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FEMA-EC931129q�'" I - ®32 ?'�:-6 �DS = T - „» City With A Bding In�autitu''7Wswnl Future BUILDING PERMIT APPLICATION 1 0 93 `Builm, / 0 O�VVR�t,JJ� ) Z q Print or Tvpe in a Clear. Legible Manner---.; Job Address: 1 2-F,, * f`1 Date: Lot: Block: /4 4Subdivision: O . N� Phase or Section Number: Owner: /� �, Address: o L� Phone #: � _ O s Contractor: Address: Phone #: Description of Work to be Done Class of Work: New ❑Addition ❑ Alteration ❑ Repair El Demolition ` 7UC�ZC L�Ic� 1`�yw� ��1� Area of Building in Square Feet First Floor Z Garage L"! Second Floor / Other Value of Work /l to be Performed 2 ©V '64 --GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee:receipt Number 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 Zoning' District: Occupancy Classification: days at any time after work is commenced. Approved By: Date: 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 beOmmen 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 or the performance of construction. V tS: 14 kgrr�gu&ontractor or AuthorizedAgentntame V lectrical Contractor Plumbing Contractor Mechanical Contractor esln - i 11/x21 ELEVATION CERTIFICATE Expires No306700" May 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 determine the ty floodplain management ordinances, to 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 FM INSURANCE COMMY USE BUILDING OWN S NAME POLICY NUMBER STREET ADDRESS (including Apt, Unit, Suite and/or Bldg. NUMbWj OR P.O. ROUTE AND BOX NUMBER COMPANY NAIL NUMBER G 2> OTHER D SCRIPTION (Lot and Block Numbers, etc.) T -4Z �G DG,C ,4 V T 4 -7- CITY STATE ZIP CODE SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Instructions): I - COMMUNITY NUMBER 2. PANELNUMBER3 SUFFIX 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION ���7� '7'L/ 0 1t J / 16" ) �< (in AO Zones. use depth) i. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): 2 IrGVD '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 . L 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 l 1 141417 -YJ feet 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 I I I I I I ,Lf 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 uJ.Lf 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 LU . U feet above ❑ or below ❑ (check one) the highest grade adjacent to the building. If no flood depth number is avallable, 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 Q Other (describe under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different Ohara that used on the FIRM (see Section B, Item 7j, 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' as 13 No (See Instructions on Page 4) 5. The reference level elevation is based on: Eactual construction ❑ construction drawings (NOTE: Use of construction drawings is only valid if the building does not yet have ft 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: I 1149171.k2 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),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 09 the Features) 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 IW I. TITLE ADDRESS SIGNATURE LICENSE NAME (or Attuc Seal) STATE ZIP PHONE Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner: 11/04/1993 17:30 I4Z9 pok_p y CITY OF COPPELL /� -REVIEWED UOni /l / �l l� BY v v ®ATE Approva; o : ne, p s and specifications shall not be construe: mean construction in direct con- fUc� ,jsth the ,itw of Coppell Building Codes and Zomn, ,- 1r4,!nanr­. � Y LH. •_ r CITY OF COPPELL /� -REVIEWED UOni /l / �l l� BY v v ®ATE Approva; o : ne, p s and specifications shall not be construe: mean construction in direct con- fUc� ,jsth the ,itw of Coppell Building Codes and Zomn, ,- 1r4,!nanr­. � Y LH. •_ r SURVEY PLAT LOT 42, BLOCK A, OF EAGLE POINT VILLAGE AT RIVERCHASE, AN ADDITION TO THE CITY OF COPPELL, DALLAS COUNTY, TEXAS. LOT 43 S 89 47' 00" E 66.00' 0. 37.21 Rjz:25.0 1428 FALLS ROAD LOT 41 I hereby certify that on the-41�day of /YDV 19-�a this survey was made on the ground as par the field notes shown on this survey and is true, cortect, and accurate as to the dimensions of the subject property and sire, location and type of buildings and improvements therson, if any. The survey shows all easements and visible easements of which I have knowledge or have been advised affecting the subject property. There are no encroachments, conflicts, or protrusions visible on the ground other than,thoss shown. Date o z3 �'� �"' JOB # . BARRY J. R...... CF No. 4597 W LEGEND W 1/2" Steel / Iron Rod Found O 1/2" Steel / Iron Rod Set Property Line !Food Fence — . — . — . — — Chain Link / wire Fence x—x—x—x—x Overhead Electric — E — E— E — HR HARRY R0 WELL i Associates, INC. Surveying t Engineerii 1101 Elm Street Ste. 201 Carrollton, Texas 75006