DeForest Ct-RS040825
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NATIONAL FLOOD INSURANCE PROGRAM
Q,MB, No 3067-0077
Expires December 31,2005
ELEVATION CERTIFICATE
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
--",------ - -- ----
BUILDING STREET ADDRESS (Including Apt Unit, Suite, and/or Bldg. No.) OR P,O, ROUTE AND BOX NO. Company NAIC Number
t23 DEFOREST COU5T~A_D__________ ,,_,,_____________ -
Important: Read the instructions on pages 1 - 7,
CITY STATE
COPPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax ParCf'1 Number. Legal Description, etc.)
LOT 7 BLOCK A DEFOREST COURT
BUILDING USE (e.9. Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, jf necessary,)
RESIDENTIAL
'LA nfUDE/LONGITDDEIOPTIONAL)
(##',##',####' or ##_')
ZIP CODE
75019
HORIZONTAL OATUM
o NAD 1927 D NAD 1983
SOURCE' D GPS IType)~
D USGS Quad Map
o Other FIRM
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
---I
-.---J
B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER '---fEiICOONTY NAME
COPPELL 480170_~
-----',--------- ------ --------
I,MAPANDPANEC-~ 'G-- ' I B7.FIRMPANEL
NUMBER , 85 SUFFIX 86, FIRM INDEX DATE i EFFECTIVE/REVISED DATE
48113C0155 J AUG 4 2004 I OCT 1 2003
------ ---_.------ ,-
BID Indicate the source 01 the Base FlocxJ Elevation (BFE) data or base fiood depth entered In B9,
D FIS Profile ISI FIRM D Community Determined D Other (Describe) _
B11.Indlcatethe elevation datum used tor the BFE In B9 [8J NGVD 1929 D NAVD 1988 D Other (Descnbe):_
B12, Is the building located In a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? DYes [8J No DeSignation Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: D Construction Drawings* [gJ Building Under Construction* D Finished Construction
*A new Elevation Certificate Will be required when construction of the building is complete
C2 BUilding Diagram Nurnbel 1 (Selectlhe bUilding diagram most similar 10 the bUilding lor wh,ch thiS certificate is being completed - see pages 6 and 7 II no diagram
accurately represents the bUilding. provide a sketch or photograph,)
C3. Elevations - Zones A I,A30. AE, AH, A (with BFE), VE, VI-V30, V (With BFE), AR, ARIA, ARlAE, ARIA I,A30, ARlAH, ARlAO
Complete Items C3.,a" below according to Ihe bUilding diagram specified In Ilem C2, State the datum used, II the dalum IS different Irom the datum used lor 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 Comments area of
Section 0 or Section G, as appropriate, to document the datum conversion.
Datum NGVDI929 Conversion/Comments BM PROVIDED BY RECORD PLAT HALF AND ASSOC
Elevation reference mark Llsed ~Does the elevation reference mark. used appear on the FIRM? DYes L8J No
o a) Top of bottom floor (including basement or enclosure) 455, 75 ft.(m)
" b) Topol next hlgherlloor NA, _h,(m)
o c) Bottom of lowest horizontal structural member (V zones only) NA, _ft,(m)
" d) Attached garage (top 01 slab) NA. _h,(m)
o e) Lowest elevation of machinery and/or equipment
servicing the bUilding (Descobe in a Comments area) NA, _ft,(m)
" I) Lowest adJacent (finIShed) grade (LAG) 454 , 67 fi,(m)
" g) Highest adjacent (f""lShed) grade (HAG) 454, 93 ft,(m)
o h) No, of permanent openings (flood vents) within 1 ft, above adjacent grade NA
o i) Total area of all permanent openings (flood vents) in C3.h NA sq. in, (sq. em)
B3. STATE
TEXAS
B8 FLOOD ZONE(S)
X
89, BASE FLOOD ELEVATION(S)
(Zooe AO. use depth at fiocxllng)
452,5
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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 cerlify that the information in Sections A. B. and C on this cerlifl'cate represents my best efforts to interpret the data available.
~C!~cstand that anyJ,!!.se !i1~!~r:rent may _b.~ punishable by fJ'ne or imprisonment under 18 U.S, Code, Section 1001
CERTIFIERS NAME BARRY RHODES LICENSE NUMBER 3691
COMPANY NAME BARRY RHODES
TITLE OWNER
ADDRESS
7509 PENNRIDGE CIRCLE
SIGNATURE
CITY
ROWLETT
DATE
08,25,2004
STATE
TX
TELEPHONE
972475-8940
ZIP CODE
75088
FEMA Form 81
See reverse side for continuation
Replaces all previous editions
IMPORT ANT: In these spaces, copy the corresponding information from Section A.
BUILDING STREET ADDRESS (IndudlnQ Apt. Unl, Su,te, and/or BkIg, No) OR PO ROUTE AND BOX NO
23 DEFOREST COURT ROAD
- --_.--------- - --..-.. -----
CITY
COPPELL
For Insurance Company Use:
Policy Number
STATE
TX
ZIP CODE
75019
Company NAIC Number
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevaflon Certificate for (1) community official, (2) Insurance agenUcompany, 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)
I=or Zone /:",0 and Zone A (withOL~t BFE), complete Items E1 through E4. !f the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F
Section C must be completed
E1, Building Diagram Number _iSelect 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.)
[2. -:-he (up uf ;Iii::; ~O~l0111 n'Jvi IL;'cJJ':I'~ UJSl)llid'l ',)1 (;j'llJ..!::;uI8j 0:111(:; bUJIJlilQ is _ fqill) _lll(crn) D above or D below (check one) the highest adjacent grade. (Use
natural grade, It available)
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher fluor or elevated floor (elevation b) of the building is _ ft.(m) _in.(cl11) above 1I1e highest adJacel1l
grade, Complete items C3,h and C3.i on front of form
E4 The top of the piattorm of machinery and/or equipment servicing the bUilding is _ ft,im) _,nicm) D above or D below (check one) the highest adlacent grade (Use
natural grade, if available)
E5 For 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?
DYes D No D Unknown, The local offiCial must certlty this Information In Section G
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner s aulllonzed representative WIlO completes Secllons A, B, C (Items C3.h and C3.1 only), and E for Zone A (without a FEMA-Issued or communlty-
issued BFE) or Zone AO must Sign here, The statements in Sections A 8, C. and E are correct to the best of my knowledge
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
STATE
ZIP CODE
ADDRESS
CITY
SIGNATURE
DATE
TELEPHONE
COMMENTS
o Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local offiCial who IS authonzed by iaw or ordinance to admlnlSfer the community's floodplain management ordinance can complete Sections A, B, C ior E), and G ot this Elevation
Certificate. Complete the applicable item(s) and sign below
G1 D The information In Sedon C was taken from other 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, D A community offlcl3l completed Seclion E for a building located In Zone A iwithout a FEMA,issued or communltY'lSsued BFE) or Zone AO
G3. n The following information (Items G4-G9) is provided for community floodplain management purposes
,,,G4PERMIT NUMBER '_ , L5 DATE PERMIT ISSUED___,__..__r DATE CERTIFICATE OF COMPLlA:CE/OCCJPANCY Is,iiElJ"--'
G7. This permit has been Issued for: D New Construction D Substantial Improvement - - ~-- --
G8, Elevation ot as,bu,lt lowest flcor (including basement) otthe building IS _ _ft,im) Oatum:
G9, BFE or (In Zone AO) depth of flooding at the building Site IS _ _ ft,(m) Datum'
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME
TELEPHONE
SIGNAl URE
DATE
COMMENTS
D Check here if attachments
FEMA Form 81-31, January 2003
Replaces all previous editions