Loading...
FEMA-EC160714U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program 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 agent/company, and (3) building owner. SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Policy Number: David Weekley Homes, L.P. A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: Box No. 901 Saratoga Way City State ZIP Code Coppell Texas 75019 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 29, Block A of Belmont Landing A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 32.95179 Long. -96.96247 Horizontal Datum: ❑ NAD 1927 ❑x 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 1 B 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 enclosure(s) within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in d) Engineered flood openings? ❑ Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage 426 sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑x No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Coppell 480170 Dallas Texas B4. Map/Panel B5. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 48113CO155 K 07/07/2014 12/12/2014 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: ❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929x❑ NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ❑x No Designation Date: ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 901 Saratoga Way City State ZIP Code Company NAIC Number Coppell Texas 75019 SECTION C — BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑x 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: Coppell Monument Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ❑x 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) 458 68 ❑x feet ❑ meters b) Top of the next higher floor ❑X feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑X feet ❑ meters d) Attached garage (top of slab) ❑x feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑x feet ❑ meters (Describe type of equipment and location in Comments) fl Lowest adjacent (finished) grade next to building (LAG) 457 54 ❑x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) ❑x feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including ❑x feet ❑ meters structural support 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. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ❑x Yes ❑ No ❑ Check here if attachments. Certifier's Name License Number Chad Sledge 5733; Title Registered Professional Land Surveyor g�p^G� .• �� � � PI moo•' Company Name Roome Land Surveying,Inc. �} Address 2000 Ave G Suite 810City JE,� State ZIP Code Plano Texas 75074" Signatur� Date Telephone 07/14/2016 (972) 4234372 Copy all pages of this�Efevation Certificate and all attachments for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) 1) FIRM revised by LOMR-APP 15-06-0173P dated 12/12/2014 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 901 Saratoga Way 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 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 ❑ 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 1-2 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 Owner or Owner's Authorized Representative's Name Chad Sledge Address City State ZIP Code 2000 Ave G Suite 810 Piano Texas 75074 Signatur Date Telephone 07/14/2016 (972) 4234372 Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 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: 901 Saratoga Way City State ZIP Code Company NAIC Number Coppell Texas 75019 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—G10, In Puerto Rico 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 below.) 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 Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 ELEVATION CERTIFICATE BUILDING PHOTOGRAPHS See Instructions for Item A6. OMB No. 1660-0008 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: 901 Saratoga Way City State ZIP Code Company NAIC Number Coppell Texas 75019 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 View" 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, Photo One Photo One Caption Front View 07/14/2016 Photo Two Photo Two Caption Rear View 07/14/2016 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 PROPERTY DESCRIPTION Address: 901 Saratoga Way, Being Lot 29, in Block A, of oome Land Surve ing Inc. Belmont Landing, an Addition to the City of Coppell, Dallas — County, Texas, according to the Map/Plat thereof recorded in 2000 Avenue G, Suite 810 Doc. No. 201400160175, of the Map Records, of Dallas Plano, Texas 75074 County, Texas. Phone (972) 423-4372 / Fax {972) 423-7523 www.roomesurveying.com I Ebb. No.10013100 �a L S center lmeJ 3 IFI I be atoga Wa,. bbbb3 g wv DAA. S59'23'00"E 50.00' 3 Cpd.IRF Cpd IRFN F;d elec.HH _ _ _ _ 5' Utility Esm't. 0 � � o o V N � � 15_B.L. \N 'u N 5.05 L` 7,6 13.5 N FF _ _ 5.0 6 18.9 �o E garage acing J II I� d LOT 30 a € 00 a 1 0 a D_ �LL: cp I F- 0 O O N LOT29 LOT 28 ' 0 Forms Only w T.O.F.=458.68 0 °. Pad=457.54 o �p Min.F.F.=453.9 O O v U t CD Z NVx N 2 d' C C - I C n IS 5.1 39.9 5.0 — m � J 7 m LOT 39 0 Nv M r7 � C7 M N 15' B.L. n 2 W z 1/2'IRF 1/2"IRF W J N59'2300"W 50.00' LOT 3X, BLOCKA FEMA FLOODPLAIN PER LOMR CASE N0. 15-06-0173P NOTES: (1) Source bearing is based on recorded plat unless otherwise noted. (2) (CM) = Controlling monument. (3) Surveyor's signature will appear in red ink on original copies. (4) Drainage arrows, if shown, were determined by elevations shown hereon. (5) Subject property is affected by any & all notes, details,�p'(E,OT„TFL easements & other matters, that are shown on or as part of the recorded plat and/or as part of a title �� eR'.S commitment/survey request. r� CERTIFICATION � �Dee, ..Y ������ CHA,"FeeL E On the basis of my knowledge, information & belief, I certify to David Weekley Homes, L.P. that as a result of a survey made on the ground to the normal standard of care of Registered Professional Land Surveyors 5733 Q practicing in the State of Texas, I find the plat hereon is true, correct & accurate as to the boundaries of l q sme,,the SURVE� Date: 7/14/2016 Revised: Job No. LB128582 \\FILESERVER\data\LB\2016Q3\Ib128582.dwg YH