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FEMA-EC94032411111112 h) A i The CidWith ABectiful oFuture BUILDING PERMIT APPLICATION u�(j ) Building Inspections Division �j '7 p� 0 9 Q� ) - % ri / �. 2— Print or Type in a Clear, Legible Manner f Job Address: Date: 1 � D �Ov � �' 4 1 ►�+e-aci � G. ►r1 e 3 8 _ S , . ---�-J -Lot: 7 Block: C Subdivision: F7W Phase or Section Number: Owner:A r Address: t 78 14 D2" orf � Phone #: Aver Gc��l/�d g Cv s/ v 1 styey S'4 `o i� -?'F-?'F 3 , O % Contractor: Address: 11-v3 Phone #: Description of Work to be Done Class of Work: ,New A teration ❑Repair ❑Demolition 7❑'7}�Je�ddition Area of Building in Square Feet q First Floor Garage / Value of Work to be Performed Second Floor % 5-'? Other GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee:7 1� r Receipt Number: aggl 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 be222��A 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 () - Cj Comments: regulating construction or the performance of construction. gnature of Contractor or Authorized Agent Print Name Ja 0=!i ely- ACV ran Electrical Contractor Plumbing Contractor Mechanical Contractor BIR - 1 12192) ELEVATION CERTIFICATEO.MB.No30670077 - w • ► EXPues Mdy 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 OWNER'S FOR INSURANCE COMPANY USE POLICY NUMBER STREET ADIFRESS (Including A t.. Unit, Suite and/or Idg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER 4-0 OTHER DESCRIPTION (Lot �dk Numbers. etc.) ,1/�\ 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 4. DATE OF FIRM INDEX 5. FIRM ZONE 6. BASE FLOOD ELEVATION 48ono_ GO 10 E 4 - 15 - CM- (in AO Zones, use depth) NowE . Indicate ine elevation datum system used on the FIRM for Base Flood Elevations (BFE): ❑NGVD '29 ❑ Other (describe on back) 3. 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 J.L_J 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 zoRt-, BnA R 2(a). The top Of the i is at an elevation of __ ___�+$i .!,� 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 LH JJ JJ 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 IJ 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 L__LJ.0 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: U NGVD '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 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 �F-I-,R�M: 1:1 Yes El No (See Instructions on Page 4) �h�hotti� 5. The reference level elevation is based on: I_VT actual construction ❑ construction drawings OT' -JqDrm_ (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 elevatiori of the lowest grade immediately adjacent to the building is: L I I I I I .LJ 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: LJ ► I I I .LJ feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial improvement — 3111 1 MAY 90 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. 1 certify that the information in Sections B and C on this certificate represents my best efforts to interpret the data available. Iunderstand that any false statement may be punishable by line or imprisonmmeennt under 18 U.S. Code, Section 1001. `onotz CERTIFIER=SAME LICENSE UMBER or Affix Se 1)9.en` .� lam„ s�,,�A, � n�lL -I TITLE- r. L _ COM ANY NAME ADDRESS /) 61TY5/"-/q / _ / /q � /� I TATEp� urve P SIGNATURE / DATE PHONE Copies should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner. COMMENTS: _ NOTE: This "Elevation Certificate" is valid for item 2(a) only and in so much as changes made on the face of this document. This is a certification of elevation of form boards only.,, The property referenced hereon is not located in a FEMA 100 year flood hazard as per referenced panel rr The elevations shown were taken from grading plan of �pu•t7;�-, �/ ON WITH ON PILES, SLAB BASEMENT PIERS, OR COLUMNS A v A A v 20NES ZONES ZONES ZONES ZONES REFERENCE REFERENCE BASE LEVEL REFERENCE LEVEL FLOOD IE VEI ELEVATION 1 BASE ,•, 4 ADJACENT REFERENCE BASE FLOOD FLOOD GRADE LEVEL ELEVATION ELEVATION REFERENCE ADJACENT`iR, LEVEL GRADE `t4 ��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 • •. � � �6�• W���fi li�r1 / 0 \r MA NTENANCE \ \ / ES►aT. / � / X / EXISTING 20' ACCESS, S & / / MAINTENANCE ESM I Ll I x Yk4. J / 26,7,, Im 151 SANITARY WjLD1keH•fi ISN \ \ SEWER ESMT \ NEW RESIDENCE - N ` \ \ FP = 457.4 I \ \ FF = 458.15 1121,1 w \ CONC. \ -V,DRNE cot4c. *1j 10 \ i CITY SIDEWALK \ 47-09 t AD LANE o N uNTA1HE NORTH F E P LAN .............................. 13-OCK- C• SI� _ LOT - SCALE. 1 20, 0 R 0 M m 7.5' SAN ITARY m SEW ER ESM T.,— 0 LOT 8 BLOCK lu to- lC5 8 25'BL Z 5'T.U.E. EVT. N 89°08'03" W I.'t Lzrreeuce sLAQimgc SURVEY PLAT ADDRESS: 940 FOUNTAIN HEAD LANE, COPPELL, TEXAS. LOT 7, DLuCK C, FOUNTAIN P ARK ADDITION, COPPELL, TEXAS. LOT 21, BLOCK B WATERSIDE ESTATES, PHASE NO. I VOL. 86036, PG: 402, M R.D.C.T. S 89°08'03"E 89s? 10' MAINTENANCE ESMT VOL. 84244, PG5412, D.R.D.C.T. 20' BL VOL.84244, PG. 5412, D.R.D.C.T. LUT 7 o "x ° FND N O_ N� LAKE o, N Q 0- 01 \ w. 43 ` STONE VALL C ro 0000� 1` VO1 L 85233, PG 3385, D. ND.C.T. CE SM'T. \ fko Oc 5� RASO �9' LOT 6 -00- FOUNTAIN HEAD LANE ( 50' WIDE ) STORM SE% INLET 3ar4Nal soueec: TO: THE PROPERTY SHOWN HEREON IS NOT LOCATED IN A DESIGINATED AVERY & EDWARDS ZONE A PROPERTY IS100 YEAR LOCATED ON ZONED A EA) ACCORDING TO FEMA MAP: PANEL : gPnll0 Dain D DATED: 10' I(o - 91 I do hereby certify that the plat shown hereon represents the results of a survey made on the ground by me or under my direction and supervision. Visible and apparent Improvements to the property found on the ground are Shown hereon. Except as shown hereon there were no visible and apparent encroachments or protrusions of Improvements found on the ground. This survey Is subject to all easements of record. This survey was performed exclusively for the above mentioned parties. Use of this survey for any other purpose or by others shall be at their risk. Scale ,�=za' SHIELDS AND LEE SURVEYORS Date 3- (F) -94 1421 FERNDALE AVENUE `��.��� DALLAS, TEXAS 75224 Job. No. (214) 942-8496 Drawn by CP S TF R�•'+9 t Q� �0 -------------------------- W. R. LEE T ) ............................. C. X90 2038 � . Q 9 '.O ESs o 0 O SU%4 W.R. Lee, R.P.L.S. 2038