Prestwick-RS030603
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NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
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O.M.B. No. 3067-0077
Expires Decemoer 31 . 200
Important: Read the instructions on Daaes 1 .7,
SECTION A - PROPERTY OWNER INFORMATION For Insuranoe Company Use:
BUILDING OWNER'S NAME Policy Number
BRENlWOOD BUILDERS
BUILDING STREET ADDRESS (Induding Apt, Unit, Suite, and/or Bldg. No.) OR P.O, ROUTE AND BOX NO. Company NAIC Number
602 PRESTWlCK COURT
CITY STATE ZIP CODE
COPPELL TX 75019
PROPERTY DESCRIPTION (Lot and Bkx:k Numbers, Tax Parcel Number, Legal Description, etc.)
LOT 1, BLOCK B, PRESTWICK ADDITION
BUILDING USE (e.g.. Residential, Non-residential, Addition, Ar:ressory, etc. Use a Comments area, if necessary.)
RESIDENTIAL
LATITUDElLONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):.__.
( t#f _#If _##.##' or ##.#####') 0 NAD 1927 0 NAD 1983 0 USGS Quad Map
o Other: ,__"
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
61, NFIP CQM\UNITY NAME & COMMJNITY NUWBER
COPPELL-480170
62, COUNTY NAME
DALLAS
I B3STATE
TEXAS
64, Mb,P AND PANEL 67. FIRM PANEL 69, BASE FLOOD ELEVATION(S)
NUMBER 65, SUFFIX 66, FIRM INDEX DATE EFFECTIVElREVlSED DATE 68, flOOD ZONE(S) (Zone AO, use dep1h of blding)
0155 J S-23-01 S-23-01 X N1A
B1Q,Indicale the source cI the Base Flood Elevation (BFE) data or base flood depth entered in B9.
o FIS Profile X FIRM 0 Community Detennined 0 Other (Describe): -
B11.lncficaletheelevation datum used for the BFE in 89: X NGVD 1929 0 NAVD 1988 0 Other (Describe): -
B12, Is the buildi located in a Coastal Barrier Resources S stem CBRS area or Otherwise Protected Area OPA ? 0 Yes 0 No Desi nation Date
SECTION C . BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1, Building elevations are based on: 0 Construction Drawings" X 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 (Seleclthe building diagraTl 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, ARIA, ARlAE, ARlA1-A30, ARlAH, ARlAO
Complete Items C3,-cH 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. ShaN field measurements and datum conversion calculation. Use the spoce 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 mcrk used _Does the elevation reference mark used appear on the FIRM? 0 Yes XNo
o a) Top of bottom floor (including basement or enclosure) 457, ~ft.(m)
o b) Top of next higher floor NiA, _ft,(m)
o c) Bottom of IoNest horizontal structural member (V zones only) NiA , _ ft,(m)
o d) Attcrl1ed garage (top of slab) NiA, _ft.(m)
o e) lC7Nest elevation cI machinery and'or equipment
servicing the building (Describe in a Comments area) NiA, _ft,(m)
o n lc1Nest adjocent (finished) grOOe (LAG) 455 ' Lft.(m)
o g) Highest adjocenl(finished) grade (HAG) 457. Q.ft,(m)
o h) No, of penna1ent openings (flood vents) within 1 ft. above adjacent grOOe NiA
o i) Total area cI all permCllent openings (flood vents) in C3.h NiA sq. in. (sq. em)
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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,
/ 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 anll false statement may be punishable by fine or imprisonment under 18 US, Code, Section 1001,
CERTIFIER'S NAME ROBERT C. MYERS LICENSE NUMBER 3963
TITLE VICE PRESIDENT
COMPANY NAME ANALYTICAL SURVEYS, INC,
CITY
GARLAND
DATE
6-12-D3
See reverse side for continuation.
ZIP CODE
75042
STATE
TX
TELEPHONE
972-272-6287
Replaces all previous editions
. ~ . .
-BiilffiN?31.if'REET ADDRESS (IrdJdi'Y,! Apt, Unit, Suite, andlorBklg. No,) OR P,O. ROUTE AND BOX NO.
602 PRESTWICK
CITY
COPPELL
For Insurance Company Use:
Poley Number
STATE ZIP CODE
TX 75019
SECTION D _ SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate for (1) oommunity oflidal, (2) insurance agenUoompany, and (3) building owner,
COMMENTS
""BUILDING IS FORMS ONLY,
Company 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), oompIete Items E1 through E4. ~ the Elevation Certificcie is intended for use as supporting information for a LOMA or LOMR-F,
Section C must be oompleted,
E1, Building Diagram Number _(Select the building diagram most similar to the building for which this certificale is being oompleted - see pages 6 and 7. If no diagram accurately
represents the buik:ling, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or endosure) of the building is _ ft.(m) _in.(ern) 0 above or 0 below (check one) the highest adjocent grade, (Use
natural grade, if available),
E3. For Building Diagrams 6.{l with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is _ ft,(m)_in,(ern) above the highest adjacent
grade. Complete ~ems C3,h and C3,i on front of form.
E4, The top of the platform of mochinery and/or equipment servicing the building is _ ft,(m) _in.(ern) 0 above or 0 below (check one) the highest adjacent grade. (Use
natural grade, if available),
ES, For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in CKXX>rda1ce with the oommunity'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 REPRESENT ATIVE) CERTIFICATION
The property owner or owner's authorized representative who oompleles Sections A, B, C (Items C3.h a1d C3,i only), and E for Zone A (without a FEMA~ssued or oommunity.
issued BFE) or Zone AO must sign here, The statements in Sections A, S, C, and E are coned 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 ofIidal who is authorized by law or ordinance to administer the community's floodplain management ordinance can oomplete 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 architect who is authorized by state
or local law to certify elevation information, (Indicate the source and dale of the elevation data in the Comments crea below,)
G2 0 A community official oompleted Section E for a building located in Zone A (without a FEMA~ssued oroommunity~ssued BFE) or Zone AO,
G3. 0 The following information (Items G4-G9) is provided for oommunity floodplain management purposes,
G4, PERMIT NUM3ER GS, DATE PERMIT ISSUED G6, DATE CERTIFICATE OF COIv'PUANCEIOCCUPANCY ISSUED
G7. This pemIit has been issued for: 0 New Construction 0 Substantial Improvement
Ga. Elevation of as-built lowest floor (including basement) of the buik:ling 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
Replaces all previous editions
"FORM BOARD SURVEY"
BEING LOT 1, IN BLOCK B, OF PRESTWICK, AN ADDITION TO THE
CITY OF COPPELL, TEXAS, ACCORDING TO THE MAP THEREOF RECORDED
IN VOLUME 2001208, PAGE 937, MAP RECORDS, DALLAS COUNTY, TEXAS.
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F'ND 1 2" I.R.
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90.00'
10' PRIV. DRAIN.
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20' B.L. (PER PLOT PLAN)
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T.o,r. = 457.86
F'ORMS ONLY
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EASP
453.09
I.C. =
455.93
N 00-55'55" E 81.54' F'ND 1/2"
REF'. BRNG. (P.P.) I.C. =
453.97
PRESTWICK COURT
NOTES
ZONING SETBACKS OBTAINED BY PLOT PLAN SUPPLIERS.
(SETBACKS NOT VERIFIED BY SURVEYOR.)
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.
THIS IS A FORM SURVEY ONLY AND DOES NOT SHOW
OTHER IMPROVEMENTS.
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BRENTWOOD
BUILDERS
ADDRESS
NAME
P.O. NO.
SCALE
DATE
DRN. BY
602 PRESTWICK COURT
8-1B
N/A
1 "=20'
6-12-03
SLJ
ROBERT C. WYERS
(972) 272-6287
(972) 272-8407(f'AX)
Analytiral ~ur""YSt lnr.
wI. PROf'ESSIONAL COMPANY OPERATING IN YOUR BEST INTERESTw
707 EASY STREET
GARlAND. TEXAS
75042
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