FEMA-EC981021232C(lc).
7They With ABeautiful Future
BUILDING' PERMIT APPLICATION 07-31-98 Poz:so IN .
, 2 Print or Type in a Clear, Legible Manner
Job Address: (161Q Date:
Lot: x Block:A Subdivision: ,Ar�,� Phase or Section Number:
Owner Address: OM2 Phone #:
'D
Contractor: ��� Address:Ar I hone #:
Description of Work to be Done Class of Work: ..dew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
'Segfniat re �f Contr ctor o_LAuthorized
Electrical Contractor
Agent
AR
Plumbing Contractor
✓ Print
FPMC - 1 (4/94)
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
to
O.M.B. NO. 3067-0077
ELEVATION CERTIFICATE Expires May 31, 10%
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 OWNE�.' AME ' I POLICY NUMBER
STREET ADDRESS (Including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER
OTHER DESCRIPTION (Lot and Block Numbers,
"T it. Q _
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
(in AO Zones, use depth)
4So170
0010
►_-
1 �/ S
7
7. Indicate the elevation datum system used.on the FIRM for Base Flood Elevations (BFE):/JNGVD '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 .❑ 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 I I 4SLL,J 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 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 [-]-].LJ feet above Elor
below ❑ (check one) the highest -grade adjacent tvlhe building.
(d). FIRM Zone AO. 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. 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: 2*Yes ❑ No (See Instructions on Page 4)
5. The reference level elevation is based on, actual construction Ll construction drawings
(NOTE: Use of construction drawings i 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 I K 14191. U 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
..w
' 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 8 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.
CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal)
L AV, r�--2, Il AAD _fig
TITLE COMPANY NAME
ADDRESS ITY STATE zip
/�O�✓,�`.ea/ ��'�g.eo _ err 7�0�/
Copies should be made of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS:
ON WIT" ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEL
REFERENCE
flEFERENCE BASE
LEVEL
LEVEL FLOOD
ELEVAI ION
+�.,+r •}
: :�:C,a. ... .; .;.i,:".,•,?',`zL'
:;i,`•i,::>:. ii:.:E`'ri<_'• {
BASE
• ': �??i:
BASE .:,t•." ::: . ;,r: REFERENCE
ADJACENT ::
FLOOD
FLOOD GRADE ' =i LEVEL
ELEVATION
ELEVATION IREFEREmcri ADJACENT
LEVEL GRADE
'i!. .,. .. •.. :..:. �.: `;::.i.;:.7.:.,
is ii: ADJACENT ;.
il:i1:':. r.::•t-y.y.,: •}.� ,,t1
GRADE r:
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 PARTIES INTERESTED IN PREMISES SURVEYED:
A Registcred Pro(mional Land Surveyor, do herchy certify Ihxts careful survey was made art the prnund IN% dile
Lp—f— B A —R1�rl�� o• eo��LL��
supef.kine of the following okscrihed
s _Le
and thele are encroachments upon the sdhrining Property or the sdjoininp improvements upon the slcvrihed property knndn as
5 8qf'47' 00"=E
db
A,A.ty(n
15,11201
7e,
LL���
lg.4q' retea
u8`1147'Oo"w 151a
C-4iZAPF-VIME GR-f-V.K tJiZIY�
STATE OF TEXAS
(Vl1IMTV n1V TA00AMT
5CALE I' = 201
10 /Z / lqg
r,jTY OF COPPELL
A. L
not
'arid
r B;ildi.�g �ade; and Zoning
BOARD
g
I Ib' wife
.9FP
4'
48'-0 u
b"1.20'
a
4�
o,
20' M
MISFF
MW.9f r
U.E.
51'-2"
19'_J.
L%r
T,
j J, �+' _ 44.96' — ��
IL PLANS ARE REi rEWE15 FOR.
APPROVAL OF SINGLE
FAMILY itrsg FENCE ONLY.
16AW P.
?Lo'r PLAN
IiAV F, INNI-�I' Bf"EN 11E)171E"E;3
.N A4. E �� AiP1P'RC~� ,,&D.
1512 GRAPEVINE GREEK
Innovative New Ideas PLOT PLAN
For Traditional Home Design I" = 20'
LOT 8 BLOCK A
MoBrpehi RI,/ERRI/IEW EST.
een The �.. TX
Lines
FIRST TEXAS HOMES
Residential Designers and Planners BRI -44-A (P8285)
Arlington. Texas Metro 817-261-4121 FAX 817-274-4717 GRAY 8/18/018
* Builder/Owner to verify and check all aspects of this site and plot plan prior to any construction
I
CITY OF COPPELL
tO l — { �N x
Fav / a
pncrro, fLoff—$f! CGI:StfL'C'ilshail rotmnooon
in direct c(i(1!1ict
with the CIV of Copnell Building codes ar,i; Zoning
Ordinances.
F.EM.A. LEWE UMID.
9
MINIMUM ff. '
18.491'
Builder/Owner to verify and check all aspects of this site and plot plan prior to
PLOT PLAN
1"-:2O'
LOT 8 BLOCK A
RIVERVIEW E5T.
COPPELL, TX
FIRST TEXAS HOMES
BRI -44-A (Fb2b3)
6RAY 8/18/4b
construction
CPTY OF COPPELL
EVtl EWE
IDA
f pproval of the „,farts and spfi of^ations shall15;
and
%'e construt,�a to .mean construction in direct conn,
�partxlrh ` Qr C0,0211 Building codes and zonlrt
�M irtances,
_u
W
h
' t _____ 20_ BL _
N
Ibcow. WIDE $Fp "VEY RPOUTfR.��+ ry
tV RIVE
'
' I
zo bw
s
/4 -�„
441-0" ,
3
In int
i I +
'•
i i
te ' 4' CONCWALK - ------
v 10' U.E.
' w N
rl
t F.E.M.A. L,ET:R
ISAW MINIMUM f: f —�e
1512 &RAPEVINE GREEK
Innovative New Ideas
PLOT PLAN
For Traditional Home Design
I" = 20'
t% The
LOT 8 BLOCK A
RIVERVIEW E5T
.Beaen
Lines
COPPELL, TX
FIR5T TEXA5 HOME5
Residential Designers and Planners
BRI-44-A ( )
GRAY "1/6/418
Arlington, Texas Metro 817-261-4121 FAX 817-274-4717J.
• Builder/Owner to verify and check all aspects of this site and plot plan prior to any construction