Loading...
FEMA-EC150512U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE FEDERAL EMERGENCY MANAGEMENT AGENCY I OUR No. Nulional Flood Insurance Program important: Read the instructions on pages 1-9. SECTION A — PROPERTY INFORMATION Az. fiungmg street Aagress (including Apt, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, 446 Twin Pine Court City Coppell Skate Tx ZIP Code 75019 A3. Property Description (Lot and Block Numbers, Tax Parcel Number. Legal Description, etc.) Lot 6, Block C Easthaven (Eastlake) recorded in Doc. No. 201400158783 Map Rec Dallas County Texas. A4: Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) Residential A5, Latitude/Longitude: Lat. 32.591191 Long. -97.0278 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. AT 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 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 0 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 61. NFIP Community Name & Community Number B2, County Name 83. State City of Coppell-480170 Dallas Tx B4. Map/Panel Number B5, Suffix B6. FIRM Index Date B7. FIRM Panel B8. Flood B9. Base Flood Elevation(s) (Zone 48113CO135 K 7-7-14 Effective/Revised Date Zone(s) AO, use base flood depth) 3-19-2015 X N/A B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9. ❑ FIS Profile 0 FIRM ❑ Community Determined ❑ Other/Source: B11. 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) C1. Building elevations are based on: El Construction Drawings' ®Building Under Construction` El Finished Construction 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 cert '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: See notes 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) 470.83 ® feet ❑ meters b) Top of the next higher floor ❑ feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) ❑ feet ❑ meters d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building ❑ ❑ feet feet ❑ ❑ meters meters (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 ❑ ® ❑ feet feet feet ❑ ❑ ❑ meters meters meters ify elevation information. l certify that the information on this Certificate represents my best efforts to interpret the data available. (� understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. a oaa ooa, ❑ 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? ❑ Yes ® No a �, Certifier's Name Allen L. Brewster Title R.P.L.S. Address 6850 Manhattan Blvd. #310 Signature License Number 4054 Company Name Dowdy Land Surveyors Inc. City Fort Worth State Tx ZIP Code 76120 Telephone 8 continuation.17-429-9898 FEMA Form 5-12-15 086-0-33 (7(12) See reverse side for ooD-oaooa000 odcaoaaaaeDOD(� fr`` ALLEN ��`i��J�EI a G OOq OOOOOODOOOOOaaaapo e0e f*JJ \\ as oPSx c Replaces all previous editions. ELEVATION CERTIFICATE, page 2 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: 446 Twin Pine Court 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 k 1 community official, (2) insurance agentfcompany, and (3) building owner. Comments Benchmark used: City of Coppell BM# 15Elevation-465.56' Minimum Finished Floor per plat- 466.12' Refer to LOMR 14-06-2753P. Dated March 19, 2015 Signature Date 5-12-15 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. Property Owner's or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone • rr�iTTiiLa'iit,? Check here if attachments. 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, 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 seated 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 G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: [I New Construction El Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: El feet ❑meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. 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: [I New Construction El Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: El feet Local Official's Name Title Community Name Telephone Signature Date Comments ❑ Check here if attachments. FEMA Form 086-0-33 (7/12) Replaces all previous editions. ❑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 all previous editions. l NO: 150318011 TOLL BROTHERS 4 RVEY 12-15 201400158783 5/8'1.R. FNDG� (CAPPED KHA)- 10' eL T 6 5 201400158783 I I. /8"I.R. FND. I � (CAPPED KHA) 89°54'41" E 50®00' LO 14.3' Foau TOP OF FORM ELEV.= 47D.83' .r M.F.F. = 466.12' u s.t ( I Z� pl O I a FlRE 201400158783 �) w POLE: jl Ch 20' BUILDING LINE I I 10' eL T 6 5 201400158783 I I. /8"I.R. FND. I � (CAPPED KHA) 89°54'41" E 50®00' LO 14.3' Foau TOP OF FORM ELEV.= 47D.83' .r M.F.F. = 466.12' u s.t M i u 3_.0' l FsyP � \ I ►_ 5/8'I.R. FND. (CAPPED KHA) 009 4IJL 46 TWIN 50'GPINEAGCOURT� 5/8' I.R. SET 1 (CAPPED DOWDY) I rl IRON FENCE RETAINING WALL SCALE: 1'=20' PROPERTY DESCRIPTION: Loi S, Block C, of Eaxthaven (Eastlake), an Addition to the Cify of Coppell, Dallas Counfy, Te the map or plafi thereof recorded In Clerk's File No. 201d00158783, Map Records, Dallas Cou, SURVEYOR'S STATEMENT: The undersigned Registered Professional Land Surveyor oerlifies that; this plat of surrey and the property description set forth hereon are a Ime reprwentatlon of facts found at the time an actual on—the—ground survey; such survey was conducted by the surveyor, or under his supsMalon: all monuments shown hereon exist and the location, size, and type of material are correctly shown; the location of forms or slab art as shown hereon. OPEN SPACE BLOCK O, LOT 1X Z 014GO158783 UTILITY LEGEND GAS METER:'f. CABLE BOXr,Gt TEL PED: '.`.T ELEC. BOX: L'� EIEC. TRANS.' WATER VALYE: 9 xas, according to My Texas, FlRE HYDRANT: LIGHT POLE: to rna(, p i cn jf, i u 3_.0' l FsyP � \ I ►_ 5/8'I.R. FND. (CAPPED KHA) 009 4IJL 46 TWIN 50'GPINEAGCOURT� 5/8' I.R. SET 1 (CAPPED DOWDY) I rl IRON FENCE RETAINING WALL SCALE: 1'=20' PROPERTY DESCRIPTION: Loi S, Block C, of Eaxthaven (Eastlake), an Addition to the Cify of Coppell, Dallas Counfy, Te the map or plafi thereof recorded In Clerk's File No. 201d00158783, Map Records, Dallas Cou, SURVEYOR'S STATEMENT: The undersigned Registered Professional Land Surveyor oerlifies that; this plat of surrey and the property description set forth hereon are a Ime reprwentatlon of facts found at the time an actual on—the—ground survey; such survey was conducted by the surveyor, or under his supsMalon: all monuments shown hereon exist and the location, size, and type of material are correctly shown; the location of forms or slab art as shown hereon. OPEN SPACE BLOCK O, LOT 1X Z 014GO158783 UTILITY LEGEND GAS METER:'f. CABLE BOXr,Gt TEL PED: '.`.T ELEC. BOX: L'� EIEC. TRANS.' WATER VALYE: 9 xas, according to My Texas, FlRE HYDRANT: LIGHT POLE: L. BREWSTER, R. P.L.S. No.