FEMA-EC040730ELEVATION CERTIFICATE
Important: Read the instructions on pag_.? i - 7.
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/c" Bldg No) OR P O. ROUTE AND BOX NO
O.M.B. No 3067-OO77
Expires December 31,2005
For insurance Company Use:
Policy Number
ZIP CODE718PENNFOLDSLANE
STATE
CITY TX 75019
COPPELL
PROPERTY DESCRIPTION (Lot and Block Numbers Tax Parcel Number, Legal Description, etc)
LOT 9 BLOCK B THE RESERVE
BUILDING USE (e 9 Residential Non-residential Addition, Accesson], etc Use a Comments area, if necessaw )
RESEIDENT[AL SOURCE: [] GPS (Type):
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM:
A¢°_ :##'-:#~:/~¢" or ##.¢//H;~t;?) [] NAD 1927 [] NAD 1983 [] USGS Quad Map [] Other: FiRM
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 NFlP COMMUNITY NAME & COMMUNITY NUMBER ~ B2. COUN~Y NAME
B3 STATE
C~PPELL 480170 [ DALLAS__ [TEXAS
25 £ L7 ~ .... ~7 FIRM PANEL
4;';;;1;5 ~ AUG 23200 L AUG 23200 __
B~ BA~E FLOOD ELF_ AilON(Si
Ba, FLOOD ZONE(S) I (Zone AC, use depth of flooding)
X AE } 5000
B10. In'-cate the source of t~e Base Flood Elevation (BFE) data or base flood depth entered in B9
FIS Profile [] FIRM [] Community Determined [] Other (Describe):
Bll indicatethe devation datum used for the BFE in Bg: [] NGVD 1929 [] NAVD 1988 [] Other (Describe): __
B12,~sthebui~d[n9~ocated~naC~asta1BarfierRes~urcesSystem(CBRS)area~r~therwisePr~tectedArea~ []Yes [~]No~nationBate__
SECTION C- BULLRING ELEVATION INFORMATION (SURVEY REQUIRED)
C1 Building elevations are based on: [] Construction Drawings* [] Huildlng Unde Cons ructton* [] Finished Construdion
A new ELevation Certificate wLII 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 buLIding, provide a sketch or photograph )
C3 Elevations Zones A -A30 AE, AH A (with BFE), VE, V1 V30, V (with BFE), AR, AR/A, AR]AE, AR/Al-A30, AR/AH, AP,/AO
Complete Items C3 a-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 calculafion Use the space provided or the Comments area of
Section D or Section G as appropriate, to document the datum conversion
Datum _NGVD 1927 Conversion/Comments BM PR~OVlDED BY ENGINEER_
Elevation reference mark used BM 49878 Does the elevation reference mar~ used appear on the FIRM? [] Yes [] No
o a) Top of bottom floor (including basement or enclosure) 50~9 5~2 fl (m)
NA. _fl.(m)
o b) Top of next higher floor
o c/Bottom of lowest horizontal structural member (V zones only) N~A __fi(m)
o d) Attached garage (top of slab) NA __fl.(m)
o e) Lowest devation of machinew and/or equipment
NA fi(m)
o f) Lowest adjacent (finished) grade (LAG) 50~8 5~0_0 fl.(m)
o g) Highest adjacent (finished) grade (HAG) 508 7~0~t (m)
o h) No of permanent openings (riced vents) within 1 fl above adiacent grade N~A
o i) Total area of all permanent openings (flood vents) in C3.h N~Asq in (sq. cm)
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
Th~s certification is to be signed and sealed by a land surveyor engineer, or architect authorized by law to cedify elevation information
certify that the m formation ¢tr Sectons A, B, end C on this cer~ihcate represents my best efforts to interpret the data ava#abte.
understand that any false statement may be p~umshable by frae or ¢mprisonment under f8 U S. Code, Section 1001
CERTLFER'S NAME HARRY RHODES
LICENSE NUMBER 3691
COMPANY NAME BARRY RHODES
TITLE OWNER
CITY ST~,TE ZiP CODE
ADDRESS A ROWLETT TX 75088
DATE TELEPHONE
07~30-2004 972475 8940
FEMA Form 81-3~"'January zuuo · See reverse side for continuation Replaces all previous editions
IMPOE['ANT: In these spaces, copy the corresponding information from Section A,
BUiLDi?,G STREET ADDRESS {Including Apt Ufl~t, S~te, anGlal ~/~ ~a ~ OF, ~'; 0 ~O~TE '~E) ~0~ ~0
For Insurance Company Use:
718 PENNFOLDS LANE
ZIP CODE ~ '°'O:::::N~rC Number
STATE
CITY TX 75019 I
COPPELL
SECTION D- SURVEYOR, ENGINEER, OR ARCHITECT Cb~l ~t-~CATION (CONTINUED)
Copy both sides of this Elevation Cediflcate for (1) community o~cial, (2) insurance agent/company, and (3) building owner
COMMENTS
Check here if attachments
SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AC AND ZONE A (WITHOUT BFE)
For Zone AC 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
E1 Building Diagram Number_(Selestthe buildingdiagram mostsimilartothebuildingforwhichthiscedificateis beingc°mpleted-seepages6 and 7' Ifnodiagramaccurately
represents the building, provide a sketch or photograph)
E2. Thetopofthebottomfloor(includingbasementorendosure)ofthebuLidingis _fl.(m)_in.(cm)[~aboveor L-] below (check oee) the highest adiaeent grade' (Use
natural grade, if available)
E3 For Building Diagrams 6~ with opooings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ lb(m) _in (cra) above the highest adjacent
grade Complete items C3h and C3i on front of form,
E4 Thetopoftheplatformofmachineryand/orequipmentservicingthebuildingis _ft,(m)_in,(cm)[] aboveor [] below (check one) the highest adjacent grade (Use
natural grade, if available)
E5 For Zone AC only: I1 no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
Yes [] No [] Unknown The local o~cial must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owneCs authorized representative who completes Sections A, B, C Ctems C3h and C3i only), and E for Zone A (without a FEMA-issued or community-
issued BFE)or Zone AC must sign here Tbesfatements~nSectoosA, B,C, andEarecorrecttothebestofmyknowledge,
ADDRESS
CITY STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
COMMENTS
Check here if attachments
SECTION G- COMMUNITY INFORMATION (OPTIONAL)
Tbe~coa~cia1Wh~i~auth~ri~edby~a~r~rdinan~et~admini~tertheoor~nmUnifY'~t~oodp~a~nmanagement~rd~nance¢ancomp~ete~esti~nsAB'~ ~ andGofthisElevation
Certificate Complete the applicable item(s) and sign below
Gl. [] The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authotized by state
or local law to certify elevation informatLon (Indicate the source and date of the elevation data in the Comments area below)
G2 [] A community official completed Sedion E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AC,
G3 [] The following information (items G4 G9) is provided for community floodplain management purposes
G5 DATE PERMIT ISSUED GG. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED I
G7, This permit has been issued for: [] New Construction [] Substantial Improvement
G8 Elevation of as-built lowest floor (including basement) of the building is: . _fi(m) Datum:
G9. BFE or (in Zone AC) depth of flooding at the building site is: _ fi(m) Datum:
LOCAL OFFICIAL'S NAME
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
COMMENTS
Check here if attachments
Replaces all prewous editions
FEMA Form 81-31, January 2003