HomeMy WebLinkAbout2406 Andrews Ctti.$.DEPA4APIENTOFHOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National Elood7nsuranceProgranr important: Read the Instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name DAVID L & BETH A BRADY (JOB#1495-13) Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No, Company NAIC Number:
0 ANDREWS COURT
City LA PORTE Stale TX ZIP Code 77671
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 11, BLOCK 1 OF RETREATAT BAY FOREST SOUTH AMEND C 1 2013
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N29°3&09.26" Long. W95°01'10.66" Horizontai D 1m: ❑ NAD 1927 ® 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 1 B
AS. For a building with a crawispace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawispace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the crawispace b) Number of permanent food openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N� 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 B2. County Name B3. State
CITY OF LA PORTE HARRIS TX
B4. Map/Panel Number
B5. Suffix
86. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9 Base Flood Elevation(s) (Zone
48201C 0945
L
06/18/07
Effective/Revised Date
Zone(s)
AO, use base food depth)
06/18/07
AE
11'
B10. Indicate the source of the Bass Flood Elevation (8FE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source:
812. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ® Ca struction Drawings' ❑ Building Under Construction" ❑ Finished Construction
'A new Elevation Certificate will be r ired wh n construction of the building Is complete.
C2. Elevations - Zones Al-A30, AE, AH, A wit FE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-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: RM 010030 Vertical Datum: NAVD88 (2001 ADJUSTMENT)
Indicate elevation datum used for the elevations in items a) through h) below. 11 NGVD 1929 0 NAVD 1988 11 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
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
Check the measurement used.
13.0
® feet
❑ meters
N/A.
❑ feet
❑ meters
N/A.
❑ feet
❑ meters
12.5
® feet
❑ meters
13.0
® feet
❑ meters
12.1
® feet
❑ meters
12.4
® feet
❑ meters
NN/
❑ feet
❑ meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certificatlon 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.
1 understand that 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? ® Yes ❑ No
Certifiers Name Fred W. Lawton License Number 2321
Title Land Surveyor Company Name South Texas Surveying Assoc., Inc.
Address 11281 Richmond en 101 City Houston State Tx ZIP Code 77082
Signature Date 08/28/2013 Telephone 281-556-6918
(I
FEMA Form 086-0-33 (f1112) ' See reverse side for continuation. Replaces 411 op6vious editions.
A4IUNA;t:K I I1lt:A It, oaae x
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:
0 ANDREWS COURT
City LA PORTE State TX ZIP Code 77571 Company NAIC Number:
SECTION D -- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) r~ a s._ ---
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. III V
Comments C2e) AIR
Signature
Date 08/28/2013
SEP 1 l 2013
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO an-d-A (without BFE), complete Items E1-E5. If the Certificate is intended to supports 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.
El. 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 owners 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
Comments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
Check here if attachments.
The local official who is authorized by law or ordinance to administer the community's noodplain management ordinance can compiete bemons A, rs, c for r:1, anu
of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items Ga-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 floodplaln management purposes.
G4. Permit Number I 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 all previous editions.
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
NaKonal Flood Insurance Program Important: Read the instructions on pages 1-9. Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION FOR INSURANCE COMPANY USE
Al. Building Owner's Name DAVID L & BETH A BRADY Policy Number:
A2. Building Street Address (Including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number:
2406 ANDREWS COURT (JOB#1495-13)
City LA PORTE State TX ZIP Code 77571
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 11, BLOCK 1 OF RETREAT AT BAY FOREST SOUTH AMEND
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N29°38'09.26" Long. W95°01'10.66" Horizontal Datum: ❑ NAD 1927 ® NAD 1983
AS. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance.
A7. Building Diagram Number I
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 506 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 N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A 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 B2. County Name B3. State
CITY OF LA PORTE HARRIS TX
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9 Base Flood Elevation(s) (Zone
48201 C 0945
L
06/18/07
Effective/Revised Date
Zone(s)
AO, use base flood depth)
06/18/07
AE
11'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source:
B11. Indicate elevation datum used for BFE in Item 69: ❑ 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)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ 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 C:
below according to the building diagram specified in Item AT In Puerto Rico only, enter meters.
0
Benchmark Utilized: RM 010370 Vertical Datum: NAVD88 (2001 ADJUSTMENT)
p p •� C
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 O NAVD 1988 ❑ Other/Source: h' p' a
Datum used for building elevations must be the same as that used for the BFE.
to
Check the measurement
used nt o0w
a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 14.61 ® feet ❑ meters 0
U
b) Top of the next higher floor N/A. ❑ feet
❑ meters
cola
c) Bottom of the lowest horizontal structural member (V Zones only) N/A. ❑ feet
❑ meters C
d) Attached garage (top of stab) 13.92 ❑ feet
❑ meters
e) Lowest elevation of machinery or equipment servicing the building 14.38 ® feet ❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG) 13.25 ® feet ❑ e
g) Highest adjacent (finished) grade next to building (HAG) 14.38 ® feet
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support 14.30 ® feet
�e)W
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.
Q F T
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
'ZTE.; f-?
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a
�.�.
A* v ; P
® Check here if attachments. licensed land surveyor? ® Yes ❑ No
....:... ...
FR�A�VfO J
.. .0 5530 • .:'.•••
�9 �FFsstip?O�
Certifier's Name Fred F. Lawton License Number 5530
Title Land Survey Company Name South Texas Surveying Assoc., Inc.
SURV�
Address 1128 A 101 City Houston
o State Tx ZIP Code 77082
Signature Date 05/13/2014 Telephone 281-556-6918
FEMA For 0 (7/12) 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:
2406 ANDREWS COURT (JOB#1495-13)
City LA PORTE State TX ZIP Code 77571 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 C2e) AIR CONDITIONER
MAy 21 2014
D►v�sion
Signature Date 05/13/2014 Ins
ity of 1a
SECTIO E — UI DIN ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones O and A witho 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— se natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters.
El. 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
Comments
❑ 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, 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
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 all 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:
2406 ANDREWS COURT (JOB#1495-13)
City LA PORTE State TX ZIP Code 77571 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 VIEW
BACK VIEW
r-
Mai 21 2�1�
Insppectto� a g ortie n
C\ of
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 4 Building Photographs
Continuation Page
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:
2406 ANDREWS COURT (JOB#1495-13)
City LA PORTE State TX ZIP Code 77571 Company NAIC Number:
If submitting more photographs than will fit on the preceding page, affix the additional photographs below. 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.
LEFT VIEW
ReC wed
01 Z 1 20
actions p o to n
ins,,, of la
RIGHT VIEW
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY
National Flood Insurance Program Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name DAVID L & BETH A BRADY (JOB#1495-13)
OMB No. 1660-0008
Expiration Date: July 31, 2015
FOR INSURANCE COMPANY USE
Policy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number. I
0 ANDREWS COURT
City LA PORTE
State TX ZIP Code 77571
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 11, BLOCK 1 OF RETREAT AT BAY FOREST SOUTH AMEND
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. N29°38'09.26" Long. W95*01'10.66" 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 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 It a) Square footage of attached garage N/A 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 N/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b N/A sq in
d) Engineered flood openings? ❑ Yes (9 No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
CITY OF LA PORTE HARRIS TX
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
117. FIRM Panel
B6. Flood
69. Base Flood Elevation(s) (Zone
48201C 0945
L
06/18/07
1
Effective/Revised Date
Zone(s)
AO, use base flood depth)
06/18/07
AE
11'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ® 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)
Cl. Building elevations are based on: ❑ Construction Drawings* ® 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 A7. In Puerto Rico only, enter meters.
Benchmark Utilized: RM 010370 Vertical Datum: NAVD88 (2001 ADJUSTMENT)
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
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)
15.40
® feet
❑ meters
N/A.
❑ feet
❑ meters
N/A.
❑ feet
❑ meters
N/A.
❑ feet
❑ meters
N/A.
❑ feet
❑ meters
f) Lowest adjacent (finished) grade next to building (LAG) 11.51
g) Highest adjacent (finished) grade next to building (HAG) 11.99
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support NIA.
® feet ❑ meters
® 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 efforts to interpret the data available. O F_
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. 4� G►t3TE N.'ti�,9
❑ 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 «.«...... ••••:••••
FREDWTON
Certifier's Name Fred W. Lawton License Number 2321 ' ."""•••
Title Land Surveyor Company Name South Texas Surveying Assoc., Inc.
Address 11281 R1 tLxfenue J-101 City Houston State Tx ZIP Code 77082
Signature Date 10/21/2013 Telephone 281-556-6918
FEMA Form 086-#-33.(1/12) See reverse side for continuation. Reps allorevious 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:
0 ANDREWS COURT
City LA PORTE State TX ZIP Code 77571 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 10/21/2013
SECTION If- BOILq(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 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
Comments
❑ 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, 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
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 all previous editions.
City of La Porte
FLOOD PLAIN DEVELOPMENT PERMIT
(For City of La Porte Processing Only)
Permit No.:: FPDP
Building Owner's Name:l��l
Building Street Address: y 6 n 4 r L w s couf
Lot biocH A g
Property Descrip on (Lot and Block Numbers, Tax Parcel Number,Legal Description, Etc.
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.
vtT
(For City of LaPorte Processing Only)
7
The above described `property `is in the ( ')100-Year Flood Plain or ( ) a coastal high -hazard area -in Flood Zone
The Base Flood Elevation BFE of the property is t feet above mean sea l v el, 192"_ atierrd Yeoda c7
(BFE) F p ty -�(--
Serviceerfical Datnrr 1s17reitllh.' 1 Gl i r';`
i rj
PERMIT CONDITIONS
[ 1,] The above described residential stnicture in an "AE" Zone shall leave its first floor constructed at ]cast one�(1), foot above r
the BFE. Fimshcd Floor must beat or above ELEVATION ) -_ mean sea level based on arc 19�8 or later releling.
y E A
x: f 2 ] The above described nonresidential structure in an "AE" Zone must have its first Moor constructed at or above (or flood; s
;proofed below) the BFE. FEMA Form 81-31 (Elevation Certificate) must be completed and submitted if the stnichrre is to be flood
. proofed- '
[ 3,1 The above described residential or non-residential property in a 'VE" Zone should have the bottom of its lon est horizontal; w
`member located atleast one (1) Coot above the BFE and breaka way walls constructed below that level.
[ 4] :111 structures crust be situated as shown on the approved Site Plan and constructed as designer} in the approved Building
l Plans, so as to mmmnze potential flood damage SubinrtTENIA Form 81 31 (Elevation Certificate) upon completion of l
Y
[ it
5 ] «rater supply curd sanitary sewa��e collection systems roust be constructed as designed is the approved plans to pi I
:`intrusion of or contamination 'of floo(kvatcrs.
\ [ 6 ] The above describexl mobile home must have its first floor situated at or above BFE. 'Submit completed FEMA Form 81
1
31 (Elevation Certificate) after rrrobilehome has been placed.
t
[ 7 ] This permit is approved for the above naried mobile home situated only at the following existing mobile home park: p
8 ] Special Permit Condition(s):
S S om—
R K
SACPShareTLOOD PLAIN ADMMSTRATIOM IISC FLOOD REI.ATEDTPD PERMIT FORM -doe