Inglenook-RS050511
ELEVATION CERTIFICATE
O.M.B. No. 3067-0077 OM. I
Expires December 31~
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NATIONAL FLOOD INSURANCE PROGRAM
Important: Read the instructions on paaes 1 . 7,
SECTION A. PROPERTY OWNER INFORMATION Foclnsurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (Inauding Apt., Un" Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
710 INGLENOOK COURT
CITY STATE
COPPELL 1X
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 11 BLOCK A ST. ANDREWS ESTATES
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, ~ necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL)
(##'-##'-##.##" or ##._')
ZIP CODE
75019
HORIZONTAL DATUM
~ NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
~ Other: FIRM
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER I B2. COUNTY NAME I B3. STATE l
COPPELL 480170 DALLAS TEXAS
84. MAP AND PANEL 87. FIRM PANEL 89. BASE FLOOD ELEVATION(S) l
NUMBER B5. SUFFIX 86. FIRM INDEX DATE EFFECTIVElREVISED DATE 88. FLOOD ZONE(S) (Zona AO, use depth ot flooding)
48113C0155 J OWl-2004 llJ.lJl-2004 X, 452.9 .-J
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9,
o FIS Proflle I2J FIRM 0 Community Determined 0 Other (Desctibe):_
Bl11ndlcatethe elevation datum used for the BFE in B9: I2J NGVD 1929 0 NAVD 1988 0 Other (Descnbe): _
B12. Is the building boated in a Coastal Barner Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes I2J No Designation Date
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Coostruction Drawings' I2J Building Under Construction' 0 Finished Construction
'A new Elevation Certificate will be required when construction of the building is complete.
C2. Building Diagram Number 1 (S..ect the building diagram most similar to the building for which this cemficate is being completed. see pages 6 and 7 If no diagram
accurately represents the building, proVide a sketch or photograph.)
C3. Elevations - Zones A l-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, APJA, APJAE, APJA1-A30, APJAH, APJAO
Compete Items C3.-a-i below accOlding to the building diagram spectlied in Item C2. State the datum used, If the datum is different from the datum used for the BFE in
Section B, convert the dalum to that used for the BFE, Show i..d 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 NGVD1929 Conversion/Comments BM PROVIDED ON RECORD PLAT DEFOREST COURT HALF AND ASSOC.
Elevation reference mark used _Does the ..evation reference mark used appear on the FIRM? 0 Yes I2J No
o a) Top of bottom floor (induding basement or enclosure) 457. Qlft.(m)
o b) Top of next higherioor NA._i.(m)
o c) Bottom of lowest honzontal structural member IV zones only) NA . _i.(m)
o d) Attached garage (top of slab) NA. _ft.(m)
o e) Lowest ..evation of machinery and/or equipment
serviang the building (Descnbe in a Comments area) NA, _i.(m}
o ~ Lowest adjacent (finished) grade (L~G) 454 . 85 ft.(m)
o g) Highest adjacent (finished) grade (HAG) 455. 74 i.(m)
o h) No. of permanent openings (flood vents) v.ithin 1 i, above adjacent grade NA
o i) Total area of all permanent openings (flood vents) in C3.h NAsq, in. (sq, cm)
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SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certificalion is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify thai the information in Sections A, S, and C on this certificate represents my best efforts to interpret the data availabie.
I understand that any false statement may be puniShable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NAME BARRY RHODES LICENSE NUMBER 3691
TITLE OWNER
COMPANY NAME BARRY RHODES
ADDRESS
7509 PENN RIDGE CIRCLE
SIGNATURE
CITY
ROWLETT
DATE
05-11-2005
STATE
TX
TELEPHONE
972475-8940
ZIP CODE
75088
FEMA Form 81-31, January 2003
See reverse side for cJntinuation.
Replaces all previous editions
.-
IMPORT ANT: In these spaces, copy the corresponding information from Section A.
. BbILDlNG-sfKEET ADDRESS (Including Apt., Un~ Sulle, and/or BkIg. No.) OR P.O. ROUTE AND BOX NO,
710 INGLENOOK COURT
CITY
COPPELl
For Insurance Company Use:
PoIicyNurTtler
STATE ZIP CODE
TX 75019
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) communITY offidal, (2) insurance agenVcompany, and (3) building owner.
COMMENTS
~ NAIC Number
o 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 Certificate is intef1ded for use as supporting intormatiOll for a LOMA or LOMR-F,
Section C must be completed
El. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being com~eted - see pages 6 and 7. If no diagram accurately
represents the building, proVide a sketch or photograph.)
E2 The top of the bottom fioor (induding basemef1t or ef1dosure) of the building is _ ft.(m) _in.(cm) 0 above or 0 below (check one) the highest adjocent grade. (Use
naturaf gra::fe, if av<ilable).
E3 For Building Diagrams iKl ",th openings (see page 7), the next higher loor or elevated loor (elevation b) of the building is _ ft.(m)_in.(cm) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4. The top of the platlorm of machinery and/or equipmenf servicing the building is _ h.(m) _in.(cm) 0 above or 0 below (check one) the highest adjocent grade. (Use
natural grade, if av<ilable).
E5 For Zooe AO only: If no lood depth number is available, is the lop of the bottom loor elevated in accordance with the community's loodplain managemef1t ordinance?
DYes 0 No 0 Unknown. The local offidal 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 com~etes Sectioos A, B, C (Items C3.h and C3.i only), and E for Zone A (",thout a FEMA<ssued or community-
Issued BFE) or Zooe 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
o Check here if attachments
SECTION G . COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's lood~ain managemef1t ordinance can complete Sectioos A, B. C (or E), and G of this Elevatioo
Certificate, Complete the applica~e item(s) and ~gn below,
Gl. 0 The information in Section C was taken from other documentatioothat has been signed and embossed by a licensed surveyor, engineer, or archifect who is authorized by state
or loc~ law to cerify elevation information. (Indicate the source and date of the elevation data in the Comments ,.-ea beiow.)
G2. 0 A community offici<i completed Section E for a building located in Zone A (",thout a FEMA<ssued or community<ssued BFE) or Zone AO.
G30 The f"'owing informatioo (Items G4.Gg) is provided for community floodplain management purposes.
G4. PERMIT NUMBER 85. DATE PERMIT ISSUED 86. DATE CERTIFICATE OF COMPlLIINCE/OCCUPANCY ISSUED
G7. This permit has been issued for: 0 New Construclon 0 Substanti~ Improvement
G8. Elevatioo of as-buiit 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
_._1t(m)
__ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
o Check here if attachments
FEMA Form 81.31, January 2003
Replaces all previous editions