DeForest Rd-RS020626
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FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL, FLOOD INSURANCE PROGRAM
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ELEVATION CERTIFICATE.
.. ,I nt: Read the Instrue on a es 1 - 7.
SECTION A - PROPERTY OWNER INFORMATION
BUILDING OWNER'S NAME
BUILDiNG STREET ADDRESS (including Apt.. Unft, Sufte, and/or Bldg, No,) OR P,O, ROUTE AND BOX NO,
CiTY STATE
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PROPERTY DESCRIPTION (Lot end Block Numbers, Tax Parcei Number, Legal Description, ote,)
dillon, Accessory, etc. Use Comments section if necessary,)
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a.M.B. No, 3067-0077
Expires July 31, 2002
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For I...UI8_ ComIienY Use:
ZiP CODE
"150"'1
HORiZONTAl DATUM:
~ 1927 U NAD 1983
SOURCE: U GPS (Type):
UUSGSQuadMap ~r. 'F-~
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Bl. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3, STATE
4
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88, FLOOD
ZONE )
B5, SUFFiX
B9, BASE FLOOD ELEVATlON(S)
(Zono AO, use dopth of flooding)
.+5/.1
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
U FIS Profile ~IRM U Community Detennined U Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: ~ NGVD 1929 U NAVD 1988 U Other (Describe):
B12. Is the building located in a Coastal_Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? U Yes ~NO
Designation Date:
SECTION C _ BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C 1. Building elevations are based on: UConstruction Drawings' uilding Under Construction" UFinished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number _ (Setect 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.)
C3. Elevations _ Zones A1-A3Q, AE, AH, A (with BFE), VE, Vl-V30, V (with BFE), AR, AAlA, ARJAE, ARJA1-A3Q, ARJAH, ARJAO
Complete ttems C3a-i below according to the building diagram specified in ttem 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 Comments area of Section 0 or Section G, as appropriate, to document the dalool conversion.
Datum~p Iqtq Conversion/Comments
Elevation reference mark used the elevation reference mark used appear on the FIR
Cl a) Top of bottom floor (including basement or enclosure) ~.~ fl,(a) l
Cl b) Top of next higher floor ==l' - fl,(m)
Cl c) Bottom of lowest horizontal strlIClural member ry zones only) , _ fl.(m) I ~
Cl d) Attached garage (top of slab) . _ fl,(m) 11
Cl e) Lowest elevation of machinery and/or equipment , JA~ i i
seNicing the building ---blI1- . fl.(m) E!
Cl f) Lowest edjacent grade (LAG) 4&;40 . ~ fl,. :i! ~
Cl g) Highest adjacent grade (HAG) ~ . ~fl.(1Ij I
Cl h) No, of pennanent openings (flood vents) within 1 fl. above adja~rade ~ :!l
Cl Q Total area of all pennanent openings (flood vents) in C3h sq. in, (sq. em)
SECTION 0 - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land sUNeyor, engineer, or architect authorized by law to certify elevation infonnation.
I cettify that tha information in Sections A, B, and C on this cettificata represents my best afforts to intarpret the data available.
I understand that any false statament may be punishable by fine or imprisonment under 18 U, S, Code, I';ection 1001.
C~~J:l8S L1CENSEN~1
TiTlE '
ST :rE
TELEPHONE
C1
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SEE REVERSE SIDE FOR CONTtNUATION
ZiP CODE
REPLACES ALL PREVIOUS EDITIONS
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IMPORTANT: In these epaces, copy the corresponding Infonnetlon from Section A.
BUILDING ST EET ADDRESS (tncludin Apt" Unft, Sufte, and/or Bldg, No,) 0 P,O, RO AND BOX NO.
For Insuranl*CompeilY u.:
Policy Number
CiTY
STATE
ZIP CODE ompeoy iC Nurntier
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION CONTINUED)
Copy both sides ofthis Elevation Certificate for (1) community officiat, (2) insurance agent/company, and (3) building owner,
COMMENTS
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SECTION E "BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZO~:A IW!T~T~~E)
For Zone 1\0 lII1,d ~one A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting
infonnatft)n 1b;'il LOMA or LOMk-F, Section C must be completed. ' '
E1. Building Diagram Number _ (Select 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,)
E2. The top of the bottom floor (including basement or enclosure) of the building is LU fl,(m) LUin.(an) U above or U below
(check one) the tiillt\est lJIjacent grade. ,,:..;.., .. )!,;..
E3. For Building Diagrams lHl with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building Is
LU fl.(m) ~!n.(an) above thehil1hest adjacent grade. , '
E4, For Zone AO 6nly:tf 110 flood depth nllm~r is availabl".i~,1I)e tllp qf f/:I!l bottom fI90r e~l!d ill accorda~ce with the communjty;s
floodplain management ordinance? LI Yes LI No U Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The propel:lY owner or owner's authorized representative who completes Sections A. B, and E for Zone A (without a FEMA-Issued or
communiiy~ssued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORiZED REPRESENTATiVE'S NAME
ADDRESS
SIGNATURE
COMMENTS
"CiTY
DATE
STATE
TELEPHONE
ZIP CODE
U Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to edminister the community's floodplain management ordinanoe ClI~ compl.
Sectiol)8 A, B, C (or E), and G of this Elevation Certificate. Complete the applicable fte~) IInd,.-igI'.below, .' i
G1. LI The information in SectIon C was taken fn:Im other dliCUmentation that has' been Signed ari~ 'E;mbbssed by a licensed surveyor,
engi~r, or archnect who is authori'ied bY State iIiJ Iot8IIaw to certify elevation infonnation. (Indicate the source and date of the
elevation data in the Comments area below,) ,.- ;
G2. U A cOmmunity officiat complated Section E for a b~iiding located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO, '~ "
G3. U The foll~ng ;~On(ltems G4-G9) is p~.for community floodplain management purposes.
, PERMIT NUMBER GS, DATE PE IT I D GS. DATE CERTiFiCATE OF COMPLIANCE/OCCUPANCY
~... '. '\ '.t ~ , ISSUED
G7. This pennn has been issued for. U New Con,,~ion U Substentiallmprovement
G8, Elevation of ll8-buililowest floor (including basement) of the bulIdihg is:
GO. BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFiCIAL'S NAME
'_ ft.(m) Datum:
fl,(m) Datum:
TITLE
COMMUNITY NAME
SiGNATURE
TELEPHONE
DATE
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COMMENTS
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1-1 Check here if attachments
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REPLACES ALL PREVIOUS EDITIONS
FEMA Fonn 81,,31, AUG 99
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SURVEY
PLAT
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
This is to certify that I have, this date, made a careful and accurate survey on the ground of property
located at No. 921 DEfOREST ROAD in the city of COPPELL Texa8.
Lot No. 16 . Block No. A
of WINDSOR ESTATES
COPPELL DAUAS COUNTY TeXa8 according to the
in VOLUME 2oo10n at PAGE 02283 of the MAP
. an addition to the City of
PLAT THEREOF RECORDED
records of DAlLAS COUNTY, TEXAS.
THIS CEJnFlCA110N DOES NOT
TAlC[ INIO CONSIDEIlATION
_ f'1ICIS lHot.T _
ACCURAlE T11LE _ _ OR
~NATION llIOIfT 0lSCI.05E.
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10' TXU EASEMENT ~ -
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N 39"18
1/2" IRF
DEFOREST
ROAD
The plot hereon i. true, correct. and accurate rep_ntotion of the properly CIS determined by
euMl)o'. tile n.... ond d1menaione of eaicl properly being ae Indlc_ by the plat: the elze, location
and type of building and imp' overnenle are a. ehown, all imp"""",",nle being within the boundaries
of the property, eel bock from property ftn. the dlelance Indlc_.
THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR
HOLMES BUILDERS
USE OF THIS SURVEY FOR AN'( OTHER PURPOSE
OR OTHER PARTIES SHAlL BE AT THEIR RISK AND
UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
FOR AN'( LOSS RESULTING THEREFROM,
Scale: 1" - 20'
Dote: 7-22 2002
G, F. No.:
Job no.: 72666
Drawn by: JP