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BUILDING PERMIT APPLICATION
i° ""� Print or Type in a Clear, Legible Manner
Job Address: /6)/3 Mr (Nkt�f/
Date: ' � i
Lot: 41 Block: Block: Subdivision:
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l Phase or Section Number:
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Owner �f ( 1 Address: �r7
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Phone #: 7J
Contractor: )�Address:
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Phone #:
Description of Work to be Done Class of Work: ❑ New ❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building inSquare Feet
First Floor 2:� Garage
Value of Work
to be Performed�l 'god
�•,f�-;
Second Floor Pout S
Other
GRAY AREA FOR OFFICE USE ONLY
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
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at any time after work is commenced.
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I hereby certify that 1 have read and examined this application and know the same to be [rue
and correct. All provisions of laws and ordinances governing this type of work will be
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complied with whether specified herein or not. The granting of a permit does not presume to
give authority to violate ane t e provisions of any other federal, state or local law
regain.' on ell the pe can nee of construction.
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Signature of Contractor or Authorized Agent Print Name
W� )A -� Tri
Electrical Contractor Plumbing Contractor Mech cal Contmcmr
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FPMC - 1 14/941
O.M.B. NO.'3C67.0077
ELEVATION CERTIFICATE Ex0ire, 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
orovlde elevation information necessary to ensure compliance with applicable community floocclain 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.
SECTION PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER S NAME POLICY NUMBER
STREET ADDRESS 06cluaing Apt., Unit. Suite angor Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
1013 Cherrywood Trail
OTHER DESCRIPTION ILat and Black Numoers. etc.)
Lot 48, Block D, Lakewood Estates
Curio
STATE ZIP CODE
City of Coppell Texas 75019
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
COMMUNITY NUMEE.R
'.=:-PANE': NUMBER
:. SUFiX_.
CAT E OF FIRM INCEX
-. F:RM ZONE
5. BASE F_COC ELEVATION
,In AO Zones. use aeoml
480170 Ill
0010
D
10/16/91
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 1. NGVD '29 _ Other (describe on back)
8. For Zones A or V. where no BFE is provided on the FIRM, and the community has established a SFE for this building site. indicate
the community's BFE: 451. 7, _ feet NGVD (or other FIRM datum–see Section B. Item 7)
SECTION C BUILDING ELEVATION INFORMATION
1. Usina 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 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 1 452:?_ feet NGVD (or other FIRM datum–see Section B. Item 7).
(b). FIRM Zones V1 430. 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 feet NGVD (or other FIRM datum–see Section S. Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram is _._ feet above or
below _ (check one) the hichest 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 —_ (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 level elevations: x 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 77, 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 an FIRM: Yes X No (See Instructions on Page 4)
5. The reference level elevation is based on: x actual construction _ construction drawings
(NOTE: Use of construction drawings is only valid it 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: 451.1, —.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: . _ feet NGVD (or other FIRM datum–see Section B. Item 7).
2. Date of the start of construction or substantial improvement 8/1/95
FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR COl MNUATION
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. AH. A (with eFE),Vi—V30.VE, and V (with SFE) 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 Featurels) not
included in the certification under Comments below. The diagram number. Section C, Item 1, must still be entered.
l certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available.
I understand that any false statement maybe punishable by fine or imprisonment under 18 U.S. Cade, Section 1001.
CERTIFIER'S NAME
Dan B.
TITLE
AODRESS
SIGNATURE
Copies should be made of this
LICENSE NUMBER (or
COMPANY NAME
CITY
S. No.
les S Boyd, Inc.
STATE
Texas
DATE !E _ PHONE
ZIP
75248
for: 1) community official, 2) Insurance agenvcompany, and 3) building owner.
ON
SLAB BASEM NT ON PILES.
PIERS. OR COLUMNS
A v A
ZONES ZONES ZONES A v
ZONES ZONES
REFUENCE PEFEPENCE
LlVEL EASE LEVEL
RE:EAENCE
0.000
El£/ATgN
!V!
Y'.
EASE r:. :id
8000 "' AIWCEM i4 REFERENCE
ELEV�TpR REFERENCE AyACEM OMOLEVEL
WIE
EL000
ELVAMN
LEVEL G�OE y.,
................. .rv: till}.
G
-:�: RApE .:
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
FOUNDATION FORM SURVEY
TO ALL PARTIES :N'ERESTEO .N PREMISES SUl
.ert t' o a 99
.ase 1 re-.. �• re r -e • _s_u•+e. .e ocatea
a 3C/zerrwTa/ oCQ/a/'y4 .0,ows.
B! IN!.qq. �' 'itis, a..1..k 9. _ L6�c C�[Uooi7 E. Q�eS _.. ,jr addit�or to
tie L..%Ey of C"ael/a f7/2 tf '^erec' -eCorded
aCCO'd n� �
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CHERRVIVOOD TRA/L
re ¢19.9 (SO'RO.I/j,) re 449.6
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(ERTIFICA.7ION
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'he property as aeler.n:reo b. 'h,s sur+e •re '.•res arc ]:.--w,,O }
saia property beirq as lnd,catec br 'he plat he sire, ocatlor
'ype of b0dirgs aro —D,oveme,ts jre snow• Uro+er-erts
being within the bounaanes Or the Draper-,. >el bau f.11 •Pe
property linesthe distorces Id-catee. and 're,, u.e _
ercrochmilinnttilI or o' protrusions. erceas ^otec
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JONES do BOYD, INC.
' CONSUL'1NG ENGINEERS
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SCALE: t - 20'
Ic 4"
R355A
(2867)
SPECIAL
FF 51.8
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FLANS Al?: "°.3K
APPRO3VAL OF IN
I, R , SS=�'iEN —,E
Fj&I
0THER DEa iO � : s::,
CALL -OUTS ON PLOT PLA CSI
RAvE Na BEEN E,
AND ARE ZiQT R VEDD
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OS 51.3
LOT 49
FORM BOARD
WRVEY REQUIRED
BY DATE
Approval of the plans and specifications shall not
be construed to mean construction qn jiroc'' con
fl+r` i;;ty of 'nD4eft 9u�lrl
;n.: ^.nesPP
NOTE: Ymknum eIrMlen drop aeay I, Iamd9li*, 4sr W for 4 :
Sod rMWnine OW It deper eX 3:1, rNain If Meow
then 2:1. Suwntwldent to sus octuel
SwillM�b t�'jiv �J[b 1.i.<.w
Drive Area: 627 Sq.Ft.ow. ww-
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{,YIO_
Lot Area: 73E9 Sq.Ft. Type 'B' Drainage Fence length: 119'
Includes 1 Cote
date ALL ELEVATIONS ARE ANAL
07/17/9 S GRADE UNLESS OTHERWISE
NOTED. EXISTING O GRADES
ARE DENOTED THUS (roc.x)
rev 07/19/95
subdiv
LAKEWOOD ESTATES
1 48 I
ATrendmaker Homes address
5757 AIPho Road. Sulte 700 1013 CHERRYI
Dallas, Texas 75140
tq.re.w.' (214) 450-9909 elty
COPPELL, TX.,
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TRAIL
857A RIGHT