FEMA-EC140729 (4)U.S. UEAARTMENT OF HOMELAND SECURITY
FEDERAL EMERGENCY MANAGEMENT AGENCY
A'(1riouallolood brsureince Prugraw
1. Building Owner's Name Standard Pacific
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
A2. Building Street Address (including Apt., Unit, Suite, andlor Bldg. No.) or P.O. Route and Box No.
610 Westhaven Road
City Coppell
State TX ZIP Code 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lot 19, Block N, Westhaven Phase 1, addition to the City of Coppell, Dallas County, Texas
OMB No, 1660-0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number:
NAIC Nu
A4. Building Use (e.g., Residential, Non Residential, Addition, Accessory, etc.) Residential
A5. Latitude/Longitude: Lat. 32.988544° Long. -97.005616° Horizontal Datum: El 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
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
B1,
NFIP Community Name &Community Number 62. County Name I B3. State
City of Coppell 480170 Dallas Texas _II
B4. Map/Panel Number B5, Suffix B6, FIRM Index Date 67. FIRM Panel B8, Flood B9. Base Flood Elevation(s) (Zone
48113C0135K1135 K 07/0712014 Effective/Revised Date Zone(s) AO, use base flood depth)
07/07/2014 AE 466
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: ❑Construction Drawings' ®Building Under Construction' ❑Finished Construction
"A new Elevation Certificate will be required when construction of the building incomplete:
C2. Elevations - Zones Al -A30, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, AR/A, AR/AE, AR/At-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: See comments 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.
a) Top of bottom floor (including basement; crawlspace, or enclosure -floor)
b) Top of the next higher floor
Check the measurement used.
.470.32
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)
0 Lowest adjacent (finished) grade next to building (LAG) Elfeet El meters
g) Highest adjacent (finished) grade next to building (HAG)
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
D -SURVEYOR,
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Elmeters
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SECTION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authonzed by law to certify elevation
information. /certify that the information on this Certificate represents my best efforts to interpret the data available.
t understand that any false statement maybe punishable byline or imprisonment under 18 U.S.
D -SURVEYOR,
ENGINEER,
❑
feet
❑meters
Elfeet
❑
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SECTION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authonzed by law to certify elevation
information. /certify that the information on this Certificate represents my best efforts to interpret the data available.
t understand that any false statement maybe punishable byline or imprisonment under 18 U.S.
D -SURVEYOR,
ENGINEER,
OR
ARCHITECT
CERTIFICATION
Code; Sectiori 9001.
® 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
Certifier's Name Robert W. Bryan License Number 5508
Title R.P.L.S. Company Name Dowdy Land Surv
eyors,. inc.
Address. 6850 Manhattan Blvd. iY310 City Fort
Worth State TX ZIP Code 76120
817.429.9898
yr
P MMI W; ERY
550$
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FEMA Form 086-0-33 (7112) - See reverse side for continuation.- Replaces all previous editions.
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:
610 Westhaven Road
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 Elevations are based on benchmarks provided by Kimley-Horn & Associates the engineer and surveyor of record for Westhaven Phasel.
Signature
Gil.
SECTION E —BUILDING ELE�
INFORMATION
Date 07/29/2Q14
URVEY NOT REQUI
FOR ZONE AO AND ZONE A (WITHOUT BF
For Zones AO and A {without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMB -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 ZlP Code
Signature
Date
Telephone
Comments
❑ Check here if attachments.
SECTION G —COMMUNITY INFORMATION tLOrTIONAL)
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
ur1 i nis permit nas oeen issuea tor: LJ New Construction. Q 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'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.
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