FEMA-EC9608297The�=fes .
yWith A Beautiful Future BUILDING PERMIT APPLICATION
RUG 06C's
Print or Type in a Clear, Legible Manner
Job Address: Date:
r
Lot:/
Block: Subdivision: ; Y Phase or Section Number:
13
Owner i I \ V Address: , , _ J Phone #:
retractor: � ddress. :� e�:
SM
Descriptionof ork to be Done lass of1k: Ia►N w ❑Addition ❑Alteration ❑Repair ❑Demolition
S.ri`"(� m ► t S:q- : rs. AT ; A
Area of Building in Square Feet
First Floor Garage 7 / Value of Work
CC _ to be Performed ��
Second Floor2
L7—
L Other a.
)990
GRAY AREA FOR OFFICE USE ONLY
FPMC - 1 (4/94)
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 LOMR).
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 COMPANY MAIC NUMBER
/2-8-7 RP,+nrn2 n nQ 117c
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lor /3 R.LocK A EI ✓e-& RtaCE / oD /7-101/
CITY STATE ZIP CODE
CO P PAE. L L TAE x.4!5
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 FLOODELEVATION
401-70
D
00/ O
�- l5- f9LI
X
(in AO Zones, use depth)
1
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 9NGVD '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 dbilding site, indicate
the community's BFE ! , Lfeet 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 I 1 4:4 ! 6 , 3 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 II 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.L 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 I. U feet above ❑ or below L_' (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 7 No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: 9 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 7], 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: U 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: 1 417 .ISS 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 LJ 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 Al—A30, AE, AH, A (with 13FE),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.
I certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
f understand that any false statement may be punishable by fine or imprisonment under 18 U.�de, Section 1001.
CERTIFIER;S9, LICENSE NU E: �•�
TITLE f . C MPANY NAME BERNARD HE ERSON
i .....•.........•..... �...
2929 N. CENTRAL EXPWY., STE.100
ADDRESS
SIGNATURE
DATE
STATE ZIP
/lam ff 29__qTG 972 - 6Bo • 3037
Copies should be made ; -,this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
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
LEVEL FLOOD
ELEVATION
BASE
BASE
: "' REFERENCE
FLOOD:••. GRADE ADJACENT��+ LEVEL
ELEVATION REFERENCE •��;`
FLOOD
ELEVATION
ADJACENT
LEVEL GRADE
:'.:':'•'.'':.�;�'::'':,::4:'.•
.......: .....:...
:.•:t: ADJACENT
`
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
1287 BRADFORD DRIVE in the City of COPPELL . Texas. Lot No. 13 Bbdc No. -A—.
City Black No. . of REPLAT OF RIVER RIDGE ADODITION
on addition to the City of COPPE_L. DALLAS County. Texas, according to the MAP OR PLAT THEREOF
recorded In VOLUME 05051 PAGE 2123 , or the MAP Recordo. DALLAS Covoty. Texas.
LOT 12
GOLF ENTERPRISES INC.
VOL. 87174. PG. 3449
1
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VOLUME 87174. PG. 3438
d FLOODPLAIN ESM'T i
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LOT 13
BLK A
MIN F.F. - 446.8
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PLAN * 853
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PLANS ARE REVIEWED In
APPROVAL OF SINGLE
FAMILY RESIDENCE ONI
OTHER DEPICTIONS OI
CALL -OUTS ON PLOT PL,
HAVE = BEEN REVIEM
AND AME Wa APPROVE
NOTES
-�7
BRADEnD IVE
LALL TIES MUST BE FIELD CHECKED
�GiRp�i;
LL2 0� aECK" FROM
ERRALFL FOUNDATION
AM
D 3 S ECIFIC INSTSTRUC1sM TS >111THOur
PLAN #: 853 RIGHT ZM.
' OTHERWISE..TsY GRADIING PLAN OR
ELEV . A DATE 10.93
7-25-96 E V. Approval of thP< and specifications shalt n 1S.Tws PLOT PLAN 13 NOT A SUBSTITUTE
Date:be construedE IAWSW lon in direct confl FOR A LOT GRADING PLAN.
Job No.: HA- with the CityFOf•QiiD1 � codes: and ZonI US ASSUMES SLAB ON GRADE AND SLAT
G.F. No.: Ordinances. F.F. •FIT FLOOR EL THICKNESS OF 63 INCHES AND ASSUMES
20 F.P. • FINISHED PAD ELEV. FINISHED GRADE TO MATCH EXISTINB
Scale: GRADE • PROPERTY CORNERS.
Drawn By: B.R.S.
Benchmark Group IN
�T
LAW
of Tows•. Ino.
2929 H. Caefrcl Exprou.ey Suit• 100 Richordsen. 7*xm 75000 (HDVNES$ 4TH '
t?toi aao-soss Fnx aao-sOSz SAMYGM mom
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:
1287 BRADFORD DRIVE in the City of COPPELL Texas. Lot No. _ 13 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.
ETER?. S. 0i -
Go sF5a�13•o0
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LOT 13
LOT 14 N BLOCK A I LOT 12
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N 68°9'50 E 66.0* F
BRADFORD DRIVE
FLOOD CERTIFICATE 50' R.O.W.
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: W 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 by the plat, the size. location. and type of buildings and improvements are
shown. All improvements being within the boundary of the property. 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: 8-22-96 THIS 6 NOT AN OFFICIAL DOCU tCNT
WITHOUT AN ORrA4 L SCMTLFE.
Job No.: HA 5638 •EGEND:
G.F. No.: — J,
Scale: 1- 20, F.I.R. - FOUND IRON ROD BERNARD HENDERSON
S.LR. -SET IRON ROD
Drawn B ce W. $ 5 1 1 6
By: NOT FOR CONSTRUCTION
WARMS BASED -7
Benchmark Group ONRECORDED -11
4P SS t
of Texas. Inc. SiADNISiON PIAT U R `I
2929 N. Control E.prosu.y Sun. 100 Richardson, T.sas 75030 SHOWN ABOVE
—V Pq E�
(2141 680-3037 FAX 680-3052 lul LESS OTHERWISE
EKFCERS VAYEYORS NOTED
I