FEMA-EC071205Dec 05 2007 442PM BARRY RHODES LRND SURVEYI 9724759036 pl
US DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No 1660 0003FederalEmergencyManagementAgencyINationalFloodInsuranceProgramImportantReadtheinstructionsonpages
Expires February 282009
p gas 1 8
SECTION A PROPERTY INFORMATIONAlBuildingOwnersName For Insurance Company Use
Policy Number
A2 Building Street Address including Apt Unit Suite and or Bldg No or PO Route and Box No718INGLENOOKCOURT Company NAIC Number
City COPPELL State TX ZIP Code 75019
A3 Property Description Lot and Block Numbers Tax Parcel Number Legal Description etcLOT13BLOCK1STANDREWSESTATES
A4 Building Use eg Residential Non Residential Addttlon Accessory etc RESIDENTIALA5LatitudeLongitudeLagLong
A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurancerizontal Datum NAD 1927 NAD 1983A7BuildingDiagramNumber1
A8 For a building with a crawl space or enclosures provide A9 For a
ua eing with
o f attached garage WA sq
attached garage provideaSquarefootageofcrawlspaceorenclosuresNIAsqftbNoofpermanentfloodopeningsinthecrawlspaceor
a Square footage o
ftenclosureswallswithin10footaboveadjacentgradej111
b
wallsof permanent flood openings in the attached garagecTotalnetareaoffloodopeningsinA8bwallswithin10footaboveadjacent grade NANAsqincTotalnetareaoffloodopeningsinA9bNASECTIONBFLOODINSURANCERATEMAPFIRMINFORMATION
sq in
131 NFIP Community Name Community Number 82 County Name48113C0155DALLAS B3 State
Suffix B6 FIRM Index
I TEXASB4MapPanelNumberB5I67FIRMPanel68FloodB9 Base Flood Elevations Zone4811300155IDateEffectiveRevisedDateZones061605100103AOuse base flood depthXB10IndicatethesourceoftheBaseFloodII453D
d Elevation BFE data or base flood depth entered in Item 89FISProfileFIRMCommunityDeterminedOtherDescribe811Indicateelevationdatum used for BFE in Item 89 NGVD 1929 NAVD 1988 0 Other DescribeB12IsthebuildinglocatedinaCoastalBarrierResourcesSystemCBRSareaorOtherwiseProtectedAreaOPA YesDesignationDate
CBRS OPA No
SECTION C BUILDING ELEVATION INFORMATION SURVEY REQUIREDC1Buildingelevationsarebasedon0ConstructionDrawingsBuildingUnderConstruction0 Finished ConstructionAnewElevationCertificate
re
will
on
required when construction of the building is completeC2ElevationsZonesAl A30 AE AH A with BFE VE V1 V30 V with BFE AR ARA ARAE ARA1 A30 ARAH ARAO Complete Items C2a gbelowaccordingtothebuildingdiagram specified in Item A7
Benchmark Utilized Vertical Datum NGVD 1929
ConversionComments BM PROVIDED ON RECORD PLAT DEFOREST COURT BY HALF AND ASSOCIATES
Check the measurement usedaTopofbottomfloorincludingbasementcrawlspaceorenclosure23floor457bTopofthenexthigherfloorINfeetmetersPuertoRicoonlyNAfeetmetersPuertoRicoonlycBottomofthelowesthorizontalstructuralmemberVZonesonlyNNAdAttachedgaragetopofslabfeetmetersPuertoRicoonly45601feetmetersPuertoRicoonlyeLowestelevationofmachineryorequipmentservicingthebuildingNADescribetypeofequipmentinCommentsfeetmetersPuertoRicoonlyfLowestadjacentfinishedgradeLAG5521gHighestadjacentfinishedgradeHAG
41 feet meters Puerto Rico only45599EfeetmetersPuertoRicoonly
SECTION D SURVEYOR ENGINEER OR ARCHITECT CERTIFICATIONThiscertificationistobesignedandsealedbyalandsurveyorengineerorarchitect authorized by law to certify elevationInformationcertifythat the information on this Certificate represents my best efforts to interpret the data availableIunderstandthatanyfalsestatementmaybepunishablebyfineorimprisonmentunder18USCodeSection1001 e F 4CheckhereifcommentsareprovidedonbackofformTF95 4
Certifiers Name BARRY RHODES
License Number 3691 O B At l ODETitleRPLSOWNERCompanyNameRHODESSURVEYING
r 1 0Address750NNRIECIRECityROWLETTStategA
feTXZIPCode75088
D S tSignature
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 442PM BRRRY RHODES LAND SURVEYI 972475903G p2
IMPOR ANT In these spaces copy the corresponding information from Section ABuildingStreetAddressincludingAptUnitSuiteandorBldgN
Poli Iy
Numbe Company UseNoorPORouteandBoxNo718INGLENOOKCOURT
Policy NumberCityCOPPELL State TX ZIP Code 75019
Company NAIL Number
SECTION 0 SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION CONTINUEDCopyboth sides of this Elevation Certificate for 1 community official 2 insurance agentcompany and 3 building ownerComments
Sig nature
Date
Check here if
SECTION E BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED FOR ZONE AO AND ZO A WITHOUT BFE
attachments
WITHOU BFEFor 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 BandCForItemsE1E4usenaturalgradeifavailableCheck the measurement used In Puerto Rico only enter metersElProvide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacentgradeHAGandthelowestadjacentgradeLAGaTopofbottomfloorincludingbasementcrawlspaceorenclosureisbTopofbottomfloorincludingbasementcrawlspaceorenclosureis
feet meters above or below the HAGE2ForBuildingDiagram68withpermanentfloodo
feel meters above or below the LAGelevationC2
i
in the diagrams
with
of the
permanent flood
isopenings provided in Section A Items 8 andor 9 see page 8 of Instructions the next higher floorE3Attachedgaragetopofslabisfeetmetersaboveorbelow the HAGfeetmetersaboveorbelowtheHAGE4TopofplatformofmachineryandorequipmentservicingthebuildingisfeetE5ZoneAOonlyIfnoflooddepthnumberisavailableisthetopofthebottomfloorelevatedinaccordance
above or below the HAG
ordance with the communitys floodplain managementordinanceYesNoUnknownThelocal official must certify this information in Section G
SECTION F PROPERTY OWNER OR OWNERS REPRESENTATIVE CERTIFICATIONTheproperty owner or owners authorized representative who completes Sections A B and E for ZoneA without a FEMA issued or community issued BFEorZoneAOmustsignhereThestatementsinSectionsABandEarecorrecttothebestofmyknowedgePropertyOwnersorOwnersAuthorizedRepresentativesName
Address
City Slate ZIP CodeSignature
Date TelephoneComments
0SECTIONGCOMMUNITYINFORMATIONOPTIONAL
Check here if attachments
The local official who is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A B C or Eand G of this Elevation Certificate Complete the applicable dems and sign below Check the measurement used in Items G8 and G901
The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor engineer or architect whoisauthorized by law to certify elevation information Indicate the source and date of the elevation data in the Comments area belowG2
A community official completed Section E for a building located in Zone A without a FEMA issued or community issued BFE or Zone AOG3
The following information Items G4 G9 is provided for community floodplain management purposesG4PermitNumberG5DatePermitIssued
G6 Date Certificate Of ComplianceOccupancy Issued
G7 This permit has been issued for New Construction Substantial ImprovementO8Elevationofasbuiltlowest floor including basement of the building39BFEorinZoneAOdepthoffloodingatthebuildingsite
feet meters PR Datum
feet meters PR Datum
Local Officials Name
Title
Community Name
Telephone
Signature
Date
Comments
EMA Form 8131 February 2006 Check here if attachments
Replaces all previous editions