DeForest Ct-RS020313
MAY 02 2002 6:33AM
RHODES SURVEYING
S72-475-~a36
p.2
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE".
, 1m ,tNtant: Read the lnatructions on es 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION
Q,M.B, No. 3067-0077
Expires July 31, 2002
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For Insurance Company Use:
Policy Number
R T ADDRESS (Including ApI., Unit, Suite, andlor Bldg. No.) OR P,O. ROUTE AND BOX NO.
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Number, Legsl Description, etc.)
Company NAIC Number
ZIP CODE
1SOla7
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SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B3,STATE
:r
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
.0
B6. FIRM INDEX
DATE
t
10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9,
I_I FIS Profile . ~FIRM 1-1 Community Determined LI Other (Describe):
11. Indicate the elevation datum used for the BFE in 89: ~GVD 1929 LI NA VD 1988 U Other (Describe):
12. Is the building located In a Coastal_Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date:
LI Ves ~NO
SECTION C - BUilDING ELEVATION INFORMATION (SURVEY REQUIRED)
I, Building elevations are based on: LIConstruction Drawings. tiLBUildlng Under Construction. I_I Finished Construction
-A new Elevation Certificate will be required when construction of the building is complele,
~. Building Diagram Number....l- (Select the building diagram most similar to the building ror which this certificate is being completed - see
pages 6 and 7, If no diagram accurately represents the building, provide a sketch or photograph.)
J. Elevations - Zones A1-A30. AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO
Complete Items C3a-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 Sedlon B, convert the datum to tl1at used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the CommenlB area of Sedion D or Section G, as appropriate, to document the datum convef'8lon,
Datum ~ Conversion/Comments ~ O~ "'26Cc)l2'Del:> ~
Elevation reference mar1l: used QAJ- ~flf3 Does the elevation reference mar1l: used appear on the FIRM? 1-1 Ves No
o a) Top of boltom floor (induding basement or enclosure) ~ .~ ft.('" 1 Ol
o b) Top of next higher floor ~k . _ ft.(m) III ~ '~~STt..l.,t.~
o c) Bottom of lowest horizontal structural member (V zones only) AlA-. ft,,(m) I ~ 4j...i~\*', ~6~
o d) Attached garage (top of slab) ~ ~ ft.~ 'f 1l I ..
LU it , ...... .... ......
o e) Lowest elevation of machinery and/or equipment .: ,; ..8.' . So R ES
servicing the building "Jr. . _ ft.(m) f'~ .
o f) Lowest adjacent grade (LAG) ~4--_.(6.. ft.~ ~ i
(J g) Highest adjacent grade (HAG) ~ ~ ft.("" ~
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade -J,JJ.c...... ~
o i) Total area of ell permanent openings (flood vents) In C3h
Jlk
sq. in. (sq. em)
1/
,
SECTION 0 . SURVEYOR, ENGINEER, OR ARCHtTECT CERTIFICATION
-his certification is to be signed end sealed by a land surveyor, engineer, or architect authorized by law 10 cartify elevation information,
certify that the information in Sections A. 8. and C on this certificate represents my best efforts to int9rpret the data avaiiable.
understand that any false statement may be punishable by fine or imprisonment under 1 B U.S. Code, Section 1001.
~~~~ LlCEN~,fR
'ITLE N e!f?- CAY
10 SS ~ c::...\D< ~ STAT ZIP CODe tSce8
TELEPHONE
SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL PREVIOUS EDITIONS
~AY O~ 2002 ,6: 33AM
":3~
RHODES SURVEYING
972-475-9036'
p.3
For Insurance CompMY Use:
Policy Number
Company NAlC Number
IPY both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
)MMENTS
. ~ .
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, '. , . , · '. 1--1 Check here if attachmerUs
SECTION E - BUILDING ELEVAnON INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZO;NE A (v.,'HquT,BFE)
. Zone AO, ~n.d ,Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use 8S supporting
lrmation fora tOMA orLOMR-F, Section C fTILIst be completed,
. Building Diagram Number _ (Select the buildin9 diagram most simUar 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.)
. The top of the bottom floor (inqluding basement or enclosure) of the building is LJ.-J ft.(m) LJ.-Jin.(cm) LI above or I_I below
(check one) the bjgh~st adjacent grade. . ,:. ' " , ,
. For Building Diagrams 6-8 with openings (see page 7), the next higher 1I00r or elevated floor (elevation b) of the building is
1_1_' ft.(m) 1_1_lin.(cm) above the highesl adjacent grade. ,
, For Zone AO on'tvt .If no llood depth norilbEtr is avallablit"'i~'the.tti? of the bottom floor ellWa\ed in accordance with the coltlIYtJOity'1
floodplain management ordinance? Ll Yes LI No 1 I U~known. The local official mu&t <:el1ify this information In Section G, .
. SECT-ION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERnFICATIP~
he property owner or owner's aulhorized representative who completes Sections A. B, and E for Zone A (without a FEMA-issued or
>mmunity-issued BFE) or Zone AO must sign here.
ROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
CITY
DATE
STATE
TELEPHONE
ZIP CODE
DORESS
IGNATURE
OMMENTS
L-I Check here if attachments
SECTION G. COMMUNITY INFORMATION (OpnONAL)
e local official who is authorized by law or on:li'lsnce to adm.l~r the pomm4nity's floodplain management ordlnance'can com'plete
chans A, S, C (or E), and G of this Elevation Certificate. Complete the applicable itein(s~ afld..,s1sn below. " "
!, I_I The information in Section C was tapn from. othe.r'd~ntation 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,) .
t, l.-J A community official completed Sectjpn E for,. bu!~I~cated in Zone A (without B FEMA-issued or community-issued BFE) or
Zone AO. ' . . , .
~. I_I The following information (Items G4-G9) is provided for community floodplain management purposes,
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1<4 PERMIT NUMBER G5. OA P Mil ISSUED G6. DATE RTIFICATE OF COMPLlAN
;.;0, . ISSUED
, This permit has been issued for: I_I New Constr;uction I_I Substantial Improvement
!, Elevation of as-buin lowest floor (including basement) of the building is:
~. BFE or (In Zone AO) depth of 1I0oding at the building site is:
.OCAL OFFICIAL'S NAME
. _ ft.(m) Datum:
. _ ft,(m) Datum:
TITLE
TELEPHONE
:OMMUNITY NAME
DATE
jlGNATURE
;OMMENTS
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I_I Check here if a~chments
REPLACES ALL PREVIOUS EDIllONS
:MA Form 81-31, AUG 99
$.54'
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16'-&"
ai CEDAR 6 ON 6 FENCE
WI METAL FOST AND
2><4 CEDAR ~ILS
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FVC FFE FOR
AND OUT
CITY OF COPPELL
REVIEWED
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A~AIZA
RESIDENCE
Approval of the plans and specifications shall not be
construed to mean construction in direct conflict
with the City of Coppell Building Codes and Zoning
Ordinances.
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PLOT PLAN
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ecALE V7 ,'t?~
LOT 11
632 DEFOREST COURT
COFFELL, TEXAS
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