718 Inglenook Dec 05 2007 4:42PM BARRY RHODES LRND SURVEYI 9724759036
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U.S. DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660 -0003
Federal Emergency Management Agency I
National Flood Insurance Program Important: Read the instructions on pages _ Expires February 28.2009
p gas 1 8.
SECTION A - PROPERTY INFORMATION
Al. Building Owner's Name 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.
718 INGLENOOK COURT Company NAIC Number
City COPPELL State TX ZIP Code 75019
A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 13 BLOCK 1 ST. ANDREWS ESTATES
A4. Building Use (e.g., Residential, Non - Residential, Addttlon, Accessory, etc.) RESIDENTIAL
A5. Latitude/Longitude: Lag, Long,
A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurancerizontal Datum: ® NAD 1927 ❑NAD 1983
A7, Building Diagram Number 1
A8. For a building with a crawl space or enclosure(s), provide • A9. For a ua e ing with o f attached garage WA sq attached garage, provide:
a) Square footage of crawl space or enclosure(s) NIA sq ft
b) No. of permanent) flood openings in the crawl space or a) Square footage o ft
enclosure(s) walls within 1.0 foot above adjacent grade j1/11 b) walls of permanent flood openings in the attached garage
c) Total net area of flood openings in A8.b walls within 1.0 foot above adjacent grade N/A
N/A sq in c) Total net area of flood openings in A9.b N/A
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION sq in
131. NFIP Community Name & Community Number 82. County Name
48113C0155
,DALLAS B3. State
. Suffix B6. FIRM Index I TEXAS
B4. Map/Panel Number B5
I 67. FIRM Panel 68. Flood B9. Base Flood Elevation(s) (Zone
4811300155 I Date Effective/Revised Date Zone (s
06 -16-05 10 -01 -03 () AO, use base flood depth)
X
B10. Indicate the source of the Base Flood I I 453.D
d Elevation (BFE) data or base flood depth entered in Item 89.
❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other (Describe)
811. Indicate elevation datum used for BFE in Item 89:
® NGVD 1929 ❑ NAVD 1988 0 Other (Describe)
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes
Designation Date ❑ CBRS ❑ OPA ®No
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings' ® Building Under Construction* 0 Finished Construction
'Anew Elevation Certificate re will on:
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 -g
below according to the building diagram specified in Item A7.
Benchmark Utilized _ Vertical Datum NGVD 1929
Conversion/Comments BM PROVIDED ON RECORD PLAT DEFOREST COURT BY HALF AND ASSOCIATES
Check the measurement used.
a) Top of bottom floor (including basement, crawl space, or enclosure 23 floor) - 457.
b) Top of the next higher floor IN feet ❑meters (Puerto Rico only)
NA. ❑ feet ❑ meters (Puerto Rico only)
c) Bottom of the lowest horizontal structural member (V Zones only) NN /A.
d) Attached garage (top of slab) _ ❑feet ❑meters (Puerto Rico only)
456.01 ❑ feet ❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building N /A.
(Describe type of equipment in Comments) ❑feet ❑meters (Puerto Rico only)
f) Lowest adjacent (finished) grade (LAG) 55.21
g) Highest adjacent (finished) grade (HAG) 41 -- ® feet ❑ meters (Puerto Rico only)
455.99 E feet ❑ meters (Puerto Rico only)
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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. ° -(� e F 4 • ® Check here if comments are provided on back of form. ! ^� + T F _ 95, 4
Certifiers Name BARRY RHODES �
License Number 3691 O � B At l ODE
Title RPLS OWNER Company Name RHODES SURVEYING r ... **; 1 ":0
'
Address 750 NNRI E CIR E City ROWLETT State � g A f /
e TX ZIP Code 75088 '��� - D S� `t ,
Signature r
Date 12 -05 -07 Telephone 972 - 475 -8940 - -�"
FEMA Form 81 -31, February 2006
See reverse side for continuation.
Replaces all previous editions
Dec 05 2007 4:42PM BRRRY RHODES LAND SURVEYI 972475903G
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IMPOR ►ANT: In these spaces, copy the corresponding information from Section A.
Building Street Address (including Apt, Unit, Suite, and /or Bldg. N. Poli Iy N u m be Company Use:
No.) or P.O. Route and Box No.
718 INGLENOOK COURT Policy Number
City COPPELL State TX ZIP Code 75019
Company NAIL Number
SECTION 0 - 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
Sig nature
Date
Check here if
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZO A (WITHOUT BFE) attachments
WITHOU 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 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, crawl space, or enclosure) is
b) Top of bottom floor (including basement, crawl space, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
E2. For Building Diagram 6 -8 with permanent flood o ❑feel ❑meters ❑above or ❑ below the LAG.
(elevation C2. i in the diagrams) -with of the permanent flood is openings provided in Section A Items 8 and /or 9 (see page 8 of Instructions), the next higher floor
E3. Attached garage (top of slab) is ❑ feet ❑ meters ❑ above or ❑ below the HAG.
❑ feet ❑ meters ❑ above or ❑ below the HAG.
E4. Top of platform of machinery and /or
equipment servicing the building is ❑ feet
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance ❑ above or ❑below the HAG.
ordance 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 ZoneA (without a FEMA - issued or community- issued BFE)
or Zone AO m ust sign here. The statements in Sections A, B, and E are correct to the best of my know /edge.
Property Owner's or Owner's Authorized Representative's Name
Address
City Slate ZIP Code
Signature
Date Telephone
Comments
0
SECTION G - COMMUNITY INFORMATION (OPTIONAL) Check here if attachments
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 dem(s) and sign below. Check the measurement used in Items G8. and G9.
01. ❑ 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. -G9.) 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
O8. Elevation of as -built lowest floor (including basement) of the building:
39. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters (PR) Datum
❑ feet ❑meters (PR) Datum
Local Official's Name
Title
Community Name
Telephone
Signature
Date
Comments
=EMA Form 8131, February 2006 ❑ Check here if attachments
Replaces all previous editions