FEMA-EC990219����� ► �m 2�j1`�g�9 s 07-23-98 P02:40 IN
he City With ABeautiful Future BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
Job Address:C 6 ST C 2 PG / Date: ZC2 / �g
��tt
Lot: Block: $ Subdivision: 67WT65 aF 1��9M a Phase or Section Number: TI
Owner
PhoP a #:7 VI
G�
Contractor: s Address: Phone #:
Description of Work to be Done Class of Work: �U New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
S,Y1 4-APAft-y t,Jic—� Lf-- c/6
Area of Building in Square Feet
First Floor 3 C 413
Second Floor Cl Z
NOTICE
Garage 8 y
Other
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 construction of the performance of construction.
/ Siinatnre o Contractor or Authorized Agent Print Name
Electrical Contractor Plumbing Contractor Mechanical Contractor
Value of Work ,o
to be Performed
FPMC - 1 (4/94) &Ai
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK //
ELEVATION CERTIFICATE o:lu.e.r+te>'oo»
hpiresMayil, r!!3
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ATTENTION: Use of this CatlBCate does not provide a waterer of the food Insurance Purchase rowltement. This form Is used only to
Provide elevation Intermatio n necessary to ensure COrnpeWICS with applicable community floodplain mansgement ordinances, to
determine the proper insurance premium rate, and/or lo Support a requeel for a Letter of Map Amendment Or Revlslon (LOMA or LOMR).
UIMfuCMOM few ODWOIBIktg No foml Can be found on tis Ioillwa IB peps.
SECTION A PROPERTY *FORMATIONne_ Pan INSURANCE COMPANY uas
BUIL000 OwrrB NAME FoucY iNnt4ME11
STREET ADDRESS (b*mSV Ace.. UdL Sum mabr Bile. NIgIIbIh OR P.O. ROUTE AND BOX NUMBERI COMPANY MAIC NUMBER
OTHER DESCAWTM (Lal Ano Bloc Number,, tic.)
WE 3e W= Bs= MU125 OF CAMRM W"
CITY STATE ZIPCODE
mnPf+s�- 11W 73M9
SECTION 9 FLOOD tiVSURANCE RATE MAP (FIRM) SiFORMATION
Provide ft folka" from the Proper FIRM (Ses Instructions):
1. COseANTY
PANEL NUMBER
S. SUFFIX
4. DATE OF FIRM INDEX
S. FIRM ZONE
/. BASE FLOOD ELEVATION
(N AO ZQFAK Ilya d@PIy
"M7071
0010
E
3- Ice!()
AE
451.5
7- indicate the elevation datum system used on tine FIRM for Base Flood Elevations (BFE): IN NGVD 29 ❑ Other (describe on back)
8. For Zones A or V, where no BFE Is provided on the FIRM, and ft Community has established a BFE for this building site, Indicate
the Community's BFE: I . U 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 sub)act buYdhng s reA►erim 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 LUUNI,_ A feet NGVD (or other FIRM dot m -sae Section B, ftem 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural member o1 tie reference level from
the selected diagram, le at an elevation of I I I I I I,U feet NGVD (or other FIRM datum -am Section 13, Item 7).
(c). FIRM Zone A (without BFE). The floor used as tie reference level from the selected diagram Is I _I.1.1_1 feel above Cl or
below ❑ (chock one) the highest grade ad)acent to ft building.
(d). FIRM Zona AO. The floor used as the reference level from the selected diagram is (_1_J . U feet above ❑ or below ❑ (check
one) the highest grade adjacerK to the building. ff no flood depth number is available. Is the building's lowest floor (reference
"elevated In acoordarm with the commurAWs floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown
3. Indicate the alevadon datum system Used in detemdning the above reference level elevations: ® NOV079 ❑ Other (describe
under Comments on Pagel 2). (NOTE: M the elevation datum used M measuring the elsvallons Is dderent Man that used on
the FIRM (orae Section 8, Mem 7j, than convert rhe olovollons to fat datum system used on the FIRM and show ire convonlon
equaion unifier Conimanls on Paan 2.)
4. Elevation reference mark used appears on FIRM: ❑ Yes II& No (Sae InstruCtions on Page 4)
5. The reference level elevation is based on: IN actual construction ❑ construction drawings
(NOTE: Use of construction drawkigs Is only valid M the &"V does not yet have the re/ow" to* Abut in place. In which
case this oerlikate win Only be Valid for the buftc ft CO Mfg the colsse of construcdon. A past -construction ENvaion CeRlMcare
will be roqui od once construction is odmplefe.)
S. The alovetion of der lowest grade Immediately sd)scont to the building is:" 141514).M feet NGVD (or other FIRM datum -see
Section 8, Item 7).
SECTION O COMMUNIYV INFORMATION
1. N the community official responsible for verifying building elevations specifies that the reference level Indicated In Section C. Mem 1
Is not the lowest floor' as donned In its commurdWs floodplain mseaperent ordinance, fat elevation of fat bullctng's'lowesl
floor' as defined by the ordinance Is: W _I__i . U teat NGVD (or other FIRM datum-Eea Section B. flan 7).
2. Date of the sten of eonsauction or substantial Improvement
PIMA FerM at -31s MAT lO REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SECTION E CENtillf CATION
This certification h) to be signed by a land surveyor, erghneer, or archltect who Is authorized by stale or local law to Certify elevation
information when the elevation information for Zones At -A30, AE, AN. A (with BFE).V1-V30,VE, and V (with BFE) Is required.
Community OMICials who.are authorized by local law or ordinance to provide floodplain management Information, may also sign the
centlkallon. In the caw of Zones AO and A (without a FEMA or wmmunny Issued SFE), a building official, a properly owner, or an
owner's representative may also sign the certi(latlon.
fieference level diagrams 8.7 and 8 - Distinguishing Features—If the certlller 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 Festure(s) not
Included In the certification under Comments below. The diagram number, Section C, Iters 1. must stis be entered. _Owl
l Carrify fhaf the infomagort in Sections 9 and C on this C&Wfkmfs represents my best sl/orts io intarpret ten date as
I urldsrsarM that any /alas salsmsnt may be punishable by Itis or hnp►iaonnrent under 18 U.S. Cods, Section tool
CERTiREw$ NA1AE ' LICENSE NUNGEfi (or Aft SW
REGISTERRD !ROMSSIORAL LAND SURVEYOR ANALYTICAL SUR
TITLE COMgyty NAIVE
P.O. JW)k 2797 GARLANDe TEXAS 75047
CITY erATE - lqw
_ — 2-19.99 272-6287
DATE PHONE
COplee should be medic of thae CertlflcNe for: t) aorrewoft otllalal, 2) Insurance agentitornpany, end 3) bulking owner.
ON an Nu»,
Wa eMeNDIT NIM, all COLLgmw
A Y A A y
ZON99 z0019s :00199 ZONES DOM
.eve FLOW dna
ALOW :•i: •:`�: •eallOaR :5. AVaeMee A009
6MVATMM A1aMWr l alMliOM
?� j '.fir. ��5�':.?ilY •.> .:. :...ju:
i.,
The diagrams above Illustrate the points at which the elevations should be measured In A Zones and V Zones.
Elevations for.aE A Zones should be measured at the top of the reference level Moor.
Elevation$ for as V Zones Should be measured at the bottom of the lowest horizontal structural member.
Pepe 2
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7-0' CITY WALK AS REQ'D 115.00'
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PLOT PLAN
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�`� rig° )j APPROVED
LOT 3, BLOCK B
SCALE: 1'=20'-0"
CAMBRIDGE MANOR
PHASE II JOB #98064
COPPELL, TEXAS
DATE: 7/9/98
FORM SURVEY
BEING Lot 3, Block B. ESTATES OF CAMBRIDGE MANOR, PHASE ll, An Addition
to the City of Coppell, Dallas County, Texas, according to the map thereof
recorded in Volume 97084, Page 4971, Map Records, Dallas County, Texas.
NOTES �z
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. of t
S 0(r20'08" W 115.00'
FIR
FIR
h��QfS'�_
• .. •..
ADDRESS
3
•' 3963 �:
NAME
0
N
S.p
eR?
4N� SUR
P.O. N0.
13.0'
20' B.L. (P.Z.)
SCALE
1"=20'
MYERS
15.7'
DATE
8-5-98
DRN. BY
c i 17.1 'wi
ROBERT C. MYERS
,�.1tM�1J�trM1
+�urvPl�s,
Jar.
P 0. BOX 2797
G RI.AND, TEXAS
(972) 272-6267
N
v
d
40.3'
R.P.LS. 140. 3963
2
75047
M
0
O]
N
O
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Y
v
r
FORMS ONLY a
W
a
of
W
13.0'
17.9'
N
w
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Ol
M
M
N 4.6' n
�
a io
�i 13.8'
bk
7.0'
V1
H
4.8, :- N 4.8
X12.4'
� 12.4' in 12.3' vi
(P.P.)
0
6
M
U. E. (P.P.)
—
FIR
FIR
N E 115.00'
REF BRG (P.P.)
CASTLE CREEK DRIVE
NOTES �z
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. of t
S• .. f4,
eTEq fo 7U`
h��QfS'�_
• .. •..
ADDRESS
610 CASTLE CREEK
•' 3963 �:
NAME
1-3B
S.p
eR?
4N� SUR
P.O. N0.
N/A ,
SCALE
1"=20'
MYERS
R.P.L 3963
DATE
8-5-98
DRN. BY
AC
ROBERT C. MYERS
,�.1tM�1J�trM1
+�urvPl�s,
Jar.
P 0. BOX 2797
G RI.AND, TEXAS
(972) 272-6267
R.P.LS. 140. 3963
'A PROFESSIONAL COMPANY OPERATING IN YOUR BEST INTEREST-
75047