FEMA-EC970514The City With A Beautiful Future B U I L D I N G PERMIT APPLICATION
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INSPECTION DEPT
Job Address: a 15 \ '
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Date: _ ,
Lot: ^7 Block:
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Subdivision:
Phase or Section Number:
Owner
' Address:.
� ho ne #:
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Contractor:j�6c)vf,— Address:
Phone #:
Description of Work to be Done
Class of Work:
w ❑ Addition ❑Alteration ❑Repair El Demolition
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2 P I''t � E Y1�_; d ;
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Area of Building in Square cFeet
First Floor o �3 R 7
Second Floor
NOTICE
Garage ' / 1
Other
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
at any time after work is commenced.
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
complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate or cancel the provisions of any other federal, state or local law
regulating construction of the pe rfo c of construction.
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ck
;ignat&rl kf 0Mtractor o u orize Agent Print Name /
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Electrical Contractor PI mbing Contractor ranical Contractor
a
Value of Work d
to be Performed
AREA FOR OFFICE USE ONLY
FPMC - 1 (4/94) 'C+
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE Expires May 31, 1996
FEDERAL EMERGENCY MANAGEMENT AGENCY
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
provide 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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER 1
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
78I2A0Fo2Q12i-Jt
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
CITY/� STATE ZIP CODE
CSO p 0 e //
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
Ngoo—o
00i(3
-/-15-9c/
X
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ,XNGVD '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: I I I I I . ❑ 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 Ai -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 191414 . U 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 I I I I .❑ 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 LL. ❑ 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 L ❑ . ❑ feet 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 El Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: 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 71, then convert the elevations to the datum system used on the FIRM and show the conversion
equation under Comments on Page 2.)
4. Elevation reference mark used appears on FIRM: LJ Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: ^ 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.)
6. The elevation of the lowest grade immediately adjacent to the building is: I I Iq Iq 14 . U feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. 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: I I I I I . ❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS 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 Ai—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.
1 certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIF R'S NAME
r
TITLE
IR
tURE `
Copies should
COMMENTS: _
LICENSE NUMBER (or Affix Sea[)
COMPANY NAME
kickRQdsoA� 7cA 5 1508
CITY STATE ZIP
S ly•9T (Va- (,80-303
DATE PHONE
of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
LEVEL
ELEVATION
t`
BASE .,. REFERENCE
BASE
FLOOD
FLOODADJACENT:�
ELEVATION REFERENCE ADJACENT GRADE - ti LEVEL
ELEVATION
LEVEL GRADE
77
:'+:•::.::.: •:..:.;•': :.^:�
ADJACENT...
.:'.::'.:,,�`':`•.'.:::.':`'::::�::':%.:+:•:.:;.' nidi:•'.':::
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 level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
PLOT PLAN
_ 1271 BRADFORD_ DRIVE in the City of COPPELL . Texos. Lot No. 17 Block No. A
City Block No. . of REPLAT OF RIVER RIDGE ADDDITION
an addition to the City of COPPELL, DALLAS County. Texas, according to the MAP OR PLAT THEREOF
recorded in VOLUME 95031 PAGE 2123 , of the MAP Records. DALLAS County, Texas.
1
1
Aj 1
1
v
/ 1 CITY OF COPPELL
SIJ ";�'9PED
/ 1 w DATE
/
N. Approval of the P10"ns and sfecifications shall
a be const; ea , to r ie^ni s
const ucYion in direct con
H with theCity of Go Pell uUing Codes and Zor
/ DrdinanCes,
/
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PLANS ARE REVIEWED
T
APPROVAL. OF SINGLEOR
FAMILY RESIDRN(,7E ONLY.
OTHER DEPItC"f"�F >NS Ci t
CALL-U'•s ()ir 1)�-0T PLAN
OT BEEN ' :F,' V11"'A'L��J
1
ARE NSLT AVP` :D.
3 $i
STREET CUT
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1�s
FORM BOAT -D
SURVEY REQUIRED
x
F.F.M. LERTI" , R REQU 2:D.
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8167 B
PLAN #:
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Date:
4-22-97
41 �►
40 4.1
HA -15510
FG • FiNMHED GME
G.F. No.:
T
APPROVAL. OF SINGLEOR
FAMILY RESIDRN(,7E ONLY.
OTHER DEPItC"f"�F >NS Ci t
CALL-U'•s ()ir 1)�-0T PLAN
OT BEEN ' :F,' V11"'A'L��J
1
ARE NSLT AVP` :D.
3 $i
STREET CUT
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FORM BOAT -D
SURVEY REQUIRED
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F.F.M. LERTI" , R REQU 2:D.
xx
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NOTES
LALL TIES MUST BE FIELD CHECKED
2.HOUSE DRAWN FROM FOUNDATION PLAN
ONLY. CHECK OVERALL DIMENSIONS.
3 -DO NOT BUILD IN ESM'TS WITHOUT
SPECIFIC INSTRUCTIONS.
CALL ELEVATIONS. PROPOSED OR
OTHERWISE. BY GRADING PLAN DATED
OCT R ID93
S.THIS PLOT PLAN IS NOT A SU85TITUTE
FOR A LOT GRADINO PLAN.
G.ASSUMES SLAB ON GRADE AND SLAB
THICKNESS OF 8.5 INCHES AND ASSUMES
FINISHED GRADE TO MATCH EXISTING
GRADE 0 PROPERTY CORNERS.
ucAtlroe
aw
SJBDMWN "T
r OTFERMM1SE
8167 B
PLAN #:
RIGHT
CUSTOM
Date:
4-22-97
tEGEf�
Job No.:
HA -15510
FG • FiNMHED GME
G.F. No.:
F.P. • FIN. FLOOR
?ADLEIEV.
Scale:
_I1v 40,
Drawn By•
MBF.
—Bericlimar]
`group
of
_ of Texas, Inc.
2929 K C.Mral E.Soil* 100 Richard,en. T9.06 750!0
(21 1404037 FAX 140.3052
ea4tees
SURVEYORS
NOTES
LALL TIES MUST BE FIELD CHECKED
2.HOUSE DRAWN FROM FOUNDATION PLAN
ONLY. CHECK OVERALL DIMENSIONS.
3 -DO NOT BUILD IN ESM'TS WITHOUT
SPECIFIC INSTRUCTIONS.
CALL ELEVATIONS. PROPOSED OR
OTHERWISE. BY GRADING PLAN DATED
OCT R ID93
S.THIS PLOT PLAN IS NOT A SU85TITUTE
FOR A LOT GRADINO PLAN.
G.ASSUMES SLAB ON GRADE AND SLAB
THICKNESS OF 8.5 INCHES AND ASSUMES
FINISHED GRADE TO MATCH EXISTING
GRADE 0 PROPERTY CORNERS.
ucAtlroe
aw
SJBDMWN "T
r OTFERMM1SE
SURVEY PLAT
TO ALL PARTIES INTERESTED IN PREMISES SURVEYED:
This is to certify that I have this date. made a careful and accurate survey on the ground of the property located at:
1271 BRADFORD DRIVE . in the City of COPPELL . Texas. Lot No. f7 Block No. A
City Block No. . of REPLAT OF RIVER RIDGE ADDDITION
an addition to the City of COPPELL. DALLAS County. Texas. according to the MAP OR PLAT THEREOF
recorded in VOLUME 95031 PAGE 2123 , of the MAP Records. DALLAS County. Texas.
4) S6 I
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FORS
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F=LOOD CERTIFICATE
75 UT1Jf`t C'�',T R
P-JQ.75 S7.01' TO PC
SP
AS DETERMINED BY THE FLOOD INSURANCE RATE MAPS FOR THE CITY OF COPPELL TEXAS,
BY GRAPHIC PLOTTING, THE ABOVE PROPERTY DOES NOT LIE WITHIN A 100 YEAR FLOOD ZONE AREA.
MAP DATE: 4-15-94 . Zone: X Panel No. 480170 0010 E
The plat hereon is a true. correct, and accurate representation of the property as determined by survey. The lines and
dimensions of said property being indicated b the lat. the size. location. and type of buildings and improvements are
shown. All improvements being within the boundary oftheproperty. set back from property lines are the distance indicated.
the distance from the nearest intersection, street. or road is Indicated on said plat. There are no apparent visible ease-
ments. encroachments. conflicts. or protrusions except as shown.
Date: 5-13-97 THIS 6 PDT AN OFFCIAL DOCUMENT
WITHOUT AN ORONAL 9 3411 1�.
Job No.: HA -15808
G.F. No.: LEGEND:
Scale: t"= 40' F.I.R. - FOUND IRON ROD
MBE S.I.R. - SET IRON ROD
Drown By: NOT FOR CONSTRUCTION
Benchmark Group
of Texas, Inc.
2929 N. Control Expressway Suite 100 Richardson. Texas 75080
(214) 680-3037 FAX 680-3052 IMEY011116