FEMA-EC150707 (4)U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A — PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al, Building Owner's Name David Weekley Homes, L.P. Policy Number:
A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Company NAIC Number:
929 Saratoga Way
City Coppell State Tx ZIP Code 75019
A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 22 Block A of Belmont Landing
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
A5, Latitude/Longitude: Lat. 32.9512 Long. -96.9615 Horizontal Datum: ❑ NAD 1927 E NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
AT Building Diagram Number 1 B
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) N/A sq ft a) Square footage of attached garage 455 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 N/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 E No
SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP Community Name &Community Number 62,
County Name 63. State
Coppell 480170 Dallas Tx
B4. Map/Panel Number B5. Suffix B6. FIRM Index Date 37. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone
48113COl55 K 7/7/2014 Effective/Revised Date Zones) AO, use base flood depth)
12/12/2014 X N/A
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69.
❑ FIS Profile ❑ FIRM ❑ Community Determined E Other/Source: LOMB -APP 15-06-0173P
B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 E NAVD 1988 ❑ Other/Source:
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No
Designation Date: ❑ CBRS ❑ OPA
SECTION C —BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ❑ Construction Drawings" E 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 AT 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)
b) Top of the next higher floor
456.67 E feet ❑meters
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)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
455.45 E feet El meters
❑
feet
❑meters
El
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 effort
s to interpret the data available.
1 understand that c
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? E Yes ElNo
Cert
ifier's Name Chad Sledge
Title RPLS
License Number 5733
Company Name Roome Land Surveying, Inc.91
Address 2000 Ave G Suite 81
te Tx ZIP Code 750
0 City Plano Sta74
A
CHAD, SLEDGE
Q� 5733���000906 lr��
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
❑
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. I certify that the information on this Certificate represents my best effort
s to interpret the data available.
1 understand that c
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? E Yes ElNo
Cert
ifier's Name Chad Sledge
Title RPLS
License Number 5733
Company Name Roome Land Surveying, Inc.91
Address 2000 Ave G Suite 81
te Tx ZIP Code 750
0 City Plano Sta74
A
CHAD, SLEDGE
Q� 5733���000906 lr��
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
ELEVATION CERTIFICATE,
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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:
929 Saratoga Way
City Coppell 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
Signature Date
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 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.
Propert
y Owner's or Owner's Authorized Representative's Name
Address City State ZIP Code
Signature
Date
Telephone
Comments
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 Puert
Check here if attachments.
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 cert
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
o Rico only,
enter
meters.
ify 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
Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces a11
previous editions.
ELEVATION 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:
929 Saratoga Way
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 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.
Front 7/7/2015
Rear 7/7/2015
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
PROPERTY DESCRIPTION
Address: 929 Soratoga Way, Being Lot 22, in Block A, of
Belmont Landing, an Addition to the City of Coppell, Dallas
County, Texas, according to the Map/Plat thereof recorded
Doc. No. 201 4001 601 75, of the Map Records, of Dallas
County, Texas.
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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, �E OF
easements &other matters, that are shown on or as art of the recorded lat and or as art of a title �P''�� T
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commitment/survey request.
CERTIFICATION Ap' S��
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On the basis of my knowledge, information & belief, I certify to David Weekley Homes, L.P. that as a result of "' ""'G'`
a survey made on the ground to the normal standard of care of Registered Professional Land Surveyors •.� 5733
practicing in the State of Texas, I find the plat hereon is true, correct &accurate as to the boundaries of ��'�FE � I
the subject property & if shown, location &type of buildings &visible improvements hereon. qN�.. UR��
Date: 7/7/2015 Revised: _____ Job No. L8120449
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Plano, Texas 75074
Phone (972) 423-4372 /Fax (972) 423-7523
www.roomesurveying.com
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LOT 3X, BLOCKA
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, �E OF
easements &other matters, that are shown on or as art of the recorded lat and or as art of a title �P''�� T
P P / P
commitment/survey request.
CERTIFICATION Ap' S��
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On the basis of my knowledge, information & belief, I certify to David Weekley Homes, L.P. that as a result of "' ""'G'`
a survey made on the ground to the normal standard of care of Registered Professional Land Surveyors •.� 5733
practicing in the State of Texas, I find the plat hereon is true, correct &accurate as to the boundaries of ��'�FE � I
the subject property & if shown, location &type of buildings &visible improvements hereon. qN�.. UR��
Date: 7/7/2015 Revised: _____ Job No. L8120449
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