FEMA-EC951002IMI
7They With A Beautiful Future BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
AW 2 8 95
Job Address: 24S 1c-L-AJc--S- CIC, Date: 8 zq Qs:"
Lot: Q Block: A Subdivision: Jay Phase or Section Number: 717 -
Owner Address: Z 3� Phone #: (
Contractor: Address: �L.4S 7
Szif Phone #:
Description of Work to be Done Class of Work: New ❑ Al4dition ❑ Alteration ❑ Repair ❑ Demolition
-/d
Area of Building in Sq' .,
Square Feet
First Floor � / `� Garage 42 Value of Work \ G�� OC)c)
to be Performed 1 l �
Second Floor 11 L , Other �
'ELEVATION CERTIFICATE O.M.B. Expires May
y31, 1077
ay 31, 1993
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.
SECTION A PROPERTY INFORMATION I FOH INSURANCE COMPANY USE I
BUILDING OWNER'S NAME / POLICY NUMBER 1
STREET ADDRESS (Includin Apt., Unit, Suite and/or Bldg. Nu er) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION ILot and Block N bers, etc.)
CITY STATE ZIP CODE
�,�1��'L� %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 __J�4.
DATE OF FIRM INDEX 5. FIRM ZONE
6. BASE FLOOD ELEVATION
AO Zones, depth)
fQig—
(in use
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): AVVD '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 BFE for this building site, indicate
the community's BFE: LJ_!_ -1 [_ ..._ 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 1 _i .41&,, 7. 7feet 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 !__1. _!.-j_-1_'.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 .I_I feet above ❑ or
below I (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 . 1 J feet above or below (check
one) the highest grade adjacent to the building. If no flood depth numbor is awailable. is the building's lowest floor (referent.;
level) elevated in accordance with the community's floodplain management ordinance? (- s [ -] No i -1 Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: r--_1NGVD '29 [- I 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: L Yes No (See Instructions on Page 4)
5. The reference level elevation is based on: [_S 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:4IG4-1.ii 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: L1_46Z .14 feet NGVD (or other FIRM datum -see Section B, Item 7).
?. Date of the start of construction or substantial improvement
KI -P, A(; S AP PH( VI()' ` PUFF RFVFRSF = r '!)PJ' INI IATION
�J 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.
1 certify that the information in Sections B and C on this certificate represents my b ret the data available.
I understand that any false statement may be punishable by fine or imprisonmen *—t ': Section 1001.
CERTIFIE 'S NAME LICE W rAfffxe9eeF
y7�7/_ i=l� - YJROWEL� Ij
TITLE L/COO)APA�NYY NAME *~'
ADDRESS CITY
41AL
. STATE ZIP
r
%7 -- _
SIGNATURE DATE PHONE
z-s��7'
Copies s ould be ma 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
REFERENCE BASE LEVEL
REFERENCE
LEVEL FLOOD
I LEVEL
ELEVATION
r.
BASE
FLOOD - ADJACENT REFERENCE
BASE
FLOOD
ELEVATIONApJACENT GRADE LEVEL
REFERENCE
ELEVATION
LEVEL GRADE
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
N�
S
SCALE; 1 = 20'
N88'31'31"E N88'59'40'E
31.25' 33.75'
20.0' B.L.
ro 48'-11"
PLAN NO.
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(min.Fin.Rr.= 462.4)
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2 Carl G
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t rRUT CUT
CITY F4&p"`CLAVES COURT
PEE
BREWED
3Y 0ATE
+pprov- E -,nl specifications shall not
:unstruction in direet� 0n-
;— ell I-) , ing Cad nr
Lot Area: 7149 Sq.ft: Type 'C' Drainage Fence Length: 186'
FENCE LENGTH SHOWN IS MAX.
FIELD VERIFY EXISTING FENCES.
GENERAL NOTES: mktd. as
DRIVEWAYS 16' WIDE = ENCLAVES
ENTRY WALKWAYS 3' W10E
PARKWAY SIDEWALKS 4' WIDE • ----- --
• UNLESS OTHERWISE NOTED SUt)dIV.
THE ENCLAVES ON THE PARKWAY
dot � 1 blk
address
248 Enclaves Court
I
— _ ----- --- ---- ----�
H
uuta cityCOPPELL, TX
m9tm
date pion
10la0.
OWN /ARKwAV. e[ s300
0 8/ .'1 / 9 5 3270.00\.3 597 E L E V A
DALL 14 TEXA! 7s14�
1ftR SURVEY PLAT HR1
LOT 11, BLOCK A, OF THE ENCLAVES ON THE PARKWAY, AN ADDITION
TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
31.25'
S 88 31' 3f" W
LOT 1 >
BLK. A
C�
O
W�
33.75'
S 88 59' 40" W
C� FORMBOARD
LOT 12 O SURVEY
1-4
8.0'
a 25' BUILDING LINE
� M
2ko
w
wo 90 08'20"
O
k6
N
65.00'
248 ENCLA VES C 0 UR T
go
I herebycert{ that on the rM
f!/ .qday o /9 -?,S" this survey was made on the ground as per the field notes shown on this survey
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon,
if any. The survey shows all casements and visible easements of which I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusion visible on the ground other than those shown.
Date SEPTEMBER 21, 1995
0�1��cl��`�n
JOB #
BARRY J. ROIIELL
....... .......,..
GF No. 4597
0 LEGEND 0
f/2" Steel / Iron Rod Found 0
//2" Steel / Iron Rod Set
Property Line
?rood Fence —. -------
Chain Link / Wire Fence x—x—x—x—x
Overhead Electric --- – N,' F, — E —
Scale: 1
HARRY
R 0 WELL
Surveying & Engineering
f301 Elm Street Ste. 201
Carrollton., Trrn,Q 75006