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FEMA-EC990224(')m a4o3.�i3 BUILDING PERMIT APPLICATION 99-01-15P03:17 RCVD 111 Print or Type in a Clear, Legible Manner Job Address: 535 CF -QM W ELL C:�17 Date: It 4• Lot: 4 Block: I Subdivision: A-S�V �-r-��hase or Section Number: Owner O MGUSA1A km Address: �� [ �� 60KO'L." 1% , Phone #: _ .43 04 97 Contractor: `� Ni� IJ G��0A& ddress: D /0,7 Phone #:8 Z%;,01 �v Description of Work to be Done Class of Work: YkNew ❑ Addition ❑ Alteration ❑ Repair p El Demolition 05-L0 C Q;,-1 VXT La►v - (:; [ C-7 Ce -FA7W lu-r 31-7 -7 Area of Building in Square Feet First Floor 1 Second Floor 2 I b NOTICE 0 Garage 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 performay of construction Signatu of ntractor or Authorized A ent Print Name �E w• v. twwem r-sQ Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) I!F0 coo.oc-, Value of Work 4 - to be Performed C USE ONLY BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK O.M.S. 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 eilevation' 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 LO Instructions Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE POLICY NUMBER BUILDING OWNER'S NAME STREET ADDRESS (Including Apt., Unit. Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER OTHER DESCRIPTION (Lot and Block Numbers. etc.) STATE ZIP CODE CITY 7—X 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 OOD ELEVnes. use ATION S. BASAEO FLOOD (in4�3o�7D o oI�) 10-k6-Ok1 X 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): —'NGVD '29 L✓ 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 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 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 ` feet NGVD (or other FIRM datum–see Section B, Item 7). (b). FIRM Zones VI 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 LL—L—L.0 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 feet above or below 11 11 (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 (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::—' NGVD '29 !l 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: kes ❑ No (See Instructions on Page 4) 5. The reference level elevation is based on: 5 I 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 .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 .L feet NGVD (or other FIRM datum–see Section B, Item 7). 2. Date of the start of construction or substantial improvement FEMA Form 81.31, MAY 93 REPLACES All PREVIOUS EDMCNS SEE REVERSE SIDE FOR CONTINUAnoN 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 cealify 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 available. 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 Alex Seal) Charles B Hooks, Jr RPLS 3946 TITLE COMPANY NAME Registered Prof. Land Surveyor Loyd Bransom Surveyar_ Inc ADDRESS CITY STATE ZIP 1028 Sylvan' a ve Fort Worth, Texas 76111834-3477 SIODATE- -4YPHONEY 7 Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: J`y/��7 y WITH ON PILES, ON BASEMENT PIERS, OR COLUMNS SLAB A V A A V ZONES ZONES ZONES ZONES ZONES REFERENCE LEVEL REFERENCE REFERENCE BASE LEVEL LEVEL FLOOD ELEVATION BASE BASE 1" REFERENCE ADJACENT ::•: ELEVATION ELEVATION GRADE LEVEL ELEVATION REFERENCE ADJACENT LEVEL GRADE .... i:;::, :;;'::,• :.. . ,'ADJACENT::• 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. From : ROB THACKER 817/4138-0093 POI 2011"ia I DATE �\ � ;3 a�� s,,�jxffjcawos shah I)MI Los g;4 - Opolmi� 151- �. �-.. 10 ITF 41, ,,_SGbljfq.y r SCALE: 1" = 30 iz 533 CROMWELL COURT CONCRETE PAVING (SEARING CONTRO UNE) FND. 1/2• S00'42'1 7"E 54.01 I.P. — — — — — 5cR-S� 'O o I c76 'Z e N / 12.6 � 10.0 31.6 N \ 25- 8 11.6 ,p 11.6 ct ILI 6 0 f 4.0 25.1 1/0.474.70 ,1.0 gD o \ \ \ \ 42.2 \ I Li LOT 1 Nel `F`\ \ \ BLOCK 4 R i `\ \ \ \ 17,634.9 S.F. to 00 \ I 3� t o `\ IN00'01'34"E \\ 1 29.72 \ I \ I \ I � 1 PLAT OF LOT 1, BLOCK 4, COPPELL, DALLAS IN VOL'U'ME 99009, LEGEND IL'✓ IRON PIN 0 IRON PIPE A& SOTS D'ARC STAKE O CONCRETE MON -X-X- FENCE - �- •- POWER LINE -T-T- TELEPHONE LINE -CATV- CABLE TELEVISION SHADED AREA DESIGNATES CONCRETE •) ASBURY ESTATES, COUNTY, TEXAS, PAGE 45, PLAT AN ADDITION TO ACCORDING TO THE RECORDS, DALLAS DATE FND. Iac Z 20' B.L. THE CITY OF PLAT RECORDED COUNTY, TEXAS D BRANSOM SURVEYORS INC. CHARLES B HOOKS JR. -EKED PROFESSIONAL LAND SURVEYOR 1028 NORTH SYLVANIA AVE. FT. WORTH, TEXAS 76111 834-3477 02-09-99