Inglenook-RS050303
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NATIONAL FLOOD INSURANCE PROGRAM
O.M.B. No. 3067-0077
Expires December 31, 2005
ELEVATION CERTIFICATE
Important: Read the instructions on D80es 1 .7.
SECTION A. PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Including ApI., Un~, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
624 INGLENOOK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Descliption, etc.)
LOT 6 BLOCK A ST. ANDREWS ESTATES
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_
(##'-##'-##.##" or ##._') I8J NAD1927 ONAD1983 0 USGS Quad Map
I8J Other: FIRM
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
91. NFIP COMMUNrTY NAME & COMMUNITY NUMeER
COPPELL 480170
92. COUNTY NAME
DAllAS
93. STATE
TEXAS
94. MAP AND PANEL 97. FIRM PANEL 99. BASE FLOOD ELEVATION(S)
NUMeER 95. SUFFIX 96. FIRM INDEX DATE EFFECTII'EiREVISED DATE 98. FLOOD ZONE(S) (Zone AD, use depll1 of lIloding)
48113CQ155 J 08.()4-2004 1~1-2004 X,AE 452.9
Bl0. Indicale the source of the Base Flood Elevation (BFE) data or base flood depth enterad in B9.
o FIS Pralle [8J FIRM 0 Community Detenrined 0 Other (Describe): _
B11.lndicatetheeevalon datum used for the BFE In B9: [8J NGVD 1929 0 NAVD 1988 0 Other (Describe): _
B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Other.vise Protected Area (OPA)? 0 Yes [8J No Designalon Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C 1. Building elevations are based on: 0 Construction Drawings' [8J Building Under Construction' 0 Finished Construction
.A new Elevalon Certificate will be required when construction of the building is complete.
C2. Buildln9 Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7.. If no diagram
accuraley represents the building, proVide a sketch or photograph.)
C3. Elevalons - Zones A l-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE. ARlA1-A30, ARlAH, ARlAO
Complete Items C3.-a-i below according 10 the building diagram specified in item C2. State the datum used. If the datum is different from the datum used for the BFE in
Section B, convert Ihe dalum to that used for the BFE. Show fied measurements and datum conversion calculalon, Use the space provided or the Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD1929 ConversionlComments BM PROVIDED ON RECORD PLAT DEFOREST COURT HALF AND ASSOC.
Elevation reference mark used _Does the eevation reference marl< used appear on the FIRM? 0 Yes [8J No
o a) Top 01 bottom floor (including basement or endesure) 457. 34 ft.(m)
o b) Top of next higher floor NA._ft.(m)
o c) Bottom of lowest horizontal struclural member (V zones only) NA . _ft.(m)
o d) Attached garage (top of slab) NA. _ft.(m)
o e) Lowest eevation of machinery and/or equipment
servlong the building (Describe in a Comments area) NA . _ ft,(m)
o n Lowest adjacent (finished) grade (LAG) 453. 98 ft.(m)
o g) Highest adjacent (finished) grade (HAG) 456. 39 ft.(m)
o hi 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 t:J8.sq.ln. (sq.ll11)
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is 10 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 false statement may be pUnishable by fine or Imprisonment under 18 US. Code, Section 1001.
CERTIFIER'S NAME BARRY RHODES LICENSE NUMBER 3691
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TITLE OWNER
COMPANY NAME BARRY RHODES
ADDRESS
7509 PENNRIDGE CIR
SIGNATU
CITY
ROWLETT
DATE
03-29-2005
STATE
TX
TELEPHONE
972-47.5-ll940
ZIP CODE
75088
See reverse side for continuation.
Replaces all previous editions
." h. J_ __.L... ~-'
IMPORT ANT: In these spaces, copy the corresponding infonnatlon from Section A. For Insurance Company Use:
BUIlDING STR~ ADDRESl],(lndudng Apt, Un~ Suite, andlor Bklg. No.) OR P.O. ROJTE AND BOX NO. PoOCy Number
624 INGLENOOK COURT
CITY STATE ZIPCOOE C~nyNAICNumber
COPPELL TX 75019
SECTION D . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Cert.cate for (I) communiy offidal, (2) insurance 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 E1 through E4. If !he Elevation Certificate is intended for use as supporting infOl11lation for a LOMA or LOMR-F,
Section C must be competed
El. Building Diagram Number _(Select the building diagram most similar to the building for which this certiticate is bE;ng completed - see pages 6 and 7. If no diagram aocuratEjy
represents the building. provide a sketch or photograph.)
E2. The top of the bottom floor (induding basement or endosure) of the building is _ ft.(m) _in.(ern) 0 above or 0 bE;ow (cI1eck one) the highest adjacent grade. (Use
natural grade, IT available).
E3 For Building Diagrams 6.a with openings (see page 7), the next higher floor or Ejavated floor (elevation b) of the buikjing is _ I.(m) _in.(ern) above the highest adjacent
grade. Complete iems C3.h and C3.i on front of form.
E4. The top of the plartorm of machinery andlor equipment servicing the building is _ I.(m)_in.(ern) 0 above or 0 bE;OW (check ooe) the highest adjacent grade. (Use
natural grooe, IT av"lable).
E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance..;th the community's floodpain management ordinance?
o Yes 0 No 0 Unknown. The kJcat offici.. must certify this information in Section G.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owne!s authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (..;thout a FEMA4ssued or community.
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
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
D Check here if attachments
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to oominlster 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.
G 1. 0 The information in Section C was taken from other documentaloo that has been signed and embossed by a licensed surveyor, engineer, or architect who is authonzed by state
or iocal law to certify Ejevation infOl11lation. (Indicate the source and date of the "avalon data In the Comments area bE;ow,)
G2. 0 A community official completed Section E for a building located in Zone A (..;thout a FEMA.issued or community<ssued BFE) or Zone AO.
G3. 0 The loll"",ng information (Items G4-G9) is provided fer community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMrr ISSUED G6. DATE CERTIFICATE OF COMPLIIINCEIOCCUPANCY iSSUED
G7. This permit has been issued for: 0 New Construction 0 Substanti,; 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 buiiding site is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_._ft,(m)
__I.(m)
Oatum:
Datum:
TITLE
TELEPHONE
DATE
D Check here If attachments
FEMA Form 81-31, January 2003
R.eplaces all previous editions
SURVEY
PLAT
BARRY S. RHODES Registered Professional land Surveyor (972) 475-8940
on the ground of property
COPPEll Texas.
This is to certify that I have. this date, made a careful and accurate survey
located at No. 624 INGLENOOK COURT . in the city of
Lot No.6, Block No. A
of ST. ANDREWS ESTATES
COPPEll. DALLAS COUNTY Texas according to the
VOLUME 150 at PAGE 78 of the
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PL.A,T THEREOF RECORDED Ii
records of DALLAS COUNT'(, TEXAS.
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ST. ANDREWS MANOR
ANDREW SPEAR
IIOLUME 4397, PAGE 11>75
VOlUME 20010<<. PAGE 3714
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R 1025.00' 1/2" IRS
L 41 .48'
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R = 975.00'
L = 54.17'
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THIS CERTIACATION DOES NOT
TAKE INTO CONSIDERATION
ADDITIONAL FACTS 1HAJ AN
ACCURATE TITlE SE'ARCH AND OR
EXAMINATION MIGKf DISClOSE.
INGLENOOK
The plot hereon is tF'U~ correct. and accurate representation of the property 0$ determined by
survey. the lines and dimensions of said: P"~ being os indicated by the plot: the size:. Iocotion
and type of building ond improvements ore os shown, 011 improvements being within the boundaries
of the property. set bock from property 6nes the alStonce indicoted.
79849
CM
THERE ARE NO ENCROACHMENTS. CONflICTS. OR PROTRUSIONS.EXCEPT AS SHOWN.
THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR
HOLMES BUILDERS
USE OF THIS SURVEY FOR Am' OTHER PURPOSE
OR OTHER PARTIES SHALL BE AT THEIR RISK AND
UNDERSIGNED IS NOT RESPONSiBlE TO OTHERS
FOR ANY LOSS RESULTING THEREFROM.
Scole: t>> = 20'
Dot~ 3-15-2005
G. F. No.:
Job no.:
Drown by: