FEMA-EC950223 (2)TAB City With R Beautiful Future
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
Job Address:
Date:
Lot:
6-C-, Block:/0
Subdivision:
���r����nl Phase or Section Number:
/
Owner: /����1! l �GGEy Address: '3 C Flame N:
Contractor: �� Address: 7 1 /J �1 n� TX ^
-7Y-
y -z -,Rhone M:
/.�
Description of Work to be Done Class of Work: ❑ New $Addition❑ Alteration ❑ Repair ❑Demolition
Area of Building in Square Feet
First Floor ;2l
Second Floor
NOTICE
Garage f 72-
Other
Z
Other
This permit becomes Bull and void if work or construction authorized is But 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 Bud 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 goy other federal, state or local law
regulating construction or the performance of construction.
AnmertZed Agent FrinllVame
Contractor Plumbing Contractor
FPMC-1 (4194)
Mechanical Contractor
Value of Work
to be Performed
O.M.B'. NO. 3067-0077
ELEVATION CERTIFICATE Expires May 31,1996
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 LOMR).
Instructions for completing this form can be found on the following pages.
BUILDING OWNER'S NAME
SECTION A PROPERTY INFORMATION j 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 NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lor 50 �6LocK D� �Au£WCSOp CSTI�TFS
CITY STATE ZIP CODE
G o P P —L L TCkAS
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
I. COMMUNITY NUMBER
2. PANEL NUMBER
3. SUFFIX
a. DATE OF FIRM INDEX
5, FIRM ZONE=FLOOD
4ao� -7 p
0010
IS 1°�j�
1
x (SNA060
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): '-7 NGVD '29 [_2 Other (describe on back)
B. 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 1 1 I I, V feel 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 .
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 L 1 4152 , L feet NGVD (or other FIRM datum -see Section B. Item 7).
(b). FIRM Zones V1430, 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 ,L1 feel 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 __.0 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 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? n Yes ❑ No ❑ Unknown
3. Indicate the elevation datum system used in 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 71, 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: l1 4'1 IN 1' .Ibi .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 1 1 .L_I feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement
cd a ce a i nnnnnnn cnm v lc CrF OFVFGCF SIDE FOR CONIINUATION
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 8FE),VI-V30,VE, and V (with FIFE) 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 sizelocation 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 available.
I undersland that any false statement may be punishable by fine or imprisonment under IS U.S. Code, Section fool.
CEnTtrirn's NAME LICENSE NUMBER (or AUIv Seaq
4Z Z,3
J I71_E COMPANY NAME
SUCW6l 40.f2
ADDRESS CITU
STATE ZIP
&kv-m .ORw-E---- ---__—��ttJ �zat� Tic. 1('0\2 _
SI ,NATLIRF. DATE - PHONE
�W� 2-23-qS g1'1 261- 28'18
Copies should be made of this Certfflcate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: gEL.1c.H 1�DtL�-t LTnY.6N F2pBn Gon1SS2Oc.FTt01J Pl.tawY� Fol GtP 4rD�oNi PHASE Tu�]Oi
,1 Li,1-OT-1w� CMNTM OF QELE556tJ itJ t,E 1' Ohl 500TH skm of PQtLII BWO. (O50, t WEST
_sF cE�£� OF 1hyCEiLSEGTtofJ OF M� p2TttU(L AND PAttr AY FSWD F-LFV -A 5k 3)
X-_c.ur_)N-_Gf �tERt_1N6- I�CECLSE�s toN OF M� ACzTHUR pND PARK 4yAY F51 Vp•
�LEV. = A53.a3
ON won ON PILES,
SLAB BASEMENT PIERS. ON COLUMNS
A V A A v
ZONES ZONES ZONES ZONES ZONES
BEFEIIFNCF
nP+EnErK[ LEVEL REIFRENCE
LEVEL BAB!
n00I L!V!L
ELEVATION
t(
�J�,11 yivw SAM
PASS
• M7 y':i V;
n:
'Loco AWACEN rj nEFEOENCE LCC0
ELEVAIEM! • nEFERENC[ AWACENf OIUOE LEVEL ELEVATOR
tEVFL ORAOE
777-7,7
GRADE t
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 Moor.
Elevations for all V Zones Should be measured at the bottom of the lowest horizontal structural member.
page 2
FEB -21-95 TUE 10:30 WEELEY EXEC ADMIN. 7136234317
P.01
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FAMILY R STI)FNCE f
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GTHF ' DEPICTIONS
R
CALL -OUTS ON PLOT
HAVEN T BEEN REVI
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AND ARE NOT APPRO
• PLEASE VERIFY
LOT DIMENSIONS
IN FIELD.
450.3
L
6' EXT
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\
THE TOP C
SET A MINI
ABOVE THE
I MUST BE
F 2-2x6'S
ST GRADE
t BUILDING
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or t a o [ C d epecilieolione L
meet on boon a equiny to 0 t�
are in eubetan' onf y n!s A
Minimum Pr v uiremeds.'
ALLEY
66,57'
12'x12'
PATIO
S• 67 B
FP 661.6
4'
A00.6
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F.E.M.A. L TIT
INIMUM f
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HOUSE: 3596
FLATWORK: 656
LOT: 11255
CITY 1PPELL
REVIEWED
Y DATE
Approval 40t the p s and specirfications shall not
tie construed to mean construction in direct corn
Ct with the CltV oFkgoDell gp%digy_q flasare/
ROM' N 67 8 ROM S 67 8 20-95 BF
5—BF
Homes dote: 1-12-95
Srose pinw_am 00 project: OJ
odd ss: 1005 CHERRYWOOD TRAIL job: 101
enhrlir i ev[-unnn rrr •rr.- __ .. _ __ _ n •runny
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en.Lot,
PLAT SHOWING
Lot 50, black 1) of ,l.()OD ESTATES, an Addition to the City
of Coppell, D:a;la:: "o�unty: Texas, according to the Map or
Plat .hereof recorded) in Volume 93014• Pave 670, Map Records,
Dallas County, Texas.'',
Commonly known as 1005 Cherrvwood T'ra01
x C,72"A DfiD)
0
e
THIS PROPERTY IS LOCATED IN ZONE (S)y_ — AS DELINEATED ON FLOOD INSURANCE RATE MAP
PANEL.. NO. 4�?l-c0 aoloE E
EFFECTIVE DAT- 15• 4.. LOCALIZED FLOODING_
NOT DETERMINED.
P 0. Box 13556 • Land Surveving
Arlington, Texas • Land Planning
GEODATA SURVEYING, INC.' 76094-0556 • Topographic
Metro 261.2878 Mapping
SCALE_ A"
LEGEND
o .... iron rod
—x--x-- .. fence line
—T--E-- utility line
I hereby certify this to be a true and correct representation of a
survey made on the ground under my supervision and there are
no visible encroachments or protrusions except as shown.
GLENN W MILLER R P L S - STATE Of TEXAS NO 4223
DATE_ _ �9