FEMA-EC9801277Thety 7ith�ABeautiful Future BUILDING PERMIT APPLICATION7
�;
Print or Type in a Clear, Legible Manner
INSPC-i
Job Address:
\m
2�4
Date: ,t,t_ ---�
Lot: Block:
Subdivision:
Phase or Section Number:
I'
Owner Dods �)Qmes �•
Address: Pdcba
ds n, 71 750
Phone #:
Contractor: as above
Address:
Phone #:
Description of Work to be Done
Class of Work: E] New
❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
F
L)3�
Area of Building in Square Feet
First Floor _ 2C R Garage
Second Floor Other
�d
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
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
re ulating construction of rthe per, a of construction.
�
W, ('a
gnature Contractor or Authorized Agg Print Name f
1
Electrical Contractor Plumbing Contractor � M nical Contractor
1
FPMC - 1 (4/94)
Value of Work 0
to be Performed
A FOR OFFICE USE ONLY
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
OJ
No
ELEVATION CERTIFICATE O.M.B. Expires May 31, May31, oc»
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 M�p Amendment or Revision (LOMA or LOMB).
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 I
POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY MAIC NUMBER I
1304 Breanna Wav
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lot 8, Block D, River Ridge Addition
CITY STATE ZIP CODE
Coppell Texas 75019
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the foliowinl7 from the proper FIRM (See Ihstructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DATE OF FIRM INDEX
5. FIRM ZONE
S. BASE FLOOD ELEVATION
(in AO Zones, use depth)
480170
0010
E
4-15-94
x(Shaded)
7. Indicate the elevation datum system used 6h th@ FIRM for Base Flood Elevations (BFE): LXl NOVD'29 U Other (describe on back)
8. For Zones A or V, Where no BFE is provided oh the FIRM, and the community has established a BFE for this building site, Indicate
the community's BFE: (I I I I I .0 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 1_ .
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 LL1I1J .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 _I I I J—I .LJ 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 I I LU 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 I .I I 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 ❑ Unknown
3. Indicate the elevation datum system used ih 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 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: ❑ Yes ® No (See Instructions on Page 4)
5. The reference level elevation is based on: [i] 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 l 4 4 7 . LJ 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 floodplaln management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: LJ I I I I .LJ feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Dale of the start of construction or substantial Improvement
FEMA Form 81-31r MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUAI IUN
SECTION E CERTIFICATION
This certification is to be signed by a land surveyor, engineer, or architect who•Is authbrized 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 avail •�';� 1S'TF,4': �t
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. t.•i�V<?-��a DFQ5..+
LICENSE NUMBER (or Affix Seal) ' ' • `•"""•
CERTIFIEA'S NAME
REGISTERED PROFESSIONAL LAND SURVEYOR ANALYTICAL SURVEY >1,:;
TITLE COMPANY NAME �, r • CSS1�;:•'
P.O. 72797 GARLAND, TEXAS 75047 S. Li
ADORES CITY STATE
272-6287
SIGNA E DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) Insurancq @ggnt/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A V
ZONES ZONES ZONES ZONES 20NE3
REFERENCE
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL FLOOD
ELEVATION
'
BASE
,:REFERENCE
BASE ADJACENT :.
:FElE4CiAD
FLOOD
ELEVATION
FLOOD1 GRADE LEVEL
ELEVATION JACENTGRADE
,!;` i.;..
•.
� .•:::::.:•.;:.
.: n 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
BEING Lot 8, in
Block D,
RIVER
RIDGE ADDITION, AN Addition to the City of
Coppell, Texas,
according
to the
map thereof recorded in Volume 95031,
Page 2123, Plat
Records,
Dallas
County, Texas.
CITY OF COPPELL
AocrWv'al 0'� t,"
b [ a3aUJsi '0 r"C `v'vi i.' c?{iel III Di{�i' (Jii °iit
1r+i0,� th 3 L3ty Of 134PrEll i:s-cugtg C; des afid i Dtl9;
' Qiewtli�IC�S.
PLANS ARE REVIEWED FOR
APPROVAL OF SINGLE
(
(�.iti'I�1� Y
Yi T3 .iiz pig
C!`k
AN f ewU RiJ VED QQ
FORM FOA.RD
ZZ
. C2
- F.E.M.A.LE'i'I IM UPIED.
NOTES
1. ALL TIES MUST BE' FIELD CHECKED.
2. HOUSE DRAWN FROM FLOOR PLAN
ONLY. CHECK OVERALL DIMENSIONS.
3. DO NOT BUILD IN EASEMENTS WITHOUT
SPECIFIC INSTRUCTIONS.
4. (P.P.) INDICATES THAT BUILDING
LINES, EASEMENTS, R.O.W.'S ETC. AS
SHOWN HEREON ARE PER PLAT.
5. (P.Z.) INDICATES PER CITY ZONING
REQUIREMENTS.
6. NO SEARCH OF RECORD EASEMENTS HAS
BEEN PERFORMED ON THE SUBJECT
PROPERTY
7. PLOT PLAN ASSUMES THAT PROPOSED
SLAB HAS A THICKNESS OF 8.5 INCHES.
8. ARROWS INDICATE DESIGN DRAINAGE
INTENDED PER NAMED GRADING PLAN.
9. ALL ELEVATIONS PROPOSED OR OTHERWISE
BY CCM ENGINEERING, CORP.,
GRADING PLAN DATED 2-22-94
X)
S 67017'55" W — 57.68 A = 01'32'4i'
R = 175.00'
T.C. 447.1 L = 4.72'
BREANNA WA Y T.C. 447.2
NOTE.. N
SILT FENCE
0
HAMMONDS
HOMES
ADDRESS 1304 BREANNA WAY
NAME 8-8D
P.O. N0. N/A
SCALE 1 "=20'
DATE 12-1-97(REV. 12-12-97)
} DRJN(.ttBY JSS
ROBERT C. MYERS Anal' t i rM l t u r v rg g ,Jnr. . GAR BOX 2797 7Z
(972) 272-6287 1 GARLAND, TEXAS
jj
R.P.L.S. NO. 3963 "A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST" 75047
5.
FORM SURVEY
BEING Lot 8, in Block D, RIVER- RIDGE ADDITION, AN Addition 'to the City of
Coppell, Texas, according to the map thereof recorded in Volume 95031,
Page 2123, Plat Records, Dallas County, Texas.
R = 50.00' S 67' 17'55" W
A = 98'07'18" W REF.BRG.(P.P.)
16
CS = S 78' 14 " T.C. 447.1
CH = 75.54'
L = 85.63' BREANNA
NOTES
NO SEARCH OF RECORD EASEMENTS HAS BEEN
PERFORMED ON THIS PROPERTY
(P.P.) INDICATES THAT BUILDING LINES, EASEMENTS,
R.O.W.'S ETC. AS SHOWN HEREON ARE PER PLAT.
(P.Z.) INDICATES PER CITY ZONING REQUIREMENTS.
�E OF Tf
y4'' �G15Tf p +1s
Q' � FO •,
R = 175.00'
O = 01'32'47"
CB = N 66'31'26" E
CH = 4.72'
L = 4.72'
441
•03
FIR,,
E
HAMMONDS
HOMES
i
.....
"""'
ROBERT C. MYERs
ADDRESS
1304 BREANNA WAY
r
t, 0 3963�r
�OFess�o`:�
NAME
P.O. NO.
8-8D
N/A
SUR`�
SCALE
1"=20'
c
DATE
1-21-98(REV, 1-27-98)
C. MYERS
R.P.L 3963
DRN. BY
JSS
(9727 272 62675
,rtMlqttrM1
:✓ iirV 1'A
�G7 nr•
GARLAND, TEXAS
R.P.L.S. NO. 3963
'A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST'
75047