FEMA-EC960103 (2)W #4 95-b 0 63 dT
BUI DING PERMIT APPLICATION
'3f rirft or TVDe in a Clear. Legible Manner
DEC 1 3 96
Ti
Job Address: ' I a!/ WaC�CDate:
Z —
Lot: `� Block:
Subdivision: j _ _
�r a Phase or Section Number:
�jC
OwnerAddress:
e.�� OYr12 15 �
�}
I lu Phone #: l —7 — (G'� _ I
/
Contractor: Address:
Phone #:
Description of Work to be Done Class of Work: ❑ New ❑ Addition
❑ Alteration ❑ Repair ❑ Demolition
Area of Building in Square Feet
First Floor W -Xi -a -5 Garage �' `
Value of Work
Second Floor �'`r{ Other J • 14
to be Performed
GRAY
AREA FOR OFFICE USE ONLY
NOTICE
Pe ifi1C1 Fee;
R pt 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
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
{�
Zoning DistHet: , y
Ocm"m / Cila'. kation: .
Date'
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 perfo ance of onstruction.
C*Mmerftf'
dge, p
jr
D
ignature Contractor cr Authonzlled Agent nt Name
W4412 i"51Y'Le— Ff )-e-
Electrical Contractor Plumbing Contractor Me hanical Contractor
FPMC - 1 (4/94)
�.a
tin
AE
-a
m
z
M
1 �
4�Lq
ACG. WALK
I
7'2-1 /21'x4' 10"
9\'10-1/2" 1174-1/2"1
C
l 49'11" "
11'5-1
no a
AVALON "B"
PLAN #2468 a COLA t'_:: PATE ---�..
C1 MARKET
CD o i Appro' ,I of aw, plans and specifications shall
`,be co to mean construction Ftp di{pct
FP:448.0 'llici v; tfi-Ce pity of C ;paeli buildir��
FF:448.7 2'10- Zoni , _ Ordinances
c 5.� 00
10'1"t
CONC. PATIO
8, 9'0-3/4,. „ A w
5'6-1/2ff
� I 1
0 1OUT
40' D AIN. & UTIL. ESMT. 1
-- - - J REVIEWED FOR
�VAL OF SINGLE
SIDENCE ONLY.,
r- ► �_ + ft 1C d Iir.)NS OR
CD o ?,.`TTT, `.Jit, T."7' PLAN
cn r v OTBEEN u�.VIEWED
z «� _NAPPROVED.
rn w Orn I m1o llT 1 -ate
n
V , FOkli'i'.
68.00' �-
S 02017'45" E yq.a�
O I
ELEVA-1-1014 CER -I-11 ICA -1 E I �' `I A4 "`� G99
1 •turl'f Min ll, 1993
FEDERAL EMEFIGE14CY IAA14AGEMEIJT AGE14CY
t4AT10NAL FLOOD INSURANCE PROGRAM
A11EN1ION: Use of Ilul, c erlllicill (1us riot provide a walvel of III(,Iloud insurance purchase requirernenl This form is used o!lly to
provide elevation iniorfimoon necessary to ensure compliance with appllcahle community floodplain mar►agemeol ordinances, to
determine the proper insurance prenliurn rate, and•or to support a request for if 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
BUILDING OIYNEn S NAME
Drees homes Co. -
STIIEr..T ADDIIISS lllsaud,lu,) Apt.. U11-1. Sullu t,lid op Ihdll Frund,nrrl OII I'O 110111E AND ill)% NIIMLILII
FON INSUFIA14CE COMPANY USE
POLICY NUMBER
COMPANY NAIG NUMBER
116 HOLLYWOOD DRIVE
OTHER DESCRIPTION (Lot and Block Numneis. etc )
Lot, 35_x_ Block D-1AA.REWQOD .ESTATES_: --.-._--
CI l Y S 1 Al E IIP CODE
Co Pell Texas
SECTION B FLOOD 1145UHA14CF RATE MAP (FIRM) INFORMATION
Prnvirie the followina from the proper FIRM (See Inslrucllons):
1. COMMUNITY NUMBER
2 PANEL NUMBER
3 SUFFIX
4. DAIL Of I 1111 INUEA
5 FIRM ZONE
6, BASE FLOOD ELEVATION
pn AO Zones. use aw"I
480170 00.10
1.0
E
r
4/1_x/94
-612-1194
shaded ,X
1
none
7. Indicate the elevation dalum system used on the FIRM for Base Flood Elevations (BFE): ._ NGVD'29 :._'Uther (oescrioe on uacKl
a. For Zones A or V. where no BFE 1s provided on the FIRM. and the community has established a BFE lot this building site, indicate
the community's BFE: leen NGVD (or other FIIIIA dalum sec Section B, Item 7).
SECTION C BUILDING ELEVATIo14 INFORMATION
1. Using the Elevation Cerlilicate Instructions, indicata the diagram nurnber from the diagrams found on Pages 5 and 6 that best
describes the subject building's reference level
2(a). FIRM Zones Al -A30, AE, AH, and A (with BFE) lho lop of the reference love) floor Irons the selected diagram is et an elevalion
of 1 . II .: - : _ �.: ! feet NGVD (or other FIRM datum -see Section B. Ilem 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 . , leer NGVD for 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 __- feel above `_' or
below (check one) the highest grade adjacent to the building
(d). FIRM Zone AO. The floor used as life reference level from the selected cfiagranl is .. feel above or below ;_I (check
one) the highest prado adjacent Io the bulldffl l If no flood dop/lh numher I!; availahle, is file builcting's lowest floor (relefence
level) elevated in accordance with the conmunlily's Iloodplaun nlanagenlenl ordinance? Yes IJo I - Unknown
3. Indicate the elevation datum syslern used in determining the above reference level elevations: __� N(3VD'29 I__l Other (describe
under Comments on Page 2). (NOTE, It the elevation datum used in measuring file elevations is different than that used on
file FIRM /see Section B. Item 71, then convert the elevations to flit? darurn system used on the FIRM and show the conversion
equation under Comments on Page 2.) _
4. Elevation reference mark used appears on FIRM: _ Yes L-! No (See Instructions on Page 4)
5. The reference level elevation is based on: actual construction ! conslruclron drawings
(NOTE: Use of construction drawings is only valid if file building does not yul have the reference level floor in place, in which
case this Cerlilicate will only be valid for the building during the course of construction A post -construction Elevation Certrfrcate
will be required once construction is complete.)
6. The elevation of the lowest grade immediately adjacent to the building is:. .1._01eet NGVD (or other FIRM datum -see
Section B. Item 7).
SECTION D COMMUNITY 114FORMATION
1 11 The community official responsible lot verifying building elevations specilles 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
Iloor' as defined by the ordinance is:. ____ _____..-._ feel 14GVD (or other FIRM datum -see Section B, Item 7).
2. Date of the staff of construction or substantial improvement 12/27/95
SLE NEVENSE SIDE FON CONTINUATION
FEMA Form 11.310 MAY 90 111 111 ACI ) An I PILL Vii it I) I III I IUN)
SECTION E CERTIFICATION
this certification is to be signed by a land surveyor, engineer, or archllecl who is authorized by slate or local law to certify elevation
information when the elevation information for Zones At -A30, AE, All, A (with BFE),V1-V30,VE, and V (with BFE) is required.
Community officials who are authorized by local law or ordinance to provide Iloodplain management information, may also sign the
certificalion. 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 ilia certification.
Reference level diagrams 6, 7 and 6 - Distinguishing Features -II the certifier is unable to certify to breakawaymon-breakaway wall,
enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Features) not
included in ilia certification under Comments below. 1 ire diagram number, Seclion C, Item 1, must still be entered.
I certify that the inlorrnalion in Sections B arid C on flits cetUlrcale represents my best efforts to rnferprer of valla
I understand that any false statement may be punishable by fine of imprisonment under 18 U.S. Code, fQciipnJ-0OJ,,
C -A
a
CERIIf1ER'S NAME LICENSE NUMBER lot ABu Star) .
Richard C. Maki RPLS #4587 ..e ............. ._
AAW
TITLE COMPANY NAME
_ RPLS owner Maki -__and . Assoc. Inc. _
ADDRESS -- CIIv y� 21P`
3521 W. PioneSx Prw _ Arlington_ Tx 76013
SIGNATURE DAI E PHONE
l 1/3/96 274-6883
Copies 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 finsh_floor
elevation required of 448.6' the plat i-ndicates the BFE for this lot to
be 446.0' A vertical control survey determined the finish floor elevation
of top of wood forms to be 449.99'• The data used to determine this was BM#
G408-2 of a TRA floodstudy described as a railroad spike in utility pole
in south R -O -W of Sandy Lake Road, 5' S.T. of intersection of Sandy Lake
Road and MacAiLhur B.tvd. rlev- 454.2.1.5'.
ON wn li ON POLE$,
SLAB BASEMEr(T PIERS. OR COLUMNS
A v A A V
2014ES ZONES 70NES ZONES ZONES
Rll (N(hCl
ltvEt AE/tAEN:I
AE /EM[hLE b4lf lEYll
llYEl /ICOD
IllEll v
is
1/16E nkl(MI nIF EAEE
IOOD �OJAL! Nl 11 [1011
111 Y�11DN hlllR(NCl •Ul/L(NI UN,01 IIYII \ EIr V.I K1.
IfYEI GN�M
— i-�
:., 1111.111
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
Elevations lot all A Zones should be measured at the top of the reference level floor.
Elevations for all V Zones should be measured at fire bottom of the lowest horizontal structural member.
' PROPERTY DESCRIPTION
Lot 35, Block D, LAKEWOOD ESTATES, an Addition
to the City of Coppell, Dallas County, Texas.
S 02'17'45" E 68.00'
Lot 34
0
2.9 5.6' 5.1'
0
co CD
Scale: I"= 20' 1* 1. Wood Forms
Ln
0 O F. F. Elev.= 449.99'
r'1
2 °
to
rD
18.6'
10.2'
i I
40' Drainage & Son. Sewe
— Vol. 85233, Pg. 3309,
Easement
1RnrT
62.7
I
I Lot 35
Block D
Min. F.F. — 448.0'
I
'455
s.
-
A x — x
rn
W
- 8.0'
9.1'
00
v
-p
rOD
V
X X —
11. 4
I 2S "J9. tine
28.8'
Lot 36
_0 Uti/i }, E — _ J 10' x 10'
Beor'�cso 0gOund
d 5' TU Et_ gement �\— /" T.U. Electric
� 9 • s- w =% °Sem
/ Transformer Easement
9 JrQ 00' � en t A
L.6929
w�OpP {' Rod
no
1116 HOII MAMA AfIllf
Center line control monumentation found
was used for controlling monumentotion.
I, the undersigned, hereby certify that the survey map hereon, and
the accompanying description, depicts and describes the results of
a careful and accurate survey, made on the ground, and to the best
of my knowledge and belief, is a true and correct depiction and
description of the property surveyed, and that there are no
apparent encroachments or protrusions across boundary lines,
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,
reservations, and restrictions that may be of record. Any
reference to the 100 year flood plain or flood hazard zone, is an
estimate based on the data stated hereon, and should not be interpreted
as o study or determination of the flooding propensities of this property.
Note: This survey was performed in connection with the transaction
described in:
Form Survey, for Drees Homes ( Att: Corky ).
P.O. BOX 14293 ARLINGTON, TEXAS 76094-1293
Legend: O Iron Rod Found -x-x- Wood or Wire Fence
0 Iron Rod Set Ai Control Monument
n9C H&RD C. NZAxa
`:.. ...4587 �•Q
ti��!�ss+°°�`►
SUBS
Richard C. Maki
Registered Professional
Land Surveyor No. 4587
Date: 12127195
All iron rods are 112" rebor unless otherwise noted. Job No. 13867-5T6