Windsor Estates-SY020611 .06/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 01
City of Coppell x� 4
Building Inspections Department a �L
500 Southwestern Blvd.
Coppell, TX 75019 A`
Phone: (972)304-3500 P i
Fax: (972)304-3514
FAX COVER SHEET
DATE: June 11, 2002 NO. OF PAGES: 6 (including cover)
TO: Ken Griffin
City Engineer
FAX#: 972-304-7041
FROM: Greg Jones
Chief Building Official
SUBJ: Elevation certificates
For the Windsor Estates subdivision, elevation certificates were found for five of the six lots
that have been permitted,to date:
926 DeForest Road—certificate enclosed
929—elevation certificate not found,but permit issued
930—certificate enclosed
941 —certificate enclosed
945—certificate enclosed
949—certificate enclosed
No permits have been issued, as yet, for St. James Place.
If I can provide further information, please feel free to contact me.
Thanks.
06/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 02
FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No 3067-0077`
• NATIONAL FLOOD INSURANCE PROGRAM Expires July 31,2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1 -7.
SECTION A-PROPERTY OWNER INFORMATION :;FtirlInsutance;Company Use!!':i
BUILDING OWNER'S NAME :;:P..oliry.ffuilitkrr:! i
BU�j DING STRUT ADDRESS(including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO go)t tiafy`NAAtC;Nuiribei is;;:r;.i;' ';!
CITY STATE ZIP CODE
CofTe-u-• -TeNsosS -75E119
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
L:.01 (o 'tat. g- 15 ".til I rJ DgCJP- IE�SiAr-1-~6 -t )F1 i ../
BUILDING USE(e.g.,Residential.Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) •
12-. 5 1 Deer rr'/ 1.—.
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM; SOURCE; LI OPS(Type); •
( #5°-##'-KW or 841.###W) LI NAD 1927 LI NAD 1983 LI USGS Quad Map LI Other
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81.NFIP COMMUNITY NAME&COMMUNITY NUMBER B2.COUNTY NAME 83.STATE
C.O'PPFL1 4$Ol7a DPA Lh51 D 1S 7 r l 1-SCAS ,
B4.MAP AND PANEL - 85.SUFFIX Be.FIRM INDEX B7.FIRM PANEL 88.FLOOD 89.BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONES) (Zone AO,use depth of flooding)
• 4$0110 0010 E Art 1 L-i5 1994- A>fe I L- 15 ('94 ikt 4SZ
131 O.Indicate the source of the Base.Flood Elevation(BFE)data or base flood depth entered In B9.
IJ FIS Profile U FIRM ted.Community Determined LI Other(Describe):
B11.Indicate the elevation datum used for the BFE in 89:L 1IGVD 1929 Li NAVD 1988 .0 Other(Describe):
B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? Li Yes bj,jdo
Designation Date; .
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
Cl.Building elevations are based en: UConstruction Drawings` 14@uilding Under Construction' IJFinished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed-see
pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3.Elevations—Zones A1-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 C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum Is different from
the datum used for the BFE In Section B,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G,as appropriate,to document the datum conversion.
Datum Conversion/Comments • .
Elevation reference mark used_r2Does the elevation reference mark used appear on the FIRM? U Yes QA.•o
❑ a)Top of bottom floor(including basement or enclosure) 459 . toy)
❑ b)Top of next higher floor ..:._.11(m)
❑ c)Bottom of lowest horizontal structural member(V zones only) _ft.(m) M ,0p;,s tSTE21.; • r
❑ d)Attached garage(top of slab) 41 9 •L ft.(m) W 1 ' ,e ( •,
❑ e)Lowest elevation of machinery and/or equipment '
servicing the building ft-(m) Erg' l A " •. RHO r ES
❑ f)Lowest adjacent grade(LAG) -i 5 '.g
1t.(m) `.•• r�•' iks:'• r
❑ g)Highest adjacent grade(HAG) tt•(m) . / �,.
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent grade e /,
❑ I)Total area of all permanent openings(flood vents)in C3h Jam" sq.in.(sq.cm) i :Also.
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 in Sections A,B.and Con this certificate represents my best efforts to Interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S.Code, Section 1001.
CEF C NALICEGO°J IER
TITLE � � A�Y 04,00 a.5
' A p�DSO CI KIT 8TA ZIP CODE
1%-)72.366.6.- �t e-_ i a�J T S 'Z��ts�38
SIGNATU � D/iTF.T 1 TELEPHONE 41 5-89 4o I�
Dig g7-2.4.701 °J�Z
FEMA Form la',AU a !9 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
06/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 03
NA IUNAL rLURJU IN�UhtANGE PRO(itiAM expires July 31, 2002 I
ELEVATION CERTIFICATE
Important Read the instructions on pages 1-7.
SECTION A•PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNERS NAME Poky Number .'
BUILDING STREET ADDRESS(Including Apt.,Unit,Suite,and/or Bldg.No.)OR P.O.ROUTE AND BOX NO. Company NAIC Number
930 DEFOREST ROAD
CITY STATE ZIP CODE
COPPELL TX 75009
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Panel Number,Legal Description,etc)
LOT 5 BLOCK B OF WINDSOR ESTATES
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use a Comments area,if necessary.)
RESIDENTIAL ..
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑GPS(Type):
( OW-OW-saw or #4h A1hiaf#t' ®NAD 1927 la NAD 1983 ❑USGS Quad Map 14 Other,
SECTION B•FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
81,NFP COMMUNITY NAME&COMMUNITY NUMBER ' 132.CCUNIY NIWE B3.STATE
COPPELL 4130170 DENTON TEXAS
B4.MAP AND PANEL 85.SUFFIX 137,FIRM PANEL 89.BASE FLOOD ELEVATION(S)
NUMBER BE FIRM LADE)(DATE EFFECTIVEIEVISED DATE B8.FLOOD ZONE(S) (Zone AO,tee deph of flooding)
0155 J 08-23.01 AE 452
810.Indicate the source of the Base Flood Elevation(BFE)data or base loan depth entered in 89.
❑FIS Profte (2 FIRM 0 Community Determined ❑Other(Describe):
B11.hdipte the elevadon datum used f o r the BFE In B9:E E 1929 ❑NAVD 1988 ❑Other(Describe):
812.Is the bulding located In a Coastal Barrier Resources System(CBRS)area cc Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1.Building elevations are based on:❑Construction Drawings' ❑Building Under construction' ®Finished Construction
'A new Elevation Certificate wiN be required when construction of the bulling Is complete.
C2,Building Diagram Number 1(Select the building diagram most similar to the building for which this certificate is being completed-see pages 6 and 7. If no diagram
accurately represents the bulking,provide a sketch or photograph.)
C3.Elevations–Zones A 1,A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,ARJAE,AR/A1-A30,AR/AH,AR/AO
Complete Items C3,-ai below according to the building dAgram seeded In Item C2.State the datum used.if the datum Is different from the datum used for the BFE In
Section B,convert the datum to that used for the BFE Show field measurements and datum conversion calculation. Use the space provided or tie Comments area of
Section D or Section 0,as appropriate,to document the datum ahnversion.
Datum ConversiontConinents --
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No r •v ..T " .
O a)Top of bottom floor(Inducing basement a enclosure) �,Q,.Eon) - / �pws ikszp�
O b)Top of need higher floor ,____film)
❑c)Bottom of lowest horizontal structural member(V zones only) ._f.(m) _ """.1.ROWELL•""•
•Y I.ROWELL
0 d)Attached garage(top of slab) _ft.(m) 1...a.;59;••••••• ••
❑e)Lowest elevation of machinery and/or equipment ' it ,
servicing the buidng(Describe in a Cormhents area) __film) •\- �tF .,,4p4`
❑f)Lowest adjacent(finished)grade(LAG) —._film) Z y •
0 g)l-ghest adjacent(finished)grade(HAG) _. _fl.(m) S
O h)No.of permanent openings(flood vents)within 1 it.abate adjacent grade_
❑i)Total area of all permanent openings(flood vents)in C3.h sq.in,(sq.an)
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 in Sections A,8,and Con this certificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by fine Orb prisonment under 18 U.S, Code`Section 10
CERTIFIERS NAME HARRY ROWELL LICENSE NUMBER 4597
TITLESURVEYOR COMPANY NAME HARRY ROWELL COMPANY
ADDRESS CITY STATE ZIP CODE
1301 ELM STREET STE.201 1 CARROLLTON TX 75006
SIGNATURE_ ?v/ /, DATE TELEPHONE
—% 06-0602 (972)2425679
FEMA Form 81-31,JUL SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
06/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 04
mill PalI I—rl.vvv1 m I ExpiresJuly31,2002
ELEVATIONCERTIFICATE
Important:Readthainstructloneonpagesl-7.
SECTIONA-PROPERTYOWNERINFORMATION 1010404:0046.1 pan's `'` , j
BUILDINGOWNF1{'SNAME -
.. aj yr'"• a•:.�ioi ,:r ir::;:S, :;,:4
BUILDINGST- ETAD.RESS(I d , _•Apt., LSuite,and/orBldg.No.)ORP.O,ROUTEANDBOXNO. c.•-•''.,:•• • •i13 ;;•�; ;;.?�`i
i•,�u: B�ikiugi°rh.rpy,::• 'iF,:S.,.Sy:::.•:: a.1;;
, i ��g:31..„•;:i1 a.x.:s,:u4:•1'13 Ii. p��,n,,:iri!:;r.2
�:ifiii::.�A:ii.i:...�:•:,<;ti�i'P;.,w:"..e,�r,a:,l:;is:;l�:;.��:�ri
CI r ATEIPCODE
PROPERTYDESCRIPTION(LotandBloc kNumbers,TexPercelNumtr'er,LegalDescriptIon,etc.)
i r AP ES .
•
BUILDIN ' e.g.,-esidential,Non-residential,AdditlonAccessory,etc.Isea • menlsaread _ =wary.
LATITU DE/LONG ITUDE(OPTIONAL RIZONTALDATUM: SOURCE LI GPS-(Type) •
(##° -##'-##.#ft"or##.# 1#1 1CNA01927 1.__INAD1983 1_IUSGSQuadMap LiOther:
S ECTIONB-FLOODINSURANC ERATEMAP(F IRM)IN FORMATION
91.NFIPCOMMUNITYNAME BCOMMUNRYNUMBER 92,COUNTYNAME B3.STATE
L'oPP&GG 4RD/70 1 ✓ 441-" S 7/
B4.MAPANDPANEL - B&$UFRX B6,FIRMINDEX B7.FIRMPANEL B8.FLOOD ' B9.BASEFLOODELEVATION(S) v
NUMBER DATE EFFECTIVE/REVISEDDATE . ZONE(S) (ZoneAO,usedepthof 1oodIng)
00/0 , 03.08.74 .04-'5--q¢ ,y. 4152
B 10.1 ndicatethesourceoftheBaseFloodElevation(BFE)dataorbasetlooddepthenteredlnB9.
I—IFISProflle J (FIRM I_ICommunityDetermined LIOther(Descrlbe):
B11.IndicatetheelevationdatumusedfortheBFElnB9:KNGVD1929 I__INAVD1988 L_I0ther(Desc 1be):___—_
B12.IsthebuiIdInglocatedinaCoestalBarrierResourcesSystem(CBRS)areaorOtherwiseProtectedArea(OPA)? I_IYes IINo
DeslgnatlonDate:
SECTIONC-BUILDINGELEVATION INFORMATION(SURVEYREQUIRED)
C1,BulidIngelevetlonsarebesedon:i-,^IConstructionDrawings* I4 BuildingUnderConstruction*. I_IFinishedCanstruction
*An ewElevationCertificatewillberequiredwhe nconstructlonofthebulldingisoomplete. .
C2.BuildingDiagramNumber 1 (Selectthebuildingdlagrammostsimllartothebulldingfolwhlchthlscertlflcatelsbeingcompleted-see
pages6a nd7.ifnod Iagramaccuratelyrepresentsthebuildi ng,provideasketchorphotograp h,)
C3.Elevations-ZonesAl-A30,AE,AH,A(wIthBFE),VE,V1-V30,V(wIthBFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO .
CompleteltemsC3.a-ibelowaccordingtothebuiidingdiagramspeclfledlnitemC2,Statethed atumused.Ifthedatumisdifferentfrom
thedatumusedfortheB FEinSectionB,eonventhedatumtothatusedfortheBFE.Showfieldmeasurementsanddatumoonverslon
calculation.UsethespaeeprovldedortheCom mentsa reaofSectionDorSectionG,asappropriate,todocumentthedatumconversion.
Datum_ _ -----
Elevationreferencemarkused DoestheelevationreferencamarkusedappearontheFlRM?I_IYe-
09)Topot bottomfloor(includingbasementorendosure) 41.54_, .Et(m) , I
Ob)Topofnexthigherfloor ft.(m) ' I-- 1- OF r
Cb Bottomollowesthorizontalstructuralmembe uT8 �. •
) r(Vzonesonly) ,�,_..._,_--___-.__..,_tt,(m) s � 6 `T►° '�fp
❑d) Attachedgarage(topofslab) ftr(m) . A •�M *ON� �es ��
iii❑e) Lowestelevationormachineryand/orequlpment ( HARRY J.ROWELL
servicingthebullding(DescrlbeineCommentsarea.) ft.(m) E ' \ ""�""4597:;. 6m.
c1)LowestadJacent(finished)grade(LAG) _ �ft.(m) z'81 \ il,,y_ _. /
Cla)HIghestadjacent(finished)grade(HAG) •__ft.(m) ••elly •
0h)No. ofpermanentopeninga(floodvents)withinlft.aboveadjacentgrade�,____,-_ _.. SU J•
❑ i)TotalareaofellpermenentopenIngs(floodvents)inC3.h__ _sq.in.(sq.cm) ~'-i
S ECTION D-SURVEYOR,ENGINEER,ORARC HITECTCERTIFICATION
Thiscertlficationistobeslgnedendseeledbyalandsurveyor,engineer,orarchitectauthorizedbylawtoce rtifyelevationinformation.
1cert6thattheinformationinSectionsA,B,andConthl ecerft llcaterepresentemybestefforfstolnterpretthedateavallable.
l understandthatanyfalsestetementmsybepunishablebyfineorimprisonmen tunderlbU.S.Code Section1001.
CERTIFIER'SNAME UCENgENUMBER
ez -sts .
ITL COMPANYNAME •
AD'RE C�iP TATS 7fOO�
i,3oi .EGns'�rA?P.E
SIGNATURE �� / �/ ATE EPHON
FFRAA Fnrm ft -;t .1111 • RFF RFl/FRCP CIr1F FOP(r1NTIN1 IATIr1N ItFPI 4r KC Al I pRFVIr11 IA rnITIr1NC
•
06/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 05
• FEDERAL EMERGENCY MANAGEMENT AGENCY 0.M.B. NO.3067-0077
NATIONAL FLOOD INSURANCE PROGRAM Empires July 31, 2002
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-7.
SECTION A-PROPERTY OWNER INFORMATION `Fair. itR i l
BUILDING OWNER'S NAME gM4 c o•li r :1!iii•"l
BUILDING STREET ADDRESS(Muting Apt,Unit 9Uit>q,andCrBldg.NO.)OR P.O.ROUTE AND BOX NO. NtUS l,:,....i,,,,.,.....:40.;
945 DEFOREST ROAD 'r' , ir' /iii ";`. f;
CITY STATE ZIP CODE
COPPELL • TX
PROPERTY DESCRIPTION lLctald Block M.ntles,Tax Pamel Mlrt]e;Legal Desorptm,etc)
LOT 10 BLOCK A OF WINDSOR ESTATES
BUILDING USE le.g.,Resider,-Ncr resdettaa,AdclUon,Accessary,sic Use a Carrneris arm,If necessary.)
RESIDENTIAL
LATITUDE/LONGITUbE(t)Pf16MAU HORIZONTAL DATUM: SOURCE:-❑GPS(Type
t it•if•i#i./,#'or #P.I f#1 f ®NAD 1927 0 NAD 1983 0 USGS Ouacl Map ®COW.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION • .
B1,NFIP GOA/MUNN NAME 8 COMdUNIUY NUMBER 132 COUNTY AWE B3,STATE
COPPELL 4801701 DALLAS TEXAS
04,MAP AND PANEL 05,SUFFIX B7,FIRM PANEL' 139.BASE FLOOD ELEVATION(S) '
NUMBER 86,FIRM INDEX DATE EFFECT1VVREVISED DATE BB,FLOOD ZONE(S) (Zane AO,use depth of'bodding)
0010; D 03-08-74 04-1594 AE 452
1310.Indicate the source cite Base Rood Elevation(BFE)data or base good depth entered In B9.
❑FIS Profile ®FIRM ❑Community Determined ❑Other(Describe):
B11.Indicate the elevation datum used for the BFE ii B9:®NGVD 1929 0 NAVD 1988 ❑Other(Desate):
B12.Is the buidng located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 0 Yes ®No Designation Dale
SECTION C•BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
. C1.Building'elevations are based on:❑Construction Drawings* El Building Under Contrition• ❑Finished Construdion
"A new Elevation Certificate will be required when construction of the building is complete.
C2.Building Diagram Number 1(Select the building diagram most similar to the bunking for which this certificate is being completed-see pages 6 and 7. If no dagiwn
accurately represents the bullring,provide a sketch or photograph.)
C3.Elevations—Zones A1-A30,AE,AH,A(with BFE),VE,V1-V30,V(w1h BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,ARIAO
Complete Items C3:a-I below according to the bulking dagram speciled in Item C2.State the datum used.If the datum is different from the datum used for the BFE in
Section B,convert the datum to that used for the BFE.Show field measurements and datum oonversion calculation. Use the space provided or the Comments area of
Section D or Section G,as appropriate,to dominant the datum conversion. --
Datum Conversion/Commenls_ :.
�,n,O1F T
Elevation reference mark used Does the elevation reference mark used appear on the FIRM? ❑Yes ®No aersr ,'\
o a)Top of bottom floor(inducing basement or endosue) 057,. 1 ft(m) . 1e• I `e" .�► \
o b)Top of next higher floor it(m) 01 ........^..........�...-
o c)Bottom of lowest haiza tai structural member(V zones only) „^ 1(m) HARRY J.Ro1NELL
garb(top ) ..
o d)Attached of slab _ _ft(m) \...K.:597....../.. i
o e)Lowest elevation of machinery and/or equipment. ~
servicing the building(Desaibe in a Comments area) _.it(m) y at►e>A`�
o f)Lowest adjacent(finished)grade(LAG) ft.(m) S j` .
o g)Highest adjacent(finished)grade(HAG) _.it(m) --------
o h)Na of permanent openings(Rood vents)within 1 ft above aciacent grade__,_,
o i)Total area of all permanent openings(Rood vents)in C3.h sq.in.(sq.an) •
SECTION 0•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 in Sections A,8,and Con this certificate represents my best efforts to Interpret the date available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001,
CERTIFIERS NAME HARRY ROWEL.. UCENSE NUMBER 4597
TITLESURVEYOR COMPANY NAME HARRY ROWELL COMPANY
ADDRESS• CITY STATE ZIP CODE
1301 ELM STREET STE.201 CARROLLTON TX 75006
SIGNATURE DATE TELEPHONE
�!�-�j 10-19.01 (972)242,5679 tt...-4247
FEMA Form 81-31,JU SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
06/11/2002 13:30 9723043514 COPPELL FIRE DEPT PAGE 06
iI vr r
Expird frsrJu ly 311,,2002
, NATIONAL FLOOD INSURANCE PROGR/
ELEVATION CERTIFICATE ::,..1 , r ' .
• •Im. •rtant: Read the Instructions on •a•as 1 -7.
' SECTION A-PROPERTY OWNER INFORMATION r „' /`i�°'I''; "`"'"
ion �• 'yT.'=' i� R�A.VY�I .. 1:9.'.i.Yn[ it
�..4:ti�illrlrr`i�dl
BUILDING OWNER'S NAME • !I •i,:; 'cliy , ,,IM ogl Ski
1!iGf�ibilti,;;IrF::«� m. Y fi3ll
�1 {{�� ''''rr Ilh��,I�prw�i�y61hil0�iil
' giro, i Y.,,;4::;A �i'�i"�.ilrfi44%I :�i iiiNl�,•ryl•o!i�li!�
BUILDING STREET ADDRESS(Including ,Unit,Suite,and/or Bldg.No.)OR P.O-ROUTE AND BOX NO .,•Coin 1'aI �i' 1dri.1Prp ,�r ti ;;�;*,
949 1,6 FGF.EbZ' Z � Ili-i,rini nalt- >iili:liii.1�'Il:i:l�li:ll:,il=i
.�� ,wlc�:lNli::;�.�•�ur,N�,ul�9Y•7W7I At:pl:�:��Ifi�ll�,
CITY STATE .. ZIP CODE
cop'PE'LL.. -re ,A6 -7S0iy
PROPERTY DESCRIPTION(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.)
L o-r 9 7N__ci c K, lbs y.J 1N1-D5011L EelriPerr-b AiAr, ITIdd
BUILDING USE(e.g.,Residential,Non-residential,Addition,Accessory,etc. Use Comments section if necessary.) .
LATITUDE/LONGITUDE(OPTIONAL) HORIZONTAL DATUM: SOURCE: U GPS(Type):
( Mr-0'-N.*#" or #0.1Werl Mr) LI NAD 1927 LJ NAD 1983 LI USGS Quad Map U Other.
SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION
B1.NFIP COMMUNITY NAME b COMMUNITY NUMBER 82.COUNTY NAME 83.STATE
S,P_ liL,i 4-BO 7D LL k �FsNTOf�1 5
B4.MAP AND PANEL ' 135:SUFFIX Be.FIRM INDEX • 87.FIRM PANEL • 88.FLOOD 89.BASE FLOOD ELEVATION(S)
NUMBER DATE EFFECTIVE/REVISED DATE ZONE(S) (Zone AO,use depth of flooding)
460110 0010 E APRIL IS i AMR. IS. 1t194 .. • Are 432.
B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in B9.
I_I FIS Profile IJ FIRM (community Determined LI Other(Describe):
m
B11.Indicate the elevation datu used for the BFE In B9: .h1GVD 1929 .I J.NAVD 1988.Li Other(Describe):
B12.Is the building located In a Coastal_Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? 1_1 Yes jNo'
Designation Date:
SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED)
C1. Building elevations are based on: LlConstruction Drawings' tiOuilding Under Construction' LiFlnished Construction .
'A new Elevation Certificate will be required when construction..of the building is complete.
C2. Building Diagram Number I (Select the building diagram most similar to the building for which this certificate Is being completed-see
pages 6 and 7. If no diagram accurately represents the building,provide a sketch or photograph.)
C3. 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 C3a-i below according to the building diagram specified in Item C2.State the datum used. If the datum is different from
the datum used for the BFE in Section 9,convert the datum to that used for the BFE.Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section 0,as appropriate,to document the datum conversion.
Datum ' Conversion/Comments
Elevation reference mark used oes the elevation reference mark used appear on the No
❑ a)Top of bottom floor(including basemen or enclosure) L„�ft.(le>) ' 45 ... .EA•fi��
O b)Top of next higher floor -_-•ft.(m) 9 e Q. , , FO.'�1�
❑ c)Bottom of lowest horizontal structural member(V zones only) - 1J ft.(m) (9 . `a =•,.
O d)Attached garage(top of slab) ____456 ..a.ft-4110 ' ••G . •RY S.RHODES
O e)Lowest elevation of machinery and/or equipment •• • •.■..............
servicing the building 1k ._ft.(m) f • • , '1 `'t•
At.4
O f)Lowest adjacent grade(LAG) • 4-eta .lL ft.(a0 41' E_• ,o\
O g)Highest adjacent grade(HAG) 461 .4 ft.(I�) �j1 8( ,
❑ h)No.of permanent openings(flood vents)within 1 ft.above adjacent 9r-ede iJk • J
❑ I)Total area of all permanent openings(flood vents)in C3h NA' sq.in.(sq.cm) ("
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 in Sections A;B,and Con this certificate represents my best efforts to interpret the data available.
I understand that an false statement ma be .unishable b line or i .rlsonment under 18 U.S. Code, Section 1001.
CER -'S NAME LICENSE NU ■BER
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TITLE •, - Y
ADDRE S TY STA ZIP CODE
•j•. wwl ►�_ - Glet_ �_•..._ _ t-±- - . - •
SIGNATUR•'�a DATE LEPHON
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FEMA Fo ' IP-1,AUG +' SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS