❑ 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 b61ow.)
G2. ❑ 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. ❑ 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
G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building: ❑feet ❑meters
G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters
G10. Community's design flood elevation:
El feet El meters
Local Official's Name Title
Community Name Telephone
Signature Date
Comments
Datum
Datum
Datum
Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces a11
previous editions.
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