HomeMy WebLinkAbout17 N ForrestCity of La Porte
FLOOD PLAIN DEVELOPMENT PERMIT
(For City of La Porte Processing Only)
Permit No.: FPDP -
Building Owner's Name: QC414 IAIQ 1A' FV' '
Building Street Address: /_7 Nor-41-, F_Occ d � Ve-
Lo - 1,91
Property Des&iptio
of bcac))
and Block Numbers, Tax Parcel Number, Legal Description, Etc.)
n� C Ic)P
Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.
(For City of La Porte Processing Only)
The b ve described property is in the (47�) 100-Year Flood Plain or ( ) a coastal high -hazard area in Flood Zone
_. The Base Flood Elevation (BFE) of the property is /3 00 feet above mean sea level, 14
Service Vertical Datum, 1973 /f 11j v I'k
PERMIT CONDITIONS
[ 11 The above described residential structure in an "AE" Zone shall have its first floor constructed at least one (1) foot above
the BFE. Finished Floor must be at or above ELEVATION 10 mean sea level based on the I" -ej laterr-elewAiu&
Or
[ 2 ] The above described nonresidential structure in an "AE Zone must have its first floor constructed at or above (or flood
proofed below) the BFE. FEMA Form 81-31 (Elevation Certificate) must be completed and submitted if the structure 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 lowest horizontal
member located at least one (1) foot above the BFE and breakaway walls constructed below that level
[ 41 All structures must be situated as shown on the approved Site Plan and constructed as designed in the approved Building
Plans, so as to mini mi_e potential flood_ damage. Submit FENIA Form 81-31 (Elevation Certificate) upon completion of
construction.
[ 51 Water supply and sanitary sewage collection systems must be constructed as designed in the approved plans to prevent
intrusion of or contamination of floodwaters.
[ 61 The above described mobile home must have its first floor situated at or above BFE. Submit completed FEMA Form 81
31 (Elevation Certificate) after mobile home has been placed.
[ 71 This permit is approved for the above named mobile home situated only at the following existing mobile home park:
[81 Special Pernut Condition(s):
3
Signature o4lo.od Plain Administrator Date
SXity Planning Share\FLOOD PLAIN ADMINISTRATIONIMISC FLOOD RELATED\FPD PERMIT FORM.doc
U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL.EMERGENCY MANAGEMENT AGENCY OMB No. 1660-0008
National FI(w)d lnrurunce Prognun 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.
17 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 9, BLOCK 19 OF SYLVAN BEACH
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Let, 29°38'53.8"N Long. 95°01'04.6"W 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 crawispace or enclosure(s): A9. For a building with an attached garage:
a) Square footage of crawispace or enclosure(s) !L6 sq It a) Square footage of attached garage N/A sq ft
b) Number of permanent flood openings in the crawispace b) Number of permanent flood openings in the attached garage
or enclosures) within 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b WA 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 8 Community Number B2. County Name B3. State
CITY OF LA PORTE 485487 HARRIS TX
B4. Map/Panel Number B5. Suffix B6. FIRM Index Date 67. FIRM Panel BB, Flood B9. Base Flood Elevation(s) (Zone
Effective/Revised Date Zone(s) AO, use base flood depth)
48201C 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 89,
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: WA
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: NAVD 1988 W/ 2001 ADJ
B12. is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes ® No
Designation Date: N/A ❑ 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, Vi—V30, V (with BFE), AR, ARIA, 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: HCFCD RM: 090015 = 9.42' Vertical Datum: NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 0 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, crawispace, or enclosure floor)
14.2
® feet
❑ meters
b) Top of the next higher floor
WA
® feet
❑ meters
c) Bottom of the lowest horizontal structural member (V Zones only)
WA
® feet
❑ meters
d) Attached garage (lop of slab)
NIA
® feet
❑ meters
e) Lowest elevation of machinery or equipment servicing the building
WA
® feet
❑ meters
(Describe type of equipment and location in Comments)
f) Lowest adjacent (finished) grade next to building (LAG)
12,9
® feet
❑ meters
g) Highest adjacent (finished) grade next to building (HAG)
13.3
® feet
❑ meters
h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support
IWA,
® 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.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. 0 F
® Check here if comments are provided on bads of form. Were latitude and longitude in Section A provided by a y Q:Q�GtSTEgF 9� ❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
». %........�........i.... I
Certifiers Name ROBERT D. ELLIS License Number 4006 ROBERT D. ELLIS I
Title REGISTERED PROFESSIONAL LAND SURVEYOR Company Name ELLIS SURVEYING SERVICES
Address 8419 EMMETT F. LOWZe R Y ity TEXAS CITY State TX ZIP Code 77591
Signature/Data 04/10/2013 Telephone 409-938-8700
4 4006
,y0 .ass...
�p SUR�J�
FEMA Form 086-0-33 (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. Poticy Number.
17 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 o1 this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
Comments BUILDING UNDER CONSTRUCTION
CROWN OF STREET a 12.5'
Signature
Date 0411012013
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-ES. 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 taw or ordinance to administer the communitys floodplain management ordinance can complete Sections A, B. C (or E), and
G of this Elevation Certificate. Complete the app4cahle Rem(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 I G5. Date Permit Issued I G6. Dale 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
A9,tir+furl f'7nr,rllrnarrtnrr l'm,,ru"' Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
A1. Building Owner's Name SUMMER RUDDICK
OMB No. 1660-0008
Expiration Date: July 31. 2015
FOR INSURANCE COMPANY USE
T Policv Number: -�
A Building Street Address (including Apt., Unit, Suite. and/or Bldg. No.) or P.O. Route and Box No. Company
17 NORTH FOREST AVE I Vtt_ _
_......
. City LA PORTE Slate TX ZIP Code 77571
11n `r
A3. Property Description (Lot and Block Numbers. Tax Parcel Number. Legal Description, etc.) Jr�/ 2Q13
LOT 9, BLOCK 19 OF SYLVAN BEACH
A4. Building Use (e.g., Residential, Non -Residential, Addition. Accessory, etc.) RESIDENTIAL
A5. Latituder'longitude: Lat. 29138'53.8"N Long. 95'01'04.6"W Horizontal Datum: ❑ NAD 1927 ® NAD TIJW
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 s(I It a) Square footage of attached garage 418 Sq it
b) Number of permanent flood openings in the crawispace h) 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 0
c) Total net area o1 flood openings in A8.b N/A sll in c) "Total net area at flood openings in A9.b 0 sq in
d) Engineered flood openings? ❑ Yes ® No (1) Engineered flood openings? ❑ Yes ❑ No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name & Community Number 62, County Narne
CITY OF LA PORTE 485487 ( HARRIS
610, 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: N/A
B1 t. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑ NAVD 1988 ® Other/Source: NAVD 1988 W12001 ADJ
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑ Yes No
Designaluwi O;r:e NIA ❑ CBRS ❑ OPA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
G1. l3wicing elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction
'A new Elevation Certificate will he required when construction of the building is complete.
C2. Elevations -- Zones Al-A30. AE. AI -I, A (with BFE), VE, V1-V30. V (with BFE), AR, AR/A, AR!AE, AR/A1--A30, AR/AH. AR/AO. Complete Items C,2.a-h
below according to the building diagram specified in Item A7, In Puerto Rico only. enter meters
Benchmark Utilized: HCFCD RM- 090015 = 9.42' Vettical Datur.•. NAVD 1988
Indicate elevation datum used for the elevations in items a) through h) below. 0 NGVD 1929 0 NAVD 1988 ❑ Other!Sou(ce: NONE
Datum used for building elevations must be the sarno 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)
of 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
14.2
® feel
❑ meters
N/A
❑ feet
❑ meters
L
® leer
❑ meters
13.7
® feet
❑ meters
13.8
® feet
❑ meters
13.5
® feet
❑ meters
13.9
® feet
❑ meters
13.5
® feet
❑ meters
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authonzod by law to certify elevation
information. ) certify that the information or this Certificate represents my hest efforts to iatviptel the data available.
I understand that any false statement may he punishahlo by fine or imprisonment under 18 U.S. Code, Section 1001.
Check here it comments are provided on back of farm, Were latitude and longitude in Section A provided by a
❑ Check here if attachments. licensed land surveyor? ® Yes ❑ No
Certifier's Name SCOTT D. ELLIS License Number 6261
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 rj. ; Date 08/23/2013 Telephone 409-936-8700
�...,
�:' Q' � gFo•9U
....................... ELLI
.
D
�-0 6261
Fssto�'•'�'0
8UFtVt
FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions.
F—GEIVL—
AUG 2 8 2013
ELEVATION CERTIFICATE, page 2
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR I NCE COMPANY USE
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No Policy Number:
17 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! agenUcornpany, and (3) building owner.
Comments ELV. OF LOWEST MACHINERY SHOWN IS OUTSIDE A/C UNIT
.......... ....__ -
I
CROWN OF STREET = 12,5'
Signature "' q ��, Dale 08/23/2013
;r
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. It 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 [tie 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 coimmimiy's ffoodplain 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 eornpletr..s Sections A, B, and I_ for Zonc� A (without a 1 f A -sued or Community -issued BVE)
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 Civmer's Authorized Representative's Name
Address City State ZIP Code
Signature Date Telephone
___�_...___._.._..._._..__
Comments
--..._..___.____ _....._.-.._._.____...__-----❑ Ch�k hvrtm if <rttaraunrnts
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's ftoodplain :ianagement ordinanc• 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 G 10. In Puerto Rico only. enter meters.
G 1. ❑ 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-is sued 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 j 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 attar timents.
FEMA Form 086-0-33 (7112) Replaces all previous editions.
ECEIVE
ELEVATION CERTIFICATE, page 3 Building Photographs AUG 2013
See Instructions for Item A6.
IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY U
Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number:
17 NORTH FOREST AVE
City 77571 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 DATE 08/23/2013
Instructions — Page 2
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:
17 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. RIGHT SIDE VIEW
DATE 08/23/2013
MP
IMI
ECE� V�
AUG p82013
FEMA Form 086-0-33 (7/12) Replaces all previous editions.
ELEVATION CERTIFICATE, page 5
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:
17 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 VIEW DATE 08/23/2013
ECEIV i
AUG 2 8 2013
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PURCHASER: Summer Ruddick
PROPERTY ADDRESS: 17 NORTH FOREST AVE. LA PORTE, TEXAS
Lot Nine (9), 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.
NOTE:
Surveyor has made no investigative or independent search for easements of record,
encumbrances, restrictive covenants, ownership title evidence, or any other facts that an
Robert D. Ellis, R.P.L.S. accurate and current title search may disclose.
Tx. Reg. No. 4006
Date: 08-23-13 ELLIS SURVEYING SERVICES 0.F. rF
Scale: 1" = 30' p ' a15iER'
Texas American C):' N
GF No. 7800-13-1478 8419 Emmett F. Lowry .............
Texas City, Texas 77591 ._ROBERT D: ELLIS
Tel.: 409-938-8700 `: 4006 �.:'�
'9 'aFES
Fax: 866-678-7685 �� SUR`�`_`
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FORM SURVEY
PROPERTY ADDRESS: 17 N. FOREST AVE. LA PORTE
Lot 9, Block 19, of Sylvan Beach, 1st 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.
NOTE:
Surveyor has made no investigative or independent search for easeme
nts ents of record,
encumbrances, restrictive covenants, ownership title evidence, or any other facts that on
Robert D. Ellis, R.P.L.S. accurate and current title search may disclose.
Tx. Reg. No. 4006
Date: 04-05-13
Revised 04-10-13
Scale: 1 " = 30'
ELLS SURVEYING SERVICES
8419 Emmett F. Lowry
Texas City, Texas 77591
Tel.: 409-938-8700
Fax: 866-678-7685
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ROBERT D. ELLIS
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HARRIS COUNTY APPRAISAL DISTRICT ACCOUNT NLC "21 0190004
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LOT 9, BLOCK 19, OF SYLVAN BEACH 1ST SUBDIVISION
ELLIS SURVEYING SERVICES �N IZED
Date: 02-01-13
Scale: 1" = 20' 8419 Emm� NST ci 4o's RE iR wAN HOMES
Texas City, e`xa � I Wo
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U.FSDEPARTMENTOFHOMELAND SECURITY ELEVATION CERTIFICATE
FEDERAL EMERGENCY MANAGEMENT AGENCY OMB NO. 1660-0008
Natinrud flail /nsunrnce i'mXiVin 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.
17 NORTH FOREST AVE
City LA PORTE Stale TX ZIP Code 77571
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 9, BLOCK 19 OF SYLVAN BEACH
A4. Building Use (e.g., Residential, Non -Residential, Addition, Accessory, etc.) RESIDENTIAL
A5. Latitude/Lcngitude: Lat. 29°38'S3,$'N Long. 95°01'04.6'W Horizontal Datum: ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain Rood 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) N A sq It a) Square footage of attached garage Lug sq ft
b) Number of permanent Rood openings in the crawlspace b) Number of permanent flood openings in the attached garage
or enclosure(s) within 1.0 foot above adjacent grade NN/A within 1.0 foot above adjacent grade N/A
c) Total net area of flood openings in A8.b WA sq in c) Total net area of flood openings in A9.b WA sq in
d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes 0 No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP Community Name &Community Number T�2. County Name B3. State
CITY OF LA PORTE 485487 HARRIS TX
B4. Map/Panel Number
B5. Suffix
FIRM Index Date
B7. FIRM Panel
B8. Flood
B9. Base Flood Elevation(s) (Zone
I
TB6.
Ellective(Revised Date
Zone(s)
AO, use base flood depth)
48201C 0945
L
06/18/2007
06/1=007
AE
13.0
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: WA
B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: NAVD 1900 W/ 2001 ADJ
B12. Is the building located Ina Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?. ❑ Yes ® No
Designation Date: N/A ❑ CBRS ❑ OPA :.D GA L V A N iL CL)
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl. Building elevations are based on: ® Construction Drawings' ❑ Building WrCbnslructlon' ❑ 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, ARIA, AR/AE, AR/Al-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: HCFCD RM: Q90015 = 9,42' 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 basemerlt,;p r G�, Qr a osyrpe6 tloorj .) MCI
b) Top of the next higher "bpi fequired
c) Bottom of the lowest horizontal
IV' structural
d) Attached garage (top of slab) where drain, waste & vent
e) Lowest elevation of machinery or equipment selr sing t�� ilj iginstalled
(Describe type of equipment and location in I�trrment 'JJ
Q 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.
13.1
® feet
❑ meters
WA
® feet
❑ meters
NIA
ja feet
❑ meters
WA
C ITN" ® feet
❑ meters
NIA
feet
❑meters
12.9
COPIfeet
❑ meters
13.3
® feet
❑ meters
N,�
® 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.
l 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
Certiliers Name ROBERT D. ELLIS License Number 4006 ►K
Title REGISTERED PROFESSIONAL LAND SURVEYOR Company Name ELLIS SURVEYING SERVICES `X
Address 8419 EMM�13 F. L gY EXPY City TEXAS CITY State TX ZIP Code 77591
Signature Date 01130/2013 Telephone 409.938.8700
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NOFESS\ .�� I�
FEMA Form 086.0-33 (7/12)
See reverse side for
MAR0,
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.
17 NORTH FOREST AVE
City LA PORTE State TX ZIP Code 77571 1 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 C2.A ELV. BASED ON 0.1' ABOVE B.F.E.
CROWN OF STREET = 12.5'
Signature l� `/ /�� Date 01l3012013
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY AO AND ZONE A (WITHOUT BFE)
Far Zones AO and A (without BFE), complete Items El-E5. If the Certificate is inteMtl up66 a C MA dr L MR-F request, complete Sections A, B,
and C. For Items E1-E4, use natural grade, if available. Check the measurement used. JrGTQrto Rico only, enter meters.
El. Provide elevation information for the following and check the apprcpriaetha, the�elevation Is above or below the highest adjacent
grade (HAG) and the lowest adjacent grade (LAG)."" "�Jt u� r aj f , `(Pr
a) Top of bottom floor (including basement, crawispace, or enclosure) is n I Inmete(xl ❑ above or Elbelow the HAG.
b) Top of bottom floor (including basement, crawlspace, or enclosure) is 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 cerlify 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 Stale ZIP Code
Signature Date Telephone
Comments
❑ Check here if attachments.
SECTION G - COMMUNITY INFORMATION (OPTIONA
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinarfce m to 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 G13-G10. to Puerto Rico only, enter meters.
G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensedtleu -rv*or, 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 76. 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 �1Dat\ u,mt t
Local Official's Name Title ',)T rrniGR��.QUKJ' E
Community Name Telep
Signature Date
Comments
Check here it attachments.
FEMA Form 086.0-33 (7/12)
Replaces all previous editions.
No Text