FEMA-EC981002 (2)7TheyWBeautiful Future
BUILDING PERMIT APPLICATION 08-11-98A07:16 RCVD
% Print or Type in a Clear, Legible Manner
Job Address: I� Q; n Date: 'E/ 6 /4
Lot: I Block: Subdivision: kkVll
a1-70l Phase or Section Number: /
Owner t Address: mi/ L a Phone #: �/� a g .S 9
Contractor: .sorne CIA Address: Phone #:
Description of Work to be Done Class of Work: 0 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
v 4
Area of Building in Square Feet
First Floor 5 CF✓
Second Floor. Al
NOTICE
Garage LA r
Other to U
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 const ion of the performance of construction. /
Gov! t aGJ
17
Sign tune of ontractor or Authorized Agent Print Name
�� ird S rrilm,re_
Electrical Contractor Plumbing Contractor Mefhanical Contractor
FPMC - 1 (4/94)
Value of Work �, /'/�
to be Performed i'
A FOR OFFICE USE ONLY
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
ELEVATION CERTIFICATE O.M.B. No. 3067-0077
FEDERAL EMERGENCY MANAGEMENT AGENCY Expires July 31, 1999
NATIONAL FLOOD INSURANCE PROGRAM
TTENTION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. This form is used only to pro -
de elevation Information necessary to ensure complionce with applicable community floodplain management ordinances, to determine
is proper insurance premium rate, and/or to support o request for a Letter of Map Amendment or Revision (LOMA or LOMR). You are not
rquired to respond to this collection of information unless a valid OMB control number is displayed in the upper right corner of this form.
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION
NAME
FOR INSURANCE COMPANY USE
POLICY NUMBER
STREET ADDRESS (Indudinrgg Apt., Unfit,, Suite and/or Bldg. Number) on P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
S. 7. 1 V CF -%.n g hQ crr.-- Ct> U r -E
)THER DESCRIPTION (Lot and Block Numbers, etc
"+ 11 f lark 4 s% ---
3TYSTATE ZIP CODE
Coppe-11 __ Tic
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
rovide the following from the proper FIRM (See Instructions):
1. COMMUNITY NUMBER
2. PANEL NUMBER
3. sur -Fix
A. DATE OF FIRM INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION
(In AO Zones, use depth)
q80 I-ro
do I o
C
y- Is -_q 4
X
Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I - I NGVD '29 U Other (describe on back)
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: UU I . U feet NGVD (or other FIRM datum -see Section B, Item 7),
SECTION C BUILDING ELEVATION INFORMATION
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
'(a). FIRM Zones Al -A30, AE, AH, and A (with BFE). -I he top of the reference level floor from the selected diagram is at an elevation
of LLI.I feet NGVD (or other FIRM dattnn see Section B, Item 7).
(b). FIRM Zones Vi -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 1 1.1 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 1—U .0 feet above U 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_.1_I .j_ I feet above L_J 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? [_1 Yes I_ -.I No (-_I Unknown
t. Indicate the elevation datum system used in determining the above reference level elevations: 1-1 NGVD '29 [_I 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.)
I. Elevation reference mark used appears on FIRM: Yes I It (See Instructions on Page 4)
i. The reference level elevation is based on: [actual construction I I 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.)
3. The elevation of the lowest grade Immediately adjacent to the building is: I I I � �-I_feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
1. If the community official responsible for verifying buildinO elevations specifies that the reference level indicated in Section C, Item 1
Is not the "lowest floor" as defined in the community's Iloodplain managr'ment ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I _I_ I I I I .I legit NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-31, MAR 97 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 At A30, AE, Al 1, A (with BFE),V1--V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law of 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
1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
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f0fA+i 41 �.,Q
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TITLE COMPANY NAME 9�j:., sg� ,
�• P�• s rn- ki, Cf64c-114-5so4;4?6 lAi MOM
ADDRESS CITY STATE ZIP
3S W.Pcr�eer_/��wx �tr//*,9-An % k ��?3
SIGNATURE DATE PHONE
/0-2-9,8 2
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: T� /' �_co_ �o�. Fla -�- 517 e w s
reai is /Now 7< T-7�0 -/
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ey-
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 I LOOT)LEVEL
ELEVATION
y • l;4tgl �) S
BASE
BASEFLOOD
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FLOOD
r,HADE LEVI.I
ELEVATION
ELEVATION REFERENCE ADJACENT
LEVEL 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
7-AREY 5URRE5, 01/31/1998 • 09:08, 05504118.dwg
LQ NS A E -,f POR
527 BUCKINGN,4M "COURT
LOT 11 BLOCK 4
,4SBURY 1" 174NOR, PHASE 1
CIT'►' OF COPPELL, DALLAS COUNT', TEX,45
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m SITE PLAN JQ �, DQLE RY"D
m SCALE: 1° = 20'-o" l/28/5a HOMES
pAA T[N /AN ANTONIO DALLA/ �p =N
N111 �KM7� VM H77400
01' PROPERTY DESCRIPTION
Lot 11, Block 4, ASBURY MANOR, an Addition to the
City of Coppell, Dollos County, Texos.
_ Common Open Space No. 4 PE'r John Adorns
Utilit and Hike &Bike Esmt.
Vol. 16112, Pg. 2584, D. R. D. C. T.
20' Access/ y „ E 67.41'
S
N 44'52 09_
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20.0Block 4
Min. FF 474.0' mos e,
23.5'
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Center line control rnonurnentotion found
was used for controlling monum.,ntation.
I, the undersigned, hereby certify that the survey rnup hereon, and
the accompanying description, depicts and describe, the results of
o careful and accurate survey, made on the ground, and to the best
of my knowledge and belief, is a true and correct depictloii and
description of the property surveyed, and that there ore r.o
apparent encroachments or protrusions across boundurylines,
shortages of area or boundary, except as shown herec,r. he only
easements the undersigned has knowledge, are thc,;c a� ;,hown,
however this property is subject to any and all eosem ant„
reservations, and restrictions that may be of record Any
reference to the 100 year flood plain or flood hozarr �r.nc, is on
estimate based on the data stated hereon, and should nut oe interpreted
as a study or determination of the flooding propen-:ih-. of this property.
Note: This survey was performed in connection w or the transaction
described in:
Form Survey for Ryland Homes ( Att: Randy )
J /bufi
P.O. BOX 14293 ARLINGTON, TEXT; 16094-129-1
( 817 ) 274-6883, Metro (Bt ) 261-813E3
Legend: O Iron Rod Found —x—x— ^✓;;.;(,, )r Wire Fend.
ill Iron Rod Set L ' o,,'rul Monurnenf
All iron rods ore 112" rebor un"_., �r not (Y.
Scale: I"=25'
Troy Allen Roop -
Registered Professional
Land Surveyor No. 5141
Date: 08/10/98
Job No. 22563—MO7
Drawn By: TR