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FEMA-EC070503US DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No 1660 0008 Federal Emergency Management Agency Expires February 28 2009 National Flood Insurance Program Important Read the instructions on pages 1 8 SECTION A PROPERTY INFORMATION For Insurance Company Use Al Building Owners Name HOLMES BUILDERS Policy Number A2 Building Street Address including Apt Unit Suite and or Bldg No or PO Route and Box No Company NAIC Number 725 PENFOLDS City COPPELL State TX ZIP Code 75019 A3 Property Description Lot and Block Numbers Tax Parcel Number Legal Description etc LOT 11 BLOCK B THE RESERVE A4 Building Use eg Residential Non Residential Addition Accessory etc RESIDENTIAL A5 Latitude Longitude Lat Long Horizontal Datum NAD 1927 NAD 1983 A6 Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance A7 Building Diagram Number 1 A8 For a building with a crawl space or enclosures provide A9 For a building with an attached garage provide a Square footage of crawl space or enclosures NA sq ft a Square footage of attached garage NA sq ft b No of permanent flood openings in the crawl space or b No of permanent flood openings in the attached garage enclosures walls within 10 foot above adjacent grade NA walls within 10 foot above adjacentgrade NA c Total net area of flood openings in A8b NA sq in c Total net area of flood openings in A9b N A32EW sq in SECTION B FLOOD INSURANCE RATE MAP FIRM INFORMATION B1 NFIP Community Name Community Number B2 County Name B3 State COPPELL 480170 DALLAS TEXAS B4 MapPanel Number B5 Suffix B6 FIRM Index 87 FIRM Panel B8 Flood B9 Base Flood Elevations Zone Date Effective Revised Date Zones AO use base flood depth 48113C0155 J 06 1605 10 01 03 XAE 50060 B10 Indicate the source of the Base Flood Elevation BFE data or base flood depth entered in Item B9 FIS Profile FIRM Community Determined Other Describe B11 Indicate elevation datum used for BFE in Item B9 NGVD 1929 NAVD 1988 Other Describe B12 Is the building located in a Coastal Barrier Resources System CBRS area or Otherwise Protected Area OPA Yes No Designation Date CBRS OPA SECTION C BUILDING ELEVATION INFORMATION SURVEY REQUIRED C1 Building elevations are based on Construction Drawings Building Under Construction Finished Construction A new Elevation Certificate will be required when construction of the building is complete C2 Elevations Zones A1A30 AE AH A with BFE VE V1 V30 V with BFE AR AR A ARAE ARA1A30 AR AH ARA0 Complete Items C2a g below according to the building diagram specified in Item A7 Benchmark Utilized 49850 Vertical Datum NGVD 1929 Conversion Comments BM PROVIDED BY ENGINEER Check the measurement used a Top of bottom floor including basement crawl space or enclosure floor 51100 feet meters Puerto Rico only b Top of the next higher floor N A feet meters Puerto Rico only c Bottom of the lowest horizontal structural member V Zones only N A feet meters Puerto Rico only d Attached garage top of slab N A feet meters Puerto Rico only e Lowest elevation of machinery or equipment servicing the building N A feet meters Puerto Rico only Describe type of equipment in Comments f Lowest adjacent finished grade LAG 50940 feet meters Puerto Rico only g Highest adjacent finished grade HAG 51015 feet meters Puerto Rico only 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 certify that the information 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 US Code Section 1001 O F T Check here if comments are provided on back of form ti F Q rI G CertifiersNameBARRYRHODESLicenseNumber3691 ARRY S DLb J Title RPLS OWNER Company Name RHODES SURVEYING a 1 Address 7509 RIDGE CIRCLE City ROWLETT State TX ZIP Code 75088 F9sSUPE Signatu Date 05 03 07 Telephone 975 475 8940 0 FEMA Form 81 31 February 2006 See reverse side for continuation Replaces all previous editions IMPORTANT In these spaces copy the corresponding information from Section A For Insurance Company Use Building Street Address including Apt Unit Suite and or Bldg No or PO Route and Box No Policy Number 725 PENFOLDS City COPPELL State TX ZIP Code 75019 Company NAIC Number SECTION D SURVEYOR ENGINEER OR ARCHITECT CERTIFICATION CONTINUED Copy both sides of this Elevation Certificate for 1 community official 2 insurance agentcompany and 3 building owner Comments FOR S ONLY Signat d to D 01 Lr Check here if attachments SECTION E BUILDING ELEVATION INFORMATION SURVEY NOT REQUIRED FOR ZONE AO AND ZONE A WITHOUT BFE For Zones AO and A without BFE complete Items E1 E5 If the Certificate is intended to support a LOMA or LOMR F request complete Sections A B and C For Items El E4 use natural grade if available Check the measurement used In Puerto Rico only enter meters El Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade HAG and the lowest adjacent grade LAG a Top of bottom floor including basement crawl space or enclosure is feet meters above or below the HAG b Top of bottom floor including basement crawl space or enclosure is feet meters above or below the LAG E2 For Building Diagrams 6 8 with permanent flood openings provided in Section A Items 8 and or 9 see page 8 of Instructions the next higher floor elevation C2b in the diagrams of the building is feet meters above or below the HAG E3 Attached garage top of slab is feet meters above or below the HAG E4 Top of platform of machinery and or equipment servicing the building is feet meters above or below the HAG E5 Zone AO only If no flood depth number is available is the top of the bottom floor elevated in accordance with the communitys floodplain management ordinance Yes No Unknown The local official must certify this information in Section G SECTION F PROPERTY OWNER OR OWNERS REPRESENTATIVE CERTIFICATION The property owner or owners authorized representative who completes Sections A B 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 and E are correct to the best of my knowledge Property Owners or Owners Authorized Representatives Name Address City State ZIP Code Signature Date Telephone Comments Check here if attachments SECTION G COMMUNITY INFORMATION OPTIONAL The local official who is authorized by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A B C or E and G of this Elevation Certificate Complete the applicable items and sign below Check the measurement used in Items G8 and G9 G1 The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor engineer or architect who is authorized by law to certify elevation information Indicate the source and date of the elevation data in the Comments area below G2 A community official completed Section E for a building located in Zone A without a FEMA issued or community issued BFE or Zone AO G3 The following information Items G4 G9 is provided for community floodplain management purposes G4 Permit Number G5 Date Permit Issued G6 Date Certificate Of Compliance Occupancy Issued G7 This permit has been issued for New Construction Substantial Improvement G8 Elevation of as built lowest floor including basement of the building feet meters PR Datum G9 BFE or in Zone AO depth of flooding at the building site feet meters PR Datum Local Officials Name Title Community Name Telephone Signature Date Comments Check here if attachments FEMA Form 81 31 February 2006 Replaces all previous editions