Loading...
FEMA-EC170830 (2)U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Program ELEVATION CERTIFICATE IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 OMB Control Number: 1660-0008 Expiration: 11/30/2018 Coov all oaaes 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: CalAtlantic Homes of Texas, Inc. A2, Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Box No. Number: 640 Springlake Way City Coppell State Tx Zip Code 75019 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 7, Block N, Westhaven, Phase 1, recorded in Doc. No. 2015-378 A4. Building Use (e.g:, Residential, Non -Residential, Addition, Accessory, etc.) Residential A5. Latitude/Longitude: Lat. 32.98685278 Long. 97,00717222 Horizontal Datum:(75 NAD 1927 Ce 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 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 b) Number of permanent flood openings crawlspace or enclosure(s) within 1.0 foot in the attached garage within 1.0 foot above adjacent grade above adjacent grade 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? C. Yes (- No SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number B2. County Name B3. State Coppell, City of 480170 Dallas Tx B4. Map/Panel Number B5, Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9. Base Flood Elevation(s) Revised Date (Zone AO, use base flood depth 48113CO135 K July 7, 2014 July 7, 2014 Shaded X na B10, Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: C} FIS Profile Ce FIRM C, Community Determined C Other/Source: B11. Indicate elevation datum used for BFE in Item 69: C; NGVD 1929 Co NAVD 1988 C Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? (` Yes C0 No Designation Date: C` CBRS C OPA SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: C' Construction Drawings* ('s Building Under Construction* C, 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, ARAE, 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: BM provided by Kimley-Horn surveyor of record. Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. C NGVD 1929 (:` NAVD 1988 r 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) 470.26 (F feet C meters b) Top of the next higher floor ,feet ( meters c) Bottom of the lowest horizontal structural member (V Zones only) C' feet (` meters d) Attached garage (top of slab) ( feet C meters e) Lowest elevation of machinery or equipment servicing the building `feet ( C meters (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) ( feet ( meters g) Highest adjacent (finished) grade next to building (HAG) (: feet C meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including C feet meters [ structural support FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 3 of 15 ELEVATION CERTIFICATE, page 2 OMB Control Number: 1660-0008 Expiration: 11/30/2018 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: 640 Springlake Way City State Zip Code Company NAIC Coppell Tx 75019 Number: 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 ❑ Check here if attachments. provided by a licensed land surveyor? C Yes (: No fl� Certifier's Name License Number '� •gT f q'�•;9 �O•� Eugene D. Abbey 4886 �P qw Title Company Name RPLS Dowdy Land Surveyors, Inc. Address City State Zip Code Alq Q�'•��4 0�% �j� 6850 Manhattan Blvd #310 Fort Worth Tx 76120 H� su Signature Date Telephone 8-30-2017 817-429-9898 Copy all pages of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) Forms only Signature —' ,(1 Date 8, SECTION E - BUIL NG ELEVATION INFORMATION ( URVEY 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, 17 feet C meters E]above or ❑ below the HAG. or enclosure) is b) Top of bottom floor (including basement, crawlspace, ('feet C meters ❑ above or ❑ below the LAG. or enclosure) is E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see page 8 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is C feet C meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is C feet C meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and /or equipment servicing the building is C feet C. 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 CNo C; 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 Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 4 of 15 ELEVATION CERTIFICATE, page 3 OMB Control Number: 1660-0008 Expiration: 11/30/2018 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: 640 Springlake Way City State Zip Code Company NAIC Coppell Tx 75019 Number: 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 GS -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: C; feet meters Datum G10. Community's design flood elevation: r feet r meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) a 0 Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Page 5 of 15 11 JI r r rt {Ya s f 1 ww F PFF b — ... ..—. _ I. F POW s.