Prestwick-RS030114
1'-,
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read th .
1 7
O.M.B. No. 3067-0077
Expires July 31,2002
Important: e Instructions on pages .
SECTION A. PROPERTY OWNER INFORMATION Fa II1SI.II'lIOOl Company Use:
BUILDING OWNER'S NAME Policy Number
BREN1WOOD BUILDERS
BUILDING STREET ADDRESS (Induding Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAlC Number
611 PRESTWICK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Desaiption, etc.)
LOT 3, BLOCK A, PRESTWICK ADDITION
BUILDING USE (e.g., Residential, Non-residential, Addition, Arxessory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_
( ##" - #If - ##.#If' or ##.#I###f') 0 NAD 1927 0 NAD 1983 0 USGS Quad Map
SECTION B. FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
o Other:_
81. NFIP COMMUNITY NAME & COMMUNITY NUMBER
COPPELL - 480170
82. COUNTY NAME
DALLAS
83 STATE
TX
84, MA.P AND PANEL 85, SUFFIX 87, FIRM PANEL 89, BASE FLOOD ELEVATION(S)
NUM8ER 86, FIRM INDEX DATE EFFECTlVElREVlSED DATE 88, FLOOD ZONE(S) (Zone AO, use deplh of flooding)
0155 J 8-23-01 8-23-01 X NlA
B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9.
o FIS Profile ~ FIRM 0 Community Determined 0 Other (Describe):_
B11, Indicate the elevation datum used for the BFE in 89: ~ NGVD 1929 0 NAVD 1988 0 Other (Describe):_
B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 0 Yes ~ No Designation Date_
SECTION C. BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: 0 Construction Drawings" ~ Building Under Construction" 0 Rnished Construction
"A new Elevation Certificate will be required when construction of the building is complete,
C2, Building 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
accurately represents the building, provide a sketch or photograph,)
C3. Elevations - Zones A1-A30, AE, AH, A (with BFE), VE, V1-V30, V (with BFE), AR, ARJA, ARJAE, ARJA1-A30, ARJAH, ARJAO
Complete Items C3,-a~ 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 NGVD 1929 Conversion/Comments
Elevation reference mark used LDoes the elevation reference mark used appear on the FIRM? 0 Yes ~ No
o a) Top of bottom floor (induding basement or endosure) 459. 68 ft,(m)
o b) Top of next higher floor N/A, _ft.(m)
o c) Bottom of lowest horizontal structural member (V zones only) N/A ,_ft.(m)
o d) Attached garage (top of slab) 459, 68 ft.(m)
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area)
o D Lowest adjacent (finished) grade (LAG)
o g) Highest adjacent (finished) grade (HAG)
o h) No, of permanent openings (flood vents) within 1 ft, above adjacent grade Q
o i) Total area of all permanent openings (flood vents) in C3,h N/A sq, in. (sq. em)
J
N/A . 00 ft,(m)
458 , 29 ft,(m)
458, 73 ft.(m)
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COMPANY NAME ANALYTICAL SURVEYS, INC,
ADDRESS
707 EASY STREET
SIGNATURE
CITY
GARLAND
DATE
1-29-03
SEE REVERSE SIDE FOR CONTINUATION
FEMA Form 81-31, JUL 00
STATE
TX
TELEPHONE
972-272-6287
REPLACES ALL PREVIOUS EDITIONS
ZIP CODE
75042
~~ ANT: In these spaces, copy the corresponding information from Section A. For Insurat'1Ql Company Use:
BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No,) OR P,O. ROUTE AND BOX NO, Policy Number
615 PRESTWICK COURT
CITY STATE ZIP CODE Company NAIC Number
COPPELL TX 75019
SECTION D. SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurCllce agent/company, and (3) building owner,
COMMENTS
BUILDING IS FORMS ONLY,
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 ttems E1 through E4. ~ the Elevation Certificate is intended for use as supporting information for a 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 bottom floor (induding basement or endosure) of the building is _ ft.(m) _in,(em) 0 above or 0 below (check one) the highest adja::ent grade. (Use
natural grade, if available).
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft,(m) _in,(em) above the highest adja::ent
grade, Complete items C3.h and C3.i on front of fonn.
E4, For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?
Dyes 0 No 0 Unknown, The local official must certify this information in Section G,
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA~ssued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, B, 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 OIdinance to administer the community's floodplain mCllagement OIdinance can complete Sections A, B, C (or E), and G of this Elevation
Certificate, Complete the applicable item(s) and sign below,
G1, 0 The infonnation in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or archttect who is authorized by
state or local law to certify elevation infonnation. (Indicate the source and date of 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~ssued or community~ssued BFE) or Zone AO,
G3, 0 The following infonnation (Items G4-G9) is provided for community floodplain management purposes.
G4. PERMIT NUMBER GS, DATE PERMIT ISSUED GG, DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED
G7, This pennit has been issued for: 0 New Construction 0 Substantia/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 building stte is:
LOCAL OFFICIAL'S NAME
COMMUNITY NAME
SIGNATURE
COMMENTS
_,_ft.(m)
_,_ft,(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
D Check here if attachments
FEMA Form 81-31, JUL 00
REPLACES ALL PREVIOUS EDITIONS
01/20/2003 08:55
972-272-8407
ANALYTICAL ~VS
PAGE 01
FORM SURVEY
BEING LOT 3, IN BLOCK A, OF' PRESTWICK. AN ADDITION TO THE
CITY OF' COPPELL, TEXAS. ACCORDING TO THE MAP THEREOF RECORDED
IN VOLUME 2001131, PAGE 9, MAP RECORDS, DALlAS COUNTY, TEXAS,
F'ND 1 /2- I.~.
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NOTES
NO SEAltCH or RECORO EASEMENTS HAS 8EEM
PERF'OltMEO ON THIS PROPERTY.
(1'.1'.) INDICATES THAT BUIWING UNES, EASEMENTS,
R.O,W:S ETC. AS SHOWN HEREON ARE PER PLAT,
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ADDRESS
NAME
P.O. NO.
SC/oL[
OAT[
ORM. 8Y
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