FEMA-EC010814BUILDING PERMIT APPLICATION
1-711-57 Print or Type in a Clear, Legible Manner
Job Address: &P-3 ('AkF v'& N f /4V
Date: '7115L2-001
Lot: (0 Block: E7 Subdivision: /(/AGAY6A- /t e rK
�1J5
Phase or Section Number:
Owner f Al `" ME -5 �%`C, Address: �G' Z� V;GIAI.Q�o�'jLk--
Phone
Contractor: LJ(.tA� 1-�M�! ��C Address:
I
Phone #:
Description of Work to be Done Class of Work: EfNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
c
First Floor Z Z� Garage779-)
Value of Work (/ 09
? -7 to be Performed
Second Floor � 2- Other `���3l
Z1696 SF GRAY AREA FOR OFFICE USE ONLY Ly q
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 taw
regulating construc f e performance of construction.
Permit Fee:
Z/Otask
Receipt Number.
Zoning District:
Occupancy Classification:
Approved By:
Date:: � ' j)
L/
Comments:
L%
Signature of Contractor of Authorized Pg nr Print Name
t7 /- n' hON� 4,15( '� Errol ' fiGY
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the instructions on pages 1 - 7.
O.M.B. No. 3067-0077 `
Expires July 31, 2002
SECTION A - PROPERTY OWNER INFORMATION For Insurance Company Use:
BUILDING OWNER'S NAME Policy Number
BUI DING STREET ADDRRESS ((Including Apt. Unit, Suite, aa�nd/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number
0 .7– i' Ai- l C^ A t l 1. lT'- I d.A1 G'
ZIP I
( ##° - ##'- ##.##" or ##.#####°) L-1 NAD 1927 1_1 NAD 1983
1-1 USGS Quad Map 1_1 Other:
SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMMUNITY NAME & COMMUNITY NUMBER B2. COUNTY NAME B3. STATE
I-Jlqu-A-s 4 I MXA-.5
B4. MAP AND PANEL
B5. SUFFIX
B6. FIRM INDEX
137. FIRM PANEL
B8. FLOOD
B9. BASE FLOOD ELEVATION(S)
NUMBER
DATE
EFFECTIVE/REVISED DATE
ZONE(S)
(Zone AO, use depth of flooding)
I
B10. Indicate the source of the Base Flood Elevation (BFE)data or base flood depth entered in B9.
1-1 FIS Profile Jgf IRM 1_1 Community Determined 1_1 Other (Describe):
1311. Indicate the elevation datum used for the BFE in B9: �NGVD 1929 1_1 NAVD 1988 1J Other (Describe):
B12. Is the building located in a Coastal -Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? 1_1 Yes 0,No
Designation Date:
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations are based on: L—(Construction Drawings* V1 Building Under Construction* I_1Finished Construction
*A new Elevation Certificate will be required when construction of th6 building is complete.
C2. Building Diagram Number __�_ (Select the building diagram most similar to the building for which this certificate is being completed - see
pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
C3. Elevations – Zones Al -A30, AE, AH, A (with BFE), VE, V1 -V30, V (with BFE), AR, AR/A, ARAE, AR/A1-A30, AR/AH, AR/AO
Complete Items C3a-i below according to the building diagram specified in Item C2. State the datum used. If the datum is different from
the datum used for the BFE in Section B, convert the datum to that used for the BFE. Show field measurements and datum conversion
calculation. Use the space provided or the Comments area of Section D or Section G, as appropriate, to document the datum conversion.
Datum Conversion/Comments
Elevation reference mark used to Does the elevation reference mark used appear on the FIRM? M Yes I-1 No
❑ a) Top of bottom floor (including basement or enclosure) '1 .TEZ ft.(*
❑ b) Top of next higher floor N tE _ ft -(m) OF,.,
❑ c Bottom of lowest horizontal structural member zones only)ft. m �•' "•
❑ d) Attached garage (top of slab) _ ft.(m) w+�� G
❑ e) Lowest elevation of machinery and/or equipment ,; a �� �.. .* •...
servicing the building _ ft.(m) ; ENA RY\
❑ 0 Lowest adjacent grade (LAG) ft.(y Z' y *"' '° • " "
❑ g) Highest adjacent grade (HAG) ft (fie"•
❑ h) No. of permanent openings (flood vents) within 1 ft. above adjacent grade
❑ 1) Total area of all permanent openings (flood vents) in C3h sq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available.
I understand that anv false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
t`1
R
FEMA Form 81- 1 U 99 SEE REVERSE SIDE FOR CONTINUATION REPLACES ALL PREVIOUS EDITIONS
IMPORTANT: In these spaces, copy the corresponding information from Section A. I For Insurance Company Use: )
BUILDING STREET ADDRESS (Including Apt., Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. 1 Policy Number 1
STATE _ _ZIP CODE
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION'(CONTINUED)
Copy both sides of this Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner.
COMMENTS
1-1 Check here if attachments
SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE)
For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting
r'
information for a LOMA or LOMR-F, Section C must be completed.
E1. Building Diagram Number (Select the building diagram most similar to the building for which this certificate is being completed –
see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.)
E2. The top of the bottom floor (including basement or enclosure) of the building is 1—I-1 ft•(m) I_I—lin.(cm) 1-I above or I -I below
(check one) the highest adjacent grade.
E3. For Building Diagrams 6-8 with openings (see page 7), the next higher floor or elevated floor (elevation b) of the building is
-ILI ft•(m) I—L_lin.(cm) above the highest adjacent grade.
E4. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's
floodplain management ordinance? 1_1 Yes 1_1 No 1 Unknown. The local official must certify this information in Section G.
SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION
The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without a I-tMA-issues or
community -issued BFE) or Zone AO must sign here.
PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
1-1 Check here if attachments
SECTION G - COMMUNITY INFORMATION (OPTIONAL)
The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete
Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below.
G1. 1_1 The information in Section C was taken from other documentation that has been signed and embossed by a licensed surveyor,
engineer, or architect who is authorized by state or local law to certify elevation information. (Indicate the source and date of the
elevation data in the Comments area below.)
G2. I -I A community official completed Section E for a building located in Zone A (without a FEMA -issued or community -issued BFE) or
Zone AO.
G3. I—I The following information (Items G4 -G9) is provided for community floodplain management purposes.
G7. This permit has been issued for: LI New Construction LI Substantial Improvement
G8. Elevation of as -built lowest floor (including basement) of the building is: _ft. (m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: _ ft.(m) Datum:
LOCAL OFFICIAL'S NAME TITLE
COMMUNITY NAME TELEPHONE
SIGNATURE DATE
COMMENTS
Check here if attachments
FEMA Form 81-31, AUG 99 KtF'LActJ ALL rrctv1UU0 wi I 1%JV.Q
SURVEY PLAT
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
This is to certify that I have, this date, made a careful and accurate survey on the ground of property
located at No. 623 CANEMOUNT LANE , in the city of COPPELL Texas.
Lot No. 6 , Block No. E City Block No.
of MAGNOLIA PARK , an addition to the City of
COPPELL, DALLAS COUNTY Texas according to the PEAT RECORDED
in VOLUME 98145 at PAGE 0506 of the MAP records of DALLAS COUNTY, TEXAS.
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THIS CERTIFICATION DOES NOT
TAKE INTO CONSIDERATION
ADDITIONAL FACTS THAT AND
ACCURATE TITLE SEARCH AND OR
EXAMINATION MIGHT DISCLOSE.
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The plat hereon is true, correct, and accurate representation of the property as determined by
survey, the lines and dimensions of said property being as indicated by the plat: the size, location
and type of building and improvements are as shown, all improvements being within the boundaries
of the property, set back from property lines the distance indicated.
THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS,
Scale: 1 " = 30' THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR
SUNBAY HOMES
Date: 07-27-2001 USE OF THIS SURVEY FOR ANY OTHER PURPOSE
G. F. No.: OR OTHER PARTIES SHALL BE AT THERE RISK AND
Job no.: 70301 UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS
Drawn by: R.G. FOR ANY LOSS RESULTING THEREFROM.
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623 CANEMOUNT LANE
NOTE: BLDR. TO VERIFY LOT
"FIT"AND ALL DIMENSIONS
PRIOR TO CONSTRUCTION
NOTE: HOUSE LOCATION MAY
VARY TO BEST SUIT THE
TERRAIN AND TREES..
PREPARED BY:
CITY OF COPPELL
REVIEWED
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Approval of the plans and specifications shall not be
construed to ru zzm corstrucLion in direct conflict
with the City of Coppeil Building Codes and Zoning
Ordinances.
ARCHHTECTS
OVER 25 YEARS OF FINE HOME DDLSiG
2612 LONG P RAI R'. 1 - RD. SUITE qQ , ..
(Oi;[I? ROUND, TX 75028 (972) 355-2233
PREPARED FOR:
THE ROBBINS
RESIDENCE
SITE PLAN
SCALE: 1" = 20'0"
LOT 6 BLOCK E
MAGNOLIA PARK
COPPELL, TEXAS
NORTH DALLAS COUNTY
DATE:
05/23/01
DRAWN BY:
J. "WOD
CMCBED BY:
DRAWING NUMBER:
2001.OZ6