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FEMA-EC051229FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FLOOD INSURANCE PROGRAM a.M.B. No. 3067-0077 Expires December 31,2005 ELEVATION CERTIFICATE SECTION A . PROPERTY OWNER INFORMATION For Insurance Company Use:BUILDING OWNER'S NAME Policy Number BUILDING STREET ADDRESS (Including Apt., Un~, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number702INGLENOOKCOURT Important' Read the instructions on pages 1 .7. CITY STATECOPPELLTX PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)LOT 9 BLOCK A ST. ANDREWS ESTATES BUILDING USE (e.g.. Residential, Non-residential, Addition, Aooessory, etc. Use a Comments area. if necessary.)RESIDENTIAL LA TITUDE/LONGITUDE (OPTIONAL) or ##.#####') ZIP CODE 75019 HORIZONTAL DATUM: NAD 1927 0 NAD 1983 SOURCE: 0 GPS (Type):_ o USGS Quad Map Other: FIRM SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNrTY NAME & COMMUNITY NUMBER COPPELL 480170 B2. COUNTY NAME DALLAS I B3. STATE TEXAS 84. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S)NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVElREVISED DATE B8. FLOOD ZONE(S) (Zone AO. use depth of flooding)48113C0155 J 06-16-2005 llJ.Ol-2003 X,AE 452.9 B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. o FIS Profile ~ FIRM 0 Community Detemnined 0 Other (Describe): _B11. Indicate the elevation datum used for the BFE in B9: ~ NGVD 1929 0 NAVD 1988 0 Other (Describe):_B12.ls the buildin located in a Coastal Barrier Resounces S stem CBRS) area or Otherwise Protected Area OPA? 0 Yes ~ No Desi nation Date SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 0 Construction Drawings' ~ Building Under Construclion* 0 Finished ConstructionAnewElevationCertificatewillberequiredwhenconstructionofthebuildingiscomplete. 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 diagramaccuratelyrepresentsthebuilding, provide a sketch or photograph.) C3. Elevations - Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARJA, ARJAE, ARJA 1-A30, ARJAH, AR'AOCompleteItemsC3.-a~ below aocording to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE inSectionB, convert the datum to that used for the BFE. Show field measurements and datum conversion calculation. Use the space provided or the Comments area ofSectionDorSectionG, as appropriate, to document the datum conversion. Datum NGVD1929 Conversion/Comments BM PROVIDED ON RECORD PLAT DEFOREST COURT BY HALF AND ASSOC.Elevation reference mark used _Dces the elevation reference mark used appear on the FIRM? 0 Yes ~ Nooa) Top of bottom floor (including basement or enclosure) 456. 88 ft.(m) o b)Topofnexthigherflocr NA._ft.(m) o c) Bottom of lowest horizontal structural member (V zones only) NA . _ft.(m) o d)Attachedgarage~opofslab) NA _ft.(m) o e) Lowest elevation of machinery and/or equipment servicing the building (Describe in a Comments area) NA . _ft.(m) o n Lowest adjacent (finished) grade (LAG) 454 .1Q.ft.(m) o g) Highest adjacent (finished) grade (HAG) 455. 97 ft.(m) o h) No. of pemnanent openings (flood vents) within 1 ft. above adjacent grade NA o i) Total area of all permanent openings (flood vents) in C3.h !::J8.sq. in. (sq. om) SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATIONThiscertificationistobesignedandsealedbyalandsurveyor, engineer, or architect authorized by law to certify .,Ievation information.I certify that the information in Sections A. B, and C 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 lWl.CERTIFIER'S NAME BARRY RHODES LICENSE NUMBER 3691 en on-on'" 00 0",E" wrn w o=> Ero z.~ en l TITLE OWNER COMPANY NAME BARRY R~ODES ADDRESS 7509 PENNRIDGE CIR SIGNA TU CITY ROWLETT DATE 12-29-2005 STATE TX TELEPHONE 972-475-8940 ZIP CODE 75088 See reverse side for continuation.Replaces all previous editions IMPORT ANT: In these spaces, copy the corresponding information from Section A. For Insurance Company Use: BUILDING STREET ADDRESS (Indudir'9 Apt, Unrt, Suite. and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Policy Number702INGLENOOKCOURT CITY STATE ZIP CODE Company NAIC NumberCOPPELLTX75019 SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agenVcompany, and (3) building owner. COMMENTS o Check here if attachmentsSECTIONE . BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting infomnation for a LOMA or LOMR-F,Section C must be completed. E1. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed _ see pages 6 and 7. If no diagram aocuratelyrepresentsthebuilding, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade (Usenaturalgrade, if available). EJ For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is __ ft.(m) _in.(cm) above the highest adjacentgrade. Complete items C3.h and C3.i on front of fomn. E4. The top of the plaffonm of machinery and/or equipment servicing the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjacent grade. (Usenaturalgrade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in acoordance with the community's floodplain management ordinance?o Yes 0 No 0 Unknown. The local official must certify this infomnation in Section G. SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owners authorized representative who ocmpletes Sections A, B, C (Items C3.h and C3.i only), 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, C, 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 o Check here if attachments SECTION G. COMMUNITY INFORMATION (OPTIONAL) 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 ElevationCertificate. Complete the applicable item(s) and sign below. G1. 0 The infomnatron in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer. or architect who is authorized by stateorlocallawtocertrfyelevationinfomnation. (Indicate the source and date of the elevation data in the Comments area below.)G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community~ssued BFE) or Zone AO.G3. 0 The following infomnation (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER G5. DATE PERMIT ISSUEO G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for: 0 New Construction 0 Substantial Improvement G8. Elevation of as-built lowest floor (including basement) of the building is: G9. BFE orrin ZoneAO) depth offiooding at the building site is: LOCAL OFFICIAL'S NAME COMMUNITY NAME SIGNATURE COMMENTS ft.(m) h.(m) Datum: Datum: TITLE TELEPHONE DATE FEMA Form 81-31. January 2003 o Check here if attachments Replaces all previous editions