FEMA-EC990825 (2)7The G�ity �WithA Bea5utiful Future
w m":�c03-1»
BUILDING PERMIT APPLICATION
Print or Type in a Clear, Legible Manner
Job Address: S7o Date:
Lot:Ig Block:j Subdivision: / ��L�,,,, / , / Phase or Section Number:
Owner Address: 1440 & AA.S�7' 14- �464hone #:C�i7z--Z4,?-1770
Contractor: �C Address:11 P�. _,�0 Phone #: �� Zl 7—/
�
Description of Work to be Done Class of Work: New El Addition El Alteration El Repair ' ` ❑ Demolition
Area of Building in Square Feet
First Floor lec1 `�',,
Second Floor ' Z
NOTICE
Garage � 7'5
Other
51
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 construction of the performance of construction.
Stature of Col
le�Lw
Electrical Contractor
FPMC - 1 (4/94)
or Authorized Agent Print Name
�YAEW aAKS-4 lV�rd�cll�6
Plumbing Contractor Mechanical Contractor
Value of Work
to be Performed
BUILDING INSPECTION - WHITE, APPRAISAL - YELLOW, CUSTOMER - PINK
c.�
CIO
08/24/99 21:22 FAX 9724759036
BARRYRHODES SURV
[a 02
ELI ;VATION CERTIFICATE O.M.B. No. 3067.0077
F EDERAL E IAERGENCY MANAGEMENT AGENCY Expires July 31, 1999
NATIONAL FLOOD INSURANCE FROGRAM
ATTEN ION: U: of this certificate does not pfovidn a waiver of the flood insurance purchase requirement. This form is used only to pro-
vide ele-ation int- rmation necQuary to ensure const,Dance with applicable community floodplain management ordinances, to dsdermine
the proper insurai ice premium rate, and/or to suppot t a request for a Lefler of Map Amendment c r Revision (LOMA or LOMR). You are not
required to respond to this collection of information I nless a valid OMB control number is display( d in the upper right comer of this form.
Inst"uetiona for cotnf -;ting this form can be found on the follonring pages.
SE( TION A PROPE MY INFORMATION
PUILDINd OWNERS NAME
FOR INSURANCE COMPANY USE
POLICY NUMBER
rR3EE0
7 AIRF�{-(' `e_ly`Q'in19 A�aIT., U.niil. SU116 WOW "- Numh4r) 014P.O. POU'r E AN13 I' )X NI AMBER COMPANY NAIL NUMBER
rpt E CRIPTIGN (Lot And Black Irk+, — — — - — -- —
I,ot "t�S�IC-�!
OrIY STATE ZIP CODE ^—
G.i
SECTION 1 FLOOD INSURANCE_ RATEMAP (FIRM) INFORMATION
Provide the following Irom the proper FIRM (See instructions):
t. COMr ZUNI rY NUMBER
z PANEL NUMBER
s. Sur -FIX
1, DATE OF FIRM INDEx
5.'1101 ZONE
A. SASE FLOOD ELEVATION
4e6
(in AO Zgnvo. uiA t
i jot.
0010
��
/LLS let.,
_
4-2 ..
7. Indicate the 010ation datum system used on the F IRI for Ba -,,e f=lood Elevations (I �FE): L NGVD '29 ❑ Other (describe on back)
B. For Zones A or V, where no SFE is provided on thi: F IM, and th , community has -slablishod a BFE for this building site, Indicate
the community's 8F,2_:L1 'J I_I.LJ feel NGVD P - other 1 --IR d datum -see Sec'ion B, Itl'm 71.
SECTION C IUILDII (G ELEVATION INFORMATION
1- Using the Elevation Certificate 11 structions, Indicate U a diagram number from the c iagrams Found on Pages 5 and 6 that best
descnben the subject building's eference levelT-a7n �PUZ.y`
2(a). FIRM Zones Al -A30, AE, AN and A (with BFE). T 1e top ( f3! bevel floor from the selected dlagr; m at an elevation
of 1.- I 161 15J.1131 feet NGVD (or other FIRM datu::ee ',e( ion B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The b,)ltom o lh ) lowest horizontal structural member of the reference level from
the selected diagram, is at an elevation of l l 1 1 L 1,L.1 WE t NGVD (or other FIRM datum -see Section B. Item 7).
(c). FIRM Zone A (without 8FE)_ The floor used as the reference level from the selected diagram is LLJ.LJ feet above ❑ or
below ❑ (check oni -) the highest grade adjacent to the building.
(d). FIRM Zone AO. The floor used as the reference level from the selected diagram is " 1.0 feet above ❑ or below ❑ (check
one) the highest grace adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference
level) elevated in accordaiice with the community's floodplain r lanagement ordimnos? 0 Yes ❑ No ❑ Unknown
3. Indicate the elevation d•itum system used in determining the (Above reference level c levations: WNGVD'29 13 Other (desefibe
under Comments on Page 2). (NOTE: 11 the elevation datum usm.d In measuring thi elevations is different /Man fhal used on
the FIRM (see Section B, Rom 71, then convert the elevation : 1( the datum system used on the FIRM and show the conversion
equation under Comments on Pi qe 2.)
4. Elevation reference mark used alopears on FIRM: eYes No (See Instructions on Page 4)
5. The reference level elevation is based on: eactual oonslru,;tio, i n construction drawings
(NOTE: Use of construction drawings is only varid If the building foes not yet have the reference level floor In piece, in which
rase this cerfifrcale will r)nly I e valid for the building during thr co ,rso of construction. A post -construction Elevation Cerlirkate
will be required once construction is complete.)
6. The elevation of the lowristgrade immediately adjacent to the bu [ding is:1 C� 1 .101 1 -et NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION O COMMUNITY INFORMATION
1. If the community official responsible for verifying building elevations specifies that th i referei ice levet indicated In Section C, Item 1
Is not the "lowest floor' as defined in the community's floodplain management ort 'in ice, thk elevation of the building's "lowest
floor" as defined by the ordinance is: LJ! L U. LJ feet N WD (or other FIRM d. lum-sea Section B, Item 7).
2. Date of the start of construction or substantial improvement _
FEMA Form 81-a1, MAR 97 REPLACESALL ll. PREVIOUS EDmONS SEE REVERSE SIDE FOR COMIMIADON
I
IG
118/24/99 21:22 FAX 9724759036 BARRYRHODES SURV Q03
SECTION E CERTIFICATION
This certification is o be signed r y a land surveyor ern ineer. or architect who is authorized by state or local law to certify elevation
inf, Irmation when the elevation information for Zones A —A33, AE, AH. A (with BFE).Vi V30,VE, and V (with SFE) is required.
Cc nmunity officials who are authorized by local law or ordii -:ante to provide floodplain management information, may also sign the
cei Lificalion. In the case of Zone.. AO and A (without a FEMA or community issued OFE), a building official, a property owner, or an
owner's representalive may also sign the certification.
Reference level diagram; 6. ' • id A • Di .linguishing Features—If 11 ie certifier is unable to certify to breakawayinon-breakaway wall,
en losure size, location ',f serve mg equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not
in- luded in the certificati in undF Comments below. The diagram number, Section C, Item 1, must sell be entered.
I c.:rfify that the information in Sections B and C on this certificate represents my best efforts ala available.
I understand that any false slatemenl m:+y be punishable by fine or imprisonment under 1 r$ 001.
TITLE
Copies
LICENSE NUMB la' � �� AA""'"a
tj eaaRY'S. RHODES
— -- -- COMPV NAME 3691
eye
�kt��
�� Za -M PHONE
9:2 ¢�S 894
f of this Certificate for: 1) community official, 2) Insurance agenUeompany,'and 3) building owner.
COMMENTS:
of
SLI 8
A v
ZONrS ZONES
wmr
BASEMENT
A
iT ZONES
UAIAI'low
ELEVATION
L 1_
BASE r'•:••:••�. .",' PEPEFIEN
BLOOD .;' ..;. AOJAGEN' .` LF:LCE I VATION IIEFf11FNCE ADJACENT GRAS
LEVEL Ca 1AOE
ON aueB.
arms, OR COLUMNS
A v
Th 3 diagrams above illi Istrate the points at whit i the elevallons should be measured in A Zones and V Zones.
Eli -vations for all A Zones should be measured sit the top of the reference level floor.
EI,•vations for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
I
I
0
n
_ 1
n
SURVEY PLAT
BARRY S. RHODES Registered Professional Land Surveyor (972) 475-8940
This is to certify that I have, this date, made a careful and accurate survey: -on the ground of property
located at No. 302 HEARTHSTONE LANE in the city of, COPPELL Texas.
Lot No. 19 Block No. 1
of OLD COPPELL ESTATES an addition -to the City of
COPPELL, DALLAS COUNTY Texas according to the PL,4T RECORDED
in VOLUME 96020 at PAGE 2443 of the MAP records of DALLAS COUNTY, TEXAS.
/ r
THE ABOVE DESCRIBED PROPERTY
DOES NOT LIE IN A FLOOD HAZARD
AREA ACCORDING TO THE F.E.M.A.
FLOOD INSURANCE RATE MAP '
COMMUNITY PANEL NO.
480170-0010E ZONE X 04-15-94
N
Cn W I
w Z
Li
o `t IN S 85'23'37" E
= 1/2" IIRF 120.o' I
N
w w IOD
o �
1/2" IRS
N
40.5' N 000
O 19 FORMS co c/) wZ 1.2' w CCD
Z O o ONLY M I Q
z I
= w
5.0' zo.a''2 (302) 3 0
1/2" IRS TOF= 505.33 4.7' I � �j
O LL N N r7 (n 0
3:: N 28.4' N O
21.8' Q
CD8
Z �� 44.' o Q
Q 879 SQ. 15' SIDE YARD io 1 2' IRS CD W
y� '� . A
M 1 /2" IRS 1 /2" IRS 0�. >>
S 89'34'37" W 76.46'
Z � \Q .
Q C-3
w
J
F-
f -
The plat hereon is true, correct, and accurate representation of the property as determined by
survey, the lines and dimensions of said property being as indicated by the plat: the size, location
and type of building and improvements are as shown, all improvements being within the boundari
of the property, set back from property lines the distance indicated.
i •Q FO•�
THERE ARE NO ENCROACHMENTS, CONFLICTS, OR PROTRUSIONS, EXCEPT AS SHOW ..s. �� •
BRY ........
Scale: 1 " = 30' THIS SURVEY WAS PERFORMED EXCLUSIVELY FOR ••• •••• DES
Date: 08-08-99 HOLMES HOMES
USE OF THIS SURVEY FOR ANY OTHER PURPOSE
G. F. No.: OR OTHER PARTIES SHALL BE AT THERE RISK AND ••• • '
Job no.: 64709 UNDERSIGNED IS NOT RESPONSIBLE TO OTHERS U�v
Drawn by: BR FOR ANY LOSS RESULTING THEREFROM.