FEMA-EC990414The City With ABeautiful Future BUILDING PERMIT APPLICATION
IRAZSJ Z Print or Type in a Clear, Legible Manner
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Job Address: 1�tT L.9 C 9-2 g_ K
Date:
Lot: ( Block: Subdivision :e QST-rL5 Phase or Section Number:
PO. 601 -7 OX4
Owner Address:
i3R.9AXrW006 Z3 cel b4LL-"7
Phone #:
9 Z
Contractor: i5prvit"Ir Address:
Phone #:
Description of Work to be Done Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
C
Area of Building in Square Feet
First Floor Z 4 Z Garage 73
Value of Work q
to be Performed"Id 325, pon
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Second Floor Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE
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RBCeipt i+l t: t7
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."
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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
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give authority to violate or cancel the provisions of any other federal, state or local law_t
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regulating construction of the performance of construction.
'
Signature of Contractor or Authorized Agent Print Name
F [G Sf fi"fPLL#h& RokH AIR
Electrical Contractor Plumbing Contractor Mechanical Contractor
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
a.LwAUON CERTIFICATE EExpresMa3
0371993
'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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE I
BUILDING OWNER'S NAME
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
POLICY NUMBER
COMPANY NAIC NUMBER
LOT 1 BLOCK B ESTATES OF CAMBRIDGE MANOR PHASE II
CITY STATE ZIP CODE
COPPE L TSZAS 75019
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)
1
480170
0010
E
3-29-95(LOMR)
RAE
451.5
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): It NGVD'29 LJ 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 .❑ 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 I 1 141 5161.Al 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 I 1J 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 j.❑ 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 feet above ❑ or below rF l (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 in determining the above reference leve! 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: ® 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: L_L_14 L4 .4 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 . ❑ feet NGVD (or other FIRM datum—see Section B, Item 7).
2. Date of the start of construction or substantial improvement
FEMA Form 81-311 MAY 90 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 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 aw
1 understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
REGISTERED PROFESSIONAL LAND SURVEYOR ANALYTICAL SURVEY
TITLE COMPANY NAME Y'� FSSIv:
P.O. 72797 GARLAND, TEXAS 75047 S6(Ivj
. 04110-0
ADDRES CITY STATE P
4-14-99 272-6287
SIGNA'rIAE DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
r
ERS
......
+:^
` ............i
:7a703
ZONES ZONES ZONES ZONES ZONES
TITLE COMPANY NAME Y'� FSSIv:
P.O. 72797 GARLAND, TEXAS 75047 S6(Ivj
. 04110-0
ADDRES CITY STATE P
4-14-99 272-6287
SIGNA'rIAE DATE PHONE
Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS:
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A V
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
RE FERENCE
REFERENCE BASE
LEVEL
LEVEL FLOOD
ELEVATION
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:;,;j:<;ii .:.: i'
BASE
•r; ;:. :l:: v P>:
BASE ADJACENT:'' '' REFERENCE
FLOOD
ELEVATION
FLOOD ORADE (� LEVEL
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
tt 77M,
ADJACENT::.
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
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105.0'
ASTLE
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NORTH
LOT 1, BLOCK Br SCALE: 1'=20'-0"
THE ESTATE -&-OF CAMBRIDGE MANOR DATE: 3/ 5/99
COPPELL, TEXAS
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THE ESTATE -&-OF CAMBRIDGE MANOR DATE: 3/ 5/99
COPPELL, TEXAS
CREEK
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FORM SURVEY
BEING Lot 1, Block B, ESTATES OF CAMBRIDGE MANOR, PHASE II, An Addition
to the City of Coppeil, Dallas County, Texas, according to the map thereof
recorded in Volume 97084, Page 4971, Map Records, Dallas County, Texas.
2
FIR S 89039'52" E 108.13'
EL
455.14
37.3'
ih
30.0' r+
EL
455.74
"X" SET \
N 89030'03" W 98.1
EL 454.41
DEFOREST L4 NE
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.
20.1'
1
RETAINING
WALL 3
00 a
O v
N CE
OM
O �
EL 452.76
In ¢
FIR
(P.Z.) INDICATES ZONING REQUIREMENTS. `: a * fo : ADDRESS 602 CASTLE CREEK DRIVE
"""'"'" BRENTWOOD BUILDERS
ROBERT C. MYERS . NAME
3963 P.O. N0. "
ROBERT C. RS o. 3 4w SCALE 1"=20'
-� 9 99
DATE
DRN.y�BY AC
ROBERT C. MYERS AnahjUral 3urt1rp .3nr. GP.O. BOX 2797
ARLAND, TEXAS
(972) 272-6267
R.P.L.S. NO. 3963 'A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST' 75047
20.9'
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1.0'
I
TOP OF FORM
N
W
w
ELEV. = 456.43
I
2.1'
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2.0'
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rp
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o2.0'
61.9,
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51.1'
VISIBILITY
TRIANGLE (P.P.)
30' B.L. (P.P.)
\—�
0
—
5' W.M.E. (P.P.)
o
—
15' LANDSCAPE
ESXT. (P.P.)
_M
"X" SET \
N 89030'03" W 98.1
EL 454.41
DEFOREST L4 NE
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.
20.1'
1
RETAINING
WALL 3
00 a
O v
N CE
OM
O �
EL 452.76
In ¢
FIR
(P.Z.) INDICATES ZONING REQUIREMENTS. `: a * fo : ADDRESS 602 CASTLE CREEK DRIVE
"""'"'" BRENTWOOD BUILDERS
ROBERT C. MYERS . NAME
3963 P.O. N0. "
ROBERT C. RS o. 3 4w SCALE 1"=20'
-� 9 99
DATE
DRN.y�BY AC
ROBERT C. MYERS AnahjUral 3urt1rp .3nr. GP.O. BOX 2797
ARLAND, TEXAS
(972) 272-6267
R.P.L.S. NO. 3963 'A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST' 75047