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FEMA-EC981010 (2)
NOTICE This permit becomes null and void if work or construction authorized is not commenced within IRO 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 cancel the provisions of any other federal, state or local law regulaC construction o the erformance of construction. t Signature of eontractor or ulhorized Agent' --,Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK •�:.�, The City with A Beautiful Future BUILDING- PERMIT APPLICATION-w'�-;:`�-, D • Print or Type in a Clear, Legible Manner Job Address: ( �( Y Date: Lot: Block: Subdivision: Phase or Section Number: L Owner 'J1 ovy�� Address: �, _ �� Phone #: - %„//0„ �� Contractor: Address: Phone #: Description of Work to be Done Class of Work: ew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition /) Area of Building in Square Feet t z Ll 1� V &C) First Floor Garage Value of Work f 6 L ` Other to be Performed Second Floor GRAY AREA FOR OFFICE USE ONLY NOTICE This permit becomes null and void if work or construction authorized is not commenced within IRO 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 cancel the provisions of any other federal, state or local law regulaC construction o the erformance of construction. t Signature of eontractor or ulhorized Agent' --,Print Name Electrical Contractor Plumbing Contractor Mechanical Contractor FPMC - 1 (4/94) BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK O.M.B. NO. 3067-0077 ELEVATION CERTIFICATE EzpiresM%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 I FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME POLICY NUMBER 1--112 — — STREET ,�ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. RO} �TE AND BOX NUMBER COMPANY NAIL NUMBER OTHER DESCRIPTION (Lot and Block Numbers, e L n t Z � '( Loc 1 Mat "16�-,J=Sr,T.�t W_ _ CITY STATE ZIP CODE C -a P > >X 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. BASEFLOOD LEVe� ON (n AO nesuse depth) 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): GVD '29 ❑ Other (describe on back) 8. For Zones A or V, where no BFE is provided on the FIRM, and the community has esta lished a BFE for this building site, indicate the community's BFE: .1. Ll 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 __L— . 2(a). FIRMII Z,�oones Al -A 0, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of c_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 ❑J❑❑❑ .❑ 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 ❑❑.❑ 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 LLL . ❑ 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 ❑ 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:/Yes ❑ 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.) RRII 6. The elevation of the lowest grade immediately adjacent to the building is: L❑�J 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: LA -11—L-1.1-1 feet NGVD (or other FIRM datum -see Section B, Item 7). ?. Date of the start of construction or substantial improvement FEMA Form 81-31, MAY 93 REPLACES ALL PREVIOUS EDITiCNJS 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, Ali, 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. t 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 NAME LICENSE NUMBER (or Affix Seal) p AV,��o Ir Jia A,0 -- --- /_5-/S TITLE COMPANY NAME Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner. COMMENTS: ON WITIi ON PILES, SLAB BASEMENT PIERS, on COLUMNS A V A A v ZONES ZONES ZONES ZONES ZONES REFEFlENCE LEVEL REFERENCE REFERENCE BASE LEVEL LEVEL FLOOD ELETAI ION BASE BASE �•ADJACENT •f' `�?�' FIEF EM •""• FLOOD FLOOD GRADE " LEVEL ELEVATION .2C+,. , ELEVATIOII REFERENCE ADJACENT LEVEL GRAUE . .ai'•.!.::(.::;,,.y`.,� Y, �.i!:1!• :Sr; ADJACENT] P. - The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones. The 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 PLAT A FAN (1 CAI HAV A, N t CITY OF COPPELL F.E.M.A. LETTERP-, OUIAP- MINIMM LL v U E Appnr,,il c,s and specifl,,---ii;m% oai,, not Uri U" - mstwction in dir""ci cofifiiel vowrl V 17)e ym . r:, ;/ of Ccpp6 Building codes and Zoning Crdivailess. 13 ARE RE VIF6WED Fl()R �PROVALOFSINGLB___ 1 LY R�F,'SIDENCE ON V. ALLEY ),v, PIONS 01.i C4,ti PLOI I'l A-! -VIF8 '-L N RE 552.2r �qgAPPROVTP. iL Urlit - -2 0' BL 10 ----------------- -------------- -- 41 552 5rF f5!3,�3 -ar -r- 3 r '517 - 2 -r,? -3rF > in A < 553 3rr -,52 5rf 55 7' BL WA[J, 0 W4 00 30.00' 1424 GRAPEVINE CREEK DR. Innovative Now kiefis PLOT PLAN For [ro(fitior)(11 Homo P(,!J(p) I" = 20' LOT 2 BLOCK, RIVERVIEN COPPELL, FIR5T TEXAS BRI -44-A (n7cl TONLE5 8/11/15 A CST. TX HOMES k ) Between The Line-s Residential Designers and Planners Arlington, Texas Metro 811-261 4121 1AX HI/ FiNild(VOwrwi to verify and check all aspects of this site and plot phri prim to any construction SURVEY PLAT OF 'IO ALL PARTIES INTERESTED IN PRFNi14FS SIIRVFVFI): 1. �yjY ��/,4,1 Rtp�eI td Prmfeyaua t L�rol Snr�rq� r I, hrrchy -ItIf Ih+I i an hd I '" — m do I rhr p .mod Ihi. r mn1, 1 m� ur•r. i.i- of the folln 'nx rlt�eri!rd pmlrm _z _1.�1a-JZ?A ,---t iv CIOC. . 411Ar5_ .tnd there arc _ _ _._ tncw:rchnttntc urrn the adjoining pror,rri or the adprVninR irnpror tnunrs urn thr &,wixd pn 1—IN known ac ,�'-)CALE T- c) t 0 O O N I.... -y -i ') V71`1V-1- H81164 -1'0011w 8U, dor t- (50' P .o.w.� .• Al I4'z4 C-aF�At� V 11.1E G�z.�EK. 17i21V STA"TF (W TEXAS ('011NTti' OF TARRANf fo the I.irnholdm and Mr the Owners of the Prrrnkr,s surveyed and In The under6linrd docti hereby certify that this survey was this day madr on the Rronnd of the property legally described hereon and is correct, and 111,11 there are no discrepancies. conflicts, xhortngt-s in arca, Ixnnil aty Iine conflicts. encroachments, overfapring of impmvemenls, visible line-, or roads in pl;ice, rrlrpt as ehnwn 1111,...1 -1 tlrnr a.41 r ..per. � t. �., .., _- .. ..'::! f;:n:: :. dcriicntrd roidixny cxcrpt as shown hcreon. ' D;11, -d RA.SI,S Ff)R REARING: (bust N.1_ N01 FOR (0NSTRI1f'IInN 90 lUiT� cc>/ 1©/9,& FI.f)VT) NOIF: 1 hrrrhy crttify that the property described herein Within a special flood hazard Area as identified b� the Federal Insurance Admini irntinn, hrrariment of }lousing and 11IN"I f)rvrlorment, the flood hazard arca Nein¢ identified ayt of the I cdetal ln.immce Administration Flood hazard Iinundaty Alar rffcctivr on for the AP StIFIVFYING CO. David Pollard f1CS M1518 1903 Central Drive, Suite 309 Bedford. TX 76021 Metro (817) 267-1249