FEMA-EC931027W4 r
OCT 1 1 93
The City With A Baautitul Future B U I L D I N G PERMIT APPLICATION
Building Inspections Division
Print or Type in a Clear, Legible Manner
Job Address: 14-7 r F_p L_L-S Date:
1c) /
Lot: 43 Block: A Subdivision: EA4,L-6- PV 1 X" V1 L -t Waff Phase or Section Number:
A v
Owner: NTt NC�CON Address: I4,00 '$s.erkw,�C6ro z I Q-tqc— Phone #: 39S-9005
9005
Contractor: S"', M e ty tJE Address: Phone #:
Description of Work to be Done Class of Work: 91 New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
It 2-5 Z0
Area of Building in Square Feet
First Floor
Second Floor
Garage
Other
NOTICE pernii
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 Zonin
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 Apprc
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 Comr,
give authority to violate or cancel the provisions of any other federal, state or local law
regulating cons or a pe ormance of construction.
Signature of Contractor or Authorized Agent Print Name
Arn-T>`X P-cEt l EMP 0
Electrical Contractor Plumbing Contractor Mechanical Contractor
BIR -1 12/921
Value of Work
to be Performed ►?.ter- $ (o O
) $0 GRAY AREA FOR OFFICE USE ONLY
00 Receipt Number.
trio: Occupancy Classification:
ELEVATION CERTIFICATE EExpiresMay31, 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 FOR INSURANCE COMPANY USE
BUILDIN O NER'S NAME POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. NurnOerl OR RO. ROUTE AND 80X NUME3EH I COMPANY NAIL NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.) -�
CITY STATE ZIP CODE
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
DATE OF INDEX
S. FIRM ZONE
6. BASE FLOOD ELEVATION
�4. FIRM
/
(in AO Zones, use depth)
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 90G—VD '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: I I I I I 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 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 1 401 Z 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 I I I I I I U 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 w . U 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 W . U 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 0 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;actual
M: Yes El No (See Instructions on Page 4)
5. The reference level elevation is based on: 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:feet NGVD (or other FIRM datum -see
Section B, Item 7).
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),Vl—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 certifi r is unable to certify to bleakawayinon-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.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFI S NAME / LICENSE NUMBER (or Affix Seal)
" L STATE ZIP
SIGNATURE
PHONE
Copies should be n#e of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
10/01/1993 15:10 0000000
F.E.M.A. LE'T'TER
MRAMUM
AAAAAAAA ::D:D:D:D
be construed to mean construction in direct con-
flict
on-
f i t with the City of Coppeli Building Codes and
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SITE PLAN
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PAGE 02
HR SURVEY PLAT HR
LOT 43, BLOCK E, OF EAGLE POINT VILLAGE AT RIVERCHASE, AN
ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS.
LOT 44
M
66.00'
1424 FALLS- ROAD
LOT 42
I hereby certify that on thudaV of19—'n this survey was mads 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 rise, location and type of buildings and improvements thereon,
if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affeeting the subject property.
There are no oneroaohments, conflicts, or protrusions visible on the ground other than those shown.
Date t�GT.
JOB # .
AARRY J. ROIIELL
GF No.
LEGEND
Scale: I••
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set
Property Line
good Fence ---.-----
Chain Link / Wire Pence x—x—x—x—x
Ovarhead Electric —E E—E—
HARRY
R 0 TELL
t Associates, INC.
Surveying t Bngin
1301 Elm Street Ste. 201
Carrollton, Texas 75006