FEMA-EC980617FP
2-21 �q5��:d
The City With A Beautiful Future -
97 BUILDING PERMIT APPLICATION ; A'Y 26 1998
Print or Type in a Clear, Legible Manner
Job Address: Date: ^ PT
e 0
Lot: Block: Subdivision:f � n t Phase or Section Number:
it0iG1
Owner F� `'Jl .� Address: ' F— l
Contractor: Address: Phone #:
Description of Work to be Done Class of Work: KNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
awn u rmss - AYA
Area of Building in Square Feet
First Floor 17 t Garage 7 Value of Work (90
to be Performed
Second Floor — Other :7
GRAY AREA FOR OFFICE USE ONLY (Oil
Iac"1114E
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
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
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 nstruction of the pe rm e of construction.
O.M.B. NO. 3067-0077
ELEVATION -CERTIFICATE
Expires May 31, 1996
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 LOMB).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME POLICY NUMBER
6TREET ADDRESS (Including Apt., UnA Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block
CITY STATE ZIP CODE
�
op PE>~1✓ TX
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
1 4. DA;E OF FI M INDEX
5. FIRM ZONE
6. BASE FLOOD ELEVATION(in AO Zones,7
4V-71
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE NGVD'29 ❑ Other (describe on back)
8. For Zones A or V, where no BFE is provided on the FIRM, and the community has est blished a BFE for this building site, indicate
the c6mmunity's BFE: I I I I I 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 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 11141471.Lfeet 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 .❑ 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 . ❑ 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 ❑_1 . ❑ 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 Ln 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 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.XYes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on�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: I III .0 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 . ❑ 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 Ai—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.
/ understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFIER'S NA"F-LICENSE NUMBER (or Affix Seal)
FJAvi 0?�r�
TIT ,i {.. J PANY NAME
MPJIJ(
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON wRN ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A
ZONES ZONES �(kj ZONES
BASE
FLOOD
FLOOD �- ADJACENT
ELEVATION REFERENCE ADJACENT GRADE
LEVEL 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 OF
TO ALL PAR-rms INTERESTED IN PREMIUS SURVEFED:
R,jimered Protests ,d Larxl •yor, Io Gerrh c miry that :1 rercful W CV %V N adc nl dte `mind this date a der m .ulk�rel:; nl C fdlONln JcscriluJ pn•Lm.
and there are
_ encroachments upsn the adinining protxrty or the adjwininp improstmenis urxm the de.crihed prorx•rly Immn Os
14ro5 ciLA
•
0 .
l50 R.�w•� _
35t zU.IG-38`f•4-1r0&E
F T
N
ap�tit -
2�
O
j�t25 _ 4 S5 Y'S 4
j-
— N
_
�or2Ms
►f �l
�3C
8 A, L.. -E- I=
-Top O -f OAD
1 c�0 O� � P -JN •�= �� 7
1...0j.CJ
i...OT SO
85
p
L O T ZG1 0
t3LocK Q to
o
NI o
Vitt Ir-F�Zr�
i�� 0
u 8`i�4-�r00rryy i6, 2.5 Vol��,�� t •.9
I
b.... EPOLLAM4
itS S1M�'y0
sulk
STATE OF TEXAS
COUNTY OF TARRANT
L�
"To the Lienholdcrs and/or the Owners of the Premises surveyed and to FLOOD NOTE: 1 hereby certify that the property degetibdd hї
within a special flood hazard artl at identified by the
The undersigned docs hereby certify
that this survey wes this day made Federal Insurance Administration, Department of, IloUlling end Urban
on the ground of the property legally described hereon and is correct, and that Development. the flood hazard arca being identified ht
there are no discrepancies, conflicts, shortages in area. boundary line conflicts. of the Federal Insurance Adminl0tatinn' Mond Hazard
encroachmems, overlapping of improvements• visible lines or roads in place, Boundary Map effective on —_
etrept ax shown hrrrnn, nnrt thnt tnid pr.Mp^r!; h^s nct7-.`1r. to and front a
for the
dedicated madwny except as shown hereon."
Dated:
nASIS 1:014 6EARIl4O:
Al" St1RVEYING CO.
David Pollard RPS #1516
fhdtr No _
1909 Central Drive, Suite 309
OOT VOR ('ONSTRIi('1l(>N
IJedford, TX 76021 Metro (617) 261.1249
0
0
Al
n
i
=Builder
PLANS ARE REVIEWED FOR
APPROVAL OF SINGLE
FAIN11 Y:.I7ESIDE, NCE ONLY.
OTHER DEPICTIOkr,S OR
CALL -OUTS ON PLOT PLAN
HAVE N QJ BEEN REVIEWE, D
ANI) ARE APPROVEt).
W
1
N
20.16'
AA'_t,
CITY OF COOPFAL
REMIEWIEZ,
.. DAT -
Approval of the plans and speci=icatimis shall r+ot
be construed to mean construction in direct Nmftt
With the City of Coppell Building codes and Zonis
Ordinances.
idl-,301
.�• "' 56.83'
1405 &LADE POINT DR.
Innovative New Ideas
For Traditional Home Design _
etween The Lines
Residential Designers and Planners
=Arlington, Texas Metro 817-261-4121 FAX 817-274-47T
to verify and check all aspects of this site and plot clan prior
OFSET
FORM Bi
IL S*MVEY RE
Imam f.r.
PLOT PLAN
LOT 24 BLOCK A
RIVERVIEW EST.
COPPELL, TX
FIRST TEXAS HOMES
SEVILLE (FR.ENT) IT`BZJ h )
C OOLEY 4/10/48
to any construction