FEMA-EC940627c� 5 �.
7The City With A Beautiful Future BUILDING PERMIT APPLICATION M ° 7 R
_ 2-q Print or Type in a Clear, Legible Manner
Job Address: / , ! Date:
`7 Z,,a:Z
Lot: Block: Subdivision: LAKEWOOD ESTATES Phase or Section Number:
Owner: DREES HOMES Address: 2401 E. RANDOL MILL RD/454 Phone #: 817-640-6143
Contractor: DREES HOMES Address: 2401 E. RANDOL MILL RD/454 Phone #: 817-640-6143
Description of Work to be Done Class of Work: ® New ❑Addition ❑ Alteration ❑ Repair ❑Demolition
NEW SINGLE FAMILY RESIDENCE
►rea of Building in Square Feet
First Floor 14 1 i 1 Garage W ( Value of Work
Jto be Performed 9
Second Floor � Other
3 (a T GRAY AREA FOR OFFICE USE ONLY
NOTICE
This permit becomes mill 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 or the performance of construction.
Sign+= of Contractor or Authorized Agent
SWARTZ LASITER
Electrical Contractor Plumbing Contractor
Print Name
FRYMIRE
Mechanical Contractor
FPMC -1 (4/94)
IDO.�-
CITY OF COPPELL
nicuicuirn
B"the
DATE N
Approvns and specifications shall not LU
be construed +a mean construction in direct con- J
fiict with the City of Coppell Building Codes and
toning Ordinances. �s
z
A
,gg��yy��)FORM � N
�i0.,ld�VEY REQIJUZM � j
F.E. M.A.
MINIMUM
I
—1 — —
A AA64171.IZ11,
HOLLYWOOD
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ELEVATION CERTIFICATE `' Ale "`''°?' °"
►xr�nsAl,y 1r r79t
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM ,
AI TENT ION: Use of this certificate does not provide a waiver of the flood insurance purchase requirenlenl. this form is used only to
provide elevation information necessary to ensure compliance with applicable community floodplain management ordinances, to
dPlerrnine the proper insurance premium rale, 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
BUILDING OWNER'S NAME
Drees -
STREET ADDRESS (Inchiding Apt., Unit, Suite and/or Bfdg. Number) OR P.O. ROUTE AND BOX NUMBER
124 Hollvwood Drive
OTHER DESCRIPTION (Lot and Block Numbers, etc.)
Let -33, Block D. Lakewood Estates
CITY
Coppell
FOR INSUnANCE COMPA14Y USE
POLICY NUMBER
COMPANY NAIL NUMBER
STATE ZIP conE
Texas
SECTION 8 FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
Provide the following from the proper FIRM (See Instructions):
1 COAIMUNIIY NUMBER
2. PANEL NUMBER
3. SUFFIX
4. DMF OF FIRM INDEX
5. FIRM ZONE
S. BASE FLOOD ELFVATIOII
480170
0010
D
10-16-91
Shaded X
(in AO Zones, use Avplli)
N/A
Indicate the elevation datum system used on the FIRM for Base Flood Elevations (BFE): I I NGVD '29 I 1 Other (describe on back)
3. 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., 1 1.1 I feet NGVD (or other FIRM datum -see Section B, Item 7).
SECTION C BUILDING ELEVATION INFORMATION
1. Using file 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(1). FIRM Zones Ai -A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation
oil I I I 1 1.1 _.I feet NGVD (or other FIRM datum -see Section B, Item 7).
(b). FIRM Zones V1 -V30, VE, and V (with BFE). The bottom of the lowest horizontal structural mernber of the reference level from
the selected diagram, is at an elevation of I I I 1. 1 .1.1 1 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 I ( I.1 I feet above I 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) 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? I I Yes I I No 1 I Unknown
3. Indicate the elevation datum system used in determining the above reference level elevations: I I NGVD '29 I 1 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,71, then conve►i 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 I No (See Instructions on Page 4)
5. The reference level elevation is based on: 1.1 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 it? 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.)
S. The elevation of the lowest grade, Immediately adjacent to the building is: I I I I I I.1 I feet NGVD (or other FIRM datum -see
Section B, Item 7).
SECTION D COMMUNITY INFORMATION
I . If the community official responsible for verifying building elevations specifies that the reference level indicated in Section C. Item 1
is not Ifie "lowest floor" as defined in the community's floodplain management ordinance, the elevation of [lie building's "lowest
floor" as defined by the ordinance Is: I I I I I 1.1 1 feet NGVD (or other FIRM datum -see Section B, Item 7).
2. Dale of the start of construction or substantial improvement
FEMA Form 81-31, MAY 90 REPLACES ALL PREVIOUS EDITIONS SEE REVERSE SIDE FOR CONTINUATION
SEC110N E CERTIFICATION
110-7 ificalion is to be signed by a land surveyor, engineer, or architect who is aulhori7ed by stale or local law to cerlify elevation
11 11,1n,:ltinn when the elevation information for Zones Al—A30, AE, All, A (with BFE),V1—V30,VE, and V (with BFF) is required.
mi mmity officials who are authorized by local law or ordinance to provide floodplain management information, may also sign flip
mlification. In the case of Zones AO and A (without a FEMA or community issued BFE), a building official, a properly ownm. nr an
n;vrlPr s representative may also sign the certification.
fir'IPloncP level diagrams 6, 7 and 8 - Distinguishing Features—If the certifier is unable to certify to breakaway/non breakaway wall.
(Im f0surn size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), than list flip FeaturPts) not
int luded in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered.
i ( ortlf► that the information in Sections B and C on this certificate represents my best efforts to interpret the data at niiabir.
I rnrder stand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001
_ Richard C. Maki RPLS 14587
r m It IF -n S rJAME LICENSE NUMBER for Affix Seal)
RPLS (Owner) Maki & Associates Inc.
n l l r COMPANY NAME
1066 Forest Avenue ort Worth Texas 76112
ADDFIFSS CITY STATE 71P
6/27/94.-- - (817)654-4760
su;rl DATE PHONE
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 finsih floor
required of 44.91'_,_the plat indicates the BFE for this lot to be
446.5'- A vertical control survey determined the finish floor
elevation of top449_.5
of wood forms to be The datum used to '
------ ----- ------- ----- _- _ ._
determine this _was _BM#G408-_2_of a TRA -_Hood 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_
ON
SLAB
A v
70NES ZONES
SASE
1 O'; D
EIFVATION
ADJACENT
GRADE
GRADE
WITH
BASEMENT
A
]it- ZONES
BASE
FLOOD
ON PILES,
PIERS, OR COLUMNS
A v
ZONES 7r)NF^,
t,r, Ent", r
LEVEL
The diagrams above illustrate the points at which the elevations should be measured in A Zones and V Zones.
FInvalions for all A Zones should be measured at the top of the reference level floor.
FlPvalions for all V Zones should be measured at the bottom of the lowest horizontal structural member.
Page 2
ADJACENT
GNADE
454.21 '
fI
PROPERTY DESCRIPTION
Lot 33, Block D. LAKEWOOD ESTATES, an Addition to the
City of Coppell, Dallas County, Texos.
S 02'17'45" E 66.00'
Vorioble Width Flood Plain Eosm't
r I
30' San. Sewer Eosm't I
49.8'
Loi 32 o I Lot 33 Lot
� I Irn
NJ
N 5.9' r8.0'
5. 7' S. 7'4.12.2
00
. I I
!d) I N WOOD FORMS
It FF= 449.5'
L V
N
Z 10.9'o � 6.4'
11.1' 00
8.0' -J
I
IN
I
4.8' 0 12.0' 0 4.,9'
---- —25' Bldg Line ---- �----
8.0'
25.0' 1
------------ --
10' U. E.
-- — 22.68' ---- 5' T. U. E. -'—
S 02'17'45" E R=750.00' L=43.34'
'7l0 H0«y*00'0 40*?//rE
Wonumentotion found in the Centerline of Hollywood
Drive was used for control monuments.
i, me 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 a 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 (BRIAN)
X AJll AAJ0 ,1:�:�J X1:171j, ]AU,
P.O. BOX 8,399 FORT WORTH, TEXAS 76112
Legend: O Iron Rod Found —x—x— Wood or Wire Fence
• Iron Rod Set A Control Monument
All iron rods are 1/2" rebor unless otherwise noted.
34
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Richard C. Maki
Registered Professional
Land Surveyor No. 4587
Date: 6-22-94
Job No. 10954-45F_