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FEMA-EC981130 (2)�TTheyWutiful Future B U I L D I N G PERMIT APPLICATION Print or Type in a Clear, Legible Manner Job Address: t.r L© j Date: Z-113 / Lot: Block: I Subdivision: '0py_pLj._ eS 7A Z7 Phase or Section Number: Owner Address:o-4u fj'E'IGG Phone #: Q 7Z 70��v lMQUI D� q 1 u -A f->�y---aaITS q Contractor: -•'1 _ 1 �� Address: LTNJ ,/ � Phone #: "I Z_ ZJ-IZ /770 Description of Work to be Done Class of Work: XNew ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition \ Wt) RAm9D SZIC-x �[ �� s��r ��vn►�� E�� D c� Area of Building in Square Feet ?" I /S7.3 First Floor LC)4 Garage Value of Work to be Performed coo 6j n Second Floor136fOther ` t7 GRAY AREA FOR OFFICE USE ONLY NOTICE Permit Fee: Receipt Number: 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 Zoning District: 0=pancy Dia sification: at any time after work is commenced. Approved Date:' I" + I hereby certify that I have read and examined this application and know the same to be true Comment 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. ffi� -- Signature of Contractor or Authorized Agent Print Name Electrical Contractor Plumbing C ntractor Mechanical Contractor FPMC -Y(4/94)—y— 1�, —/� 80.04' 'CrT :7-� A 20' UT Y I 9 prov4l of the — J 20'REAR B.L. 'n *rued to i Mfil — — aco". City of OF COPPELL :MEWED LOA It: E ifC, a specifications Shall not const, , �ion In direct ccqtjjct "i % J Duildi'l des and Zoning FENCE& GATES p/6 BY OWNER FORM BOARD SURVEY REQUMED NORTH or PATIO FLTVVRK. BY POOL CNTRCTR. 0 q C11 ,--SqF- PLAN 9'-10' 67-2' 8" 0" ALE- I- - 20'-0' LOT 8,BLOCK I RESIDENCE OLD COPPELL ESTATES DALLAS COUNTY A/C COPPELL, TEXAS PADS C.J. C.j. CITY OF COPIRELL ExP R C RE vi DIED GAPAGE DRIVE 7 C.O -I r1 4� A--AL- C. - L pf roval of the plans and u�clfklcations shall not h onstrued to mean conM!�Lcltbn ;,,i diicq -Act clfic�,. 25' B.L. w the City of Coppell Building codes and Zoning 48- EXP. AG(Weli !"a"'S' O 0 CONC. WALK .SS - 12'-0* IO'UTI — — — — — EASMT. — — — — — - ID, 80.00' -0-u—S lLjtp WALK AS PER CITY E.J.CONC. J 346 HEARTHSTONE LANE O.M.B NO. 3067-00"%7 ELEVATION CERTIFICATE. , FEDERAI 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). 0 ` Instructions for completing this form can be found on the following pages. SECTION A PROPERTY INFORMATION FOR INSURANCE COMPANY USE BUU" OWNER'S NAME POLICY NUMBER STREET ADDRESS (Induding Apt., Unit, Suits and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER I COMPANY NAIC NUMBER OTHER DESCRIPTI (Lot and Block Numbers, etc.) CITY STATEZIP 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 FLOUT) ELEVATION (in AO Zones. use depo) 70 00/0 Z571�oe�c is�99� ,4 apo 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): gNGVD '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 .0 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 2(a). FIRMZones Al -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of L I ISL . L6 feet NGVD (or other FIRM datum—see Section B, Item 7). (b). FIRM Zones V1430, 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 I .D 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 . U feet above ❑ or below ❑ (check one) the highest grade adjacent tc the building. (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I .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: ❑ 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 a, 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 FIRM: )d Yes El (See Instructions on Page 4) ,,r 5. The reference level elevation is based on: Jeli 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: �,� 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 indi::ated 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: L H L11 I . ] feet NGVD (or other FIRM datum—see Section B, Item 7). 2. Date of the start of construction or substantial improvement REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR cof tnl`4UA'inN 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—%'30,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 t * 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/nog-breakaway wall, eOdosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list Me Fe s) not Included in the certification under Comments below. The diagram number, Section C, Item 1, must still be enter certify that the information in Sections B and C on this certificate represents my best efforts to interpret the RF I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Sec i e CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) ^ •a • o s . s a a e • • • . TITLE COMPANY NAME FSrSjQ•!� ...�ORESS � � CITY � J � STA . � ZIP SIGNATURE DATE�l�7 �7P PHONE Copies should/L made df this Certifi to for: 1) community official,r2) Insurance agent(company, and 3) building owner. I% ON wfTH ON PILES, SLAB BASEMENT PIER::, OR COLUMNS A V A A v ZONES ZONES ZONES ZONES ZONES R6FERENGE pEFEfit,rCE BASE LEVEL LEVE. ��' FLOOD j 1 ELEVATION BASE FLOW ELEVAYKM ADJACENT GRADE ELEVATION ADJACENT.- GFWX 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. Pa g,. 2