Inglenook-RS050926
"J. ! l
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
O.M.B. No. 3067-0077
Expires December 31 , 2005
mportant: ea Instructions on PIIQBS 1" 7.
SECTION A. PROPERTY OWNER INFORMATION For Insuance Company Use:
BUILDING OWNER'S NAME Policy Number
BUILDING STREET ADDRESS (IndudingApt., Un~, Su~e, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
629 INGLENOOK COURT
ELEVATION CERTIFICATE
R dthe'
CITY STATE
COPPELL TX
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 17 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
181 NAD 1927 0 NAD 1983
SOURCE: 0 GPS (Type):_
o USGS Quad Map
181 Other FIRM
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1 NFIP COMMUNITY NAME & COMMUNITY NUMBER
COPPELL 480170
B2. COUNTY NAME
DAUAS
183 STATE
TEXAS
~B
I
L_._
4. M'.P AND PANEL B7. FIRM PANEL 89. BASE FLOOD ELEVATION(S)
NU~ER B5. SUFFIX B6. FIRM INOEX DATE EFFECTIVElREVlSED DATE 86. FLOOD ZONE(S) (Zone AO, use depIt1 of 1Iood1"l)
48113C0155 J 06-16-2005 11M1-2OO3 X,AE 453.0
B10. Indicale the source of the Base Flood Elevation (BFE) data or base flood depth enlered in B9.
o FIS Profile I2J FIRM 0 Community Determined 0 Other (Describe): _
Bl1.lndicatetheelevation datum used for the BFE in B9: I2J NGVD 1929 0 NAVD 1988 0 Othe-(Describe)_
B12. Is the bUlldmg located in a CoastaJ Barrier ResoUlteS System (CBRS) area or OthefWise Protected Area (OPA)? 0 Yes IllJ No Desi9natOln Date
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C 1. Buildin9 elevations are based on: 0 Construction Drawings' IllJ Building Under Construction" 0 Rnished Construction
'A new Elevation Certificate will be required when construction of the bulldin9 is complete.
C2. Bulldin9 Diagram Number 1 (Select the building diagram most similar to the building for which this certificate is being compteted - see pages 6 and 7, If no diagran
accurat"y represenls 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, ARIA, ARlAE, ARIA 1-A30, ARlAH, ARlAO
Complete Items C3.-~ below according to the building diagram specified in ~em 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 jor the BFE, Show fiefd measurements and datum conversion calculation Use the space provided or the Comments area of
Section 0 or Section G, as appropnate, to document the datum conversion
Datum NGVD1929 Conversion/Comments BM PROVIDED ON RECORD PLAT DEFOREST COURT BY HALF AND ASSOC,
Elevation reference mark used _Does the elevation reference marl< used appear on the FIRM? '0 Yes IllJ No
o a) Top of bottom floor (induding basement or enclosure) 456. 33 ft.(m)
o b) Top of next higher floor 456. 79ft.(m)
o c) Bottom at lowest honzontal structural member (V zones only) NA . _ft.(m)
i,J d) Attached garage (top of slab) NA _ft,(m)
o e) Lowest elevation of maChinery andlor equipment
servidng the buildln9 (Descnbe in a Comments area) NA . _ft.(m)
o ~ Lowest adjacent (flnished) grade (LAG) 452. 20 ft,(m)
o g) Highest adjacent (finished) grade (HAG) 455. 79 ft.(m)
o h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade NA
o i) Total area of all pennanen! openings (flood vents) in C3.h !!A,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 alevation informalion.
I certify that the Information in Sections A, a, and C on this certificate represents my best efforts to Interpret the data avellable,
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S, Code, Section 1001.
CERTIFIERS NAME BARRY RHODES' LICENSE NUMBER 3691
..
.
'"
31"
.-
oel
"-0
Eo
w_
..:aj
il.
E"
, 0
z.21
.'"
.
o
~
~
COMPANY NAME BARRY RHODES
TITLE OWNER
ADDRESS
7509 PENNRIDGE CIRCLE
SIGNATURE
CITY
ROWLETT .
DATE
10-11-2005
STATE
TX
TELEPHONE
972-475-S940
ZIP CODE
75088
FEMA Form 8 -
See reverse side for continuation,
Replaces all previous editions
1+._ .i. l .....-
IMPO~T ANT: In these spaces, copy the corresponding infonnation from Section A, For Insurance Col'rlJany Use: .
BUILDING STREET ADDRESS (Induding Apt, Un~ SUml, andforBkIg No.) OR P.O. ROUTE AND BOX NO, P~~ Number
629 INGLENOOK COURT
CITY STATE ZIP CODE Company NAIC Number
COPPELL TX 75019 .
SECTION 0 . SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
_ Copy bOlh Sides ollhls Elevation C8I1ilcate for (11 community offidal, (2) ir,surance agenVcompany, and (3) building owner.
COMMENTS
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 E1 through E4. ~ the Elevation Certilcate is intended for use as supporting information for a LOMA or LOMR.f,
Section C must be completed.
E 1. Building Diagram Number _(Select the blJilding diagram most similar to the building tor which this certificate is 0009 com~eted - see pages 6 and 7. If no diagram accurat..y
represents the building, provide a sketch or photograph.)
E2 The top of the bottom floor (Including basement or endosure) of the bUilding is _ ft.(m) _in.(em) 0 above or 0 iJEjow (check one) the highest adjacent grade. (Use
natural grade, if available)
E3. For BUilding Diagrams ~ with openings (see page 7), the next higherloor or ..evated floor (elevation b) of the building is _ ft.(m) _in.(om) above the highest adjacent
grade. Complete items C3.h and C3.i on front of form.
E4 The top of the pla~orm of machinery and/or equipment servicing the building is _ ft,(m) _in,(em) 0 above or 0 iJEjow (check one) the highest adlacent grade, (Use
natural grade. if availa~e)
ES. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in a:x:ordarce with the rommunity's floodplain management ordinance?
DYes 0 No 0 Unknown. The local official must certify this infonnation in Section G,
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESeNTATIVE) CERTIFICATION
The propeny owner or owners authonzed representative who completes Sections A, B, C (items C3,h andp,; only), and E for Zone A (without a FEMAjssued or community-
issued BFEI or Zone AO must sign here, The statements in Sections A, B, C, and E a18 correct to the bast9f my knowfadge.
-PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVE'S NAME
CiTY
STATE
ZIP CODE
ADDRESS
SIGNATURE
DATE
TELEPHONE
COMMENTS
D Check here if attachmentS
SECTION G. COMMUNITY INFORMATION (OPTIONAL)
The local official who is authonzed by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation
CeMlcate. Com~ete the ap~icable item(s) and sign below.
G 1. 0 The informabon In Section 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 loc," law to cenify elevation information, (Indk:ate the source and date ot the elevation data in the Comments area below.)
G2. 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued orcommunifyjssued BFE) or Zone AD.
G3. 0 The 101l0","n9 informal1on (Items G4-89) is provided for community ftoodplain management purposes.
r734 PERMiT NUMBER G5. DATE PERMrr ISSUED (,l6. DATE CERTIFICATE OF COMPLLIINCEIOCCUPANCY ISSUED
G? ThIS permit has been issued tor: 0 New Construction 0 Substantia Improvement
GB. Elevation of as-built lowest ftoor (induding basement) of the building is:
G9. BFE or (in Zone AD) depth of ftooding at the building she is:
"LOCAL OFFICIAL'S NAME
__I.(m)
__t.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
- COMMUNITY NAME
SIGNATURE
COMMENTS
D Check here if attachments
FEMA Form 81.31. January 2003
Replaces all previous editions