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FEMA-EC150105U.S. DEPARTMENT OF HOMELAND SECURITY FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insurance Progrann Name ELEVATION CERTIFICATE Important: Read the instructions on pages 1-9 SECTION A - PROPERTY INFORMATION OMB No. 1660-0008 Expiration Date: July 31, 2015 FOR INSURANCE COMPANY USE Policy Number: A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 601 INGLENOOK COURT City COPPELL State X ZIP Code 75019 A3. Property Description (Lot and Block Numbers, Tax P u er, Legal Description, etc.) LOT 23 OF BLOCK 1 OF ST, ANDREWS ESTATES, AN ADDITION TO TQt_ CIT FI)F COPPELL, DALLAS COUNTY, TX A4. Building Use (e.g., Residential, Non -Residential, Addition cde ory1etc.) R SIDENT A5, Latitude/Longitude: Lat. Long. //r�or¢ f/D tum: NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certfficat6s being used o obtain flood insurance. AT Building Diagram Number 1A A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) N/A sq ft a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s) within 1.0 foot above adjacent grade N/A within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A8.b G N/A sq in c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? ❑ Yes ® No d) Engineered flood openings? ❑ Yes ® No SECTION B — FLOOD INSURANCE RATE MAP (FIRM) INFORMATION 61. NFIP Community Name &Community Number 62. County Name 63. State DALLAS CO., & INCORPORATED AREAS 480170 DALLAS TEXAS B4. Map/Panel Number B5. Suffix B6, FIRM Index DateB7. FIRM Panel B8, Flood B9. Base Flood Elevation(s) (Zone 48113COl55 K ;07/07/2014 Effective/Revised Date Zone(s) AO, use base flood depth) 07/07/2014 X -OTHER N/A 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/Source: 1311. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 ❑ NAVD 1988 ® Other/Source: N/A 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 Al—A30, AE, AH, A (with BFE), VE, V1—V30, V (with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: DEFOREST COURT 456.23' _ Vertical Datum: NAVD 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) b) Top of the next higher floor 458.79 ®feet ❑meters N ❑feet ❑meters c) Bottom of the lowest horizontal structural member (V Zones only) d) Attached garage (top of slab) e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) f) Lowest adjacent (finished) grade next to building (LAG) g) Highest adjacent (finished) grade next to building (HAG) h) Lowest adjacent grade at lowest elevation of deck or stairs, including structural support N/A. ❑feet El meters N/A. ❑feet El meters /A. N/A. ❑ feet El meters N/A. ❑feet El meters N/A. ❑feet ❑meters N/A. Elfeet Elmeters 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. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑ Check here if attachments. licensed land surveyor? ❑ Yes ❑ No Cert ifier's Name BRIAN RHODES License Number 5962 Title OWNER, RPLS Company Name RHODES SURVEYING Address 4424 STATE HIGHWAY 276 City ROCKWALL State TX ZIP Code 75032 Signature Date 1/5/2015 Telephone 972475-8940 �i.: cls � RFp •. BRIAN S.' RHODES ............................... .0 5962 �b o?P� �4H SURS11.0 FEMA Form 086-0-33 (7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 601 INGLENOOK COURT City COPPELL State TX ZIP Code 75019 SECTION D —SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Comments BM PROVIDED ON RECORD PLAT OF DEFORREST COURT BY HALF AND ASSOC. FIRE HYDRANT EAST SIDE OF ALLEN ROAD 456.93' ZONE X -OTHER , AREAS DETERMINED TO BE OUTSIDE THE 0.2% ANNUAL CHANCE FLOOD PLAIN Signature Date 1/15/2014 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 E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. 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, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2, For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8-9 of Instructions), the next higher floor (elevation C2.b 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 community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official 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 BFE) or Zone AO must sign here. The statements in Sections A, B, 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 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 Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. 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 cert G4. Permit Number G5, Date Permit Issued G6, Date Cert ify 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—G10) is provided for community floodplain management purposes. ificate Of Compliance/Occupancy Issued G7. This permit has been issued for: El New Construction [I Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building: El feet El meters Datum G9. BFE or (in Zone AO) depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Community Name Signature Comments Title Telephone Check here if attachments. FEMA Form 086-0-33 (7112) Replaces all previous editions. Ile (v AV Ae'1111, 1 �lIAI, V4, -�t 4VIA hGf V, elt "!� ieee d A J al Y.�'.i .A. P e PA It Ile �." ? I ^ o- - ''" X11 :1 me `II III xF, IV VA 14 _ / -.af t rAVI : fir ✓,r 'd�lf es. IV �r Ile ee� I .7 - .... _ N -+ let C r 4 IV I It,5row le I ._:. .^" �. n ,. .. <, - " .y' ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 601 INGLENOOK COURT City COPPELL State TX ZIP Code 75019 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and 'Rear View"; must show the foundation with representative and, if required, "Right Side View" and "Left Side View." When applicable, examples of the flood openings or vents, as indicated in Section A8. photographs FEMA Form 086-0-33 (7/12) Replaces all previous editions.