FEMA-EC9612237They With A Beautiful Future
a)/Y) * 95 '-Z +41 Zs d -
BUILDING PERMIT" APPLICATION
Print or Type in a Clear, Legible Manner
DEC 1 1 96
Job Address: Z� 146A e- t 1 S?j) N F, Date: n Y? 9
Lot: Block: Subdivision: OLp CO PPELL TQ Phase or Section Number:
Owner 'jtREE t &.Stor'1 PoynE_S Address: PD. -B01< 131 ,q, CPI'E� a Phone #: 312 93 —10
19
Contractor: -�q m c Address: Phone #:
Description of Work to be Done Class of Work: 14 New ❑ Addition ❑ Alteration ❑ Repair ❑ Demolition
15'N ,4A. c '*I& 72
Area of Building in Square Feet
First Floor t�g3o2
Second Floor
NOTICE
Garage .3 5
Other
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
regullting construction pf the performance of construction.
Signature of Contractor or Autho ' ed Agent Printlame
Mi G I�te►� p u►h I 'S
Electrical Contractor 'Plumbing Contractor j Mechanical ContActor
FPMC - 1 (4/94)
Value of Work
to be Performed 135'0-
3- U
No
ELEVATION CERTIFICATE Expires
O.M.B. May 31,-199
ExpuesMay31, 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 LOMR).
Instructions for completing this form can be found on the following pages.
SECTION A PROPERTY INFORMATION I FOR INSURANCE COMPANY USE
BUILDING OWNER'S NAME
STREET ADDRESS (including Apt., Unit, Suite and/or Bldg. Number) OR P.O. ROUTE AND BOX NUMBER
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
POLICY NUMBER
COMPANY NAIC NUMBER
.GOT !7 X44 06,e / QJ= D41� to—'457,97W-5
CITY STATE ZIP CODE
TTa!
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)
480 70
oa v
41
7. Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): ® NGVD '29 'L__' 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 . _ feet NGVD (or other FIRM datum—see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
VJ 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 .
Q 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
ofd . 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 .❑ 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.
4 (d). FIRM Zone AO. The floor used as the reference level from the selected diagram is I . i— feet above -' or below'_ (check
Q 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 CS°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: ISo S -8 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 - Ll 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 90 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 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.
I certify that the information in Sections B and C on this certificate represents my best efforts to inte the data available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U _5-
#q 1001.
CERTIFIER'SNAME LICENSE NUMBE pG4tf,�/44s09ss6�•
My"y owel- ARRY
H
TITLE COMPANY NAME :� •" ° °
ADDRESS CITY ••. ...• ATE ZIP
/&0/ •E.0 cET 4 o C TX.
SIGNATURE DATE HONE
.Z -z - 2/ z42 --S'1.'
Copies should be (e of this Certificate for: 1) community official, 2) insurance agent/company, and 3) building owner.
COMMENTS: AeZAICN /*0" .5'094RE CUT "Z7" O,1V 7'//,C 5Q4/THEIST
DF 7-,V r B,P//6&6 0,oV ClP.C-6k 2S0 .C'� T opt/ BET.S�EG sc�oo.L
ON WITH
SLAB BASEMENT
A V A
ZONES (ZONES ZONES
VIII -
FLOOD K 1..:. ADJACENT
ELEVATION REFERENCE ADJACENT GRADE
LEVEL GRADE
REFERENCE
BASE LEVEL
FLOOD
— I—.,
PIERS, OR COLUMNS
A V
ZONES ZONES
FLOOD
ELEVATION
ADJACENT.'.
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
&I
U'
ITY, OF
REVIEWEIL
of 'ii,e plans a;)J, sp6cifications shall not
sirued to mean construction ir direc? cw,"!irl
ilie City of Coppell guildinp Podes and
I
FXlf,T,C, 20- 5AN SEWER EA5EMENT,
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OLD COPPELL ESTATES
COPPELI, TEXAS
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S7= CUSTOM HOMES
CONCRETE
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OLD COF
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Plot Plan
SCALE IN -20'4"
354, 1iERRTNS7dNf
H SURVEY PLAT H
R R
BEING LOT 7 BLOCK 1 OF OLD COPPEL ESTATES AN ADDITION TO THE CITY OF
COPPELL, DALLAS COUNTY, TEXAS. REC. IN VOL. 96020, PG. 2443, M.R.D.C.T.
CITY OF COPPELL
PARK LAND
VOL. 89127, PG. 4336, D.R.D.C.T.
103.32
78'21'57" 91'48'38"
lo
20' B.L.
---_ N
20' EXIST.
SAKI. SER. ESMT. PER"D C.T. w
ALSO REC. IN VOL. 88079, PG. 578. D.
LOT 7
8.0
BLK. 1
18.4
w FORMBOARDS
11.1
LOT 6 LOT 8
' 8.0
� N
25' H.L.
-V4D;9¢ \�----
so.
10' UTIL. ESMT.
27.19
REFERENCE BRG.
N 88'47'57" E
350 HEARTHSTONE LANE
lo
I hereby certify that on the2.311ILday of DEC. _ 19-RfL-, this survey was made on the ground as per the field notes shown on this survey lo
and is true, correct, and accurate as to the dimensions of the subject property and size, location and type of buildings and improvements thereon, lo
if any. The survey shows all easements and visible easements ofwhich I have knowledge or have been advised affecting the subject property.
There are no encroachments, conflicts, or protrusions visible on the ground other than those shown.
of.
f�O�
Date :DECEMBER 24, 1996 �' JOB # , 96-5160
HARRY J. ROWELL
_ GF No. 4597
LEGEND e Scale: I"= 25' slriz�-� HARRY
1/2" Steel / Iron Rod Found O
1/2" Steel / Iron Rod Set 0 ROWEL L
Property Line B 3T : & Associates, INC.
Rood Fence — Surveying & Engineering
Chain Link/ hire Fence x—x—x—x—x 1301 Elm Street Ste. 201
Overhead Electric — E— E— E— Carrollton, Texas 75006