DeForest Ct-RS030529
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Q,M,B, No, 3067-0077
Expires July 31,2002
Important: Read the instructions on paaes 1 .7.
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
HOLMES BUILDERS
BUILDING STREET ADDRESS (Including Apt, Unft, Sufte, andlor Bldg, No,) OR P,O, ROUTE AND BOX NO, Company NAIC Number
634 DEFOREST COURT
CITY STATE
COPPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 10, BLOCK A DEFOREST COURT
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL)
( ##' - ##' - ##,##,' or ##,-i
ZIP CODE
75067
HORIZONTAL DATUM:
IZI NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
IZI Other: FIRM
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1, NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2, COUNTY NAME I ~ STATE
COPPEll480170 DALLAS
84, MAP AND PANEL B5, SUFFIX B7, FIRM PANEL 69, BASE FLOOD ELEVATION(S)
NUMBER 66, FIRM INDEX DATE EFFECTIVElREVISED DATE B8 FLOOD ZONE(S) (Zone AO, use depth oIl1ooding)
48113C0155 J 1!12312OO1 215J201)3 X NA
B1O. Indicate the source 01 the Base Flood Elevaion (BFE) data or base lood depth entered in B9,
o FIS Prolle I2l FIRM 0 Community Determined 0 Other (Desaibe):_
Bl1.lndicatethe"evation datum used for the BFE in B9: I2l NGVD 1929 0 NAVD 1988 0 Other (Describe): _
B12, Is the building located in a Coast~ Barrier Resources System (CBR~) area or Otherwise Protected Area (OPA)? 0 Yes I2l No Designation Date
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
Cl, Building elevatioos are based on: 0 Coostructioo Drav.ings" I2lBuilding Under Construction" 0 Finished Construction
"A new Elevatioo Certificate will be required when construction of the building is complete,
C2, Building Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being COIllpeted - see pages 6 and 7, If no diagram
aa:urat"y represenfs the building, provide a sketch or photograph,)
C3, Elevations-ZonesA1-A30, AE, AH, A (""th BFE), VE, V1-V30, V (""th BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH,ARlAO
Complete Items C3"aj below according to the building diagram specffied 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 space provided or the Comroonts area of
Sectioo D or Section G, as appropriate, to docuroont the datum conversion,
Datum NGVD 1929 Cooversioo/Comments BM ON RECORDED PlAT
Elevation reference mark used 456,93 Does the "evation reference mark used appear on the FIRM? 0 Yes I2l No
o a) Top of bottom loor (induding basement or endosure) 455, 45I,(m)
o b)Topofnexthigherloor NA,_I,(m)
o C) Bottom of lowest horizootal structural member (V zooes ooly) NA , _I,(m)
o d) Attached garage (top of slab) NA, _I,(m)
o e) Lowest elevation of machinery and/or equipment
servidng the building (Describe in a Comments area) NA ,_I,(m)
o D Lowest adjacent(finished) grade (LAG) 454, 43 I,(m)
o g) Highest adiacent (finished) grade (HAG) 454, 77I,(m)
o h) No, of permanent openings (flood vents) ""thin 1 I, above adjacent grade NA
o i) Total area of ~I permanent openings (Iood vents) in C3,h!JA.sq, In, (sq, em)
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 lalse statement may be punishable byline or imprisonment under 18 US, Code, Section 1001,
CERTIFIER'S NAME BARRY RHODES LICENSE NUMBER 3691
"':,v
m "
DO
Em
o c
Z.!2I
m"'
w
~
:::;
TITLE OWNER
COMPANY NAME BARRY RHODES LAND SURVEYiNG
ADDRESS
7509 PENNRIDGE CIRCLE
SIGNATURE
CITY
ROWLETT
DATE
51912003
STATE
TX
TELEPHONE
972475<1940
ZIP CODE
75088
FEMA Form 81-31, JUL 00
SEE REVERSE SIDE FOR CONTINUATION
REPLACES ALL PREVIOUS EDITIONS
.'
IMPORT ANT: In Ihese spaces, copy the corresponding information from Section A. For Insurance Company Use:
BUILDING STREET ADDRESS (Induding Apt.. Unit. Suo,. and/or Bkg No,) OR P,O, ROUTE AND BOX NO, Pdicy Number
634 DEFORST COURT
CITY STATE ZIP CODE COmpany NAIC Number
COPPELL TX 7ffJ67
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) communny oftidal, (2) insurooce agenVcompany, and (3) building owner,
COMMENTS
D 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 (without BFE), complete Items El through E4, If the Elevation Cerlflcate is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed,
El, Building Dia;jram Number _(Sliect the building diagram most similar to the building for which this certificate is being completed - see pa;jes 6 and 7, It no diagram accurately
represents the building, provide a sketcl1 or photograph,)
E2, The top of the bottom floor (induding basement or endosure) of the building is _ ft,(m) _in,(cm) D above or D below (check one) 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 ..evated floor (..evation b) of the building is _ ft,(m) _in,(an) above the highest adjacent
grade, Complete items C3,h and C3.i on front of form,
E4, For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the oommunity's floodplain management ordinance?
Dyes D No D Unknown, The local official must certify this information 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,j only), and E for Zone A (IIithout a FEMA<ssued or commuOlly-
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 OWNERS OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
D Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local oftidal who is authlllized by law or ordinance to oominister the community's floodpl,;n management ordinance can oomplete Sections A, B, C (or E), and G of this Elevation
Cerlflcate, Complete the applicable item(s) and sign below,
Gl, 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archnect who is authorized by
state or local law to certify ..evation information, (Indicate the source and date of the ..evation data in the Comments area below.)
G2, D A community offid" completed Section E for a building located in Zone A (without a FEMA,issued or community<ssued BFE) or Zone AO,
G3, 0 The following information (Items G4-G9) is provided for community floodplain management purposes,
G4PERMIT NUMBER G5, DATE PERMrr ISSUED G6, DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7, This permit has been issued for: 0 New Construction 0 Substantial Improvement
G8, Elevation of as-built lowest floor (induding basement) of the building is:
G9, BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_,_ft.(m)
__ft,(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
D Check here if attachments
FEMA Form 81-31, JUL 00
REPLACES ALL PREVIOUS EDITIONS