FEMA-EC030814NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Important: R__aad the instructions on p~es 1.7.
SECTION A- PROPERTY OWNER INFORMATION For Irtsuran(~ Cu,pa,',y Use:
BUILDING OWNER'S NAME Policy Number
BREN'I'VVOOD BUILDERS
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Co~q~pany NAIC Nui~ber
631 PRESTVVICK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desuiplk~n, etc.)
LOT 8, BLOCK A, PRESTVVlCK ADDITION
BUILDING USE (e.g., Residential, Non-residential, Addition, Accesso~, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: [] GPS (Type):_ __
fWf- f~.f#f' or #1¢.;/;~;~;?) [] NAD 1927 [] NAD 1983 [] USGS Quad Map [] Other: _ _
lO.MB. NO. 3067,-007~7
Expires December 31,200
SECTION B- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
NUMBER B5. SUFFIX B6. FIRM INDEX DATE EFFECTIVE/REVISED DATE BB. FLOOD ZONE(S)
0155 J 8-23.01 8-23-01 X & AE
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood deplh entered in Bg.
FIS Profile X FIRM [] Community Deten-nined [] Other (Describe):
Bll. Indicate the devation datum used for the BFE in Bg: X NGVD 1929 [] NAVE) 1988 [] Other (Describe): __
B12~sthebui~din~catedina~asta~Ban.ierRes~urcesS)~stem~CBR~area~r~therwisePr~tectedArea~PA~? I-lYes [-INo
SECTION C- BUILBING ELEVATION INFORMATION (SURVEY REQUIREB)
Bg. BASE FLOOD ELEVATION(S)
Zone AD, use dep~ d tboding)
453.00
Desi~lnation Date
C1. Building elevations are based on: [] Construd~on Drawings* X Building Under Construction* [] Rnished Construction
A new Elevation Certificate will be required when construclion of the building is complete.
C2. Building Diagram Number 1_ {,Select the building diagram most similar to the building for which this certif~3te is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a ,si(ach or photograph.)
C3. Elevations - Zones Al-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, AR/A, AR/AE, AR/Al-A30, AR/AH, AR/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 fidd measurements and datum conversion calculation. Use the space provided or the Comments area of
Sedion D or Section G, es appropriate, to document the datum conversion.
Datum NGVD 1929 Conversion/Comments__
Elevation reference mark used__Does the devatJon reference mark used appear on the FIRM? [] Yes XNo
a) Top of bottom floor (induding besement or enclosure)
b) Top of next higher fioor
Botlom of lowest horizontal structural member (V zones only)
d) Attached garage (top of slab)
e) Lowest elevation of machinery and/or equipment
servidng the building (Describe in a Comments area)
Lowest adjacent (finished) grade (LAG)
g) Highest adjacent (finished) grade (HAG)
456. l_~.(m)
N/A. _ft.(m)
N/A.._.~.(m)
N/A. _ft.(m)
N/A. _ft.(m)
453.6 ft.(m)
455. 2 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade N/A
o i) Total area of all permanent openings (flood vents) in C3.h N/A sq. in. (sq. cra)
C. MYER8
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.
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 1001.
CERTIFIER'S NAME ROBERT C MYERS LICENSE NUMBER 3963
TITLE VICE PRESIDENT COMPANY NAME ANALYTICAL SURVEYS, INC.
ADDRESS
707 EASY STREET
SIGNATJJRE'"'"~
CITY STATE ZIP CODE
GARLAND TX 75042
DATE TELEPHONE
8-1403 972-272-6287
FEMA Form 81-31, January 2003 See reverse side for continuation.' Replaces all previous editions
BUILDING STREET ADDRESS (Including Apt., Unil, Sure, and/or BUg. No.) OR P.O. ROUTE AND BOX NO.
631 PRESTWICK IFor
I .nsumnce Company U~:
Po~/Number
Company NAIC NumberCITYSTATEZIPCOOE
COPPELL TX 75019
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community olfidal, (2) insurance agentJcompany, and (3) building owner.
COMMENTS
BUILDING IS FORMS ONLY.
Check here if attachments
SECTION E- BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A 0NITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If lhe Elevalion Certificate is intended for use as supporting infon'nation for a LOMA or LOMR-F,
Section C must be completed.
E1 Building Diagram Number_(,?,elect 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 building, provide a sketch or photograph.)
E2. The top of the botlom floor (induding basement or enclosure) of the building is _ ft.(m)_in.(cm) [] above or [] below (check me) the highest adjacent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or devated §oor (elevation b) of the building is _ ft.(m) _in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platform of machinery and/or equipment servidng lhe building is _ ft.(m) _in.(cm) [] above or [] below (check one) the highest adjacent grade. (Use
natural grade, if available).
ES. For Zone AO only: If no flood depth number is available, is the top of the be{tom floor etevated in accordance with the community's floodplain management ordinance?
Yes [] No [] Unknown. The local official must ce~ this informalion in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEUA-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
Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local offidal 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 Elevation
Certificate. Complete the applicable item(s) and sign below.
G1 [] The information in Section C was taken from olher documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by state
or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.)
G2 [] A community ofrcial 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.
IG4. 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 is:
Gg. BFE or (in Zone AO) depth of flooding at the building site is:
ft.(m) Datum: __
ft.(m) Datum: __
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
FEMA Form 81-31, January 2003 Replaces all previous editions