FEMA-EC120907NATIONAL FLOOD INsuRANCE PROGRAM
ELEVATION CERTIFICATE
FOR
621 ST JAMES PLACE
U.S. DEPARTMENT OF HOMELAND SECURITY
Federal Emergency Management Agency
National Flood Insure Program
ELEVATION CERTIFICATE
Important: Read the instructions on pages 1-9.
SECTION A - PROPERTY INFORMATION
OMB No. 1660-0008
Expires March 31, 2012
For Insurance Comoanv Use:
Al. Building Owners Narne J & M Street, Inc. Me Street Custom Homes) I
Policy Number
A2. Building Street Address (including Apt., Unit, Suile, arx for Slag. No.) or P.O. Route and Box No.
NA1C
C4 Co pall state Texas z17%V?9
A3. Pr0PWW DesaWan (Lot and Block Numbers, Tax Parcel Number, Legal Description. etc.)
Lot 8 Block A of Windsor Estates Addillan
A4. BuAding Use (e.g., Residential, Non-Restderntal, Addition. Accessory, etc) proposed residential _
A5. LathAe/Lortgiltude: Let. 32.985353 Long. -96.961614 Hortzorital Datum ❑ NAD 1927 ® NAD 1983
A6. Attach at least 2 photographs of the building it the Certificate is being used to obtem flood insurance.
AT Budding Diagram Number 1
AS. For a building with a craWspace or enclosure(s): Aid. For a building with an altached garage:
a) Square footage of craWspece or enclosure(s) N/A sq ft a) Square footage of attached garage NIA sq ft
b) No. of pemrartent flood openings in the crawlspace or b) No, of permanent flood openings in the allai garage
enclosure(s) vdhin 1.0 foot above adjacent grade NIA within 1.0 foot above adjacent grade NIA
c) Total net area of flood openings in A8.b _NA— sq in c) Total net area of flood openings In Ag.b NIA sq In
d) Er*leered flood openings? ❑ Yes ❑ No d1 Engineered flood openings? ❑ Yes ® No
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
o r. rvrir- Uxxnmu KY Name xa community Number 82_ County Name B3 State
City of C2pprU, TX 480170 Dallas TX
134. Map/Panel Number B5. Suffix 136_ FIRM Index 137 FIRM panel B8. Flood 99 Base Flood Elevation% (Zone
)date Effective/Revised Date zone($) AC. use base flood deplh)
155 J October 01, 2003 AE 452.0
B10.
all.
B12.
Indk2 to tits souace of the Base Flood Elevation (BFE) date or base flood depth entered in Item 139.
❑ FIS Profile ® FIRM Community Determined ❑ Other (Describe)
Indicate ekwatlon datum used for BFE In Item 89. ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe)
Is the building located in a Coastal Barrier Resources System (CRRS) area or Othenvise Protected Area (OPA)?
Deslgnedorr DabB F-tLi CBRS ❑ OPA
NIA
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
❑ Yes ® No
C1. Building elevations are based on: ❑ Construction Drawings, ® Building Under Construction- ❑ Flnlshed Construction
'A now Elevallon Certificate will be required when construction of the building is complete.
C2. Elevations –Zones Al -A30, AE. AH, A (with SFE). VE. V1430. V (won BFE). AR_ ARIA_ ARIAE.. AR/Al-A30, AR/AH, ARIAC_ Complete liems C2.a-h
below according to the building diagram speclfled in Item AT Use the same datum as the BFE
Benchmark Uti fid Ch of Ca II Benchmark Station No. 9 Vertical Datum NAVE)1988
ConversiargCommerns NIA
a) Top of boitnm ftaor (including basement, crawlspace, or enclosure floor)
tr} Top ofthe next higher floor
Check the measurement used
457.97 � feet � meters (Puerto Rico only)
c) Bottom of the lowest horizontal struucttrral member (V ,Zones only)
feet
_�❑ feet
meters (Puerto Rico orgy)
❑ meters (Puerto Rico only)
d) Attached garage (top of slab)
457.97 ❑x feet
❑ meters (Puerto Rico only)
e) Lowest elevation of machinery or equipment servicing the building
(Describe type of equipment and location in Comments)
,❑ feet
❑ meters (Puerto Rico only)
f) Lowest adjacent (f niShed) grade next to building {LAG)
456..89f
❑feet
eel
meters (Puerto Rico only)
g) Highe adjacent (finished) grade next to building (NAG)
457.09 ® feet
❑ meters (Puerto Rico only)
h) Lowest adJecent grade at lowest elevation of deck or stairs. 9nduding
struChiral lvmnnrt
❑feet
El meters (Puerta 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 / cer>Yfy Mat the irut madon on this Certtraate represents my best efforts to interpret the data available.
I undersMW first any liaise statement may be Punishable by fine or Imprisonment under 18 U. S. Coda. Section loo r OF T �.�
❑ Check here If oorrmrents are provided an back of form. Were latitude and longitude in Section A ovided by a �(� ••""•"'•�.•'Y
licensed land surveyor? ❑x Yes No �P••. C��gTERFO •-S
Certiftera NameHe RowellLicense tuber 69'.4V ~•
4597
Tttie Surveyor Co any Name 458 ......-.�'
Hgrrv, R28rgu Comnam r'^r..,;•• 7 ;
Addrr3ss 2430 Squire place e. 2 c`��8rmers Branch �ezas ZIF %
Signature DaT �- �•' •�
��:S:entpmLr 07. 2012 ����I-5533 �''••.
FEMA 81-310A9 See reverse side for continuation Replaces all pre us editions
IMPORTANT: In these spaces, copy the corresponding Information from Section A. For Insurance Company Use:
Bullring Street Address (including Apt., Unit. Suite. andlor Bldg- No) or P O. Route and Box No. Policy Number
621 St. James Place
city State ZIP Code Company NAIC Number
coppell Texas 75019
SECTION 0 -SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) comrnunity official, (2) insurance agent/company, and (3) building owner_
Comments
argnsnrre Date
September 07, 2012 ❑ Check here if attachments
SECTION I; - BU[ G ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zones AO and A (wfiftW BFE), complete Items E1 -E5. It the Certificate is intended to support a LOMA or I.OMR-F request, complete Sections A, 8.
end C. For Items EI -E4, use natural grade, if available. Check the measurement used. In Puerto Rico only. enter meters.
E1. Provide elavation tnfomuman 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. craw lspece, or enclosure) is _ _ _ ❑feet ❑meters ❑above or ❑below rite HAG.
b) Top of bottom floor (Including basement crawispaoe, or enclosure) is _ []feet ❑meters ❑above or ❑ below the LAG
E2. For Building Diagrams 6-9 with permanent flood openings provided in SecbQa.A Items 8for S (see es &9 of Instrurdons), the next nigher floor
{elevation C2.b in the diagrams) of the building is ^, E] feet u meters � above or below the HAG.
E3. Attached garage (top of slab) is [] feet ❑ meters ❑ above or ❑ below the HAG.
E"4. Top of platform of machinery andlor equipmem servicing the building Is ____ ❑ feet E] meters [ above or E] below the HAG -
E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor eieveted in accordance with the community's floodplain management
ordinance? ❑ Yes [] No ❑ unknown. The IccaI offlcial must certify this Information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A. B. and E for Zone A (without a FEMA -issued or community -issued aFE)
or Zone AO must sign hers. The ststemenfs in 5ectrons A. S- and E are correct to the best of my krmv4edge.
Property Owner's or Owner's Authorized Representaiive"s Name
Harry Roweu
Address CRY State ZIP Code
2430 S 're Place, St f=armers Branch TX 75234
5tgnatLre September 07, 2012 Telephone 972 _247 - 5533
Comments
El h hrrre
SECTION G -COMMUNITY INFORMATION (OPTIONAL)
The focal official 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 Certfitcate. Complete the applicable ftem(s) and sign below. Check the measurement used in Items G8 and G9
GS- ❑ The trtbtmation 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 comrmmily 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 I G5. Date Permit
G6. Date Certificate Of Compliance/Occupancy Issued
G7. This permit has been issued for. [] New Construction tion [❑ Subslantlal Improvement
G8. Elevation of as -bunk lowest floor (Including basement) of the building
G9. BFE or (in Zone AO) depth of flooding at the building site
GtO. Comrrumity's design flood elevation
Local Official's Name ......Title
Community Name Telephone
Signature
Dale
Comments
❑ feet ❑ meters (PR)
❑ feel ❑ meters (PR)
❑ feet ❑ meters (PR)
Datum
Datum
Datum
❑ he e K n
FEMA Form 81-31, Mar tJ9 Replaces all previous editions