FEMA-EC940211X373 e3 3
TMCityWith A8"utifulFuture BUILDING PERMIT APPLICATION
Building Inspections Division // 2 '
/y 7' 1. / Print or Tvoe in a Clear. Leoible Manner
Job Address:
Date:
Lot: Block: Subdivision: LAKEWOOD ESTATES
Phase or Section Number:
i
RD. , STE454 Phone f1: 817-640-6143
1 6
93
Job Address:
Date:
Lot: Block: Subdivision: LAKEWOOD ESTATES
Phase or Section Number:
Owner: DREES HOMES Address: 2401 E. RANDOL MILL
RD. , STE454 Phone f1: 817-640-6143
Contractor: DREES HOMES Address:2401 E. RANDOL MILL
RD. , STE454 Phone #:817-640-6143
Description of Work to be Done Class of Work: Q New ❑Addition
❑ Alteration ❑ Repair ❑Demolition
NEW SINGLE FAMILY RESIDENCE
Area of Building in Square Feet
g
First Floor oV Garage Value of Work
to be Performed_41
Second Floor Other
GRAY AREA FOR OFFICE USE ONLY i a'
NOTICE
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 onstruction or the performance of construction.
:3'n ature of Contractor or thoriz A ret Print Name
Electrical Co actor Pb&mbing Contractor me#rucal Contractor
Permit Pee:U
Receipt Number:
Zoning District:
Occupancy Classification:
Approved By: -
Date:
Z"/
Comments:
BIR .1 (2/82)
ELEVATION CERTIFICATE `' �' ° "`' "'''� `r`' 1
rx/�n�•tllr,rl Tr r�4T
FEDERAL EMERGENCY MANAGEMENT AGENCY -
NATIONAL FLOOD INSURANCE PROGRAM
AIT EN?ION: Use of this certificate does not provide a waiver of the flood insurance purchase requirement. I his four is used only In
provide elevalion information necessary to ensure compliance with applicable community floodplain nianagenlent ordinances, to
dolerminn 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
Pill[ PING OWNER'S NAME
Drees Homes -
Si RFET ADDRESS (Including Apl., Unit, Suite and/or Bldg. Number) On P.O. ROUTE AND BOX NUMBER
109 Hollywood _Drive
011-1179 DESCRIPTION (Lot and Block Numbers, etc
Lot 42, Block D, Lakewood Estates
CITY STATE
Coppell Texas
SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
Foil INSU1IANCF COMPANY tISE
POLICY NUMBER
COMPANY NAIL NUMBFn
ZIP CODE
I COMMUNITY NUMBER
2. PANEL NUMBER
3 SUFFIX
4 DATE OF FIRM INDFX
5, FIRM 70NF
fi BASE FLOOD ELF VAI 0I1
(In AO 7nne,, usn drpllil
480170
0010
D
10-16-91
Shaded X
N/A
If file elevation datum system used on the FIRM for Base Flood Elevations (BFE): I I NGVD '29 I I 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 hits building site, indicate
the community's BFE: I I I I I 1.1 I feel NGVD (or other FIRM datum -see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using the Elevation Certificate Instructions, indicate file diagram number from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level
2(1). 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 I I I 1.1 I feet NGVD (or other FIRM dalurn--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 I I I I I 1.1 I feet NGVD (or oilier FIRM datura --see Section B. Item 7).
(c). FIRM Zone A (without BFE). The floor used as the reference level from file selected diagram is I I 1.1 1 feet above 1 I or
below I I (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 I I I .I I feet above I I or below I I (check
one) file highest grade adjacent to the building. If no flood depth number is available, is file building's lowest floor (reference
level) elevated in accordance with the community's floodplain management ordinance? I I Yes I I No I I Unknown
3 Indicate the elevation datum system used in determining the above reference levet elevations: I I NGVD '29 1 I Other (describe
under Comments on Page 2). (NOTE: If the elevation datum used in measuring the elevations is different than fhat used on
the FIRM [see Section B, 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: I _i Yes i I No (See Instructions on Page 4)
5 1 he reference level elevation Is based on: I I actual construction I I 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. Tlie elevation of the lowest grade immediately adjacent to file building is: I I I I I I .I I feel 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 Thal the reference level indicated in Section C. Item 1
is riot the "lowest floor" as defined in file community's floodplain management ordinance, the elevation of the building's "lowest
floor" as defined by the ordinance is: I I I I I 1.1 I feet NGVD (or olher FIRM datum -see Section B, Item 7).
2. Date of the start of construction or substantial improvement . _2-11-94
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDIi IONS SEE REVERSE SIDE FOR CONTINUATI011
SECTION E CERTIFICATION
I I,is certification is to be signed by a land surveyor, engineer, or architect who is authorized by state or local law to certify elevation
ionim.1tion when the elevation information for Zones Al -A30, AE, AH, A (with BFE),V1-V30,VE, and V (wills BFE) is required.
Conununity 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 properly owner. or an
owner's representative may also sign the certification.
neference level diagrams 6, 7 and,8 = Distinguishing Features -It 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 cettify that fire information In Sections B and C on this cerlificate represents my best efforts to interpret the data available.
I understand that any false statement may be punishable by line or imprisonment udder 18 U.S. Code, Section 1001.
Richard C. Maki
CFnlIFIER'S NAME
RPLS (Owner)
1111E - ---
1066 Forest Avenue
ADDRESS
SIGNATURE
G /
RPLS #4587
LICENSE NUMBER for Affix Seal)
Maki_ & Associates Inc.
COMPANY NAME--_--------- ------ -
Fort Worth Texas 76112
CITY ----------- -------------- -- -. STATE ZIP
i 2-11-94 (817)654-4760
DATE PHONE
C es should be made of this Certificate for: 1) community official, 2) Insurance agent/company, and 3) building owner.
COMMENTS: __According to the recorded plat this lot has a- minimum- finsih__ floor
reguired:__nf 450.8 the plat indicates the BFE for this lot to be
448.2s A vertical control survey --determined the finish floor _
elevation of top of *iood forms to be 451.44: The datum used to
determine this was B14#113408-2—Of _a _TRA flood_ -study described -as _
a Railroad spike in Utility Pole in south ROW of Sandy Lake_Rd_-.
5' SE of intersection of Sandy Lake and MacArthur Blvd.
Elev.= 454
ON Wit" ON PILES,
SLAB BASEMENT PIERS, OR COLUMNS
A v A A v
ZONES ZONES ZONES ZONES ZONES
REFERENCE
LEVEE
InFrEnEwr
nrr EnErx;E BASE
tEVEI
LEVEL - - FLOOD
ELEVATION
BASE
• •
BASE • •.AOJACENi:•. [REFERENCE]rON
ROOD
ELEVAI
FLOOD �,LpE LEVEL
ELEVATION IREFlIft-21 ADJACENT
LEVEL I GRACE
.:'ADJACENT..
r
GRADE
The diagrams above Illustrate the points at which the elevations should be measured In A Zones and V Zones.
Elevations for all A Zoned 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
a
15' ALLEY 66.00'
NO2420'07"W
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6-1-5/16"
413-13/1 4'3-13/16"
810,1
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UUCAMPBELL "A"
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12832 2 CAR
- ~---------
- - - -
-
FP: 450. 5 MARKET
f
FF: 451.2 OVERED PORCH
.
49,5„ 5.0„x8.8,
I
11
8 4 t
13'1"
87'
I
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--40'8.1-
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A
O
C/7
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!=67.30'
R=750.00
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PROPERTY DESCRIPTION
Lot 42, Block D, LAKEWOOD ESTATES an Addition to the City of
County, Texos, according to the Mop thereof recorded in Volume
of the Deed Records of Dollos County, Texas.
1S ' L
[ffol_s
Coppell, Dallas
93014, Page 670,
'20'07" W 66.00'
5' Utility Easement
1
1 I
I 1
1
1 I
101.2' I �)
I a.
I�1 N
N
I I
00
N
Lot 42 1 Lot 43
1
1 I
-I +- 8.0'
20.4'
6
Scale: 1 "= 30'
I
9.6'
1 � n
Qi Wood Forms
�I F.F. Elev= 451.44 00
I Z
00
^.0' c, 3.
1 I
1
,.
Centerline control monumentation I 25'Bld9 [1ne
found was used for controlling -1
monumen totion.
R_75� 40�.
�a9 IyO�
"6,730
yIo00
Note:
This lot Is not In the 100 year flood hazard zone, Zone A, according to the HUD Flood
Insurance Rate Map Community Panel No. 480170 0010 D, dated 10/16/91. This lot is in
Shaded Zone X; local drainage was not investigated.
I, the undersigned, hereby certify that the survey mop hereon, and
the accompanying description, depicts and describes the results of
acareful and accurate survey, made on the ground, and to the best
of my knowledge and belief, is o true and correct depiction and
description the that there
• �OT'�•�,Fy
of property surveyed, and are no
apparent encroachments or protrusions across boundary lines,
�� s7i
�� • ,.�
shortages of area or boundary, except as shown hereon. The only
easements the undersigned has knowledge, are those as shown,
•.
however this property is subject to any and all easements,
ROCH&R®G. INNA A K 9
reservations, and restrictions that may be of record. Any
y, . , . , . • ..... . .•
reference to the 100 year flood plain or flood hazard zone, is an
based the data hereon, be interpreted
.4
•+ B v'Q
estimate on stated and should not
determination the flooding this
as a study or of propensities of property.
Note: This in the transaction
O+•
survey was performed connection with
it
u n
4 n
described in:
Form Survey, for Drees Homes ( Att: Craig )
/'
Richard C. Maki
LI;J;U A& .1,1 9M.J7gj, &I
Registered Professional
P.O. BOX 8399 FORT WORTH, TEXAS 76112
Land Surveyor No. 4587
Legend: O Iron Rod Found -x-x- Wood or Wire Fence
Date: 2/08/94
0 Iron Rod Set A Control Monument
_ All iron rods are 112" rebar unless otherwise noted.
Job No.9997-U86