FEMA-EC970430The City With A Beautiful Future G PERMIT APPLICATION
f/
%J � T7�-�/� "Pri nt or Type in a Clear, Legible Manner
Job Address:q.j' � 1 � i
1_
Date:
Lot: Block: Subdivision: '
Phase or Section Number: '
Oi,lr Ail
_ 715; -7�- pn. � wKI-14�o
Owner 0 � Address: PL�1 T -7�� Phone #: 4" _ 0-7-0t /► TC28\A.Contractor:
�Address: 1 `t
Phone #: LLi, tt
Description of Work to be Done , Class of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
T oK �r' �-Z—v
Area of Building in Sgxare Feet
First Floor Garage
Value of Work r
000
1
to be Performed i
Second Floor Other
GRAY AREA FOR OFFICE USE ONLY
NOTICE
Permit Fee:
Receipt Number: j
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
Zoning District: 5" i
Occupancy classification:
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
C't?tT me
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 performance of construction.
Signature of Contractor or Authorized AgentPrint Name
<-a�T2- --e)G //�� iyCi
Electrical Contractor Plumbing ContractorMe hjanii6all /Contractor
/►�
�tT OL
FPMC - 1 (4/94)
Fled.
S -�- r ea;� tt�
• ELEVATION CERTIFICATE O.M.B.Expires May
May37-00 6
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�NUMBEF
coMPANY usEBUILDING OWNER'S NAME
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
COMPANY NAIC NUMBER
Q49 L.._L'_ T_ --
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Lct z B/oc6c'C' ,15ooxfsc;,t PVF ►macfines
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
4. DATE OF FIRM INDEX
5. FIRM ZONE
480 /70
oD/o
6. BASE FLOOD ELEVATION
(in AO Zones, use depth)
4f6 o
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): NGVD '29 El 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, indide' Le
the community's BFE: I i I I I I,LJ 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 I .
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. 11414-1 LJ3 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 L. I I I IJ.H 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 I . 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: ZNGVD'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 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: Z Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on: Zactual 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 I 1f 1516 .15J 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 I I I . H 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 EDITIONS SEE REVERSE SIDE FOR CONTINUATION
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.
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.
pjev-, -DF' r lti(i K te• f? L -S. No - /4,3D
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
owA/t,2 $,,RyEy►�G r45sa�r�'FT�S
TITLE COMPANY NAME
1015 -5. eck j e k0c • 4 /A s 75Z 60;
ADDRESS CITYSTATE ZIP
(Z!'f) 94'8
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: Pla.flcd PAl A VAVWI� Frtr5" &&;Lewxrc.L I5 453,0
I
ON WITH ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A V A A v
ZONES ZONES ZONES ZONES ZONES
REfERENCE
LEVEL
REFERENCE
REFERENCE BASE
LEVEL
LEVEL FLOOD
ELEVATION
.
�,,:::q,:{:; :.:::::::: :::�,
BASE
:,?5'r•..
:$ _ •AOJACENT•••'itz?� REFERENCE
BASE :.: ••:.:
FLOOD
••
FLOOD GRADE '•"FS LEVEL
ELEVATION
ELEVATION REFERENCE ADJACENT
LEVEL GRADE
';.•:: 'r�};:r...•:j::i:}; i. r.7.y:.
•ij; ADJACENT}:
:: .;..::•r:: �'�.;•::;
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
SURVEY PLAT
This is to certify that I have, this date, made a careful and accurate survey on the ground of property located at
No. 942 Fountain. Drive in the city of CoPpell,
Texas,
Lot No. 2, Block No. C City Block No. of
FOUNTAIN PARK ADDITION,
an addition to the City of Coppell, Dallas County,, Texas, according to the Plat thereof
recorded in Volume 93168, at Page 2582 of the Map Records of Dallas County, Texas.
I
LOT I
67.44' TO
FOUNTAIN HEAD I
LOT 3
COMMON AREA
s LAKES OF COFPELL HOMEOWNERS
ASO LAKE ASSOCIATION
°S -
V2"I.RS S 89003'27"E 57. 72' °6 IRs
1.2s
r s
MIN- FF 453.0 `G��"�sS\rC1,'o• 92�'��`" 5
rol
b' of +, AF 1/2-4-
9q 4�
v Pti
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2 1. 0 ' 292CF s°
COT F= 462.27 Fs
�. 5'
w�
1.9'
0
8.1 r 11. 4'
FORM, -BOARDS
O5. 942 FOUNTAIN DRIVE
LOT 2 BLOCK C
N O O
1.6 e.2' I.f
25' B. L.
10'a 10' T.U. ELECTRIC
TRANSFORMER
EASEMENT
N
N
Ql
5' T. U. ELECTRIC EASEMENT
Ttl.Boa O 9'
P.K. S' S 8702113011W 78.14'
1 PL AT BEARING)
2.3^ 1 0.0'
2.3'
N
A
O
0
W`
CO, LOT 13
G
12.3' Cn
0
--- (D
t. T 8 M
FOUNTAIN
URiV�7.
(50' R.O.W.)
1/2" I.R.F.
(James Rae Creati-�e Homes)
This survey was performed in connection with the transaction described in GF No. of
Title Company. USE OF THIS SURVEY FOR ANY OTHER PURPOSE OR BY OTHER PARTIES SHALL BE AT THEIR RISK
AND UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS FOR ANY LOSS RESULTING THEREFROM. And the plat hereon is a true, correct, and accurate representation of the
property as determined by survey, subject to any and all easements, reservations and restrictions that may be of record, the lines and dimensions of said
property being as indicated by the plat; the sise, location, and type of buildings and improvements are as shown, all improvements being within the boundaries
of the property, set back from property lines the distance indicated and that the distance from the nearest intersection st et, or roa, 18 �,Iho—
d
plat. EXCEPT AS SHOWN, THERE ARE NO VISIBLE ENCROACHMENTS OR PROTRUSIONS APPARENT ON THE GROUND. 1 p Flit �.... E�Seale 20`eras 1r•b T�q.�Reg [eyed Professions n
Society of i►:QM' Fo ;a
Data 2/6/97 Plofession0i .........................
Surveyors �p SURVEYING A330CIATE3
lob 97169—FB ••;4'•n""'•'• 1018 S. Beckley, Dallas, TX 75203
('•., wvQ• Phone: (214) 948-3324
Drawn by BDR. �tio°•"eS.uRl=tO Fax: (214) 946-7540
Ye4Na