FEMA-EC970129t�
7They With A Beautiful Future BUILDING PERMIT APPLICATION
�)73, ;, C/ Print or Type in a Clear, Legible Manner
Job Address:
Lot: Block:
Owner4)f
t
Contractor:
Description of 'Work to be Done C1 ss of Work:
Area of Building in Square Feet
First Floor 'ZOS2
Second Floor (
f)
NOTICE
Subdivision:
Address:1tf,.'(j�,,uW QA(,
Address:'Wo
� low",
EI(New ❑ Addition tom- ❑
Garage
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 e provisions of any other federal, state or local law
regulating construct' of the 1Zerfto ce construction.
Signa r of Contractor or Authorized Age t Print Name
Electrical ontractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
JAN 15 1997
FN-SPE-CTION DEPT
Date: 1 T , C�
Phase or Section Number:
� : 14V -1- (o X
❑ Repair ❑ Demolition
Value of Work I,( DOy
to be Performed j
Y AREA FOR OFFICE USE ONLY
ELEVATION CERTIFICATE O.M.B.piNo May31,1993
Expires May 31, 1993
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 FOFh INSURANCE COMPANY USE
BUILDING WNER'S NAME POLICY NUMBER
S
STREET ADDRESS (Including Apt., Unit, Suite and/or Bk1g, Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers,
/T/Ort/
CITY STATE ZIP CODE
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. PATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
/571 19174
{in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1�fFIGVD'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 IL 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
ofl I WkrTyJrd2J1.1 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 L I I I I.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 L_L_i . LJ! 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 LSI . LJ feet above Ll 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 1 Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: CJGVD '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 elevatops 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 Y@S ❑NOISee 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: .44 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 1 14-1414,1. 16 feet NGVD (or. other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31r MAY 90 REPLACES A41- 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 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 B and C on this certificate represents my best efforts to interpret the data available.
/ understand that any false statement may be punishable by fine or imprisonmenLaadwP18-Q. S. Code, Section 1001.
., ... Y may, �" �,"' "s •`
CERT F R'S NAME LI N$% NUMBS A )
TITLE C MPANY NAME o `'' • � � � s em ` ;�
ESA
ADDRESS CITY5 I{J'�: STATE
ZIP
• U P
SIGNATURE DATE PHONE
W. z ,-
Copies should be ma of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB ' ""' — BASI=taE:'NT PIERS, OR COLUMNS
H. V A A V
ZOi.,ES ZONES Z"!'Ifs ZONES ZONES
_;_;
REFERENCE
REFERENCE a BASE LEVEL
REFERENCE
LEVEL " FLOOD
LEVEL
ELEVATION
::':':•::: . i'.:: `?:
BASE
BASE:•::.:•'C REFERENCE
FLOOD ' ' ' ' ' ADJACENT' 4';.; ;•: t,
FLOOD
ELEVATN REFERENCE ADJACENTORA�,E LEVEL
IO
ELEVATION
LEVEL GRADE
•:::•
ADJACENT..
/J�:...:::•.:.;:.:.:.:.:::::.
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
TABLE
ARC_ LFN .....__.... RAC?_- CHrI. EK��__ � !.'S 5 (�(�'/�
*�. q.
'A1' 225.UO'
S *I-AL.F: 1 -- 20'
N A A
-q
A. IL ETI
i
/ �-- N 446.4
FG; 446.?
r-) I
PLAN N0. '
2740 A
1 _J
10;1 =1 447.7 , m
PAp CRD. = 446,9
° 1
FG '46.9
0'
(`J
130
BRADFORD DRIVE
Lot Arco: 10048 Sq.Ft.
L
TOC. -- 4 ,16. 1
Type 'h' Druinvcc
Fence Lcrigth: .302'
FENCE LENGTH $140m 13 lAAX.
FIFI.o VERIFY EXISUNC FENCES.
GENMAL NOTES:f` rnktd,
DRIVEWAYS 12' WIDE �+D p
ENTRY WALK6WA 1C� f µ I t� fiy e r i d g 8 -- - - -
PARKWAY 51t N--
(� VKUS OTHLRW
V1 1z, 40I 5UbCS�Y.
River ver Ridge Addifion
Approval of the p
1s^�r d3iKJ ;vr ay..c..a �ue�i i 4, r•r�•n
I Cr�c��c,��
l;Ass and
be construe f ,Pw , :,, E , x # Ppb � f c n � i 1303 Bradford Drive _
1W the CIN r,� ti -ung; coeje- and zoning L..- -- . __.. r. _._---..� ...__•_..._._....-=._�.N.�-.�.,�.r._.._
�..t'i.t.y ., ..---........ -.
Hunt� _--
Ta610 DALLAS PARKWAY. SUITt 2300
DALLAS. TIXA513- 9si4a+ 12 2 /04 /9 6 274.0.00 ELEV A RIGHT
(IIS) 713-d/9t
1k) UE VET FLAI' '
LOT 9, BLOCK A, OF A RE.PLAR OF RIVER RIDGE ADDITION, AN ADDITIO
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS, RECORDED IN
VOLUME 95031, PAGE 2123.
GOLF ENTERPRISES INC.
V0L.87174, PC.3404
FI A
I �,' r•1 -ISI I I 1 �.�+
LOT 10
I hereby certijt/ that on the. _�{ da o .7%j_k_.� 19`,x, this survey was made on the ground as per the field notes shown on this survey
y f --
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the sub)ect property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
Date : JANUARY 29, 1997
LEGEND 0
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
)food Fence ---------
Chain Link / Fire Fence x—x—x--x—x
liverhead Electric F, --- F _--- F, ---
GF No.
HARRY J. ROW LL }
....,
4597 /
Scale: 1" = 20.0'
�SUR�j
/* 7
HA RR Y
R 0 W
& Associates, INC.
- Surveying & Engineering
1301 Elm, Street Ste. 201
I'(Irr'olllr�r�., 'Trxnti X5006