FEMA-EC050930BUILDING OWNER'S NAME
O.M.B, No, 3067-0077
Expires December 31,2005
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: Read the instructions on p~es 1 - 7.
SECTION A- PROPERTY OWNER INFORMATION For Insurance Company Use:
Policy Number
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
632 INGLENOOK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desc~ption, etc.)
LOT 8 BLOCK A ST. ANDREWS ESTATES
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc Use a Comments area, if necessary)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL)
or
HOR~ONTAL DATUM: SOURCE: [] GPS (Type):
NAD 1927 [] NAD 1983 [] USGS Quad Map [] Other: FIRM
SECTION B- FLOe0 INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME I B3. STATE
COPPELL 480170 DALLAS I TEXAS
B4. MAP AND PANEL ET. FIRM PANEL B9 BASE FLO00 ELEVATICN(S)
NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE 88. FLOOD ZONE(S) (Zor'e AO, use deplh of flooding)
48113C0155 J 06-16-2005 ~0~1-2003 X, AE 452.9
B10. Indicate the source of the Base Fh~d Elevation (BFE) data or base flood depth entered in B9.
FIS Profile [] FIRM [] Community Determined [] Other (Desc~be):
B11 indicate the e~evation datum used for the BFE in B9: [] NGVD 1929 [] NAVD 1988 [] Other (Desonbe):
B12 is the buildin~ located in a Coastal Beater Resources S},stem (CBRSt area or Other~se Protected Area (OPAl? [] Yes [] No Desi~lnation Cate
SECTION C · BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 Building elevations are based on: [] Construction Crawings' [] Building Under Construction* [] Finished Construction
A new Elevation Cer¢cate will be required when coostruction of the building is comCete.
C2, Building Diagram Number_~ (Seect the building diagram most similar to the building ~ which this certificate is I~ng completed- see pages 6 and 7. if no diagram
accurately represents the building, provide a sketch or photograph)
C3 Etevatims- Zones Al-A30, AE, AH, A (~th BFE), VE, VI-V30, V (with BFE), AR, AR/A, AR/AE, AR/AI.-A30, AR/AH, AR/AO
Complete Items C3.-a-i be~ow 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, convertthe datum to that used for the BFE. Show field measurements and datum conversion calculation, Use the space provided or the Comments area of
Seetion D or Section G, es appropriate, to document the datum cooversion.
DatumNGVD1929 Conversion/CommentsBMPROVIDEDONRECORDPLATDEFORESTcouRT BY HALFANDASSOC.
Elevation reference mark used Doestheeleva~onreferencemarkusedappearontheFIRM? '[""~Yse C~No
Q a) Top of bottOm floor (indudin9 basement or enclosure)
21 b) Top of next higher floor
3 c) Bottom of lowest horizontal structural member (V zones only)
Q d) Attached garage (top of slab)
El e) Lowest elevation of machinery and/or equipment
serving the building (Describe in a Comments area)
Q 0 Lowest adjacent (finished) grade (LAG)
El g) Highest adjacent (finished) grade (HAG)
456, 76 ft.(m)
NA,
N.A.A. __tt.(m)
NA.
NA,_f~,(m)
5, 1~ ~,(m)
8~,(m)
Q h) No, of permanent openings (flood vents) w~hin 1 If, above adjacent grade NA
Q i) Total area of all permanent openings (lloed vents) in C3,h NAsq, in, (sq. cra)
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 C on th~a certificate represents my best efforts'to interpret the data available.
I understand that an,v false statement may be punishable by fine or imprisonment under 18 U.&Code, Section 1001.
CERTIFIER'S NAME BARRY RHODES LICENSE NUMBER 3691
TITLE OWNER COMPANY NAME BARRY RHODES
ADDRESS
7509 PENNRIDGE CIRCLE/
SIGNATURE ~____~
FEMA Form 81~nuary
CITY
ROWLETT
STATE
TX
ZIP CODE
75088
DATE
09-30-2005
TELEPHONE
972475-8940
See reverse side for continuation.Replaces all previous editions
IMPORTANT: In these spaces, copy the corresponding information from Section A.
BUILDING :51Ae[I ADDRESS (lndudi~ Apt, Un~t, Suite, an~or B~ No.) OR P.O. ROUTE AND BOX NO.
632 INGLENOOK COURT ~
C~TY STALE ZtP CCOE
COPPELL TX 75019
SECTION B- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUEll.
Copy both sides of this Elevation Ce~cete for (1) community oifldal, (2) insuran, ce agent/company, and (3)buitding owner.
For Insurance Compa~ Use:
Polcy Number
NIC Number
COMMENTS
Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED} FOR ZONE AD AND ZONE A (WITHOUT BFE)
For Zone AD and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR..F,
Section C must be completed.
El. Building Diagram Number _(Select the bulk:ling diagram most similar to the building for which this certificate is bang completed - see pages 6 and 7. If no diagram accurately
represents the buiJding, provide a sketc~ or photograph.)
E2 Thetopofthebettomfloor(indudingbasementorencleeura)ofthebuildingis _ft(m)_in.(cm)r-labeveor I--Ibelow(chackone)thehighestadjacentgrade. (Use
natural grade, if available).
E3 For Building Diagrams 6-8 with openings (see page 7), the next higher fleer or elevated floor (stevalJon b) of the building is _ fl.(m) __in.(om) above the highest adjacent
grade. Complate i~ems C3.h and C3,i on front of form
E4. The top of the platform of machinery and/or equipment se~idng the building is _ fl.(m)_in.(cm) [] above or [] Mow (check one) the highest adjacent grade. (Use
qaturai grade, if available).
E5 For Zone AD only: If no flood depth number is available, is the top of the bottom floor elevated in acoorda~,e with the community's ftoedplain menagemant orblna~:e?
I:-IYes I--INo [-1Unknown. The local offlcial must ce,lif,/ this informaJon in Section G '
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The prage~ty owner or owner's authorized represen~ve who completes Sec~ns A, B, C (Items C3,h andC3,i only), and E for Zone A (without a FEMA-issued or community-
issued BFE) or Zone AD must sign here, The statements in Sections A, B, C, and E are co,'reof to the best Of my knowledge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CI~ STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
Check here if attachments
SECTION G · COMMUNITY INFORMATION (OPTIONAL)
The Iouai officbl who is authorized by law or ordinance to administer the community% floodplain management ordinance can complete Sections A, B, C (or E), and G ofthi~ Elevation
Certificate. Complete the applicable item(s) and sign below.
Gl. [] The info~ution in Section C was taken from ether donumectation that has been signed and emboss,ed by a licensed surveys', engineer, or architect who is authorized by state
or Icoal law to ce~y elevation information. (Indicate the source and dats of the blevation data in the ~mmants area betow.)
G2 [] A community official complated Sec~on E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AD.
G3. [] The following infon'natJon (Items G4-Gg) is provided for community fleedpain managemect purposes:
G7 This bermit has been issued for: [] New Construction [] Substantiai Improvernen~
G8 Elevation of as-built lowest floor (including basement) of the building is:
G9 B. FE or (in Zone AD) depth of flooding atthe buikiing site is:
ff.(m) Oaum:
ff,(m) Datum:__
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions