Prestwick-RS030414
.
h.-o IONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
the'
1 7
O.M.B. No. 30'67-QOT1
Expires July'31, 20V2
ImDOrtant: Read Instructions on pages .
SECTION A. PROPERTY OWNER INFORMATION FoI'lnsulanOeQqany use:
BUILDING OWNER'S NAME PofieyNumber
BRENTWOOD BUILDERS
BUILDING STREET ADDRESS (Indueling Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. CompanyNAlC Number
610 PRESTWICK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Loland Block Numbers, Tax Parcel Number, Legal Desaiption, etc.)
LOT 3. BLOCK B. PRESTWICK ADDITION
BUILDING USE (e.g.. Residential, Non-residential, Addition, A~, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):_
( t#f _ ##' _ ##.##' or ##.####If'J 0 NAD 1927 0 NAD 1983 0 USGS Quad Map
SECTION B . FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
o Other:_
81, NFIP COMM.JNIl'Y NAME & COI\MJNIl'Y NUWBER
COPPELL.480170
82. COUNTY NM'C
DALLAS
B3.STATE
TX
84, W AND PANEL 85, SUFFIX 87, FIRM PANEL 89. BASE FLOCO ELEVATIOO(S)
NU~R 86. FIRM INDEX DATE EFFECT1~SED DATE 88. FLOCO ZONE(S) (Zone AO. use depth of foodi'g)
0155 J S-23-01 S-2J..01 X N1A
B10, Indicate the source of the Base Flood Elevation (BFE) data or ba'>e flood cIepth entered in B9,
o FIS Profile ~ FIRM 0 Community Determined 0 Other (Describe):_
B11, Indicate the elevation datum usedfortheBFE in 89: ~ NGVD 1929 0 NAVD 1988 0 Qther{Describe):_
B12, Is the building located in a Coastal Barrier Resources System (CBRS) area or OtheMise Protected Area (OPA)? 0 Yes ~ No Designation Date
SECTION C . BUILDING aEVATION INFORMATION (SURVEY REQUIRED)
C1, Building elevations are based on: 0 Construction Drawings" ~ Building Under Construction" 0 Finished Construction
* A new Elevation Certificate will be required wheii construction of the building is complete,
C2, Building Diagram Number 1 (SeIed the building diagram most similar to the building for which this certificate is being completed - see pages 6 and 7, ~ no diagram
accurately represents the building. provide a sketch or photograph,)
C3, Elevations - Zones A 1-A30. AE. AH, A (with BFE), VE, V1-V30. V (with BFE), AR, ARiA, ARJAE, ARJA1-A30, ARJAH, ARJAO
Complete Items C3.-a-i below according to the building diagram specified in Item C2. Stce the dcium 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 dcium 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 marl< used LDoes the elevation reference mak used appear on the FIRM? 0 Yes ~ No
o a) Top of bottom floor (induding basement or enclosure) 459. 24 ft.{m)
o b)Topofnexthigherfloor N1A._ft,(m)
o c) Bottom of lowest horizontal structural member (V zones only) N1A . _ ft.(m)
o d) Attached garage (top of slab) N1A. _ft.(m)
o e) Lowest elevation of machinery and/or equipment
servicing the building (Describe in a Comments area)
o ~ Lowest adjocent (finished) grade (LAG)
o g) Highest adjocent (finished) grade (HAG)
o h) No, of peml~ent openings (flood vents) within 1 ft, above adjacent grade Q
o i) Total area of all pemlCl'lent openings (flood vents) in C3.h N1A sq. in. (sq. em)
N1A . 00 ft.(m)
457 , 72 ft.(m)
458. Rft,{m)
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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, a, and C on this certificate represents my best efforts to interpret the data available,
J understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001.
CERTIFIER'S NAME ROBERT C. MYERS UCENSE NUMBER 3963
TITLE VICE - PRESIDENT
COMPANY NAME ANALYTICAL SURVEYS, INC,
CITY
GARLAND
DATE
4-22-03
SEE REVERSE SIDE FOR CONTINUATION
ZIP CODE
75042
STATE
TX
TELEPHONE
972-m.fJ287
REPLACES ALL PREVIOUS EDITIONS
IPetPORT ANT: In these spaces, copy the corres...lg information from Section A.
BmDING STREET ADDRESS (Including Apt, UQiI, SUiIe, and/or Bldg. No.) OR P,O. ROUTE AND BOX NO,
610 PRESTWICK COURT
CITY STATE ZIP CODE COrT1lanY 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) insulCllce agent/company, and (3) building C7NIler,
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. If the Elevation Cer1ificae is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be completed,
E1, Building Diagram Number _(SeIEd the building diagram most similar to the building for which this certificae 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 ,(an) 0 above or 0 belON (check one) the highest adjocent 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 adjacent
grade. Complete items C3.h CJ1d C3.i on front of form,
E4, For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in croxdCl1re with the oornmunity's floodplain management ordinance?
DYes 0 No 0 UnknC1Nll, The local ctficiaI must certify this infOfTTlCiion in Section G.
SECTION F . PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authofized representative who completes Sections A, 8, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued or community-
issued BFE) or Zone AO must sign here. The statements in Sections A, 8, C, and E are cooed to the best of my klX1\Wldge,
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 administer the oornmunity's floodplain malagement ordinCl1re can complete Sections A, B, C (or E), and G of this Elevation
Certificate, Complete the applicable item(s) CJ1d sign belON,
G1, 0 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architEd who is authorized by
state or local law to certify elevation information. (Indicate the source and date of the elevation data in the Convnents area below.)
G2, 0 A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO,
G3. 0 The fdlowing information (Items G4-G9) is provided for community floodplain management purposes,
G4. PERMIT NUMBER GS, DATE PERMIT ISSUED G6. DATE CERTIFICATE OF CQMlUANCEIOCCUPANCY ISSUED
G7, This pennit has been issued for: 0 New Construction 0 Substantial Improvement
G8, Elevation of as-built lowest floor (including 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
_._ft.(m)
_,_ft.(m)
Datum:
Datum:
TITLE
TELEPHONE
DATE
o Check here if attachments
~~M.o. ~....rm R1_~1 .1111 nn
REPLACES ALL PREVIOUS EDITIONS
I
:..
"FORM SURVEY"
BEING LOT 3, IN BLOCK B, 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.
N Sr55'30.
0.61'
S 00-04'30. E
117.75'
5' X 10' DRAIN.
ESMT. (P.P.)
FND 1/2" I.R.
3
Co
~ 20' B.L. (PER PLOT PLAN)
I
I
2
20' SANI. SEW. ESMT.
(P.P. at PER VOL.
958, PG. 914)
15.0'
.
I~- "'
eft
T.O.F. = 459.24 .
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NOTES
NO SEARCH OF RECORD EASEMENTS HAS BEEN
PERFORMED ON THIS PROPERTY.
(P.P.) INDICATES THAT BUILDING LINES, EASEMENTS,
R.O.W.'S ETC. AS SHOWN HEREON ARE PER PLAT.
BRENTWOOD.
BUILDERS
ADDRESS
NAME
P.O. NO.
SCALE
DATE
DRN. BY
610 PRESTWICK COUR"{
8-3B
N/A
1 "=20'
5-23-03
SLJ
~
Analytiral fturut'ys, :Jnr.
-A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST-
707 EASY STREET
GARlAND. TEXAS
750.2