FEMA-EC170830 (3)U.S. DEPARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Program
ELEVATION CERTIFICATE OMB Control Number: 1660-0008
IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 8-15 Expiration: 11/30/2018
Copv all pages of this Elevation Certificate and all attachments for (1) community official, (2) Insurance agent/compony, 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
Box No.
Company NAIC
Number:
648 Springlake Way
City Coppell
State Tx
Zip Code 75019
A3, Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 5, Block N, Westhaven, Phase 1, recorded in Doc. No. 2015-378
A4, Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential
Horizontal Datum:
A5. Latitude/Longitude:' Leff: 32.98703.333 Long. 97.00691944 ( NAD 1927 NAD 1983
A6. Attach at lba§t 2 Phot'ographe of.fhe`building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number ls_::,..:.. ..
A8. For a buirding with a cre✓Isp "ace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawlspace prenclosure(s) sq ft a) Square footage of attached garage sq ft
b) Number of-.permaneritflood openings in the b) Number of permanent flood openings
crawlspace orenclostire(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? r: Yes C . No d) Engineered flood openings? ( ;Yes ( No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number
82, 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
810. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9:
( FIS Profile (: FIRM ( Community Determined COther/Source:
811. Indicate elevation datum used for BFE in Item 69: (': NGVD 1929 t:.: NAVD 1988 C Other/Source:
812. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? Cj Yes (7e` No
Designation Date: (7CBRS (';DPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: t Construction Drawings" ( Building Under Construction* C': Finished Construction
A new Elevation Certificate will be required when construction of the building is complete.
C2. Elevations: Zones At A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, ARIA, ARAE, AR/AII A30, AR/AH, AR/AD. Complete
Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters.
Benchmark Utilized: 8M provided by Kimley-Horn surveyor of record. Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. r NGVD 1929 r 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, 54 C� feet C meters
b) Top of the next higher floor 0 (?feet C'•meters
c) Bottom of the lowest horizontal structural member (V Zones only) T r; feet Cj meters
d) Attached garage (top of slab) C,% meters
e) Lowest elevation of machinery or equipment servicing the building
C~feet (` meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) (feet C meters
g) Highest adjacent (finished) grade next to building (HAG) C?feet C; meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including
C°feet jmeters
structural support
FEMA Form 086-0-33 (7115) 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:
648 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. 1 certify
that the information on this Certificate represents my best efforts to interpret the data available. 1 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
Certifier's Name License Number 0%Ig T �
4886 •
Eugene D. Abbey ~ �E' r--_; Ed �
Title Company Name
EUGENE ,,ABBEY
HPLS Dowdy Land Surveyors, Inc.
Address City State Zip Code #
6850 Manhattan Blvd #310 Fort Worth Tx 76120 iy6%r���®
Signature Date Telephone $�R
8-30-2017 817429-9898
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 Date 40. '540_ 20r7
SECTION E - BUIL NG 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 EI -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, (� feet meters
❑ above or ❑ below the HAG. f :
or enclosure) is
b) Top of bottom floor (including basement, crawlspace, ( feet (` 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 r feet C' 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 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? ( Yes C' No (7% 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 Numher: 1660-0008
Expiration: 11/30/2016
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:
648 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 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.)
❑ A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE)
32
or Zone A0.
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
G7. This permit has been issued. for: (' New Construction C , Substantial Improvement
38. Elevation of as -built lowest floor (including basement)
r -feet (meters Datum
of the building:
39. BFE or (in Zone AO) depth of flooding at the
t^feet Cmeters Datum
building site:
310. 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. Page 5 of 15