FEMA-EC031013ATlONAL FLOOD INSURANCE PROGRAM
O.M.s. No. 3067-0077
Expires December 31, 200
ELEVATION CERTIFICATE
ImDOrtant: Read the instructions on oaoes 1 .7.
SECTION A. PROPERTY OWNER INFORMATION For Insoomre Company Use:
BUILDING OWNER'S NAME
Policy Number
BREN1WOOD BUILDERS
BUILDING STREET ADDRESS (Induding Apt..
Unit. Suite, and/or Bldg. No.) DR P.O, ROUTE AND BOX NO. Company NAIC Number
627 PRESTWICK COURT
CITY
STATE
COPPELL
TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 7, BLOCK A. PRESTWICK ADDITION
BUILDING USE (e.g., Residential, Non-residential, Addition, AcceSSCKy, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL)
if _ ##' . ##.##' or ##.I/i#I##')
ZIP CODE
75019
HORIZONTAL DATUM:
o NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_. ._
o USGS Quad Map o Other__. __
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61. NFIP COMMJNfTY NAME & CQMMJNITY NUMBER
COPPELL-480170
62: COUNTY NAME
DALLAS
I 63. STATE
TEXAS
84. MAP AND PANEL
67. FIRM PANEL 69. BASE FLOODELEVATION(S)
NUMBER 65. SUFFIX 66. FIRM INDEX DATE EFFECTIVE,REVlSED DATE 68. FLOOD ZONE(S) (Zooe AO, use deplh of I'ood~)
0155 J 8-23il1 8-23il1 X NIA
B1D. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
D FIS ProIile X FIRM D Community Determined D Other (Desaibe):_
B111ndicalethe elevation datum used for the BFE in B9: X NGVD 1929 D NAVD 1988 D Other(Oesc1ibe)_
612 Is the buildi located in a Coastal Barner ResourcesS stem CBRS area or OthelWise Protected Area OPA? Dyes D No Desi nation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: D Construction Drawings' X Building Under Construction' D Finished Construction
A new Elevation Certiflcate will be required when construction of the building is complete.
C2. Building Diagram Number 1 (Select the building diagram most ~milar to the building for which this certificate i.oong completed. see pages 6 and 7. If no diagram
axurately represents the building, pro~de a sketch or photograph.)
C3 Elevations _ Zones A 1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1.A30, ARlAH, ARlAO
Complete Items C3..aj below oo;ording 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 calculation Use the spoce provided or the Comments area of
Section D or Section G, as appropnate, to document the datum conversion.
Datum NGVO 1929 ConvefSlon/Comments
Elevation reference marl< used _Does the elevation reference marl< used appear on the FIRM? D Yes X No
a)Topofboltomfloor(indudingbasementorendosure) 455.ll.ft.(m)
b)Topofnexthigherfloor
N1A._ft.(m)
o cj Bottom of lowest horizontat ,tructural member (V zones only) N/A . _ft.(m)
o d) Attached garage (top of stab) N1A. _ft.(m)
o e) Lowest elevation of machinery andlor equipment
servicing the building (Desaibe in a Comments area) N1A . _ft.(m)
o D Lowest adjacent (finished) gra:le (LAG) 453. Lft(m)
o g) Highest adjocent (finished) grade (HAG) 455. 1ft.(m)
h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N1A
o i) Tota area of all permanent openings (flood vents) in C3.h N/Asq. in. (sq. an)
VJ
g.
g~
D~
E c
wo
w
5
Em
c
z.Q>
c
0
SECTION 0 . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification IS to be signed and sealed by a land surveyor, engineer, or architect authorized by taw to certify etevation information.
I cenify Ihat the information in Sections A. S, and C on this cenificate represents my best effons to interpret the data evai/able.
I understand that any felse statement mey be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME ROBERT C. MYERS LICENSE NUMBER 3963
TITLE ViCE PRESIDENT
COMPANY NAME ANALYTICAL SURVEYS, INC.
C?
CITY
GARLAND
DATE
10-13.03
STATE
TX
TELEPHONE
972.272~287
ZIP CODE
75042
FEMA Form 81.31, January 2003 See reverse side for continuation.Replaces all previous editions
BUILDING5TREET ADDRESS (IncilJd;,g Apt, Un~ Suile, andie, AI. No.) OR p.o. ROUTE AND BOX NO.
627 PRESTWICK
FC>' Insullll1re Company Use,
Policy Number
CITY
COPPELL
STATE
1)(
ZIP COOE
75019
Company NAIC Nunter
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of \his Elevation Certificate for (1) community olliaal, (2) insurance agenVcompany, and (3) building owner.
COMMENTS
BUILDING IS FORMS ONLY
o Check here if attachments
SECTION E. BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (""thout BFE), oomplete Items E1 through E4. ~ \he Elevation Certi1icate is intended for use as supporting infannation for a LOMA or LOMR.F.
Sec"on C must be com~eted.
E 1 Building Diagram Number _(S"OO the building dlagr<<n most similar to the building for which fhis certificate is oong com~eted - see pages 6 and 7. If no diagram accurat"y
represents \he building, provide a sketch or photograph.)
E2 The top of \he bottom floor (induding basement or endosure) of \he building is _ ft.(m) _in.(em) 0 above or 0 ooow (check one) \he highest adjocent grade. (Use
natural grade, IT avalable).
E3 For Building Diagrams 6-8 ",,\h openings (see page 7), fhe next higher floor or "evated floor ("evation b) o!the building is _ ft.(m) _In.(an) above Ihe highest edjacent
grade. Com~ele aems CJh and C3.i on front of form.
E4 The top of \he platfann of mochinery and/or equipment servidng \he building is _ ft.(m) _in.(em) 0 above or 0 ooow (check one) the highest adjocent grade. (Use
natural grade, if available).
E5 For Zone AO only: If no flood depth number is available, is the top of \he bottom floor "evated in acoordance ""th \he oommunity's flood~ain management ordinance?
Dyes 0 No 0 Unknown. The local official must certify Ihis infoonation in SectionG.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
TI'e property owner or owne!s authorized representative who com~etes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (""\haul a FEMAjssued or community.
5'ued BFE) or Zone AO must sign here. The statements in SOO~ns A, e, C, and E are correct to the best of my knowfedge.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
tDDRESS
CITY STATE ZIP CODE
SIGNATURE
DATE TELEPHONE
C')MMENTS
o Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local offidal who is au\horized by law or ordinance to administer the community's flood~an mooagement ordinooce can com~ete Sections A, B, C (or E), and G of this Etevatioo
Certificale. Com~ete \he ap~icable item(s) and ~gn beklw.
G 1. 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archaoo who is authorized by state
or local law 10 certify elevation infannation. (Indicate \he source and date of the e1evatioo data in the Comments area below.)
G2. 0 A community ofIiaal com~eted SectKm E for a building located in Zone A (..thout a FEMA4SSUed or communityjssued BFE) or Zone AO.
GJ 0 The fc;lov.ing Infonnation (Items G4.o9) ~ provided for community flood~an management purposes.
84. PERMIT NUMBER GS. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COM'LlI>.NCEIOCCUPANCY ISSUED
G7. ThIS permit has beeo issued lor: 0 New Construction 0 Substantial Improvement
GB. Bevation of as-built lowest floor (induding basement) of \he building is:
G9. BFE or (in Zone AO) dep\h of flooding al the building site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
ft.(m)
ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
o Check here if attachments
Replaces all previous editions
FEMA Fonn 81.31, January 2003