HomeMy WebLinkAbout13 N Forrest AveU.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
Narionol Flood Lrsuranre Prograw 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 BAYWAY HOMES INC. Policy Number.
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number.
13 NORTH FOREST AVE
City LA PORTE State TX ZIP Code 77571
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8, BLOCK 19 OF SYLVAN BEACH
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 29°38'53.9"N Long. 95°01'05.1 "W Horizontal Datum: ❑ NAD 1927 (E 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) N/A sq ft a) Square footage of attached garage N/A sq It
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 NIA
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.1b WA sq in
d) Engineered flood openings? ❑ Yes IIZ No d) Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
64. Map/Panel Number
B5. Suffix
66. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Effective/Revised Date
Zone(s)
AO, use base flood depth)
48201 C 0945
L
06/18/2007
06/18/2007
AE
13.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile ED FIRM ❑ Community Determined ❑ Other/Source: WA
B11. Indicate elevation datum used for BFE in Item 69: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: NAVD 1988 W/ 2001 ADJ
612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: WA ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: ElConstruction Drawings* Z Building Under Construction' ElFinished Construction
e required
•A new Elevation Certificate will bed 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: 060020 = 12.97' Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. O NGVD 1929 ® NAVD 1988 ❑ Other/Source: NONE
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)
15.4
® feet
❑ meters
b) Top of the next higher floor
WA
® feet
❑ meters
,O
c) Bottom of the lowest horizontal structural member (V Zones only)
WA
® feet
[:]meters
d) Attached garage (top of slab)
WA
®feet
❑ meters
a
e) Lowest elevation of machinery or equipment servicing the building
NIA
® feet
❑ metersc
N rn m
(Describe type of equipment and location in Comments)
rr
4-
?
f) Lowest adjacent (finished) grade next to building (LAG)
13.9
® feet
❑ meters
v o
g) Highest adjacent (finished) grade next to building (HAG)
14.2
® feet
❑ meters
0
Q U
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
NIA
® 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. ..... O E
I understand that any false statement may be punishable by line or imprisonment under 18 U.S. Code, Section 1001. ; •• \sT ER Xq
® Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a � •Q.
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No �r .............
• • .....
ROBER .
T'D. ELLIS..
...............
Certifier's Name ROBERT D. ELLIS License Number 4006 .......g0pro �P: Q'
Title REGISTERED PROFESSIONAL LAND SURVEYOR Company Name ELLIS SURVEYING SERVICES C 'A9oFE55�d•' -LO
Address 8419 EMMETT F. LOVVRY EXW City TEXAS CITY State TX ZIF Code 77591
Signature / Date 06/0312014 Telephone 409-938-8700
(7/1-2) See reverse side for continuation. Replaces all previous editions.
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.
13 NORTH FOREST AVE
City LA PORTE State TX ZIP Code 77571 I Company NAIC Number. I
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 BUILDING UNDER CONSTRUCTION
Signature Date 06/03/2014
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 Et-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 stab) 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 C
ti O
O y to
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O 4
cV � tp
G8. Elevation of as -built lowest floor (including basement) of the building:
G9. BFE or (in Zone AO) depth of flooding at the building site:
G10. Community's design flood elevation:
Local Official's Name
Community Name
Signature
Comments
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
❑ feet ❑ meters Datum
Title
Telephone
Date
Check here if attachments.
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
Received
NOV 0 4 2014
ections Divisio
ity of la Porte
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BLOCK 19 OF SYLVAN
BEACH 1ST ADDMON
VOL. 3, PG. 172, H.C.M.R.
FND R
PURCHASER: MADELON S RANEY
PROPERTY ADDRESS: 13 NORTH FORREST AVE. LA PORTE, TEXAS
Lot Eight (8), Block Nineteen (19), of Sylvan Beach, First Addition, a subdivision in Harris County, Texas,
according to the map or plat thereof recorded in Volume 3, Page 72, of the Map Records of Harris County,
Texas.
Basis of Bearing: Grid North, Texas State Plane Coordinate System NAD83, Texas South Central Zone.
I, the undersigned, a Registered Professional Land Surveyor of the State of Texas, do hereby certify that this
survey was made on the ground of the property legally described hereon and is true and correct to the best
of m knowled a and belief.
NOTE:
Surveyor has made no search for easements, encumbrances, restrictive
covenants, zoning ordinances, building codes, ownership title evidence,
Robert D. Ellis, R.P.L.S. mineral owner rights, or mineral interest rights that may affect this property.
Tx. Rea. No. 4006
iDate: 10-31-14 IV
'Scale: 1" = 30' 67
Texas American Title NGF No.7800-14-1319 LIS8419 Emmett F. Lowry Expxy. •:Texas City, TX 77591 �OTel: (409) 938-8700 Far (866) 678-7685
Texas Firm Reg, No. 100340-00
NOV 0 4 2014
U.S.rEPARTMEYTOFHOMELAND SECURITY ELEVATION CERTIFICATE inspectio
FEDERAL EMERGENCY MANAGEMENT AGENCY V Of OMB No. 1660-0008
National Flood Lr.vrrunce Progrmn Important' Read the instructions on pages 1-9. ' I Expiration Date: July 31, 2015
SECTION A - PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
Al. Building Owner's Name BAYWAY HOMES INC. Pollcy Number:
A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. I Company NAIC Number. I
13 NORTH FOREST AVE
City LA PORTE State TX ZIP Code 77571
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 8, BLOCK 19 OF SYLVAN BEACH
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lat. 29°38'53.9"N Long. 95'01'05.1 "W Horizontal Datum: ❑ NAD 1927 E 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 468 sq It
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 WA within 1.0 foot above adjacent grade 0
c) Total net area of flood openings in A8.b N/A sq in c) Total net area of flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes E No d) Engineered flood openings? ❑ Yes E No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number B2. County Name B3. State
CITY OF LA PORTE 485487 HARRIS TX
B4. Map/Panel Number
B5. Suffix
B6. FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
Effective/Revised Date
Zone(s)
AO, use base flood depth)
48201 C 0945
L
06/18/2007
06/1812007
AE
13.0
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9.
❑ FIS Profile E FIRM ❑ Community Determined ❑ Other/Source: WA
Bl 1. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 E NAVD 1988 ❑ Other/Source: NAVD 1988 W/ 2001 ADJ
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes E No
Designation Date: WA ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction* E 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 AT In Puerto Rico only, enter meters.
Benchmark Utilized: RM: 06DO20 = 12.97' Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: NONE
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.
15.4
E feet
❑ meters
N/A
E feet
❑ meters
N/A
E feet
❑ meters
14.9
E feet
❑ meters
14.8
E feet
❑ meters
14.2
E feet
❑ meters
15.4
E feet
❑ meters
14.2
E 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. ! 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.
E 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? E Yes ❑ No
Certifier's Name ROBERT D. ELLIS License Number 4006
Title REGISTERED PROFESSIONAL LAND SURVEYOR Company Name ELLIS SURVEYING SERVICES
Address 8419 EMMETT F. LOWRY EXPY City TEXAS CITY State TX ZIP Code 77591
Signature_-;',,-,,,�/ ..- Date 10/31/2014 Telephone 409.938-8700
�OF
............................
ROBERT D. ELLIS
............................
'• 0 4006
� '•,'9OF. \OAP' Q
'9�D,•ESS ,.�y0
Forrr1086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
r�eCelve,;i
NOV 0 4 2014
IEVATION CERTIFICATE page 2 inaDivisio
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANYUSUF la Porte
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number.
13 NORTH FOREST AVE
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.
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 El-E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B.
and C. For Items El-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, crawispace, 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 Comptiance/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: ❑ feel ❑ 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 Suildino Photoaranhs NOV 0 4 2014
Instructions — Page 2
Received
ELEVATION CERTIFICATE, page 4 Building Photographs NOV 0 4 2014
Continuation Page
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURPAdt 6OA Ig09E
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
13 NORTH FOREST AVE
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.
REAR VIEN' DATE 10/31/2014
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
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BLOCK 19 O,rr SYLVAN
BEACH 1 S/T�/ADDMON
VOL. 3, PG. Z H.C.M.R.
HCAD NO. 0352150190001
PROPERTY ADDRESS: 13 NORTH FOREST AVE. LA PORTE, TEXAS
Lot Eight (8). Block Nineteen (19), of Sylvan Beach, First Addition, a subdivision in Harris County, Texas,
according to the map or plat thereof recorded in Volume 3, Page 72, of the Map Records of Harris County,
Texas.
Basis of Bearing: Grid North, Texas State Plane Coordinate System NAD83, Texas South Central Zone.
I, the undersigned, a Registered Professional Land Surveyor of the State of Texas, do hereby certify that this
survey was made on the ground of the property legally described hereon and is true and correct to the best
of my knowledge and belief.
i"
i NOTE:
Surveyor has made no search for easements, encumbrances, restrictive
covenants, zoning ordinances, building codes, ownership title evidence,
Robert D. Ellis, R.P.L.S. mineral owner rights, or mineral interest rights that may affect this property.
Tx. Rea. No. 4006
.. II,'I�
��OFTF
Date: 06-03-14 `P a�alsreRFo:f9
Scale: 1" = 30' �i Tun
ROBERT D. ELLIS
8419 Emmett F. Lowry Expw v. :.A...4006.....'...
Texas Citv, TX" 77591 �9,yo FES5�0?��O
Tel: (409) 938-8706 Fax (866) 678-7685 SUR`�
Texas Firm Reg. No. 100340-00