FEMA-EC980303(4rm 6x-)+. -VPI
The City With A Beautiful Future BUILDING PERMIT APPLICATION JAN 1 91998 it1
Print or Type in a Clear, Leqible Manner
Job Address:� I � � A C• -r I � � ^- '
V t Date:
Lot: Block: Subdivision: se or Section Number:
Owner Address: v�V Phone #:
Contractor: Address: -7 �S 866J
T TI � phone 9 ?a)
Description of Work to be Done Class of Work: XNew ❑ Addition t `�.—❑3Allteration ❑ Repair ` l❑ Demolition
A F6;l I L� # 3q1 -Z,
Area of Building in Square Feet
First Floor Garage Value of Work
l/' 17" to be Performed e0�
Second Floor .tel Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE Permit Fee:Receipt Number: 3' Z 121-c
This permit becomes null and void if work or construction authorized is not commenced
within 180 days, or construction on work is suspended or abandoned for a period of 180 days Zoning District: Occupancy Classification:
at any time after work is commenced.
Approved I hereby certify that I have read and examined this application and know the same to be true By Date:
and correct. All provisions of laws and ordinances governing this type of work will be
complied with whether specified herein or not. The granting of a permit does not presume to Comments:%!j
V �'
give authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the performance of construction.
'TIM hCjW I Vft �
Signature of Contractor or Authorized Agent Print Name
7E -M po
Electrical Contractor Plumbing Contractor Mechanical Contractor ~ .
FPMC - 1 (4/94)
S, 07-73,
7,3 33\
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2yr� p,
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CITY OF COPPIFL,' .
REVIEWED
J00 fBOY DATE
�1
approval of the p ns and specifications shall
3e construed to mean construction in direct c .'•-
vith the City of Coppell Building codes ind
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FLOOD PLAIN LIVE
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P/D/S 1120 S.F.
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FERRY HOMES DESIGN
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ARCHITECTURE & INTERIORS
P.O. BOX 34306 HOUSTON, 'TEXAS
SubdiI P1
VI�NINSULAS OF COPPELL 27 08 PX070
'y. COPPELL, TEXAS ppavc r•
SCde: n e 20,_4„ Drawn
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SUBDMSION:
BLOCK: LOT: 27
STREET ADDRESS: /Jr 96;<J7-
CITY:
E•cITCITY:
715'BENT TREE COURT
R-2 75, m 50' R, 0, W.
< <.S 1427' 35" E
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DENT ON COUNTY SELID ENO 1
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I am certify that the foare in
T . W. BARROW
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y�
place
upon this lot dWanoes
according to the to
property lum shote and were determined
REGISTERED PROFESSIONAL
..i.? ...............................
T. W. BARROW
from a survey made on the ground.
LAND SURVEYOR
„. 90...1994...��
Q
DATE:
<y '• pSS�0 1'
ti0
7104 GRAPEVINE H I GFMAY
FORT
SURv�
WORTH, TEXAS 76118
0...............................IRON ROD
(817) 268-0200
—X—X......................FENCE LINE
—T--E.....................UTILITY LINE
SCALE: 1"=207
ELEVATION CERTIFICATE O.M.B. No. 3067-0077
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999
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-
vide 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 Letter of Map Amendment or Revision (LOMA or LOMR). You are not
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.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COiAPANY MAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY Lot 27 Block B Amending Plat of The Peninsulas of Co ell
STATE ZIP CODE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
480170
0010
E
4-15-94
(in AO Zones. use depth)
X
453.0
. Inalcate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ® NGVD '29 ❑ Other (describe on back)
8. 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: Lam!'! .I_f feet NGVD (or other FIRM datum—see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. 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 Zones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
of 1 1 14157 .0 feet NGVD (or other FIRM datum—see Section B, Item 7).
(b). FIRM Zones V1 -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 I 1 1 � '_ .'L -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 111.❑ 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 IIIfeet above ❑ or below ❑ (check
one) the highest grade adjacent to the building. If 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: LY NGVD '29 ❑ Other (describe
under Comments on Page 2). (NOTE. If the elevation datum used in measuring the elevations is different than that used on
the FIRM (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.)
a. Elevation reference mark used appears on FIRM: Yes A No (See Instructions on Page 4)
5. The reference level elevation is based on: 1 actual construction El 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.)
6. The elevation of the lowest grade immediately adjacent to the building is: 4 S 6 , Lli feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C, Item 1
is 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 ordinance is: 1; . _ feet NGVD (or other FIRM datum—see Section B, Item 7).
Date of the start of construction or substantial improvement
FEMA Form 81-31, AUG 96 REPLACES All PREVIOUS EDMONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
information when the elevation information for Zones Al -A30, AE, AH, A (with BFE),V1-V30,VE, and V (with 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 BFE), 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 to 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.
certify that the information in Sections 8 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.
T. W. Barrow RPLS # 1994
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
RPLS
TRLE T. W. Barrow Surveying Com any
COMPANY NAME
7104 Gra a 'ne Hwy. For Worth Texas 76118
ADDRESS
MY
:� \ S T�C•''•••.'•f.9 STATE ZIP
9 `•,s' 2' 3 �� (817) 268-0200
SIGNATURE :Q p; GATE
,••, PHONE
Copies should be ma de of this ifi •... f ................
' '••••
of99d o�Attu official, 2) insurance agenVcompany, and 3) building owner.
FSS�..•y0
COMMENTS: The Ele
on were taken from a Form Board Survey
C-15 «n on tnls property. The FIRM
for the CitY of Co ell has been amended by letter from the Federal
Emergency Management Agency Case NO 94-06-105A This property is now
located in Zone "X" Map shows Zone "AE".
ON WrrH
Sue BAS
�
"T P� coloN
Av A
A v
ZONES ZONES ZONES
ZONES ZONES
REFERENCE +EFERENCE
LEVEL SASE I LEVEL
REFERENCE
FLOOD
LEVEL
ELEVATJON
BASE y
REFERENCE
ELEVATIONFLOODADIACENT�
REFERENCE ADJACENT GRADE - LEVEL
FLOG
ELEVATION
LEVEL GRADE
GRADE '.
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 levet floor.
Elevations for all V Zones should be measured at the bottom the lowest
of horizontal structural member.
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