FEMA-EC9611117They with ABeautiful Future BUILDING PERMIT'APPLICATION
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Print or Type in a Clear, Legible Manner
Job Address: Date:
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Lot:/ Block: Subdivision: J%1" V Phase or Section Number:
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Owner Address: O , SpVU
%hone #:
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Contractor:WO-yray-NOY-1 W ID M Es )n Address: Phone #:
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Description of Work to bFone. Class of W rk: Xew ❑ Addition ❑ Alteration
❑ Repair ❑ Demolition
LSL
74D ��t�ticSL`9�—
Area of Building in Square Feet
First Floor / f Garage w Value of Work
i
to be Performed
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Second Floor Other 0� X
GRAY AREA FOR OFFICE USE ONLY
100
k 11
NOTICE
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
11111 �111W
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
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gulating construction of the perfo Iduce of construction.
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ignatu of Contractor t Auth ize Ag t Print Name
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Electrical Contractor
Plumbing Contractor hanical Contractor
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FPMC - 1 (4/94)
y O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE E,#,resMay31, 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.
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBERI COMPANY MAIC NUMBER I
l3I F—
0RF—AAIAI4 W54Y
OTHER DESCRIPTION (Lot and Block Numbers, etc.) r
LoT I Z 1 BLoGK g Rty�E+�— RtaGE 16DI7-I0,v :'
CITY STATE ZIP CODE
C o P�E� TEx�+s
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
(in AO Zones, use depth)
170
0010
E
#-15- i�
X
7. Indicate 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: 4 49 LO 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 I .
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 ! . I_ 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 1 I 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 ! ! . 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 I LU feet above ❑ or below E. (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 i No ❑ Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: tJ 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: J 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 1 14 14149 . 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 .0 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
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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.
I certify that the information in Sections B 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 imprisonmeneun OFTCode, Section 1001.
;C
CERTIFIER'S NAME ,W
TITLE ' COMPANY NAME .••..•••.......•..•..;••
2gr. i�. CENTRAL EX'MY., STE.1C0 A 5116PYAS 750801
..:
ADDRESS CITY
SIGNATURE
PHONE
77— • 1080 • 3 0:3
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ZIP
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
rA_E _FE _R E -N -C -El BASE
IREFERENCEI
I LEVEL
LEVEL FLOOD
ELEVATION
:::.5 �: •::;;:'
BASE
.•: '•i: :'::::'•;::,::i'•.
BASE'••' ADJACENT. :''''ftp REFERENCE
FLOOD -.. .::. GRADE LEVEL
...,'S,:
FLOOD
ELEVATION
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
_'.''. i:;•: `: .:?ii{: +.:':�'.' ',
?ii: •. r::....'t •.i:: .:::.r,_
ADJACENT"'
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 level floor.
Elevations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
•it 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 propertyy located at:
1301 BREANNA WAY in the City of COPPELL Texas. Lot No. f2 Block No.__9_
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.
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FLOOD CERTIFICATE
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 refreser tation of the property as determined by survey. The lines and
dimensions of said property being indicated b the pPt. the size. location. and type of buildings and improvements are
shown All improvements being within the bouny, of the propert . 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: 11-7-96 THIS 15 NOT AN OFFICIAL DOCL ENT
WITHOUT AN ORK3NNL SOMTURE
Job No.: HA.11958
LEGEND:
G.F. No.:
Scale: 1 40 • F.I.R. - FOUND IRON ROD BERNARD HENDERSON
TIM S.I.R. - SET IRON ROD
Drawn By: NOT FOR CONSTRUCTION 5 I 6
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BEAR" BASS � .o � r . O
�-1 Benchmark Group ON T e UsSAVV" PLA
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of Texas, Inc. 34DW ABOVE
2929 N. Central ExProssray Suoo 100 Richardson. Tax., 75080 E Q
ENr3EERS (972) 680-3037 FAX 680-3052 EURYEYORS NDTM
PLOT PLAN
1301 BREANNA WAY , in the City of COPPELL , Texas. Lot No. 12 Block No. B .
(--ity 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
ecorded In VOLUME 95031 PAGE 2123 of the MAP Records. DALLAS County. Texas.
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LOT 13 ' �lNA ARE NOT . >�'�'I�C3VED
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CITY OF COPPELL
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Approval of the plans and specifications shill
be constr ed to mean construction in di; ect col
with the City of Coppell Building codes and Zo
Ordinances.
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CITY OF COPPELL
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Approval of the plans and specifications shill
be constr ed to mean construction in di; ect col
with the City of Coppell Building codes and Zo
Ordinances.
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— LEGEND
EG EXISTING GRADE
FG FINISHED GRADE
F.F. FIN. FLOOR ELEV.
F.P. FINISHED PAD ELEV.
NOTFS
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.
4.ALL ELEVATIONS. PROPOSED OR
OTHERWISE. BY GRADING PLAN DATED
OCTOBER. 93
5.THIS PLOT PLAN IS NOT A SUBSTITUTE
FOR A LOT GRADING PLAN.
6.ASSUMES SLAB ON GRADE AND SLAB
THICKNESS OF 8.5 INCHES AND ASSUMES
FINISHED GRADE TO MATCH EXISTING
GRADE * PROPERTY CORNERS.
---------- — - -- - -- BEARINGS BASED
q Benchmark Group ONRE
of Texas Inc. �T
—'------ �ISIONFLAT
ABOVE
:yz9 r� ca.,rrui Ewp; ess.oy : t,z iou Richordeon. re"o� 75eso LMESS OTHERWISE
1 eao-3cP
EXGWEERS SURVEYORS I NOTED
21 37 AX e80-305
of