Penfolds-RS030221
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE .~~:t.',
BUILDING OWNER'S NAME
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
70ft7 'fE -
CITY STATE
CoPP~ ~"rS
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
Lor (p ~ 0' ~ '8 -r~ ~'5e1aJE"
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use Comments section if necessary.)
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LATITUDE/LONGITUDE (OPTIONAL) HORIZONTA~ .9.~TUM: SOURCE: LI GPS (Type):
( ##0 _ ##' _ ##.##" or ##.#####0) LI NAD 1927 ~NAD 1983 LI USGS Quad Map
a.M.B. No. 3067-0077
Expires July 31, 2002
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For Insurance Company Us.:
Policy Number
CompanyNAIC Number
ZIP CODE
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~her: f:ltl.M...
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B3.STATE
84. MAP AND PANEL
NUMBER
\,~ ;:r UX>'
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
I_I FIS Profile I.N FIRM 1-1 Community Determined 1-1 Other (Describe):
B11. Indicate the elevation datum used for the BFE in B9: 2Y. NGVD 1929 1-1 NAVD 1988 1-1 Other (Describe):
B12. Is the building located in a Coastal_Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?
Designation Date:
B5. SUFFIX
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER
coPAa..\- 4eO l10
B9. BASE FLOOD ELEVATION(S)
(Zone AO, use depth of flooding)
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1_IYes ~NO
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: LIConstruction Drawings* 1 uilding Under Construction* I-1Finished Construction
*A new Elevation Certificate will be required when construction of the building is complete.
C2. 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.)
C3. Elevations - ~ones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO
Complete Items C3a-i below according to 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 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 D or Section G, as appropriate, to document the datum conversion.
Datum tJ~O \421 Conversion/Comments
Elevation reference mark used ~ ~'l"~ Does the elevation reference mark used appear on the FIRM? 1-1 Yes
D a) Top of bottom floor (including basement or enclosure) ~.4:L ft. (8) m
D b) Top of next higher floor 50'1 .i:Lft.<-) V) "aO~ r
D c) Bottom of lowest horizontal structural member rv zones only) Ail.- . _ ft.(m) I ~ '<..~"O\s'fe:" .~.U\
D d) Attached garage (top of slab) ~ -= . _ ft.(m) ~ -g ~"q.~ ....
D e) Lowest elevation of machinery and/or equipment ~: ../...., ..:..:'--:, .....:.....
servicing the building tJA- . _ ft.(m) ~ ~ B A .. S. A D~
D f) Lowest adjacent grade (LAG) 50"2,... . tits ft.(M) :i ~ . 3'6'" .
D g) Highest adjacent grade (HAG) ...; 0 (, . c7r ft.(m) ~ '. O~ ~.~
D h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade ~Ir ~ ,....~~~ "i~O
D i) Total area of all permanent openings (flood vents) in C3h JJJ... sq. in. (sq. em) S "
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 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 U. S. Code, Section 1001.
CE~~~ I<~ LICENSE NUMBER ~
TIT~elZ- ~~ J
ADDRES~ ft c.\~tA:r
SIGNATURE
DATE
~- '4-0
SEE REVERSE SIDE FOR CONTINUATION
ZIP CODE '1!O88
REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding infonnation from Section A.
BUILDING STR ET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
'70f4
CITY
c..o
For Insurance Company Use:'
Policy Number
ZIP CODE Company NAIC Number
{SO
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
STATE
Copy both sides of this Elevation Certificate for (1) community official, (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 ZONE A.tw.ITIi.OUT. BFE)
For Zone AO,and ?one A (without BFE), complete Items E1 through E4. If the Elev~tion Certificate is intended for use as supporting
information'for lJ lOMA or LOMR-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 botto'!l floor (including basement or enclosure) of the building is 1_1_1 ft.(m) LLlin.(cm) LI above or LI below
(check one) the highest adjacent grade. " .,. .' , , , .
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
LLI ft.(m) 1_1_lin.(cm) above the highest adjacent grade.
E4. For Zone AO only: .If;,o flood depth nUD'1~er is available,'is-the top of the ~ttom fttKlt.el~ted inlilccordanee with the con,'lmunity','
floodplain management ordinance? I I Yes LI No I I Unknown. The local official must certify this information in Section G.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATlp~
The prope~ owner or owner's authorized representative who completes Sections A. B, and E for Zone A (without a FEMA-issued or
community-Issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS
CITY
STATE
ZIP CODE
SIGNATURE
DATE
TELEPHONE
COMMENTS
I_I Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance q1n complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable ite~lO) ~'1dsign .~,IOW. . .'
G1. 1...::,...1 The information in Section C was ta~en from other docu.mentation that has been signed arid embossed by a licensed surveyor,
engineer, or architect who is autho~led by state or Jocar law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.) .
G2. I_I A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or
Zone AO.
G~, I_I ;The following information (Items G4-G9) is provid~ for community floodplain management purposes.
G4. PERMIT NUMBER G5. DATE PERMIT ISSUED G6. DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY
, . ISSUED
G7. This' permit has been issued for: LI New Construction LI Substantial Improvement
G8. Elevation of as-built lowest floor (including basement) of the bu~ding is:
G9. BFE or (in Zone AO) depth of flooding at the building site is:
LOCAL OFFICIAL'S NAME
. _ ft.(m) Datum:
. _ ft.(m) Datum:
TITLE
COMMUNITY NAME
TELEPHONE
SIGNATURE
DATE
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COMMENTS
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I Check tiere if pttachments
FEMA Form 81-31, AUG 99
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REPLACES ALL PREVIOUS EDITIONS
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SURVEY
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BARRY S. RHODES Registered Professional Lend Surveyor (972) 475-8940
Thl. is to certify that I have, this date. made a careful and accurate survey on the ground of property
located at No. 708 PENFOLDS LANE in the city of COPPELL Texas.
Lot No, e . Block No. B
of THE RESERVE . on addition to the City of
COPPELL DAL1.AS COUNTY Texas according to the PlAT THEREOF RECORDED
in VOLUME 99249 at PAGE 0023 of the MAP record. of DAI..1.AS COUNlY. TEXAS.
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APPROKllIATE
THERE ARE NO ENCROACHMENTS. CONF'UCTS. OR PROlRUSIONS.ElCCEPT J.s SHOW
THIS SURVEY WAS PERFtl!MED EXCLUSIVElY FOR
HOlMES BUILDERS
USE OF THIS SURVEY FOR At('( OTHER PURPOSE
OR OTHER PARTIES SMAU. BE AT THEIR RISK AND
UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
FOR At('( LOSS RESULTING THEREFROM.
Scale: 1" - 20'
Dote: 3-14-200.:5
G. F. No.:
Job no.:
Drawn by:
7.:5&50
JP
Tor- 507.41
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110
FORMS ONLY
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