FEMA-EC950310FPMC - 1 (4/94)
O.M.B. NO. 3067.0077
ELEVATION CERTIFICATE Expires May 31, 1996
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This farm is used only to
orovlde elevation information necessary to ensure compliance with applicable community floodplain management ordinances. to
determine the proper insurance premium rate. and/or to support a request for a Letter of Map Amendment or Revision (LOMA or LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
9UILOING CwNER'S NAME
FOR INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Inctuaing Apt.. Unit. Suite andlor Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY MAIC NUMBER
105 Hollywood Drive
OTHER DESCRIPTION (La( and Black Numbers. etc.)
Lot 41, Block D, Lakewood Estates
CITY STATE
ZIP CODE
City of Coppell Texas 75019
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
COMMUNITY NUMBER
? PANEL NUMBER
:. SUFFiX
DATE OF FIF;M INOEX
?. FiRM ZONE
i. EASE F--_000 ELEVATION
7
,in AO Zcnes. use ceatn)
480170
0010
D
10/16/91
---
---
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): A- NGVD '29 Other (describe on back)
S. For Zones A or V. where no BFE is provided on the FIRM. and the community has established a BFE for this building site, indicate
the community's BFE: 450.x$, feet NGVD (or other FIRM datum–see Section B. Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level I .
2(a). FIRM Zones Al -A30, AE. AH. and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of i 451 .3_ feet NGVD (or other FIRM datum–see Section S. Item 7).
(b). FIRM Zones V1 -V30. VE. and V (with BFE). The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of feet NGVD (or other FIRM datum–see Section B. Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is ._ feet above or
below _ (check ane) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is _ feet above'— or below (check
one) the highest grade adjacent to the building. If no flood depth number is available. is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? '_ Yes No Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: X NGVD '29 _ Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than that used on
the FIRM [see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: Yes 1_X No (See Instructions on Page 4)
5. The reference level elevation is based on: X actual construction _ construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place. in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is: 450.2._ .feet NGVD (or other FIRM datum -see
Section B. Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item 1
is not the "lowest floor" as defined in the community's floodplain management ordinance. the elevation of the building's "lowest
floor" as defined by the ordinance is: ._ feet NGVD (or other FIRM datum–see Section B. Item 7).
Z. Date of the start of construction or substantial improvement 3/1/95
FEMA Form 81.31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al—A30, AE. AH, A (with 8FE),V1—V30,VE. and V (with 8FE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
certification. In the case of Zones AO and A (without a FEMA or community issued SFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non-breakaway wall,
enclosure size. location of servicing equipment. area use. wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
I certify that the information in Sections S and C 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.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
Dan B. Ramsey R.P.L.S. No. 4172
TITLE COMPANY NAME
Sl�rveying Manager Jones & Boyd, Inc
ADDRESS CITY
17300 Dallas Parkway, Suite 3010 Dallas Texas 75248 75248P
SIGNATURE
DATE PHONE
-7676
Copies should be mag; f this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES.
SLAB BASEMENT PIERS. OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCEREFERENCE
LEVEL ozi LEVEL
FLOOD
REFERENCE
LEVEL
ELEVATION
:w^
BASE
FLOOD ... ADJACENT %: '�. REFERENCE
'r,;y�
ELEVATION REFERENCE LEVEL
ADJACENT GRADE „_..
BASE
FL000
ELEVATION
LEVEL GRADE
':i: C`r:i �t l,i ;?%::'t`r.::::•.'y I':+.
'. �::',':::.:.
.:5'+ADJACENT.%
..�.
:•:'ri::.;. r:r �:: _:.: r•...
GRADE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
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LOT FIT
Z-i�-
SCALE: 1 = 30'
Lot Area: 12495 Sq.Ft.
Trendmaker Homes
5757 Alpha Road, Suite 700
Oallas. Texaa 75240
Teserhaeusee (214) 458-9909
bfft
la 11?5
�v
1
LOT 42
date ALL ELEVATIONS ARE FINAL
02/24/95 GRADE UNLESS OTHERWISE
NOTED. EXISTING GRADES
ARE DENOTED THUS (XX.x)
rev
subdiv
LAKEWOOD ESTATES
lot blk
41 _ D
address
105 HOLLYWOOD DRIVE
city plop
COPPELL, TX. 32736 LEFT
FOUNDATION FORM SURVEY
TO ALL PARTIES INTERESTED IN PREMISES SURVEYED
Th S s tc -erf,tl• that -ave, t),s date. ^rade :j co�efu arc cccurcte pr tie ground survey o` `he aroperty 'ocated
at LQ,S. f�QU�lsJQ�.d_ LiV�L_. _ / :he 4 i:eq__Of cqP � _ ____ __ ,Texas, described as follows:
Ki1NG of ¢1, Rcick Q, /LfLeC � �_OQ __ .�' G .>�E'S_ -- - ----- --- ar addition to
the (i Ley .QfD � �L exams occordir � ;c tre {110-f — -ereo, recorded tr
Q 2 —e /vv ='ecords o' ,12 /4r' :'Darty, Texas
Thi} proPBrt, coeS "ot ie, w✓tti, the f -e ;;r yec, inoc Diutr Qccordirq to the flood �'ouraary Ord
f+oc,awo. A j; ¢801210- 0010 0 e-fe, -, e Oc ver_ /rp - If ?/-
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>pe Ot DuPdirgs and—pr,iverrerts are s^ow-. rprwemtr
pewq within the noundor e,, o` re arofler se' nacx '�or- "r.e
groper', ''roes -e elstorces rd,ca'ec, orr E•r. ire
Jrot,usiOns, excep, 7s -,-ec
Dor 9 Romsey
-iogistered `' c'e ona crn `. �,.'.E YO' ti,; A' �
JONES do BOYD, INC.
CONSUL"ING ENGINEERS
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