FEMA-EC980320m o 9 �Q
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Beautiful Future BUILDING PERMIT APPLICATION
J A �� 2 11998
z 3 . Z 7 Print or Type in a Clear, Legible Manner
DEP I
Job Address: 7)4 E VT TPjEE-- Date:
Block: Subdivision: 6 hase or Section Number:
Lot: P:�S
Owner Address: Phone #:
Contractor: Address: �e � j^ Phone #• q7 q —2}.— PIS7
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Description of Work to be Done Class of Work: New El Addition El Alteration El Repair ❑ Demolition
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Area of Building in Square Feet
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First Floor Garage Value of Work 4 jL t
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`� to be Performed (�l�
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Second Floor + Other
GRAY AREA FOR OFFICE USE ONLY
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NOTICE
This permit becomes null and void if work or construction authorized is not commenced
for 180 days�-
within 180 days, or construction on work is suspended or abandoned a period of
at any time after work is commenced.
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I hereby certify that I have read and examined this application and know the same to be true�_��
and correct. All provisions of laws and ordinances governing this type of work will be
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complied with whether specified herein or not. The granting of a permit does not presume to
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give authority to violate or cancel the provisions of any other federal, state or local law;
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re ulatin co struction of the rf rmance of construction.twit
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ign ure of Contractor or Aut orized Agent Print Name
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Electripil Contractor Plumbing Contractor Mechanical Contractor
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FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
/20' REARYARD
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FLOOD PLAIN LINE
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22'50'14—W 50.22' I
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;Approval ¢thets1�A1 EaD.E—
�.5' UbI�f pndspecifications shall,:
d to Mean construction in direct coil,: �t
P/D/S 1010 S.F. OMr the Clty of Coppell Building codes and Zoea�a
110ES.
F3,/W+ N/A L.F.
PERRY HOMES DESIGN e
• - 1997 - PEFRY HOMES"
ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, TEXAS
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MAR -22-1998 18:44 P.03
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31 ,`1995
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form Is used only to pro
-,ide elevation Information necessary to ensure compliance with applicable community floodplain management ordinances, to determine
the proper insurance premium rate, and/or to support a request for a tetter of Map Amendment or Revision (LOMA or LOMR). You are nor
required to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form
Instructions for completing this form can be found on the following pages.
BUILDING OwNEA'S NAME
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USF J
POLICY N(JMpFR
_-___..,.ferry Homes _
STREET ADDRESS (Includingt., unit, Suite and/or . Number OR PO. ROUTE AND BOX NUMBER COMPANY MAIC NUMBER
AC d9 I
_704 _-F) irk 1 1 e-EZS_
(')THER DESCRIPTION (Lot and Blocky Numcers, etc.)
LoY lncV_ B. Amending Plat of Ti3��Rinsulas of �Qp�ell ___.___
CITY $TATE ZiP CODE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
�'rovide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3 SUFFIX
A. DATE OF FIRM INDEX
5. FIRM ZONE
E BASE FLOOD ELEVATION
(m AO Zones, use depth;
480170
0010
E
4-15-94
X
453.0
Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): K NGVD '29 U Other (describe on back)
3 For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate
the community's BFE: f I _—feet feet NGVD (or other FIRM datum -see Section B, Item 7)
SECTION C BUILDING ELEVATION INFORMATION
Using the Elevation Certificate Instructions, indicate the diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level
2(a). FIRM Znnes Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of 5i5J.[T Leet NGVD (or other FIRM datum -see Section B, item 7).
(b). FIRM Zones Vi -V30, VE, and V (with BFE)_ The bottom of the lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of feet NGVD (or other FIRM datum -see Section B, Item 7).
(c). FIRM Zone A (without BFE)_ The floor used as the reference level from the selected diagram is ! __._ feet above or
below ❑ (check one) the highest grade adjacent to the building.
(d) FIRM Zone AO. The floor used as the reference level from the selected diagram is feet above `J or below ❑ (check
one) the highest grade adjacent to the building. It no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ unknown
3 Indicate the elevation datum system used in determining the above reference level elevations: LYI NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is dif,erent than that used on
the P1RM [see Section B, Item 77, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.) _
i Elevation reference mark used appears on FIRM: Yes IND {See Instructions on Page 4)
The reference level elevation is based on: X actual construction construction drawings
(NOTE: Use of construction drawings is only valid if the building does not yet have the reference level floor in place, in which
case this certificate will only be valid for the building during the course of construction. A post -construction Elevation Certificate
will be required once construction is complete.) d�,, r����
The elevation of the lowest grade Immediately adjacent to the building Is: j IA419t4.v feet NGVD (or other FIRM datum -see
Section B. Item 7),
SECTION D COMMUNITY INFORMATION
' the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. ttern 1
not the 'lowest floor" as defined in the community's floodplain management ordinance, the elevation of the building's 'lowest
floor" as defined by the ordinances _ . feet NGVD (or other FIRM datum -see Section B. Item 7)
Date of The start of construction or suostantial improvement
rEMA Form 81-31, AUG 96 REPLAaS ALi. PREvtous EDITIONS SEE REVERSE SIDE FOR CONTINUAtION
MAR -22-1998 18:45
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer. or archilecl wPiO is authorized by Slate or local taw to certify elevation
information when the elevation Information for Zones Al -A30, AE, AH, A (with BF,).V1-V30,VE, and V {wslh BFE) is required.
Community officials who are authorized by local law or ordinance to provide floodplain management information, may also sign the
Certification. In the case of Zones AO and A (without a FEMA or community issued SFE), a building official, a property owner, or an
owner's representative may also sign the certification.
Reference level diagrams 6, 7 and 8 - Distinguishing Features -If the certifier is unable 10 certify to breakaway/non-breakaway wall.
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered,
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I certify that the information in Sections 8 and C on this certificate represents my best efforts to interpret the data available -
i undatstand that any 141se statement may be punishable by fine or imprisonment under 18 U_ S. Code, Section 1001,
T. W. ]Barrow RPLS # 1994
CERTIFIERS NAME LICENSE NUMBER (Cr Affix Seal)
TrTLE
7104 Grapevine
A00AESS
Copies Should be made of this
COMMENTS:
T. W_ Barrow Surveying Company
OF r OMPANY NAME
s'r �- t Worth Texas 75118
= F' STATE zip
3 2e) /. (817) 258-0200
:................. t)krE PHONE
official, 2 insurance a
ty ) genUcompany, and 3) building owner
Bo
there is no actual structure existing on this property. The FIRM
or the City of Coppell_has been amended by letter from the Federal
Emergency Management Agency Case NO. 94--05-1Q5A_ This pro]2erty is
now located in Zone "X" Map shows Zone "AB'_
on wrtr, ON PK -XS,
9n A+Eiat. OR cotuMwS
A v A A v
ZONES ZONES ZONES :ONES ZONES
r+EFENENC-El
NEFENErtiY BASE LEVEL
REFERENLE
LEMEL PLOW
LCAL
ELETTgr+
SASE .._ :
FLOOD +�WAGLNT AEFEriEAiOE
"AE
FLOOO
EIEv�Tgr, r-AA�E LE VEl
AEFEAEL AIA
ELEVATION
,:'
LEVEL CAAOE
.. '....'
:., ACJAMM7 ..
r .,...;
ONOE
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations for all A zones Should be measured at the top of the reference level floor
Elevations for all V Zones Should be measured at the bottom of the lowest horizontal structural member
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